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Happy New Year. 
I am so glad you guys decided to

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00:00:03,920 --> 00:00:07,520
come onto the podcast today. 
I cannot wait to dive into the 

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00:00:07,520 --> 00:00:09,320
content that we have written for
today. 

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I have written most of my goals 
in true transparency. 

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I know we talked about this last
podcast episode that I would be 

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writing goals and one of the 
goals that I have for this year 

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is doing a Sunday fast and I'm 
trying to work on fasting from 

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cell phone, which is super hard 
just because so much is relying 

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on your cell phone. 
You're constantly on your phone 

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for Target app and ordering your
groceries. 

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And it's just the life has 
become so dependent on the phone

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that it's really hard to what I 
like to call Sabbath from these 

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things. 
One thing that really helps has 

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been this app called brick. 
I don't know if you've ever 

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heard of it, but this is an app 
that you put on your phone and 

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it locks your phone from social 
media. 

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You can't even rig it where 
you're like remind me in 15 

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minutes to close down social 
media. 

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No, the app is closed and it is 
been a game changer in starting 

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what I'm calling like a Sabbath 
or a fasting from the world 

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because we need a break. 
I think there is so much of our 

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lives that we need to spend in 
quiet and focus. 

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I am committing to this for my 
goals for 2026. 

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I feel like when you speak your 
goals out loud, they become a 

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lot scarier. 
Yes, I am going to be working on

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what can I eliminate and still 
be successful in 2026. 

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So stick with me. 
Let's dive in today's episode 

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after we hear a couple words 
from our sponsors. 

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Hey and Peas, let's talk about a
partner that supports both your 

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00:01:52,280 --> 00:01:56,920
practice and you, Gobi Meds. 
If you offer weight management, 

31
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Gobi Meds is a powerful 
telehealth resource for 

32
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compounded GLP ones and Wellness
options like NAD. 

33
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Plus, they handle the heavy 
lifting with smooth clinician 

34
00:02:07,360 --> 00:02:09,720
LED onboarding and transparent 
pricing. 

35
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You can even earn revenue by 
joining their medical affiliate 

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program. 
Just look for the link at the 

37
00:02:16,320 --> 00:02:20,240
bottom of gobiemeds.com. 
But let's be real, you spend all

38
00:02:20,240 --> 00:02:23,240
day taking care of others. 
And if you're looking into 

39
00:02:23,240 --> 00:02:27,080
prioritizing your own metabolic 
health or energy, Gobie Meds is 

40
00:02:27,080 --> 00:02:30,680
here for you too. 
Whether you're patients or for 

41
00:02:30,680 --> 00:02:35,640
yourself, go to gobiemeds.com 
and use code SUCCESS and PS to 

42
00:02:35,640 --> 00:02:39,080
get $50 off. 
Take care of your practice and 

43
00:02:39,080 --> 00:02:43,920
yourself with disclaimer. 
Copied Meds facilitates access 

44
00:02:43,920 --> 00:02:47,000
to compounded medications. 
Prescriptions required online 

45
00:02:47,000 --> 00:02:49,040
medical consultation results may
vary. 

46
00:02:49,080 --> 00:02:52,360
At the Success NP Podcast, we 
talk a lot about professional 

47
00:02:52,360 --> 00:02:55,600
growth, but personal health is 
just as important as career 

48
00:02:55,600 --> 00:02:58,360
advancement. 
For women navigating hormonal 

49
00:02:58,360 --> 00:03:02,520
changes, Lacera's Harmonized 
Hormone Program offers 

50
00:03:02,520 --> 00:03:06,480
personalized hormone replacement
through an easy, fully 

51
00:03:06,480 --> 00:03:09,400
telehealth process. 
Their approach combines 

52
00:03:09,400 --> 00:03:12,600
comprehensive lab testing, 
one-on-one provider 

53
00:03:12,600 --> 00:03:16,200
consultation, and customized 
treatment plans designed around 

54
00:03:16,240 --> 00:03:18,880
each woman's goals, lifestyles, 
and biology. 

55
00:03:18,880 --> 00:03:21,800
Many women experience 
improvements in focus, energy, 

56
00:03:21,800 --> 00:03:24,920
sleep and mood, and overall 
quality of life, which makes a 

57
00:03:24,920 --> 00:03:27,600
real difference both inside and 
outside the clinic. 

