Group of five diverse young adults sitting around a table, smiling, looking at a laptop, with notebooks, papers, and coffee cups.

The Primary Care Review Course for Nurse Practitioners

More than 150 conditions and presentations across the full scope of primary care, taught the way clinicians actually think and developed by NPs with specialist input for clinicians at every stage of practice.

Registration is open.

$499 until October 31 • $599 regular

Prices shown in CAD. USD pricing available at checkout.

Trusted by clinicians across Canada 🇨🇦 and the United States 🇺🇸 • Earn 45 ANCC contact hours

NP Circle is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

Meet the faculty

Aliya Hajee

MN, BScN, NP, MSCP
Nurse Practitioner
Course Creator & Instructor
Alix Consorti

MN, BScN, NP, MSCP
Nurse Practitioner
Course Creator
Claudia Mariano

MSc, BScN, PHCNP
Retired Nurse Practitioner
Expert Reviewer
Dr. Akshay Jain

MD, FRCPC, FACE, ECNU, DABIM, DABOM
Endocrinologist
Expert Reviewer
Katie Langille

MN, BScN, NP
Mental Health Nurse Practitioner
Expert Reviewer
Dr. Shafeena Premji

MD, MHA, CCFP, FCFP, MSCP
Family Physician & Menopause Expert
Expert Reviewer
Dr. Yonah Krakowsky

MD, MEd, FRCSC
Urologist
Expert Reviewer
Jessica Munro

MN, BScN, NP
Nurse Practitioner
Expert Reviewer
Dr. Supriya Joshi

MD, FRCPC
Hepatologist & Gastroenterologist
Expert Reviewer
Dr. Ilya Mukovozov

MD, PHD, FRCPC, DABD
Dermatologist
Expert Reviewer
Coleen Power

MN, BScN, NP
Cardiology Nurse Practitioner
Expert Reviewer
Dr. Desmond She

MD, FRCPC, HBSc
Pediatrician
Expert Reviewer
Dr. Kristin Harris

MD, FRCSC
OBGYN & Maternal Fetal Medicine Specialist
Expert Reviewer
Susan Robinson

MScCAM, BScN, NP, CHPCH(C)
Nurse Practitioner
Expert Reviewer
Dr. Mona Loutfy

MD, FRCPC, MPH
Infectious Diseases Specialist
Expert Reviewer
Nadine Shaban-Teriaky

MN, BScN, NP, MHk
Nurse Practitioner
Expert Reviewer
Dr. Fahim Merali

MD, CCFP(SEM), Dip. Sport Med.
Sports Medicine Physician
Expert Reviewer
Dr. Ferron O'Campo

MD, FPNA
Neurologist
Expert Reviewer

We’ve got you covered

Built for real-world primary care practice
Covers 150+ conditions across 22 modules
Taught through clinical reasoning, not memorization
45 ANCC contact hours, including 10 pharmacology hours
Online and self-paced, with lifetime access

