Post-MSN Certificate

Adult-Gerontology Acute Care Nurse Practitioner Concentration (AGACNP)

Next Start Date: Fall Term


Concentration Overview

Adult-Gerontology Acute Care Nurse Practitioners (AGACNPs) provide care for adult and geriatric patients experiencing acute, critical or complex chronic health conditions in diverse health care settings. The AGACNP post-MSN certificate at Goldfarb School of Nursing at Barnes-Jewish College prepares students for dynamic and evolving advanced practice nursing roles through rich, immersive experiences in a diverse, world-class environment. Barnes-Jewish Hospital is consistently ranked as one of the nation’s top hospitals and #1 in St. Louis and Missouri. It is also among an elite group of hospitals in the U.S. that have maintained American Nurses Credentialing Center (ANCC) Magnet Recognition® status since the program launched in 2003.

The AGACNP concentration offers 2 tracks for post MSN registered nurses interested in advancing their nursing careers. Both are face to face with a planned transition to an online format beginning fall, 2025:

The intensivist track focuses on preparing students for intensivist roles in critical care. In collaboration with experienced advanced practice providers (APPs) and Washington University Physicians, students are immersed in the multi-disciplinary critical care environments at Barnes-Jewish Hospital . Clinical sites and preceptors are pre-arranged and include the surgical/burn/trauma, neuro, cardiothoracic, and medical intensive care units (ICUs). Additional clinical time is gained in telemedicine and in the Mallinckrodt Institute of Radiology, the emergency department, and the diabetes center at Barnes-Jewish Hospital. Elective hours are also included to allow students the ability to tailor the program to their identified needs and interests.

The hospitalist track focuses on preparing students for nurse practitioner roles with hospitalist and specialty services. Like the intensivist track, students will be immersed within multidisciplinary teams and environments at Barnes-Jewish Hospital and affiliate community hospitals. In collaboration with the Washington University Division of Hospital Medicine, students will collaborate with experienced APPs and Washington University School of Medicine physicians in a variety of pre-arranged clinical sites including hospitalist services, telemedicine, Mallinckrodt Institute of Radiology, emergency medicine, diabetes, and other specialty services. The Division of Hospital Medicine is growing and gaining a national reputation as one of the premier programs. Led by a Past-President of the Society of Hospital Medicine and Founding Editor of the Journal of Hospital Medicine, members of the Division are actively engaged in education, research, and quality improvement projects.


Concentration Highlights

Our Adult-Gerontology Acute Care Nurse Practitioner Post MSN concentration has many benefits for students. Here are just a few:

Pre-Arranged Clinical Sites & Preceptors

For students residing in or near the St. Louis area, we save you the time and difficulty of searching for clinical sites and preceptors by pre-arranging them for you. We work closely with Barnes-Jewish Hospital to provide clinical sites, giving students like you the opportunity to work at a top-ranked hospital in the country.  Preceptors are experienced ACNPs, other advanced practice providers, and Washington University School of Medicine physicians.

Experienced Faculty

From the classroom to clinical settings, our highly skilled clinical faculty bring their real-world experience to bear throughout the full learning process and maintain active clinical practice. Our students also benefit from expert guest faculty from Barnes-Jewish Hospital and Washington University School of Medicine, which complement the program’s didactic and lab components.

Small Class Sizes and Individual Support

Our small class sizes allow for personalized attention as each student progresses through the program and our curriculum.

Convenience for Working Students

Courses are face-to-face and all are offered on the same day of the week. Goldfarb is conveniently located on the Washington University Medical Center campus along with Barnes-Jewish Hospital, where most of our clinical experiences take place.

State-of-the-Art Clinical Simulations

We offer high-fidelity patient simulation through our world-class Clinical Simulation Institute. Simulated learning experiences provide students with additional exposure to problems frequently seen in acute and critical care settings or those that may result in significant morbidity and mortality. The Clinical Simulation Institute also provides the perfect environment for gaining hands-on experience with procedures and skills commonly utilized in these settings.

Dedicated Invasive Procedures & Skills Course

Gain additional support and experience through a dedicated course where you’ll perform invasive procedures like central line insertion, arterial line insertion, airway management, and lumbar puncture in a simulated environment. Students are also introduced to critical care ultrasound, ECG interpretation, and mechanical ventilation management. An introduction to the interpretation of chest and abdominal radiology is provided by Mallinckrodt Institute of Radiology physicians followed by designated clinical hours in the radiology reading rooms at Washington University School of Medicine.