58
00:03:27,880 --> 00:03:31,040
If you're ready to take control 
of your home run health, visit 

59
00:03:31,040 --> 00:03:36,680
lacera.com/HRT and schedule your
free consultation with Lacera 

60
00:03:36,680 --> 00:03:38,680
today. 
Because when you feel aligned, 

61
00:03:39,000 --> 00:03:43,640
everything you do improves. 
You can be a smart, capable 

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00:03:43,640 --> 00:03:46,840
nurse practitioner and still 
make career limiting mistakes 

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early on. 
Not because you're careless, but

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because no one ever taught you 
what to watch for. 

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Welcome back to the Success NP 
podcast. 

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I'm Sandra Pagenta from Success 
NP and today we are talking 

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about the unspoken side of being
a nurse practitioner. 

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The stuff that isn't on the 
exams, isn't in textbooks and 

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absolutely affects your 
confidence, your license, and 

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your future. 
If you are a new NP or even a 

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few years in, this episode 
matters. 

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Have you ever looked around at 
work and thought everyone else 

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seems confident? 
Why do I feel like I'm barely 

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holding it together? 
If you have had that thought, 

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this episode is for you. 
I want to share today a few real

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life personal examples that I 
have experienced in my career. 

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Because if you see yourself in 
the stories that I share today, 

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I want you to know you are not 
failing, you are not behind, and

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you are definitely not alone. 
The reality Chuck Clinical 

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skills do not equal career 
skills. 

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And here's something nursing 
school doesn't say out loud. 

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Because being clinically 
competent doesn't automatically 

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mean you're professionally 
protected. 

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A lot of new MPs struggle with 
knowing when to push back versus

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saying yes to a certain caseload
of patients on your schedule or 

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being pushed to work 
autonomously on your own too 

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soon. 
A lot of NPS struggle with 

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understanding expectations in 
their first role from how you 

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will generate your income. 
A lot of NPS struggle with 

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navigating documentation coding 
safely, which depends on your 

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workplace options. 
A lot of NPS struggle with 

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recognizing red flags and jobs 
and contracts, for example non 

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competes. 
A lot of NPS struggle with 

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feeling confident and making 
independent decisions and most 

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of us learn these lessons the 
hard way through anxiety, 

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burnout, or near miss mistakes. 
A lot of common early career 

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mistakes that we see all the 
time. 

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Accepting a job offer without a 
clear onboarding schedule. 

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Not understanding productivity 
or the coding expectations of 

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your job, thinking I'll just 
figure it out as I go, and most 

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commonly, believing that asking 
for help is a sign for weakness.

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None of these things mean you're
a bad NP. 

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They just mean you're a new NP 
and a system that assumes too 

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much too soon. 
So one of the things I've talked

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about before on the podcast, and
I'll reiterate today I remember,

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was that I took a job that in 
hindsight, I really didn't vet 

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well. 
So let's take it from the top. 

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When I first was offered my very
first NP job, I remember 

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applying to zero other jobs. 
It was literally the first job I

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applied to and I got it. 
What I didn't realize was that 

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there was no onboarding for this
job. 

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None. 
They were just making the roll 

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up as I was in it. 
There was no productivity 

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expectations that were clear and
I never sought to clarify them. 

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I was seeing patients from 
inpatient, outpatient settings, 

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all different types of disease 
processes and it was clear that 

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they were complex and I hadn't 
been trained appropriately. 

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I shouldn't have been surprised 
when I was fired from this job. 

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I remember feeling is this is 
just how I'm supposed to feel in

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every single role that I take is
that I'm inexperienced and I 

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don't know what I'm doing and 
this was just normal. 

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And honestly this kills me 
because I know so many other MPs

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feel this exact same way. 
They assume that struggle is 

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normal. 
Inside the Success NP Complete 

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NP playbook, we are going to 
talk about what safe onboarding 

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looks like, how to advocate for 
support, and how to recognize 

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job red flags early. 
And the biggest shift? 

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Stop internalizing system 
failures as personal failures. 

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If I could go back, I would tell
that Sandra that was a brand new

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MP and had no idea what she was 
doing, that this needed to be 

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ironed out better, that I needed
to be demanding for clear 

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expectations, more rigorous 
settings for education, and stop

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expecting that the job was going
to have my back. 

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Jackie and I didn't start 
Success and P because we wanted 

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to do a course. 
We started it because we kept 

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seeing talented nurse 
practitioner students in 

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practice struggling to get to a 
spot in their clinical rotation 

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where they felt confident. 
The way that nurse practitioner 

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schools push you through your 
clinicals leaves you in this 

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00:09:05,640 --> 00:09:10,040
constant state of feeling a lack
of confidence because you 

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started a rotation. 
You go in blind. 