Course overview

Primary care is broad and fast-paced. In a single day, you can move across acute, chronic, and preventive care, often with limited time and incomplete information. The same presenting complaint can be straightforward in one patient and serious in the next. Much of primary care is learning how to sort through that uncertainty and make safe, thoughtful decisions about what matters most.
This course is the resource we wished we’d had. It was built by nurse practitioners, with specialist input across the content, for clinicians managing the breadth of primary care and wanting to feel more confident in their clinical thinking. It’s not a wall of facts to memorize, but a practical, consistent way of working through the presentations you encounter in practice.
WHAT MAKES IT DIFFERENT
It teaches how to think, not just what to know. Module 1 builds the clinical reasoning framework that runs through the entire course: how to frame a problem, build and prioritize a differential, and distinguish the most likely diagnosis from the one you cannot afford to miss. Every module after that puts this approach into practice, condition by condition, so the reasoning becomes more familiar and repeatable.
It’s built for both countries. Every module draws on current Canadian and U.S. guidance. Where recommendations align, you get one clear approach. Where they differ in a way that changes clinical decision-making, both approaches are presented. Lab values appear in SI units, with conventional units alongside where relevant.
It works both as a course and a resource. Work through it from beginning to end for a comprehensive primary care review, or return to individual topics when a presentation is unfamiliar or you want to check your thinking. For exam preparation, the same approach reinforces the clinical reasoning, red flags, first-line management, and decision points that commonly appear on board and certification exams.
It’s accredited. NP Circle is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.
WHO IT’S FOR
Whether you’re new to practice, transitioning into primary care, returning after time away, years into practice and looking for a refresher, or preparing for a board or certification exam, this course is designed to meet you where you are.
- Build confidence as you move into primary care from a student role, acute care, or another specialty
- Refresh core knowledge, whether you’re years into practice or returning after time away
- Prepare for a board or certification exam with a focus on real-world clinical application
- Strengthen clinical reasoning across the full scope of primary care
- Get clearer on investigations, management, follow-up, referral thresholds, and when to escalate
LEARNING OBJECTIVES
By the end of this activity, learners will be able to:
- Identify common and complex acute and chronic presentations across the lifespan, including key clinical features, red flags, and risk stratification.
- Describe the evidence-based process for formulating focused differential diagnoses and selecting initial investigations based on clinical risk.
- Explain first-line non-pharmacologic and pharmacologic management aligned with current clinical guidelines.
- Discuss comprehensive management plans, including follow-up, monitoring, and criteria for referral or escalation.
WHAT YOU GET
- 40+ hours of video lessons: Created by nurse practitioners in collaboration with experts.
- 220 integrated quiz questions: Reinforce key concepts throughout the curriculum.
- 300+ pages of resources: Downloadable, evidence-based clinical tools for use in practice.
- Private peer discussion space: Access a dedicated community for collaboration and ongoing support.
- Lifetime access: Return to the material whenever you need a clinical refresher.
- Certificate of completion: Receive a certificate documenting 45.0 ANCC contact hours, including 10.0 pharmacology hours, upon completion of all activity requirements.
- Clinical reasoning and the diagnostic process
- Triage and red flags
- Rational testing and investigation
- Safe prescribing and therapeutic selection
- Safety-netting and escalation
- Fever
- Fatigue
- Unintentional weight loss
- Dizziness
- Lymphadenopathy
- Chest pain
- Palpitations
- Syncope
- Hypertension (HTN)
- Dyslipidemia
- Atrial fibrillation (AF)
- Heart failure (HF)
- Coronary artery disease (CAD)
- Venous thromboembolism: deep vein thrombosis (DVT) and pulmonary embolism (PE)
