PODCAST · education
Real World NP
by Liz Rohr
Hi, I’m Liz Rohr: family nurse practitioner, wife, parent, and founder of Real World NP, a continuing education company for new nurse practitioners in primary care. I’m on a mission to equip and guide new nurse practitioners so they can feel confident and capable through comprehensive, concise, and hyper-relevant educational resources, without the fluff. We’re also here to provide an approachable, supportive community in order to bring about a new generation of healthcare providers who know that they can make an impact & inevitably disrupt the healthcare industry. Each week you’ll hear a mix of clinical pearls and practice tips, guest interviews with specialists and allied health professionals, and guidance on navigating the role transition from RN to NP. Make sure you subscribe and leave a review so you won’t miss an episode. Plus, you’ll find links to all the episodes, plus extra goodies over at <a href="realworldnp.com/podcast" rel="noopener noreferrer" target
Episodes
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Starting Insulin in Type 2 Diabetes (2026 Updates)
Starting insulin in type 2 diabetes can feel intimidating—especially when you're a new NP seeing a patient with an A1C of 13% or 14% and wondering: Does this patient need insulin? Can I safely manage them outpatient? And how much insulin should I actually start? In this episode, I walk through a...
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COPD Exacerbations: A Guide for Nurse Practitioners
A patient with COPD comes in with worsening cough, sputum, and shortness of breath. Is this actually a COPD exacerbation? Can you safely treat them outpatient? And do they need antibiotics? In this episode, I walk through a practical approach to evaluating and treating COPD exacerbations in…
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COPD Management (2026 Updates)
COPD guidelines have changed—and if you’re managing COPD in primary care, there are a few updates worth knowing. In this episode, I walk through how to approach a patient with COPD at a routine visit, especially when you’re seeing them for the first time or inheriting their care from another...
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GI Specialist Interview: H. pylori, GERD, Celiac, Constipation & When to Refer
What does a GI specialist wish primary care providers knew before sending a referral? In this episode, I’m joined by family nurse practitioner Paige Sosebee, who has worked in gastroenterology since 2019 at a large academic medical center. We talk through some of the most common GI concerns we…
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Interview with a Nephrologist: CKD, Dialysis & When to Refer
When should you refer a patient with CKD to nephrology—and what should you do before they get there? In this episode, I’m joined by nephrologist and medical educator Dr. Rachel Hilburg to talk through the questions that come up all the time in primary care: interpreting proteinuria and hematuria,...
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Structural Heart Disease in Primary Care: When to Suspect Valve Disease & When to Refer
Valvular heart disease often presents gradually— often slowly becoming more fatigued, less active, or more short of breath over time— making it easy for symptoms to be attributed to aging or deconditioning. In this episode, Liz Rohr sits down with structural heart nurse practitioner Christy…
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How to Use the PREVENT Risk Calculator
The PREVENT Risk Calculator is a newer cardiovascular risk assessment tool developed by the American College of Cardiology (ACC) and American Heart Association (AHA). Designed to replace older pooled cohort equations, it provides a more comprehensive estimate of cardiovascular risk, including…
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New Hypertension Guidelines: Practical Updates with Dr. Jordy Cohen
Hypertension Guidelines Updates: Practical Pearls for Primary Care with Dr. Jordy Cohen What actually changed in the newest hypertension guidelines—and what should nurse practitioners be doing differently in clinic? In this episode, Liz Rohr, MSN, FNP-BC, sits down with Dr. Jordy Cohen,...
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Microalbuminuria (2026 Updates): Lab Interpretation for Nurse Practitioners
Urine microalbumin is one of the earliest indicators of kidney damage, but the terminology—and the recommendations—have changed over the past several years. In this episode, Liz reviews the 2026 updates to urine microalbumin interpretation, including the transition to albuminuria and the urine...
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Navigating IBS with Dr. Zach Spiritos
Irritable bowel syndrome (IBS) is one of the most common—and often frustrating—conditions seen in primary care. Patients may come in with chronic abdominal pain, diarrhea, constipation, bloating, or a mix of symptoms, and many have already been told that their testing is “normal.” So how do you...
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Podcast Hiatus, Accreditation & We’re Hiring!
Hey! We’re taking a hiatus from the podcast while the team focuses on becoming an accredited organization for continuing education. We’re developing new courses to bridge the gap between graduate education and real-world practice. In the meantime, we’re inviting clinicians to contribute to paid...
