The class discussion, led by assistant professor Erin Shankel, a nurse practitioner, delved into some of the policy areas that should be addressed by the task force. Student Rachelle VanMeter listens with other students as Erin Shankels, a nurse practitioner, talks to the class of nurse practitioner students at Belmont about working under differing regulations in other states. Friday Sept. 9, 2016, in Nashville, Tenn. (Photo: Larry McCormack / The Tennessean) The nurses talked about the need for oversight early on in their new careers, with one student mentioning the possibility of a residency-type program that would phase out after practitioners gain expertise. Another pointed out that a limited pool of physicians willing to oversee them might thereby cap the number of nurse practitioners entering the field. There's not a question of whether Tennessee needs primary care providers. The state's poor health outcomes and the shifts happening in health care combine for an environment in which there are enough patients, many APRNs and physicians said. "There is real estate for everybody," said Chris Hulin, president of Middle Tennessee School of Anesthesia. "With the aging and graying of America, there's enough to go around." Both task force co-chairs, in separate interviews, underscored the importance of putting patients at the heart of the discussion. But credentials, education and long-held divisions are taking center stage, said task force members and observers.
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