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Supporting New APPs: A Smooth Transition From Training to Practice

How UVM Health creates a strong foundation for early‑career Advanced Practice Providers

Transitioning from academic training into independent clinical practice is one of the most meaningful steps in an Advanced Practice Provider’s career. It’s a moment filled with excitement, growth, and the desire to make a real impact — but it’s also a time when structure, mentorship, and steady support matter more than ever.

Being part of an academic health center gives new APPs a strong advantage as they begin their careers. Instead of stepping into practice alone, they join a team‑based clinical environment where physicians, experienced APPs, pharmacists, behavioral health clinicians, and other specialists work closely together. This collaborative structure creates a natural support network, giving new providers the chance to observe different approaches, ask questions freely, and gradually grow into their own clinical voice. With mentorship, consistent feedback, and a truly supportive environment, the transition from training to practice becomes far less overwhelming — and far more empowering.

Key Supports for New Graduate APPs

  • A robust, clearly outlined onboarding plan

  • Regular check‑ins with supervisors and mentors

  • CME resources and ongoing educational opportunities

  • Shadowing and interdisciplinary learning experiences

Insight From Our Leaders

“Learning happens every day here.”

— Amy Renner, Lead APRN, Colchester Family Medicine, UVMMC

“New APPs participate in structured clinical support and ongoing continuing education with peers and experienced faculty. There are opportunities to learn and integrate core elements of clinical practice such as:

  • Comprehensive preventive and chronic disease management

  • In-office procedures like point‑of‑care ultrasound, contraceptive management, and joint injections

  • Effective teamwork and communication within an interprofessional care model”


“We stay connected from day one.”

— Kelly Beach, Director of Medical Practice Operations, AHMC

“When a new APP starts, we want to stay in close contact to make sure all their questions are being answered. Our goal is to help them feel welcomed, supported, and informed as we gradually ramp up their schedule.”

Each new provider receives a comprehensive onboarding plan that outlines what to expect, along with opportunities to meet supervising physicians and clinical leaders early on. This creates consistent communication and builds trust from the very beginning.

Kelly also highlighted the importance of frequent check‑ins: “Constant communication helps new APPs feel comfortable reaching out, asking questions, and growing into their role.”

Why This Support Truly Matters

Together, mentorship, structured onboarding, collaborative teamwork, and dedicated learning time create a solid foundation that helps new graduates begin their careers with clarity and confidence.

Starting an APP career can feel intimidating, even for the most prepared new clinician. But when someone feels supported, seen, and guided, that early learning curve becomes manageable. Confidence grows. Skills strengthen. And their excitement about being a provider continues to thrive instead of fading under pressure.

The real strength of our model isn’t just the resources — it’s the people behind them. The supervisors who check in daily. The physicians who make time to mentor. The faculty who lead thoughtful case discussions. And the peers who celebrate each new milestone.

For many new providers, this feeling of support is what they remember most. It’s what gives them the courage to ask questions, the confidence to take on challenges, and the encouragement to keep learning. Ultimately, it’s what sets them up for long‑term success — not only as APPs, but as valued members of a health system committed to compassionate, high‑quality care.