Provider Practice Essentials registered nurse continuing education

Our Medical Philosophy

Healthcare is changing, and the lines between practitioners have been too rigid for too long.  We recognize that healthcare will require collaboration between all educational backgrounds.  This is even more critical during our post-pandemic transition, and is likely the new face of healthcare moving forward. For this reason, PPE involves physicians, physician assistants, and nurse practitioners to teach as a team.  This allows everyone to learn from each other.  No other program will give you this same exposure in a small class format!

We believe that the combination of a physician and advanced practice provider (APP) as a course instruction team allows for more real-world discussion and optimal hands-on training.  This is what makes our programs unique, as students hear and learn both sides of patient management and practice.  We educate providers in a manner that reinforces what supervising physicians are looking for and incorporate practicing APPs experience. Our students become more confident in their presentations, management, procedures, and dispositions.

Our educational philosophy is just as readily felt in our online self-study programs, where we bring the feeling of live learning to you wherever you are. We have ensured that the same high quality of education goes into every learning module we create.

Whether you are a student, in a team practice setting, or an independent practitioner, our integrated model will help you master your communication to physicians and APPs in the real world! Read on to see our course curriculum, information about Continuing Medical Education (CME), and how you can earn a reference letter.

To focus on your individual needs, class sizes are kept to a maximum of 30 participants per class with a small student to teacher ratio. Coffee, drinks, and lunch are provided.

Ian Johnson, PA-C (left) and Rory Hession, MD prepare simulators for our students prior to starting a procedure training session.

The Team

Our team is composed of some really amazing providers.  All of our lectures and content have been written and approved by a strong group of faculty members that include:

  • 11 Residency-Trained, Board-certified physicians
  • 7 University Professors
  • 3 Emergency Department medical directors
  • 3 Urgent Care Owners
  • 2 Expert Legal Witnesses
  • 3 Lead Physician Assistants
  • 2 Combat medical specialists and flight medics
  • 1 EMS Medical Director
  • Specialists in Anesthesia, Emergency Medicine, Family Medicine, Orthopedics, Spine and Neurosurgery, and Urgent Care

Combined Training Certifications

All Physicians and Advanced Practice Practitioners have ACLS and PALS certificates as a minimum. They must be currently practicing, and demonstrate granular knowledge of our materials prior to teaching.

  • Basic Life Support (BLS)
  • Pediatric Advanced Life Support (PALS) Instructor
  • Advanced Cardiac Life Support (ACLS) Instructor
  • International Trauma Life Support (Formerly BTLS)
  • ITLS Instructor
  • Advanced Trauma Life Support (ATLS) Instructor
  • Advanced Burn Life Support (ABLS)
  • Neonatal Advanced Life Support (NALS)
  • The Difficult Airway Course
  • Trauma Nursing Core Course (TNCC)
  • Emergency Nursing Pediatric Course (ENPC)
  • Cisco Certified Expert – Cisco Systems

Combined Leadership Experience

  • Department Chairman – Emergency Medicine WRMC
  • Regional Medical Director – Wuesthoff Health System
  • Midlevel Residency Program Training and Founder WRMC
  • Corporate Emergency Services Clinical Advisor for Community Health Systems, Inc.
  • Division Clinical Advisor – Health Management Associates, Inc.
  • Associate Regional Director: Schumacher Group
  • Medical Executive Committee Member LRMC
  • Medical Director Leesburg Regional Medical Center
  • Associate Medical Director – Citrus Memorial Hospital
  • EMS Liason
  • ED Throughput Committee
  • Stroke Committee Member
  • Medical Director : Aviation One Medical Transport Services
  • Assistant Medical Director: Aviation One
  • Medical Director – Lake County EMS
  • Medical Director – Sumter EMS
  • Associate Medical Director Lake-Sumter EMS
  • Assistant Regional Director – Central Florida Regional Hospital
  • Medical Director – Brooksville Regional Medical Center
  • Associate Medical Director Leesburg Regional Medical Center
  • Lead PA – Wuesthoff Hospital System
  • Associate Medical Director – Wuesthoff Rockledge hospital
  • President of Nemours Children’s Clinic Designing Board
  • Vice President – Delta Chi Fraternity University of South Florida
  • Student Body Vice President – Brevard Community College
  • Medical Director – E.M.E.T.S. Paramedic Education / ACLS/ PALS program
  • Co-Chairman Critical Care Committee
  • Chief Resident
  • Stroke Center Medical Director – WMMC, WRMC
  • Committee Member – CHD EDIS Governance Committee
  • Academic Chairman – ApolloMD APC training program
  • Physician Mentor – Wuesthoff Rockledge Hospital
  • Member, High Reliability Team, Wuesthoff Rockledge, Hospital
  • Physician Leadership Council, WRMC
  • Chairman – WRMC Medical Records committee
  • Regular Contributor for Florida Today Newspaper

