Grand Rounds On-Demand:
Empowering Nurse Practitioners with Real-World Insights
Fitzgerald Grand Rounds is an immersive CE program that empowers nurse practitioners to confidently tackle comorbidities, atypical presentations, confusing lab results, and unusual medication side effects that impact diagnostic reasoning and patient care.
Where Textbooks Meet Real-World Challenges.
What Makes Grand Rounds Different
Real-World Clinical Cases
Complex cases reflecting real practice, not idealized textbook scenarios.
Advanced Diagnostic
Reasoning
Focused on comorbidities, confounders, and atypical presentations.
Practical, Actionable
Learning
Immediately applicable insights you can use in patient care.
On-Demand,
Self-Paced
Learn when it fits your schedule.
Family & Adult-Gerontology Primary Care
Acute & Adult-Gerontology Acute Care
Psychiatric-Mental Health Care
Family & Adult-Gerontology Primary Care
Complex primary care cases across body systems. Select a Grand Rounds topic below to learn more or purchase.
Cat Scratch Disease
Six weeks. Two antibiotics. No improvement. M.B.’s wound isn’t healing—and her history makes this case anything but routine. What are you missing?
Intermediate
Immune
Complicated UTI
Four years. Multiple antibiotics. No real answers. F.S. keeps falling through the cracks—and the clock is ticking. Can you finally find what others missed?
Advanced
Genitourinary
Renal
Dengue Fever
She was sent home with “probably viral”—but five days in, she’s not better. She’s worse. What did the walk-in miss, and what will you do differently?
Advanced
Immune
Embolic Showers
She came in for foot pain but stopped her diabetes, heart, and blood pressure meds. This isn’t about her foot. Can you see the bigger picture?
Advanced
Endocrine
Genitourinary
Renal
Hematopoietic
Endocarditis
She’s tired all the time but denies almost everything. No pattern, no trigger, no obvious answers. The workup starts with you. Where do you begin?
Intermediate
Cardiovascular
HCV
J.H. is doing everything right, or is he? His labs are great, but his full picture tells a more complex story. Look closer before you wrap this one up.
Intermediate
Gastrointestinal
Hidradenitis Suppurative
The infection is severe, the pain is debilitating, and he’s been off his medication for six months because of insurance. Where do you go from here?
Advanced
Integumentary
Immune
HIV and PrEP
H.M. feels great, his meds are working and now he has questions from social media. How do you turn a routine visit into a meaningful conversation?
Beginner
Immune
HIV Diagnosis 30 Years Ago
H.M. feels great, his meds are working and now he has questions from social media. How do you turn a routine visit into a meaningful conversation?
Beginner
Immune
Immunoglobulin Deficiency
L.B. is finally doing well and it’s because of a diagnosis that took years to find. Now it’s your job to keep her that way. What does that look like?
Intermediate
Hematopoietic
Jaw Abscess
Months of jaw pain, a self-draining abscess, weight loss, and a head injury with no imaging – A.S. needs more than a refill. Where do you even start?
Intermediate
Immune
HEENT
Lyme Disease
Five antibiotics. Eighteen months. Still no relief. C.J. is still showing up to work but she’s running out of options. What are you missing?
Advanced
Immune
Genitourinary
Medication Induced Neutropenia
His HIV is perfectly controlled but now his shoulder is screaming. What looks like a simple strain might be hiding something worth a closer look.
Intermediate
Immune
Hematopoietic
Metformin-Induced B12 Deficiency
She sleeps 8 hours and still exhausted. Now her hands and feet won’t stop tingling. Something is quietly stealing her health can you find it in time?
Advanced
Endocrine
Hematopoietic
Myocarditis in a Young Woman
She’s 32 with no history and her chest feels like a knife. It’s probably nothing serious. Or is it? Step in and make sure you don’t miss this one.
Intermediate
Cardiovascular
Neutropenia
He feels great, his BP is controlled, and he thinks he’s perfectly healthy. But one lab result says otherwise. What do you tell him and what do you do?
Intermediate
Hematopoietic
New Diagnosis of HIV
He just got a diagnosis he never expected and he’s convinced his future is over. The medicine is the easy part. Can you meet him where he really is?
Intermediate
Immune
Normal Pressure Hydrocephalus
Routine wellness visit. Healthy guy. One offhand mention of dizziness. Then the labs come back and everything changes. Are you paying close enough attention?
Advanced
Neurological
Polymyalgia Rheumatica
She was running a farm on her own until a routine dental visit changed everything. Eight weeks later, she still isn’t herself. What did that visit start?
Advanced
Immune
Musculoskeletal
Pulmonary Hypertension
She used to power walk every day now she can’t finish the block. Something is slowing K.M. down, and it’s not her motivation. What’s really going on?
Beginner
Respiratory
Respiratory Symptoms in an Older Adult
She came to establish care but she’s wheezing in the waiting room. No regular doctor, no inhaler, still smoking. Where do you even begin with P.E.?
Intermediate
Respiratory
Right Hip Pain
Years of hip pain, every therapy tried, and she’s still limping through her day. S.C. needs more than another referral. What are you going to do differently?