- Peripheral vascular disease: peripheral artery disease (PAD) and chronic venous insufficiency (CVI)
- Cough
- Dyspnea
- Community-acquired pneumonia (CAP)
- Asthma
- Chronic obstructive pulmonary disease (COPD)
- Smoking cessation
- Obstructive sleep apnea (OSA)
- Sleep disorders
- Iron deficiency anemia (IDA)
- Anemia of chronic disease
- Vitamin B12 and folate deficiency anemia
- Polycythemia (erythrocytosis)
- Leukopenia and neutropenia
- Thrombocytopenia
- Type 2 diabetes mellitus (T2DM)
- Type 1 diabetes mellitus (T1DM)
- Obesity and metabolic syndrome
- Hypothyroidism
- Hyperthyroidism and thyrotoxicosis
- Osteoporosis
- Adrenal insufficiency (AI)
- Abdominal pain
- Rectal bleeding
- Gastroesophageal reflux disease (GERD)
- Irritable bowel syndrome (IBS)
- Inflammatory bowel disease (IBD)
- Celiac disease
- Gallstones and biliary disease
- Metabolic dysfunction-associated steatotic liver disease (MASLD)
- Chronic hepatitis B (HBV)
- Chronic hepatitis C (HCV)
- Hematuria
- Acute kidney injury (AKI)
- Chronic kidney disease (CKD)
- Acute kidney injury (AKI)
- Kidney stones
- Urinary incontinence
- Major depressive disorder (MDD)
- Generalized anxiety disorder (GAD)
- Post-traumatic stress disorder (PTSD)
- Obsessive-compulsive disorder (OCD)
- Bipolar disorder
- Adult attention-deficit/hyperactivity disorder (ADHD)
- Alcohol use disorder (AUD)
- Opioid use disorder (OUD)
- Suicide risk assessment
- Intimate partner violence (IPV)
- Low back pain
- Neck pain
- Shoulder pain
- Knee pain
- Ankle pain
- Osteoarthritis (OA)
- Gout and crystal arthropathies
- Ehlers-Danlos syndromes (EDS)
- Inflammatory rheumatic diseases: rheumatoid arthritis (RA), psoriatic arthritis (PsA), axial spondyloarthritis (axSpA), polymyalgia rheumatica (PMR), systemic lupus erythematosus (SLE)
- Approach to chronic pain and functional tracking
- Non-opioid and adjuvant pharmacotherapy
- Safe opioid prescribing and stewardship
- Fibromyalgia
- Chronic neuropathic pain and peripheral neuropathies
- Headache
- Stroke and transient ischemic attack (TIA) secondary prevention
- Concussion and mild traumatic brain injury (mTBI)
- Seizures and epilepsy
- Bell's palsy
- Progressive neurologic disease recognition
- Approach to an unknown rash
- New or changing skin lesion and skin cancer
- Atopic dermatitis
- Psoriasis
- Acne vulgaris
- Rosacea
- Cellulitis and abscesses
- Tinea infections
- Urticaria and angioedema
- Herpes simplex virus (HSV)
- Nail disorders
- Hair/scalp disorders
- Sore throat / pharyngitis
- Adult otalgia: otitis media and otitis externa
- Red eye
- Allergic rhinitis
- Acute sinusitis
- Ocular red flags (glaucoma, age-related macular degeneration [AMD])
- Urinary tract infections (UTIs): uncomplicated, complicated, and recurrent
- Chlamydia and gonorrhoea
- Syphilis
- Human immunodeficiency virus (HIV) prevention, testing, pre-exposure prophylaxis (PrEP), and post-exposure prophylaxis (PEP)
- Herpes zoster (shingles)
- Lyme disease
- Infectious mononucleosis (Epstein–Barr virus [EBV])
- Outpatient antibiotic stewardship
- Abnormal uterine bleeding (AUB)
- Chronic pelvic pain
- Breast lump
- Contraception and family planning
- Perimenopause and menopause
- Polyendocrine metabolic ovarian syndrome (PMOS) (formerly polycystic ovary syndrome [PCOS])
- Vulvovaginitis
- Medical abortion
- Bleeding in early pregnancy and early pregnancy loss
- Nausea and vomiting of pregnancy
- Gestational diabetes mellitus (GDM)
- Preeclampsia and gestational hypertension
- Perinatal mood and anxiety disorders
- Routine prenatal care
- Acute scrotal pain
- Erectile dysfunction (ED)
- Testosterone deficiency and testosterone therapy
- Benign prostatic hyperplasia (BPH)
- Prostatitis
- Fever
- Respiratory distress: asthma, bronchiolitis, and croup
- Abdominal pain and constipation
- Acute otitis media (AOM)
- Food allergy and anaphylaxis
- Growth and developmental surveillance
- Faltering weight (formerly failure to thrive)
- Obesity
- ADHD and autism spectrum disorder (ASD): screening, diagnosis, and initial management
- Child protection and abuse recognition
- Falls and mobility impairment
- Cognitive impairment and dementia
- Delirium
- Polypharmacy and deprescribing
- Frailty and multimorbidity
- Elder abuse and neglect recognition
- Feminizing hormone therapy in adults
- Masculinizing hormone therapy in adults
- Anatomy-based cancer and preventive screening
- Palliative pain management
- End-of-life symptom management
- Goals of care and advance care planning
- Grief and bereavement