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You then work your way to a 
point of feeling confident and 

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then they pull you onto your 
next rotation. 

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It's almost like you get trained
to feel this way even in your 

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clinical rotations. 
We started the digital clinical 

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booklet guides as a way to get 
you to the spot where you felt 

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comfortable quicker. 
We don't want to see NPS 

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doubting themselves, burning out
early, leaving positions that 

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they thought they would enjoy, 
but actually you've come to find

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out they didn't vet properly. 
And the problem isn't 

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intelligence, it's a lack of 
structure in mentorship after 

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graduation. 
Once you learn how to think like

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a provider, not just a student, 
everything changes. 

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And that's what we wanted to 
create for other MPs with our 

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00:10:04,200 --> 00:10:10,240
complete MP Playbook course. 
Another story I want to share is

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about confidence and feeling 
like I didn't trust my own 

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judgement. 
Sometimes you know the answer 

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00:10:18,040 --> 00:10:21,160
but you don't trust yourself. 
You're constantly second 

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guessing diagnosis. 
And you knew they were right, 

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00:10:24,960 --> 00:10:29,000
you just didn't trust your gut. 
And how to overcome this? 

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At least at times I felt like I 
was textbook smart and then real

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00:10:33,920 --> 00:10:37,880
world. 
I'm super unsure and what I 

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found helped me the most wasn't 
studying more. 

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I read a quote that said you 
don't learn to swim by staring 

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at the pool, you learn by 
getting in the order. 

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I think that's a really great 
quote for what it's like to work

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your way to confidence. 
You wouldn't get into the pool 

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though if you didn't have a 
coach. 

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Someone that is going to help 
you learn how to swim because 

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00:11:03,520 --> 00:11:06,400
then you might drown. 
You need a coach to teach you 

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00:11:06,400 --> 00:11:09,760
how to swim and something to 
encourage you that you are 

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capable of doing it. 
How to teach you how to be a 

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provider, not a student. 
How to use decision frameworks 

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that they used to help them get 
to answers quicker and how to 

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tolerate uncertainty without 
panicking. 

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It's a skill and it's one that 
most nurse practitioner programs

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00:11:29,360 --> 00:11:31,840
don't teach you. 
And it's something that, like I 

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00:11:31,840 --> 00:11:36,720
said, I experienced in my career
and I still experience it every 

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00:11:36,720 --> 00:11:39,120
day. 
But the panic is different. 

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The panic is not as loud. 
And it is also with 

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understanding and knowing at 
this point of my career where my

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00:11:47,040 --> 00:11:51,440
resources are, because you'll 
always come to a spot where you 

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00:11:51,440 --> 00:11:54,120
don't know what you're doing. 
The most important part is 

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00:11:54,120 --> 00:11:55,880
knowing. 
But I know how to figure this 

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00:11:55,880 --> 00:11:58,440
out. 
All right, So the solution, what

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00:11:58,560 --> 00:12:02,920
does Success MP do for me? 
What does the Complete MP 

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00:12:02,920 --> 00:12:06,840
Playbook help me with? 
It's not about memorizing more 

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00:12:06,840 --> 00:12:09,800
facts. 
It's about teaching you how to 

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00:12:10,120 --> 00:12:13,600
approach patients with 
confidence, how to organize your

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00:12:13,600 --> 00:12:16,960
clinical thinking, and how to 
protect your license and your 

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00:12:16,960 --> 00:12:20,120
time. 
Hey and Peas, let's talk about a

192
00:12:20,120 --> 00:12:23,080
partner that supports both your 
practice and you. 

193
00:12:23,400 --> 00:12:26,480
Gobi Meds. 
If you offer weight management, 

194
00:12:26,480 --> 00:12:29,560
Gobi Meds is a powerful 
telehealth resource for 

195
00:12:29,560 --> 00:12:33,440
compounded GLP ones and Wellness
options like NAD. 

196
00:12:33,440 --> 00:12:36,920
Plus, they handle the heavy 
lifting with smooth clinician 

197
00:12:36,920 --> 00:12:39,280
LED onboarding and transparent 
pricing. 