Intermediate
Musculoskeletal
Teen with Painless Jaundice
He was getting better then his eyes turned yellow overnight. James is 16 and something is happening fast. This one isn’t what it looks like at first.
Advanced
Gastrointestinal
Thalassemia
He’s had anemia since age 11 and iron never helped. Now he walks 3 miles a day and feels fine. So why hasn’t anyone figured this out yet?
Intermediate
Hematopoietic
Unexplained Hyponatremia
She came in for routine labs before her wellness visit. She didn’t even see the provider. Then the results came back and the visit just got a lot more urgent.
Advanced
Genitourinary
Renal
ONLINE PACKAGE
Grand Rounds for the Family & Adult-Gerontology Primary Care Nurse Practitioner
15 real-world primary care cases — comorbidities, atypical presentations, and confusing labs — decoded by FHEA clinician experts.
4 Courses
14.75 Contact Hours
4.5 Rx Hours
15 Clinical Cases
$431
$329
You save $102
✓ Free with CE Membership
Acute & Adult-Gerontology Acute Care
Complex primary care cases across body systems. Select a Grand Rounds topic below to learn more or purchase.
Abdominal Pain
Sharp abdominal pain, nausea, vomiting, and a fever that won’t quit—but the antacid isn’t helping. What’s really going on? Step in and find out.
Beginner
Gastrointestinal
Acute Care H&P Essentials for NPs: A Practical Walkthrough
Real patients don’t follow textbooks. Sharpen your clinical thinking, strengthen your decision-making, and build the confidence to handle what walks through the door.
Beginner
Assault with Head Injury
He says it’s just a headache—but the CT tells a very different story. Step into a high-stakes trauma case where nothing is straightforward. Are you ready?
Intermediate
Neurological
HEENT
Cancer & Sepsis
Marie thinks she’s just tired from vacation. But three weeks of fatigue, weakness, and new symptoms say otherwise. Will you catch what she’s missing?
Intermediate
Immune
Complex Problems: Focus on Abdominal Complaints
Abdominal pain can mean anything—or everything. Learn to pinpoint the diagnosis, order the right workup, and never miss a surgical emergency.
Beginner
Gastrointestinal
Complex Problems: Focus on Acid-Base Disorders
ABGs don’t have to feel like guesswork. Master a stepwise approach to acid-base interpretation and finally make critical care labs work for you.
Beginner
Respiratory
Renal
Complex Problems: Focus on Headache
Not all headaches are created equal—and missing the wrong one can be fatal. Learn to spot the red flags, nail the diagnosis, and act before it’s too late.
Beginner
HEENT
Neurological
Coughing, Can’t Catch My Breath, Feel Exhausted
He can’t stop coughing, can’t catch his breath, and now he’s confused. This case is moving fast—do you have what it takes to stay ahead of it?
Advanced
Respiratory
Evaluation and Management of Common Anemias
Anemia shows up everywhere but not all anemia is the same. Learn to read the CBC, find the cause, and know exactly when and how to treat it.
Beginner
Hematopoietic
Evaluation and Management of Infectious Disease
Picking the right antibiotic isn’t guesswork, it’s a science. Learn to identify the infection, assess resistance, and choose with confidence every time.
Beginner
Immune
Evaluation and Management of Sodium Imbalance
Sodium disorders can look deceptively simple, until they’re not. Build a systematic approach to get the diagnosis right and treat with confidence.
Beginner
Gastrointestinal
Frail Elderly Female with UTI & Bowel Obstruction
Grace is 95 and in serious pain but her coffee helped. That one clue changes everything. Step into a case where the details are hiding in plain sight.
Advanced
Genitourinary
Renal
Gastrointestinal
General Approach to the Surgical Patient
Surgery doesn’t start in the OR and it doesn’t end there either. Master the full picture of perioperative care, from first eval to final recovery.
Beginner
General Strategies in Diagnostic Reasoning
Great diagnoses don’t happen by accident. Build the structured thinking, sharp interviewing, and clinical reasoning skills that separate good from great.
Beginner
Left Foot Pain & Syncope
Mary has passed out three times in a few weeks and blamed it on travel. Her son finally brought her in. This time, you can’t let it go unanswered.
Intermediate
Musculoskeletal
Neurological
The Motor Vehicle Crash (MVC) Returns
Two months post-crash, he was finally making progress then something started draining at his colostomy. A.J.’s recovery just took an unexpected turn.
Advanced
Musculoskeletal
Immune
The Vegetable Grinder
One accident. Seconds. A life changed forever. Follow a complex trauma case where surgical decisions made in real time determine what he gets to keep.
Intermediate
Musculoskeletal
UTI
She thought it was the flu until the pain moved to her back and she couldn’t keep anything down. This isn’t a simple UTI. How quickly can you act?
Intermediate
Genitourinary
Renal
ONLINE PACKAGE
Grand Rounds for the Adult-Gerontology Acute Care NP
11 high-acuity cases — sepsis, cancer, and complex complaints — to sharpen diagnostic reasoning at the bedside.