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Navigating Confrontation at Work as an NP
This episode focuses on leadership and role transition questions, specifically addressing a scenario where a new nurse practitioner is struggling with confrontational conversations with nursing staff. The host provides advice on how to navigate these situations using a framework called nonviolent...
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Path to Overcoming Disillusionment in Healthcare with Rebecca Arnold
Rebecca Arnold, a holistic leadership coach, discusses the challenges of disillusionment and burnout in mission-driven professions like nursing and medicine. She emphasizes the importance of addressing emotions and processing them in a safe and titrated manner. Rebecca highlights the concept of…
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How to Negotiate a Raise for Nurse Practitioners with Amanda Guarniere
In this conversation, Liz Rohr and Amanda Guarniere discuss negotiating a raise as a nurse practitioner. They emphasize the importance of collecting data about your job performance and your value to the organization. They also highlight the need to consider the employer's perspective and…
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Unexpected Mentorship Questions from New NPs - Interview with Kara Pesola, NP
In this conversation, Liz Rohr and Kara Pesola discuss the challenges and common experiences of new nurse practitioners (NPs). They highlight the importance of support and mentorship for new grads and address the imposter syndrome many NPs experience. They also discuss the common questions and...
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Advice for Creating New NP Mentorship Programs
In this episode, I share my experiences and insights on starting a mentorship program, drawing from my own journey as a nurse practitioner and founder of Real World NP. I discussed the context of mentorship, the structure of one-on-one and group mentorship programs, the frequency and duration of...
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Advice for New Grads Interested in Urgent Care with Michelle Lew, NP
Michelle, a board-certified family nurse practitioner with experience in urgent care, shares her journey and insights into the field. She discusses the differences between urgent care and primary care, the challenges of not having access to medical records in urgent care, and the importance of...
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Assessing Chest Pain: New Red Flags & Risk Factors - Interview with Jennifer Carlquist, PA
In this conversation, Liz Rohr interviews Jennifer Carlquist, a physician assistant with extensive experience in cardiology, who discusses the assessment and management of chest pain. They covered: - Assessing cardiac versus noncardiac chest pain - Assessing risk for MI and when to send patients…
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Treating Substance Use Disorder: Stimulants & How to get Addiction Histories - Interview with Shelby Pope
In this conversation, Liz Rohr and Shelby Pope discuss the importance of taking a comprehensive history of substance use, and how to assess and treat stimulant use disorder. They cover the challenges healthcare providers face in asking the right questions, and emphasize the need for open...
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Treating Opiate Use Disorder in Primary Care - Interview with Shelby Pope, NP
In this episode, Liz Rohr interviews Shelby Pope, DNP, APRN, FNP-BC, they discuss the stigma around addiction, the importance of supporting patients with opiate use disorder while exploring Shelby’s journey into addiction medicine and impacts of this field. This episode includes discussion of...
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Bridging the Gap: Primary Care and Specialty Care Courses for Nurse Practitioners - Need Your Input!
We’re expanding our course catalog at Real World NP! This time, we’re collaborating with specialists, making courses tailored for primary care providers. Our goal is to provide comprehensive and practical courses for nurse practitioners and PAs, and to bridge the gap between primary care and...
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Real World NP: Redefining Continuing Education for Nurse Practitioners
Welcome back to Season 3 of the Real World NP Podcast! This episode is an interview with yours truly - I want to share a bit of a “reset” with what’s going on with Real World NP, where we started, where we’re going, and how you can be involved. I also want to share a bit that has changed behind…
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Giving Yourself Permission, Season 2 Recap & What's Next
On this week’s episode I want to give you some permission if you feel like you need it— To be a whole human with needs, feelings, desires, and cares. To do what feels authentically right to you. We’re plopped into a healthcare system that is specifically NOT set up for humans to be humans, and is...
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Investing In Your Future: Financial Planning for NPs
In this week's episode, I'm thrilled to share my conversation with Lauryn Williams, an extraordinary individual who has not only achieved greatness on the athletic track but also in the realm of financial planning. Lauryn's story is a powerful example of how discipline, dedication, and a...
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Empowering Equity: Transforming Clinical Spaces with Community Care
Welcome to our latest podcast episode, where I had the immense pleasure of sitting down with the incredible Dr. Omolara Uwemedimo. Today's conversation is a testament to the power of resilience, innovation, and community in healthcare. Dr. Omolara shares her journey from being a pediatrician to...
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Navigating The Drama Triangle As An NP
In this episode, I had the pleasure of sitting down with Brooke Nielsen to explore a topic that is both fascinating and incredibly relevant to our work as healthcare professionals—the Drama Triangle. We've all seen it, whether we recognized it at the time or not. Those moments when interactions...
