MARC JACOBS
Hutch Post
As Kansas and much of rural America struggles with growing healthcare shortages—particularly in primary care—Fort Hays State University’s Doctor of Nursing Practice (DNP) program is preparing the next generation of clinical leaders to fill the gap.
Nationwide, nearly 70 percent of federally designated Health Professional Shortage Areas (HPSAs) are in rural regions, where only about 11 percent of the nation’s physicians practice, despite 20 percent of the population residing there. The American Association of Medical Colleges predicts a shortage of up to 86,000 physicians by 2036, with most continuing to concentrate in urban areas, further deepening the crisis for rural communities—especially in Kansas, where many counties are considered "healthcare deserts."
To combat this, FHSU's DNP program focuses on training family nurse practitioners equipped to deliver primary care in underserved rural communities. Students are prepared not just to provide care across the lifespan but also to take on roles in healthcare leadership, policy, and academia—positions often inaccessible to nurses trained at the master’s level.
“The DNP is really about taking patient care to the next level,” said Dr. Michelle Van Der Wege, DNP Program Coordinator at FHSU. “It prepares nurses not just for clinical practice, but for leadership roles that can drive meaningful change in health systems, especially in communities where access is limited.”
A key distinction of FHSU’s DNP program is the emphasis on rural healthcare experience. Each student completes at least 225 clinical hours in a Kansas community with fewer than 10,000 residents. This real-world immersion helps students understand the unique needs of underserved areas, from chronic disease management to overcoming cultural and social barriers to care.
The four-year program includes 900 clinical hours and an additional 600 hours dedicated to the DNP Project—an in-depth initiative that helps students apply evidence-based research to real-world practice, often resulting in measurable improvements to patient care.
Graduates like Dr. Michelle "Shelli" Dreiling, a 2023 alum now practicing at Hutchinson Clinic, credit the program’s strong rural focus for shaping their career paths. “I thought I knew what I wanted, but my rural clinical experience changed that,” Dreiling said. “Now I’m exactly where I’m supposed to be—and helping train the next wave of DNP nurses.”
The program graduates approximately a dozen students each year, many of whom remain in or return to rural Kansas communities to practice. Dr. Van Der Wege is one of them. A native of Russell, she started her healthcare career as an EMT and now splits her time between serving patients at a clinic in Larned and shaping future DNP graduates. She’s earned every nursing degree offered by FHSU—from associate's to doctorate.
“Healthcare is personal in rural communities,” she said. “If we don’t train people to serve those communities, they’ll continue to be left behind.”
More information about Fort Hays State University’s DNP program is available at this link.