Nurse practitioners must have advanced knowledge of advanced pathophysiology, pharmacology, and physical assessment.  Nurse practitioners at King University must also complete 600 clinical hours of advanced clinical training to care for patients across the lifespan including pediatrics, adults, and geriatrics.  When I look at my first semester in clinical and compare how I have progressed to this point, the difference drastic.  When I began my first clinical site, I had very little confidence in my communication skills, assessment skills, as well as my plan for each visit.  However, after completing advanced pathophysiology, pharmacology, and physical assessment, as well as completing 600 clinical hours I am more confident in all aspects of practice.  I am able to communicate effectively with patients and members of the healthcare team.  My assessment skills are more complete, in-depth, and more efficient.  I have developed a strong skill for developing a differential to assist me in determining an appropriate diagnosis and plan.  I am dedicated to leading a life of continued learning and professional growth as education is not something that can ever be completed.  We must always continue to grow and be recipients of new evidence-based knowledge.