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Caretaker Fatigue: What Is The Root Cause?
In this episode, I explore a crucial topic shaping healthcare today - caretaker fatigue. Join me as I delve into an enlightening conversation with my dear friend and Executive Coach, Catherine Wood. Cat shares invaluable insights about balancing work-life commitments and the importance of...
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Are NP Careers Changing?
Are you a nurse practitioner feeling lost, uncertain, or unfulfilled in your career? This raw, honest, and needed conversation with Amanda Guarniere, the founder of Resume RX, explores: The career challenges NPs are facing Alternative career paths many NPs are considering Changing power dynamics...
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Primary Care Nurse Practitioner Roundtable: How Are We Doing After Covid?
In this video, I sit down with two incredible NP colleagues and friends, Kara and Heather, for a candid conversation about the rollercoaster ride of being a nurse practitioner. We delved deep into our shared experiences, tackling everything from the highs of fulfilling our calling to the…
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Cardiology In Primary Care With Midge Bowers
I am thrilled to introduce you to Midge Bowers. Not only is Midge a Clinical Professor and Director of the cardiovascular specialty at Duke University School of Nursing, she practices as a nurse practitioner in a Heart Failure Access Clinic. She’s an expert in cardiology, a seasoned healthcare...
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Navigating NP Burnout with Cait Donovan
This week, I have an episode for you that I think is even MORE important than the clinical knowledge that I share — navigating NP burnout. Meet Cait Donovan, an International Keynote Speaker, host of “Fried – The Burnout Podcast,” author of the book "The Bouncebackability Factor", and an...
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What Is Your Philosophy Of Practice As A Nurse Practitioner?
Whether you're a recent NP graduate or someone transitioning between specialties, this video will help ease that overwhelming feeling and help you discover your unique approach to practice. If you liked this post, also check out: Pillars of NP Practice Leukocytosis Case Study Timestamps: 00:00 -...
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New Nurse Practitioner Pillars of Primary Care
If you’re a new NP grad making your way into practice, I think you’ll find today’s video super helpful. (And even if you’re not a new grad, it’s still worth the watch — both to understand what we’ve been through and to help us mentor students and new grads ourselves.) In this episode, I talk…
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The New Season Is Here
Welcome to our brand new podcast season! We're absolutely pumped to bring you a fresh wave of episodes that will be a game-changer for Nurse Practitioners (NPs) on their journey. Whether you're a seasoned pro or just starting out, we've got you covered. In this season, we're introducing some...
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Season Pause
Hello there, we are actually going to be taking a season break on the Real World NP Podcast. But don’t worry, we’re coming back! We’re taking some time to do some regrouping, work on some things behind the scenes, and get ready for a whole new season of episodes for you. If you want to be…
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Legal Questions from Nurse Practitioners Answered
It’s hard not to worry about malpractice when you’re taking on new levels of responsibility as a new nurse practitioner. Irnise Williams is not only a health law lawyer, she now focuses on the education and legal work to help prevent malpractice cases in the first place. AAAAAND she’s a nurse...
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New Nurse Practitioner: When You Don't Know the Answers
One of the biggest fears I hear from new nurse practitioners and students is not knowing the answers when you're in the room with a patient. In this video, I'll tell you the many reasons why this is actually okay (and why we should probably even celebrate it), and the simple strategies I use to...
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Ortho in Primary Care: Hacks for New Nurse Practitioners
If you're feeling like you don't know enough, and still have to see patients with ortho complaints (especially in telemedicine) -- here are the "hacks" of primary care ortho management. You'll learn: The main 4 steps to managing almost all ortho complaints in primary care The top red flags...
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Diagnosing and Managing Shoulder Pain in Primary Care
As a new nurse practitioner, I used to find shoulder pain pretty overwhelming. While you can *see* all the musculoskeletal structures and how they work together, there’s a lot more going on beneath the surface and dealing with orthopedics can require a real depth of knowledge. But I’m going to…
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Atopic Dermatitis Treatment for New NPs | Pearls of Practice
Atopic dermatitis may not be the most glamorous topic in medicine, but you've got an enormous opportunity to change lives for the better in primary care. It can feel frustrating for both the patients and providers when they keep coming back without getting any better. I got to chat with a…
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Managing COPD Exacerbation In Primary Care
Walking into an examination room and seeing a patient hunched over with labored breathing, audible wheezing, and an oxygen tank can be intimidating for any nurse practitioner. And if you’re a nurse practitioner in primary care, it is essential to understand the management of COPD exacerbations to...