Combined Academic Positions

  • Associate Professor – University of Central Florida College of Medicine
  • Proctor for Oral Board Examinations – ABOEM
  • Assistant Clinical Faculty in Emergency Medicine – University of Central Florida
  • Assistant Clinical Faculty in Emergency Medicine at the Kansas City University
  • Associate Clinical Faculty in Emergency Medicine – University of South Florida
  • Physician Assistant Training Preceptor
  • Medical Student Training Preceptor
  • Clinical Assistant Professor, Department of Emergency Medicine, University of Florida
  • Adjunct Clinical Assistant Professor
  • Clinical Professor of Emergency Medicine Nova-Southeastern University
  • Graduate Teaching Assistant/Adjunct Faculty – University of Central Florida
  • Assistant Professor of Clinical Emergency Medicine, Nova Southeastern University School of Medicine 2008-present
  • Assistant Professor of Emergency Medicine – University of Central Florida
  • Instructor to PA Students – Lawnwood Regional Medical Center
  • Associate Professor of Medicine – Northeastern Ohio College of Medicine
  • Director of Resident Education, Emergency Physicians of Naples, LLC 2008-2011

Combined Academic Speaking Engagements

  • “Feasability of Establishing a Radiology Center in a Free Clinic for the Uninsured.”
  • “Abdominal Aortic Aneurysm Presenting as Left Thigh Pain in a 75-year-old male.”
  • “Alphabet Soup:A Tour of the Modern Drugs of Abuse from LSD to GHB”
  • Patient Managent Care – Panic Attacks
  • Postpartum Complications
  • “Clinical Effects of Acute Vyvanse Ingestion by Young Children.” 2012 International Conference of Emergency Medicine – Dublin Ireland
  • Acid-Base Physiology
  • Penetrating Thoracoabdominal Injuries
  • Urinary tract Infections During Pregnancy
  • Tylenol Overdose
  • Acute Coronary Syndrome
  • Heat Related Injuries
  • Cold Environmental Exposures
  • Submersion injuries
  • Thyroid Storm
  • Sepsis and Septic Shock
  • Aortic Dissection
  • Bacterial Meningitis
  • Adrenal Crisis
  • Cardiac Markers and Risk Stratifications
  • Spinal Cord Compression
  • Biliary Colic and Cholecystitis
  • Airway Inroduction
  • Approach to the Chest Pain Patient
  • Approach to the Abdominal Pain Patient
  • Pelvic Inflammatory Disease
  • Evaluation and Management of PE
  • Status Epilepticus
  • “A Clean Home is a Safe Home – or is it?”Johns Hopkins Hospital, May, 2005
  • “Chairman’s Hour Talk”, Johns Hopkins Hospital, October , 2004
  • “The Diabetic Patient and the Approach to Anesthesia”, University of Maryland Shock Trauma Center, Baltimore, Maryland.September, 2004
  • “Takotsubo Cardiomyopathy” Henry Ford Wyandotte Hospital, 2011
  • “Delayed intracranial bleeding” Henry Ford Wyandotte Hospital, 2011
  • “aVR STEMI” Henry Ford Wyandotte Hospital, 2010
  • “Ruptured Ectopic Pregnancy” Henry Ford Wyandotte Hospital, 2010
  • “Cyanide Detector” Michigan Toxicology Center, 2009
  • “Polycarbonate Bottle Use and Urinary Bisphenol A Concentration”Michigan Toxicology Center, 2009
  • “Guillian-Barre Syndrome” Henry Ford Wyandotte Hospital, 2009 and 2011
  • “Intussusception” DMC Children’s Hospital, 2009
  • “Catatonia” Henry Ford Wyandotte Hospital, 2008
  • “Caustic Ingestion” Henry Ford Wyandotte Hospital, 2008
  • “Aortic Dissection” Henry Ford Wyandotte Hospital, 2008
  • “Advanced Surgical Airway – Cricothyrotomy”
  • “Advanced Airway – Frova, Intubating LMA, King/Combitube, GlideScope”
  • “Advanced Cardiothoracic Surgical Procedures and Surgical Airway” Team Leader
  • “Regional Anesthesia of the Face”
  • “Special Procedures of the Face”
  • “Cost and Waste in the ED”
  • “Cost and Utility of the Prehospital EKG”
  • “Toxicology Board Review”
  • “Emergency Toxicology Scenarios”
  • “Evaluation of the Hand in the ED”
  • “Special Procedures of the Hand”

