APRN Fellowship Program Curriculum

The structured, year-long program is dedicated to developing nurse practitioner skills through comprehensive training, mentorship, specialty rotations, and primary placement in family or internal medicine practice.


Lexington Medical Center providers serve as preceptors and guide nurse practitioners through their learning experiences. Fellows establish a close relationship with their primary preceptors during the program and with secondary preceptors during specialty rotations.

With preceptor supervision, fellows develop their own patient panel, including:

  • physical and psychosocial assessment
  • data interpretation
  • development and implementation of treatment plans
  • follow-through along the continuum of patient care (within standard protocols established and approved by the nurse practitioner and practice physicians)

Monthly Preceptor Status Meetings

Fellows meet monthly with their preceptors to review goals, provide updates of activities and reflect on experiences and opportunities.

Specialty Rotations

Specialty rotations begin during the second month of the fellowship. Fellows spend one day per week at 23 different specialty offices throughout the network, in addition to their primary practice.

Example Specialties:

  • Cardiology
  • Gynecology
  • Orthopaedics
  • Pediatrics
  • Radiology
  • Rural Health
  • Urgent Care
  • Didactic Educational Sessions

Didactic Educational Sessions

Two hours per week are dedicated to formal learning sessions to develop problem-solving skills for a variety of complex clinical challenges.

Case Presentations

Fellows rotate each month to host a case presentation discussing complex patients and the learning outcomes from the specific patient to help foster an environment of ongoing education and collaboration.

Rural Urgent Care Rotations

Fellows rotate through the rural urgent care centers in either Batesburg-Leesville or Swansea to provide care on Saturday mornings throughout the program.

Program Goals

  • Provide quality health services that meet community needs.
  • Meet the growing demand for access to high-quality health care with well-trained, confident nurse practitioners.
  • Increase the clinical skills, confidence, productivity and job satisfaction of new nurse practitioners, as well as contribute to employer satisfaction and workforce retention.
  • Retain family nurse practitioners committed to developing careers within Lexington Medical Center.