FAQs

The course rollout begins August 31, 2026, with new modules released throughout September and October. Once a module is released, you can complete it at your own pace, with no weekly completion deadlines. You’ll have lifetime access to the course, so you can work through the content on your own schedule and return to any of the modules whenever you need them.
Early bird pricing is available now: $499 until October 31, then $599 regular price beginning November 1. Enrolling early locks in the lower rate and gives you access as modules are released.
Pricing is in CAD; USD pricing is available at checkout.
Yes. NP Circle is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.
This course offers 45.0 ANCC contact hours, including 10.0 hours of pharmacology. ANCC contact hours are accepted by the AANP Certification Board for nurse practitioner recertification.
To receive contact hours, learners must view all required modules, complete the associated learning quizzes, and complete the post-activity evaluation and attestation. No minimum passing score is required. A certificate of completion reflecting the awarded contact hours will be issued upon completion of activity requirements.
The Review Course is a comprehensive, structured review of fundamentals across the full scope of primary care. The Expert Series is a set of specialist-led deep dives into selected high-impact topics. Many clinicians use both: the Review Course for breadth, the Expert Series for depth.
Yes. You will receive a certificate of completion, along with your contact hours, once you finish the course and the post-activity requirements.
The course is fully self-paced and on-demand, so you can start any time and work at your own speed. The private peer discussion space is there for questions and collegial support throughout.
No. The course is built for nurse practitioners, physician assistants, physicians, registered nurses, and students. Anyone working across the scope of primary care, or preparing to, will find it useful.
The course is written for clinicians in both Canada and the United States. Where the two agree, content is presented once and neutrally. Where they genuinely differ, both standards are shown together with equal weight. Lab values appear in SI units, with conventional units alongside.