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Contraceptive Counseling For Primary Care NPs
Some people feel really uncomfortable talking about anything that has to do with reproductive health. Some of these people are patients, and some of them are healthcare professionals. Are you one of them? If you thought that you might be off the hook because you work in primary care - you’re not....
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How To Diagnose and Treat Abnormal Uterine Bleeding
It’s easy to think the worst when your patient mentions abnormal bleeding. It can mean so many things! Context is everything for the patient with abnormal uterine bleeding. Their age, their history, when it started, how long it lasted, their other diagnoses, even their other medications. These…
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Preventing Burnout As A New Nurse Practitioner: Interview with a Self-Care Strategist
Burnout is a hot topic in all aspects of healthcare. You might be thinking that it’s something that affects other people. You might think it’s something that impacts Nurse Practitioners who are more established in their careers. You might think it’s one of the last things that you need to think...
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Interview with a Pulmonologist
Have you ever wondered how best to manage your patients with pulmonary diagnoses? How much steroid use is too much for these patients? What happens after you refer your patients to pulmonology? How do we bridge the gap between primary care and pulmonology? You gave us all the questions that you...
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What To Do When You Have Bad News For Patients
Have you had to give a patient bad news? Did you feel prepared or scared? It is a necessary part of being a Nurse Practitioner, and it’s always going to be challenging, but it is better if you are prepared. Not all bad news is created the same. In some cases, bad news is life changing…
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Nutritional Counseling for Diabetes Patients - What You Need to Know
Diabetes might be one of the most challenging chronic conditions to manage. It definitely requires a lot of partnership between provider and patient; you may find yourself spending more time with your diabetic patient than any other group of patients in your practice. We talked with Nurse...
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Ask A Cardiology Nurse Practitioner
As a nurse practitioner in primary care, there are SO many things I’ve wanted to ask a cardiology nurse practitioner. This week, I had the lovely pleasure of interviewing Scott Pasquale, FNP and cardiology nurse practitioner, with questions from the RWNP community. In this episode, we covered…
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Starting Insulin In Type 2 Diabetes
Feeling comfortable with treating type 2 diabetes can be overwhelming as a new grad Nurse Practitioner – and even as a seasoned Nurse Practitioner, especially if you don’t have a lot of diabetic patients in your practice. Some patients will be able to improve their diabetes and get their A1C down...
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Preoperative Assessment for New Nurse Practitioners
What does it mean to “clear” a patient for surgery? Every patient needs to have a visit with a healthcare provider before their surgery in order to assess their health and verify that it is relatively safe to proceed with surgery. When they end up on your schedule, it’s up to you whether or not...
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ABOUT THIS SHOW
Hi, I’m Liz Rohr: family nurse practitioner, wife, parent, and founder of Real World NP, a continuing education company for new nurse practitioners in primary care.
I’m on a mission to equip and guide new nurse practitioners so they can feel confident and capable through comprehensive, concise, and hyper-relevant educational resources, without the fluff. We’re also here to provide an approachable, supportive community in order to bring about a new generation of healthcare providers who know that they can make an impact & inevitably disrupt the healthcare industry.
Each week you’ll hear a mix of clinical pearls and practice tips, guest interviews with specialists and allied health professionals, and guidance on navigating the role transition from RN to NP. Make sure you subscribe and leave a review so you won’t miss an episode. Plus, you’ll find links to all the episodes, plus extra goodies over at <a href="realworldnp.com/podcast" rel="noopener noreferrer" target
HOSTED BY
Liz Rohr
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Frequently Asked Questions
How many episodes does Real World NP have?
Real World NP currently has 121 episodes available on PodParley. New episodes are automatically indexed when they're published to the podcast feed.
What is Real World NP about?
Hi, I’m Liz Rohr: family nurse practitioner, wife, parent, and founder of Real World NP, a continuing education company for new nurse practitioners in primary care. I’m on a mission to equip and guide new nurse practitioners so they can feel confident and capable through comprehensive, concise, and...
How often does Real World NP release new episodes?
Real World NP publishes regularly with 121 episodes available. Check the episode list for the typical release schedule.
Where can I listen to Real World NP?
You can listen to Real World NP on PodParley by clicking any episode. We provide an embedded audio player for direct listening, and you can also subscribe via your preferred podcast app using the RSS feed.
Who hosts Real World NP?
Real World NP is created and hosted by Liz Rohr.
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