Graduates of the accredited Adult-Gerontology Acute Care Nurse Practitioner concentration will be prepared to take the American Nurses Credentialing Center (ANCC) and the American Association of Critical Care Nurses (AACN) certification exam to become certified in the field. 

Career Prospects

Our students secure jobs in a variety of settings and with a variety of patient populations and can typically be found practicing in critical care, emergency medicine, and acute care services within hospitals.

Successful Program Outcomes

  • Certification exam pass rate for first-time takers: 99%  
  • Overall certification exam pass rate: 100%
  • Employment rate within 6 months of graduation: 96%
  • Student retention rate: 96%.


Beth Beyatte DNP, RN, ACNP-BC, ANP-BC


Assistant Professor, Director of Adult-Gerontology Acute Care Nurse Practitioner Program

Email: [email protected]



Email: [email protected]


Sample Course Sequence for a Post-MSN Student

NOTE: Courses and sequencing are subject to change. An individualized curriculum plan will be determined based on a gap analysis of the applicant’s prior coursework.

Clinical hours: 1 credit hour = 56 clinical contact hours

Acute Care I 3
Acute Care I Clinical** 3
Invasive Procedures & Skills* 2
Acute Care II 3
Acute Care II Clinical** 3
Adult Care III Clinical*** 5
*Clinical Contact Hours 56
**Clinical Contact Hours 168
**Clinical Contact Hours 280

Admission Requirements

The following items are required when applying to the Adult-Gerontology Acute Care Nurse Practitioner Concentration:

  • Bachelor of Science in Nursing degree from a regionally accredited institution of higher education
  • A Master's of Science in Nursing degree from a regionally accredited institution of higher education
  • Satisfactory completion of an undergraduate or graduate statistics course
  • Active RN license in good standing
  • One year recent experience as an RN (ICU experience required if interested in intensivist track)
  • Current Advanced Cardiac Life Support (ACLS) provider status
  • An email with additional information regarding compliance requirements will be sent three months prior to the start date

Program application deadlines are rolling, with exception of the post-MSN AGACNP program application deadline of July 1. Start term and curriculum plan for each program is based on applicant’s prior course work. Typical program length: 12-18 months.

Goldfarb School of Nursing at Barnes-Jewish College is accredited by the Higher Learning Commission (HLC), the Commission on Collegiate Nursing Education (CCNE) and is approved by the Missouri State Board of Nursing.

Apply today by visiting Or by contacting the admissions department by email at [email protected] or by calling 314.454.7055 or 800.832.9009

For more information visit us at

Costs and Financial Aid

Financial Aid

We want you to be successful as you embark on the Post-Master's Adult-Gerontology Acute Care Nurse Practitioner concentration. Take a look at what financial assistance options are available to you.

Tuition Costs

Earning your Post-MSN Certificate is a significant investment, and one of the most important ones you will make. Take a look at expenses or download our program cost flyer.

Frequently Asked Questions

Please see a list of frequently asked questions below.

If you have additional questions, please contact Beth Beyatte, Director of the Adult-Gero Acute Care Nurse Practitioner Program, at [email protected] 

Is the program full-time or part-time?

The program is full-time; you progress through the program with your cohort. The average number of credit hours per term is seven.

How many students do you accept in each cohort?

We accept up to ten students per cohort each year.

Are classes online or face-to-face?

We use a blended approach to optimize learning and to meet the needs of our students. Many of the core courses are online. All specialty courses are face-to-face to allow students the opportunity to interact with faculty to provide active learning environments that incorporate simulation and other activities that complement clinical experiences.

Can I work while in the program?

We highly discourage you from working during the specialty/clinical courses due to the demands of class and clinical. At most, we recommend part-time work.

Am I responsible for finding my own clinical sites and preceptors?

A majority of your clinical sites and preceptors are pre-arranged by the program director. Pre-arranged clinical experiences occur in various acute and critical care areas within Barnes-Jewish Hospital with experienced APN’s and attending physicians as your preceptors.

What is the program's board certification pass rate?

After five years, our first-time pass rate is 97%. Our 2nd time pass rate is 100%.

When and where can I expect to find a job after graduation?

Many of our students secure jobs prior to graduation or within three months of graduating from the program. Typical settings where our graduates are hired include critical care, acute care departments, such as trauma and ED, hospitalist, and pre-operative planning.

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