Testimonials

"I’m so grateful for NP Circle. This platform has given me the opportunity not only to connect with nurse practitioners across the country, but also to access high-quality, accessible online educational opportunities. The Menopause Management Course was excellent, offering practical, evidence-based tools that I will be able to utilize in my practice when caring for women during this life transition. I look forward to the upcoming Primary Care Review Course. Thank you to Aliya and the NP Circle team for building this great platform together!"
Kathy Rukavina, MN, ANP, NP(F)
Nurse Practitioner - AB
“This platform has been a great place to connect with other NPs, share insights and engage in continuing education opportunities geared to support NPs in their practice. I'm so glad I decided to become a part of this community. For the first time in my NP career I feel like I have a community and an amazing support network at my fingertips. The Lab Interpretation and Menopause Management courses along with the frequent webinar offerings on varied topics, and real world case discussions others bring to the forum make it easy to keep current and upgrade your knowledge. Thank you for creating this space!”
Marie Loughnane, MN, NP- Adult, MSCP
Nurse Practitioner - ON
“NP Circle is an incredible platform for the busy NP. Not only are their multiple course offerings, but there is a plethora of valuable resources at one's fingertips - including the valuable input from other NP's. Having taken multiple courses from a wide variety of platforms, I can attest that NP Circle is absolutely the best platform out there in regards to content and value for money. The NP Circle Lab Interpretation Course is by far the most valuable course I have ever taken.”
Meagan Beavers, MSN, RN, BA, FNP-C, CEN
Nurse Practitioner - CA, ON
"There’s something truly special about a community of nurse practitioners who share not only a similar educational background and clinical experience, but also a genuine passion for delivering exceptional patient care. NP Circle is exactly that! I joined NP Circle for the Menopause Management Course while preparing for the MSCP exam. I reviewed other recommended materials, but found the course much more practical and user-friendly while still covering everything I needed to know for the exam. The evidence-based content, algorithms, and real-world clinical guidance helped everything come together in a way that made sense. I felt well prepared going into the exam, and I’m thrilled to say that I passed. The course also left me feeling even more confident caring for patients in practice. I highly recommend this course to any clinician looking to strengthen their knowledge of menopause management. Thank you to the entire NP Circle team!"
Danielle Marston, FNP-C, CLC, MSCP
Nurse Practitioner, CO
“I am a semi-retired NP providing care to remote communities. Even after 25 years in practice and decades of women’s health conferences, I still find menopause care challenging to navigate at times. The Menopause Management Course has been the perfect enhancement to my knowledge. The content is highly curated, evidence-based, and well organized, with helpful PDFs and charts for each module. The self-paced format with built-in repetition makes it easy to retain key concepts. Concepts like SERMs, TSECs, and KNDy neurons finally clicked once I heard Aliya explain them. Aliya’s gentle voice provides a warm and humble backdrop, and you can feel the respect she has for women, the content, and the learner. Kudos to Aliya, Claudia, and their team. This is most certainly the best course I have ever taken, and I have enough certificates to paper a wall.”
Barb Hood, BScN, NP-PHC
Nurse Practitioner - ON, NWT
"NP Circle’s Lab Interpretation Course is an amazing resource for both new and seasoned NPs. It’s self-paced with lifetime access and is conveniently delivered in short sections that can be completed at any time as schedules allow. The hard work put into the development of this course is evidenced by the comprehensive content and expert review. This is an outstanding and much needed resource for all NPs contributing to a gap in NP education. Thank you NP Circle!"
Kimberly Harkness, MN, NP-PHC, NP-Adult, GNC(C)
Nurse Practitioner - ON
“The NP Circle Menopause Management Course opened up so much information and understanding for me regarding the transition for women and how to better treat them. The course was laid out in such a way that each module built on the prior ones which provided a deeper understanding and solidification of knowledge. I feel more prepared to take the Menopause Society Certification Exam after completion of this course. Highly recommend this course!”
Lori Wistling, APRN, FNP-BC, FNP-C
Nurse Practitioner - FL
"As a new graduate, NP Circle has been a life changer for me. I feel extremely empowered by the community, the trainings, and the knowledge I’ve gained so far. The Lab Interpretation Course has made a huge difference in my confidence and was exactly what I needed. I love the short videos, how the course is divided, and how clear and easy everything is to understand. It’s already changing my day-to-day practice!"
Marianne Leblond, MN, IPSPL
Nurse Practitioner - QC
“The education is excellent. As an NP, I appreciate how practical and clinically focused the Menopause Management Course is. Menopause is an area of women’s health that is often overlooked in traditional training, yet it has a significant impact on patients’ quality of life. This course provides clear, evidence-informed guidance that will meaningfully improve how NPs assess, educate, and support women through this transition.”
Poonam Sehgal, MScN, NP-PHC
Nurse Practitioner - ON
