In this episode, I’m joined by Dr. Michael Greco, CRNA, educator, and one of the key architects behind one of the first integrated dual Adult-Gerontology Acute Care Nurse Practitioner (AGACNP) and CRNA doctoral programs. Together, we explore a model that goes far beyond adding another credential—it challenges how we think about training clinicians in an increasingly complex healthcare system.

We discuss the historical forces that made this possible, including the transition to doctoral education in nurse anesthesia and the impact of the APRN Consensus Model. We also break down why these dual programs emerged, what problems they aim to solve within hospital systems, and the ongoing tension between depth of expertise and breadth of capability in advanced practice training.

Most importantly, this conversation reframes the question from “Should I do a dual degree?” to something much more meaningful: What kind of clinician are you becoming—and how will you create value in the system you’re entering?

This episode is not about telling you what path to choose. It’s about expanding your perspective so you can make that decision with intention.

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