Veteran Affairs Centers of Excellence in Primary Care Education: Transforming nurse practitioner education

Kathryn Wirtz Rugen, Sharon A. Watts, Susan L. Janson, Laura A. Angelo, Melanie Nash, Susan A. Zapatka, Rebecca Brienza, Stuart C. Gilman, Judith L. Bowen, Jo Anne M. Saxe

Research output: Contribution to journalArticlepeer-review

28 Scopus citations


To integrate health care professional learners into patient-centered primary care delivery models, the Department of Veterans Affairs has funded five Centers of Excellence in Primary Care Education (CoEPCEs). The main goal of the CoEPCEs is to develop and test innovative structural and curricular models that foster transformation of health care training from profession-specific "silos" to interprofessional, team-based educational and care delivery models in patient-centered primary care settings. CoEPCE implementation emphasizes four core curricular domains: shared decision making, sustained relationships, interprofessional collaboration, and performance improvement. The structural models allow interprofessional learners to have longitudinal learning experiences and sustained and continuous relationships with patients, faculty mentors, and peer learners. This article presents an overview of the innovative curricular models developed at each site, focusing on nurse practitioner (NP) education. Insights on transforming NP education in the practice setting and its impact on traditional NP educational models are offered. Preliminary outcomes and sustainment examples are also provided.

Original languageEnglish (US)
Pages (from-to)78-88
Number of pages11
JournalNursing outlook
Issue number2
StatePublished - Mar 2014
Externally publishedYes


  • Interprofessional education
  • Nurse practitioner education
  • Primary care

ASJC Scopus subject areas

  • General Nursing


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