I’m slow to respond to your post but salute you for your thoughts and how well you articulated the challenges of securing and completing clinical or practicum hours. I’ve seen some venomous posts on FaceBook by groups that want to do away with programs for this reason yet this seems counterproductive to me. The idea of an organization that could manage NP residencies or fellowships sounds good, but honestly, it may be out of the scope or buy-in from most universities and regions. I know from past experiences that BSN programs struggled to secure their clinical experiences even with a county-wide or regional application that helped to promote this process. So – we continue to struggle and push through. Again, thank you for sharing your thoughts and insights.