“As an experienced nurse practitioner, I found this lab interpretation course to be both refreshing and incredibly valuable. The content is concise yet comprehensive, covering everything from basic panels to more complex diagnostics in a clinically relevant way. It’s clear the course was designed with real-world application in mind — bridging the gap between textbook knowledge and what we actually see in practice. Whether you’re newly licensed or have years under your belt, this course sharpens your diagnostic skills and boosts confidence in managing complex lab results. Highly recommend for anyone looking to elevate their clinical acumen.”
Kristen Carey, MN, NP(F)
Nurse Practitioner - SK, BC
“After completing the Menopause Management Course this past weekend, I was able to immediately apply what I learned in my primary care practice. Just yesterday, I used the principles from the course with 4 different patients at 4 different stages of menopause! I felt confident asking pertinent questions, discussing expectations, and even adjusting hormone therapy routes when requested. As an experienced provider, this felt like a true WIN-WIN! I was able to expand my knowledge while guiding my patients toward the best course of treatment for their lives. I highly recommend NP Circle’s Menopause Management Course!”
Antoinette Riley, DNP, FNP-BC, DCNP
Nurse Practitioner - TX
“NP Circle creates the best educational opportunities I’ve come across in my NP career thus far. Hearing from the industry’s top specialists about tips and tricks on how we can manage many illnesses and conditions that we often refer for in primary care is motivating, empowering and can significantly reduce the volume of referrals sent and wait times for patients.”
Brooke Wagner, MN, NP-PHC
Nurse Practitioner - ON
“This is a wonderful platform. I actually left primary care about a year ago because I was a new grad and felt so overwhelmed by all the knowledge gaps I had. But since I’ve been watching all of these webinars and doing my own studying to fill in my learning gaps, I went back to primary care a couple of months ago. I’m sure you know this, but you are making such a massive difference for NPs!”
Kelsey MacNeil, MN, NP-PHC
Nurse Practitioner - ON
"I am so incredibly grateful and happy that NP Circle exists! I’ve always felt that NPs haven’t previously had structured and high quality resources available to help foster continuing education after graduation, and NP Circle has really superseded my expectations. Every course I’ve taken has left me with a wealth of invaluable and practical knowledge, and the platform is full of high-quality and practical resources! I also love the questions and answers that NPs across the country are able to contribute to. It’s such a helpful learning resource. I can’t thank Aliya enough for creating this space for all of us!"
Andrea Mayne, MN, AGPCNP
Nurse Practitioner - ON
“Could not be happier with my decision to attend the Primary Care Expert Series. For less than $20 per session, you get evidence-based and relevant clinical tools from medical specialists. The majority of the sessions are held after a standard work day and recorded for later viewing as well, which is super convenient. After attending each session, I take away valuable knowledge that will enhance the care that I provide my patients.”
Claire Smith, MN, NP-PHC
Nurse Practitioner - ON
“These are the most important education sessions you can attend as a nurse practitioner in primary health care. You leave with tangible tools to better serve your patients and minimize unnecessary referrals and long specialist wait times. Sessions are organized with sufficient time for questions and some specialist even provide post-session written materials.”
Alexandra Milne, MN, NP-PHC
Nurse Practitioner - ON
"As a recently retired NP, I have experienced firsthand the diverse facets of our profession, from clinical expertise and advocacy, to leadership , scholarship, and research. Now more than ever, it's crucial to be part of a supportive community of like-minded NPs. Being connected in this way empowers us to grow both individually and collectively, enhancing our ability to elevate patient care to new heights."
Claudia Mariano, MSc, PHCNP
Retired Nurse Practitioner - ON
“My experience working with Claudia at NP Circle was incredibly positive. She provided thoughtful guidance, practical career insight, and a supportive approach during a time when I was navigating several major professional decisions, including a significant cross-border move and career transition. Her coaching helped me gain clarity, confidence, and a better understanding of the direction I wanted to move in professionally. Claudia was also exceptionally responsive, approachable, and genuinely invested throughout the process. I always felt supported and able to reach out with concerns. I truly appreciated her encouragement, perspective and ability to tailor the process to my individual goals and circumstances. Thank you, Claudia, for your guidance and support throughout this process.”
Christine Pirwitz, NP
Nurse Practitioner - BC
“I’m so happy this exists! I would highly recommend these events to any primary care provider who is looking to gain knowledge from some of the best specialists and improve their everyday practice. I’ve already been able to implement some of the knowledge I gained from the first session into my practice and prevent an unnecessary referral! 5/5 stars”
Bri Smith, MN, NP-PHC
Nurse Practitioner - ON
"I’m loving being a part of NP Circle! The programs are taught by NPs, MDs, and others who are the best in their field. I’ve had so many great takeaways for my practice. All the resources I need for practice are easily accessible. It’s also been nice to receive updates on relevant news to NP practice and to learn from difficult cases posted by other NPs. Any questions I have related to daily practice or career advancement I can post on there and someone always has helpful advice/information. All in all it’s a great one stop shop for all my NP needs!"
Helen Nicolle, MN, NP
Nurse Practitioner - ON, NB