Media Spotlights

  • 2001 Trauma Life in the ER – Tampa General Hospital
  • Internet Protocol Television Expo (IPTV Expo)
  • IP Possiblities – Carribean Association of National Telecommunications Organization
  • National Telephone Cooperative Association
  • Fiber to the Home
  • “Code Triage Phase 2- Hospital Disaster Response”
  • Producer, writer and technical consultant for the University of Chicago Hospitals Video production.
  • “Hospital Disaster Response:  Stress and the Healthcare worker”
  • Producer, writer and technical consultant for Rush University Medical Center Video Productions.
  • Case presentation and review for “Hopkins 24/7” ABC news television, April, 2007
  • Produced and manufactured a CD-ROM brochure for the Johns Hopkins University Emergency Medicine Residency Program
  • Regular Contributor to Florida Today Senior Living Column

Professional Societies and Memberships

  • American College of Emergency Physicians (2 Fellows)
  • American Osteopathic Association (AOA)
  • American Medical Association (AMA)
  • Florida EMS Medical Directors Association
  • American Association of Nurse Practitioners (AANP)
  • American Academy of Physician Assistants (AAPA)
  • Florida Academy of Physician Assistants (FAPA)
  • Georgia Academy of Physician AssistantsInternational Society of Organ Preservationists – Vice President
  • Florida Osteopathic Medical Association (FOMA)
  • Urgent Care Association of America
  • Resident Representative – Florida College of Emergency Medicine
  • Program Representative – 2006 Society of Academic Emergency Medicine General Assembly

Awards and Honors

  • Sigma Tau Theta International Honor Society of Nursing
  • Delta Epsilon Iota Academia Honor Society
  • Department of the Army Achievement Medal
  • Phi Kappa Theta Academic Honor Society
  • Sergeant Major’s Award – Florida Army National Guard
  • Letter of Commendation – Battalion/Brigade Soldier of the year
  • Eagle Scout (3)
  • Vigil Honor – Order of the Arrow
  • Patient’s Choice Award  –, 2009 to present
  • Most Compassionate Doctor Award – American Registry


  • 2005 Pediatric Orthopedics – National Conference of Physician Assistants Broadband 2.0 – Next Generation IPTV Delivery Falcon IP/Complete:  Bird to Box Television
  • A Comparative Review of Emergency Room Visits by Patients over 65 Years of Age” 2002-2004 Greenville Hospital System, Greenville, South Carolina Dr. William Logan, M.D., Supervisor
  • Young RC, Hession RO. Paracrine and intracellular signaling mechanisms of calcium waves in cultured human uterine myocytes. Obstet Gynecol, 90:928-32, 1997.
  • Young RC, Hession RO. Intra- and intercellular calcium waves in cultured human myometrium. J MuscleResearch and Cell Motility, 17:349-55, 1996.
  • Hession RO, Arita LH, Furitani SC. Field observations on the mating behavior of Adoretus sinicusburmeister in Hawaii. J Haw Pac Agri, 5:37-42, 1994.
  • Detecting Variability in Testing, Imaging, and Disposition in Patients Diagnosed with Gallbladder Disease in the Emergency Department: A Retrospective Analysis” Tim Dake, M.D., Jason Gamez, M.D., Michelle Blanda, M.D., and Scott Wilder, M.D.  Department of Emergency Medicine, Akron City Hospital, Summa Health System, Akron, OH.
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