198
00:12:39,760 --> 00:12:43,480
You can even earn revenue by 
joining their medical affiliate 

199
00:12:43,480 --> 00:12:45,880
program. 
Just look for the link at the 

200
00:12:45,880 --> 00:12:49,800
bottom of gobimeds.com. 
But let's be real, you spend all

201
00:12:49,800 --> 00:12:52,800
day taking care of others. 
And if you're looking into 

202
00:12:52,800 --> 00:12:56,640
prioritizing your own metabolic 
health or energy, Gobi Meds is 

203
00:12:56,640 --> 00:13:00,200
here for you too. 
Whether you're patients or for 

204
00:13:00,200 --> 00:13:05,440
yourself, go to gobimeds.com and
use code SUCCESS and PS to get 

205
00:13:05,440 --> 00:13:08,640
$50 off. 
Take care of your practice and 

206
00:13:08,640 --> 00:13:12,400
yourself with Gobi. 
Disclaimer Copied Meds 

207
00:13:12,400 --> 00:13:14,960
facilitates access to compounded
medications. 

208
00:13:15,200 --> 00:13:18,360
Prescriptions required online 
medical consultation results may

209
00:13:18,360 --> 00:13:20,680
vary. 
At the Success NP podcast, we 

210
00:13:20,680 --> 00:13:23,880
talked a lot about professional 
growth, but personal health is 

211
00:13:23,880 --> 00:13:25,880
just as important as career 
advancement. 

212
00:13:26,280 --> 00:13:28,600
For women navigating hormonal 
changes. 

213
00:13:28,680 --> 00:13:33,080
Laceras Harmonized Hormone 
Program offers personalized 

214
00:13:33,080 --> 00:13:37,480
hormone replacement through an 
easy, fully telehealth process. 

215
00:13:37,880 --> 00:13:40,600
Their approach combines 
comprehensive lab testing, 

216
00:13:40,600 --> 00:13:44,120
one-on-one provider 
consultation, and customized 

217
00:13:44,120 --> 00:13:47,760
treatment plans designed around 
each woman's goals, lifestyles, 

218
00:13:47,760 --> 00:13:49,680
and biology. 
Many women experience 

219
00:13:49,680 --> 00:13:52,880
improvements in focus, energy, 
sleep and mood, and overall 

220
00:13:52,880 --> 00:13:56,320
quality of life, which makes a 
real difference both inside and 

221
00:13:56,320 --> 00:13:58,760
outside the clinic. 
If you're ready to take control 

222
00:13:58,760 --> 00:14:04,480
of your home run health, visit 
lacera.com/HRT and schedule your

223
00:14:04,480 --> 00:14:06,720
free consultation with Lacera 
today. 

224
00:14:07,040 --> 00:14:10,280
Because when you feel aligned, 
everything you do improves. 

225
00:14:11,160 --> 00:14:15,760
Hey MP student or MP graduate, 
Yes, you ever freeze when it's 

226
00:14:15,760 --> 00:14:18,800
time to present your patient 
case to your preceptor. 

227
00:14:19,120 --> 00:14:23,080
Suddenly you're rambling about 
the thing that happened and the 

228
00:14:23,080 --> 00:14:24,800
preceptor gives you a puzzled 
look. 

229
00:14:26,040 --> 00:14:28,040
Winging it is no longer an 
option. 

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Introducing the Case 
Presentation Guide, a free step 

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by step framework made by 
experienced M PS for NP students

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and new grads. 
Learn what to say and what to 

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skip, how to keep it concise, 
and how to sound like you 

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actually know what you're doing.
Nail your assessments with 

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clarity, move through the 
history, and plan like a pro. 

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The best part of the Case 
Presentation module is that it's

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free 99, so make sure to click 
the link in the show notes. 

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This is all a part of our course
launching January of 2026 called

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the Success NP Academy. 
It is your step by step guide to

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launching your MP career with 
confidence. 

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We'll help you go from 
overwhelmed to organized with 

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lessons on charting, case 
presentation, job hunting, and 

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actually feeling ready for day 
one in practice. 

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Because let's be honest, they 
taught you how to diagnose 

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pneumonia, not how to negotiate 
a contract or figure out 

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malpractice insurance. 
You've got the degree. 

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We'll help you get the 
direction. 

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Now let's get back to the 
conversation. 

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Basically, it's teaching you how
to build a sustainable career, 

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not just survive your first job.
Inside our course you're going 

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to find practical frameworks you
can use immediately, real world 

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guidance for early practice and 
support that's designed for NPS 

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by NPS with community. 
This is the stuff you didn't get

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in school but are expected to 
know from day one. 

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You might think you just need 
more knowledge, like I just need

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to learn more, which might be 
true. 