4 Courses
16 Contact Hours
1.5 Rx Hours
11 Clinical Cases
$456
$349
You save $107
✓ Free with CE Membership
Psychiatric-Mental Health Care
Complex primary care cases across body systems. Select a Grand Rounds topic below to learn more or purchase.
Body Dysmorphic Disorder
Cassandra sees flaws no one else can see—and it’s taken over her life. Unpack a complex mental health case where the diagnosis isn’t what it first appears.
Intermediate
Mental Health
Borderline Personality Disorder
P.H. is 18, escalating fast, and her current meds aren’t working. When mood, behavior, and family dynamics collide—how do you find a path forward?
Intermediate
Mental Health
Concepts in Sociopathy, Antisocial Personality Disorder (ASPD) and Psychopathy
Charming, calculating, or explosively impulsive—antisocial behavior wears many faces. Meet the patients who will challenge everything you think you know.
Advanced
Mental Health
Conduct Disorder
Amir is 7, carries more trauma than most adults, and has never responded to treatment. Before you reach for the prescription pad—what is this really?
Intermediate
Mental Health
Dermatillomania
Since his wife died, Jeremiah can’t stop—and he can’t explain why. Behind the visible wounds is a condition that’s easy to miss and hard to treat.
Advanced
Mental Health
Drug-induced Manic Episode
C.D. had it under control, until she didn’t. Now the worry is daily, the sleep is gone, and her career is at stake. What’s the right move from here?
Advanced
Mental Health
Generalized Anxiety Disorder (GAD)
Her husband is dying, her anxiety is out of control, and every standard treatment is off the table. How do you help someone when the usual answers won’t work?
Beginner
Mental Health
Hoarding Disorder
Emergency crews couldn’t get into his apartment. Timothy knows something is wrong but throwing anything away feels impossible. Can you reach him?
Intermediate
Mental Health
Major Depressive Disorder
Depression since adolescence. Cancer. Chronic pain. Every loss imaginable and nothing has worked. Can you find a path forward when the odds feel impossible?
Beginner
Mental Health
MDD Exacerbation
Six years of remission and now he feels like he’s spiraling. He’s done his research and knows what he wants. Do you agree with what he found online?
Advanced
Mental Health
Obsessive-Compulsive Disorder (OCD) and Obsessive-Compulsive Related Disorders (OCRD)
OCD is more than hand-washing and checking locks. Explore the full spectrum of obsessive disorders and learn to recognize what others routinely miss.
Beginner
Mental Health
Post Traumatic Stress Disorder (PTSD)
Three medications. A full medical workup. Therapy that didn’t help. B.C. is still suffering and she’s running out of patience. What do you try next?
Intermediate
Mental Health
Psychopathy in a Teenager
He’s 19, unemployed, and burning every bridge he crosses. His therapist and parents are worried but is he? Step in before the window closes.
Advanced
Mental Health
Psychopathy in an Adult
He’s charming, successful, and court-mandated. He doesn’t think he needs help and that’s exactly what makes this case so challenging. Are you ready?
Beginner
Mental Health
Trichotillomania
Tamika can’t stop pulling and she can’t explain why. Therapy didn’t stick, family can’t reach her, and the hats are hiding more than hair loss.
Advanced
Mental Health
ONLINE PACKAGE
Grand Rounds for the Psych-Mental Health NP
6 challenging psychiatric cases — from SSRI-induced mania to refractory depression — for confident clinical decisions.
2 Courses
8 Contact Hours
1.5 Rx Hours
6 Clinical Cases
$228
$169
You save $59
✓ Free with CE Membership
Understanding Complexity Levels
Each Grand Rounds case is labeled with a complexity descriptor to help you choose the right learning experience for your skill level and practice needs.
Beginner
Key clues are clear; next steps are straightforward. Confounders are present but easily recognized and don’t meaningfully change the plan.
Intermediate
Competing problems and mixed data. You’ll learn triage, separating signals from noise (including medication effects), and how to tailor care to the person, comorbidities, and setting.
Advanced
Evolving, high-risk case with significant uncertainty. You’ll learn how to make time-sensitive risk–benefit decisions, anticipate complications, and coordinate escalation with the person and care team.
Advanced Learning Designed for Real Clinical Practice
Fitzgerald Grand Rounds brings together expert instruction and real-world complexity to help nurse practitioners sharpen clinical judgment and deliver confident patient care.
Expert Fitzgerald Instruction
Real-World Clinical Complexity
CE Credits Included
Get Access To All
Grand Rounds:
- 285+ On-demand CE courses created by practicing NP experts
- 35+ learning paths (curated packages)
- One-stop resource to stay current on pharmacology/clinical guidelines
- Immediate access to new courses
- CE Podcasts to learn and earn CE on-the-go
Exclusions: Physical products (books, suture kits, CD-ROM), Dermatology Certificate, and the Functional Medicine Certification are not included with Membership.
Online Access
$1,299
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480+
50+
35+
30+
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