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You might need to. 
But what you actually need, and 

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probably more so need is 
guidance, structure and 

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reassurance. 
New M PS aren't under prepared 

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just because they don't work 
hard enough. 

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They're undersupported after 
graduation and that's why we 

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created Success NP and why we 
feel like this course is going 

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to be life changing for nurse 
practitioners. 

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If you're listening and you're 
thinking, I wish somebody would 

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have explained this earlier, 
this is exactly who success in P

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is for. 
This course isn't about being 

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perfect, it's about being 
prepared. 

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Success in P was built for the 
moments no one prepares you for 

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that self doubt, the fear of 
missing something, the pressure 

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to perform without mentorship. 
If you saw yourself in any of 

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the scenarios I said today, I'm 
telling you this course was made

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for and you can learn more about
Success in P and our course at 

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the link in the show notes. 
You don't need to struggle in 

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silence to earn your confidence.
We're going to have community 

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where we talk about clinical 
discussions, where we help 

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transitioning nurse 
practitioners. 

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We can talk about your career in
the growth and preventing 

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burnout and being well-rounded. 
We would love to see your wins 

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too. 
We want to see all these things 

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things as we grow our community.
If this episode resonated with 

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you, I hope you share it with 
another nurse practitioner who's

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quietly struggling. 
And remember, confidence is 

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built, competency is developed, 
and support makes all the 

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difference. 
You are learning, you are 

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growing, and support is not just
a weakness, it's a strategy. 

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All right, so I'm so glad you 
stayed on. 

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Hope you guys are excited about 
the course. 

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We're offering $100 off for the 
first 50 NPS that sign up. 

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And every day we March a little 
bit closer to that number. 

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And I pray that you guys are 
considering it, thinking about 

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00:18:11,080 --> 00:18:14,640
it, or at least check it out and
share it with a friend who you 

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think that this course could 
potentially help. 

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It is an investment in your 
future. 

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And I know that if you've been 
listening to the podcast and 

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you've been looking at the 
content we've been creating for 

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the last 4-5 years as we've been
in this space and know that 

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you're going to find that we are
committed to you growing as a 

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nurse practitioner and being the
best, most successful NP you can

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be. 
And for the success NP quote of 

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the day, strive not to be a 
success, but rather to be of 

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value. 
Albert Einstein. 

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And guys, here's to a beautiful 
2026 and thanks for hanging out 

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00:18:53,600 --> 00:18:55,920
and be well friends. 
Thanks for tuning into another 

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episode of success. 
And PS we hope today's 

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00:18:58,320 --> 00:19:02,080
discussion has shed some light 
on the diverse career options or

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00:19:02,120 --> 00:19:04,560
taught you how to improve your 
clinical practice as a nurse 

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practitioner. 
Remember, whether you're 

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considering a specialization, 
pursuing advanced 

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00:19:09,080 --> 00:19:12,640
certifications, or exploring non
traditional roles, there's a 

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00:19:12,640 --> 00:19:14,840
wealth of opportunities out 
there waiting for you. 

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00:19:15,240 --> 00:19:18,320
Be sure to subscribe to the show
so you don't miss an episode and

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00:19:18,320 --> 00:19:20,880
leave us a five star review. 
It helps the podcast grow. 

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00:19:21,520 --> 00:19:24,840
The Success and Peace Podcast is
on the World Wide Web, YouTube, 

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00:19:25,080 --> 00:19:28,720
Instagram, Facebook and X, so 
subscribe to our newsletter for 

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00:19:28,720 --> 00:19:31,600
updates on new podcast episodes 
and other information to help 

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00:19:31,600 --> 00:19:34,520
you on your own NP journey. 
You can always message us at 

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00:19:34,520 --> 00:19:38,960
successandpeacepodcast@gmail.com
with any NP podcast episodes or 

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00:19:38,960 --> 00:19:42,560
topics you'd like us to discuss.
Until next time, take care, stay

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00:19:42,560 --> 00:19:45,680
curious, and keep advancing your
careers as a nurse practitioner.

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00:19:45,920 --> 00:19:48,720
And just a friendly reminder, 
the information on this podcast 

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is for educational purposes 
only. 

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00:19:50,760 --> 00:19:53,040
The information should not be 
used and substitute for 

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00:19:53,040 --> 00:19:54,840
professional care by a medical 
provider. 

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00:19:55,160 --> 00:19:57,800
The information on this podcast 
does not represent medical or 

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00:19:57,800 --> 00:20:00,320
professional advice or services.
Bye for now.