Nurse practitioners and physician assistants are advanced healthcare practitioners with similar responsibilities, such as diagnosing illnesses and prescribing medications. However, their training and paths toward certification differ in significant ways. This blog post unpacks the key differences between NPs and PAs to help you determine which career path best aligns with your goals. What Is a Nurse Practitioner? A nurse practitioner (NP) is a licensed clinician who provides comprehensive healthcare to patients of all ages. An NP can work in virtually any healthcare setting, diagnosing patient conditions and prescribing medications. As of October 2022, nurse practitioners have full practice authority in 27 states, meaning that they can practice Read more
With the tips of his water skis bobbing just above the water, the camper white-knuckled the rope-handle with one hand and gave the thumbs-up with the other. The counselor watched from the stern of the boat as the motor revved to life, pulling the rope from slack to tight and lifting the camper up on top of his skis for his first glide across the lake in Keystone Heights, Florida.
It was in this moment that the counselor realized what he wanted to do with his life: help people do the things they thought they couldn’t. That’s why Dr. Jon Edenfield ’15, ’00, a Transitional Doctor of Occupational Therapy (tOTD) and Master of Occupational Therapy (MOT) graduate, pursued a career in occupational therapy— and opened Great Strides, a one-stop shop in Jacksonville for children and young adults with autism and other special needs.
It started in 2006 as a one-room occupational therapy business, but Edenfield quickly realized that wasn’t enough. He could see that caregivers were struggling—struggling to meet their children’s needs, struggling to make it from one appointment to another, struggling to travel from office to office, sometimes across town, sometimes out of state.
“I saw parents driving all over to get what they needed and I thought there had to be a better way to do this,” Edenfield says.
So he gradually added more services and expanded Great Strides into more space. Now the business spans 10,000 square feet and has 65 employees offering occupational, physical, speech, applied behavior, psychological, and animal-assisted therapy. The facility has a school for children with special needs and three daycares for medically fragile children. There’s even a licensed hair salon, because getting a haircut in a typical barbershop can be a trying experience for an autistic child.
“My dream was to have a comprehensive rehabilitation center for children—all under one roof. When I see a need, I think creatively about how to meet it,” he says.
“When the children learn something new, it gives them a sense of pride, accomplishment, self-esteem, and self-worth. That’s very important to me.”
It’s been important to him ever since, as a child, he saw his father make a difference in people’s lives as a psychiatrist and his mother as a guidance counselor. This sense of wanting to help was solidified during high school, when Edenfield shadowed therapists in the rehabilitation department and burn unit of a local hospital.
In college at the University of Florida, Edenfield studied rehabilitation counseling, and during an independent study helped develop a piece of equipment that would allow single-arm amputees to water ski. After graduating, he heard about the University of St. Augustine for Health Sciences, which was just establishing itself in Florida.
“Campus was in a strip mall and wasn’t even built out yet,” he remembers. “My parents came with me to see it, and we werestepping over construction debris. My mother was concerned, but I knew Dr. Karen Howell was very well respected. My confidence in her led me to become a member of the first class of occupational therapists.”
One of the first things Edenfield was asked to do in the program was write an essay about what quality of life meant to him.
“That was an exercise that stuck with me, that the University of St. Augustine values improving the quality of life for others,” he says. “That went right along with my own ideals and made me very comfortable about the university’s approach.”
When he finished his MOT, he worked at a regional children’s hospital for about four years, then opened a hippotherapy program with his wife. They named it Great Strides, after the strides a horse takes and the progress that children make when they participate in equine therapy.
Then his wife suffered a back injury, which left her unable to help with the horses. So they shifted gears and turned Great Strides into a more traditional occupational therapy business for children.
“Pediatrics is often more difficult than adult, because you’re not just treating one person— you’re responding to an entire family,” he says. “If an adult has had a stroke and you tell her to do 15 biceps curls, she’ll do it, but with a child you have to come up with creative, imaginative activities so it doesn’t feel like therapy.”
He remembers one early case, with a patient who wanted to get a job but was autistic and hadn’t learned the social skills necessary to transition from school into the workforce. Edenfield and his staff worked with the patient to learn how to interview.
“That ultimately led to a job,” he says. “A job then leads to increased self-esteem, new peer relationships, and an improved sense of self-worth and purpose.”
Another patient, after an incident when he choked on a French fry, refused to eat anything but yogurt—eating nine a day. Edenfield started with oral motor therapy, asking the 6 year old to blow pingpong balls off a table, and then progressed to desensitization paired with behavioral intervention (a rewards chart), to move him from eating yogurt with sprinkles to bread, crackers, and ultimately French fries. With treatment, the child was able to return to eating a healthier, well-rounded diet.
“Those are the things you wouldn’t typically think of when thinking therapy,” Edenfield says. “They’re the things we take for granted. A typically developed child learns thousands of skills almost instinctively, whereas a child with a developmental disability might take hundreds of thousands of hours to master those skills.”
Edenfield still wants to do even more for this population, so he’s in the process of purchasing two more office spaces to expand Great Strides’ preschool for children with special needs. Looking ahead, he’d like to expand the business to other locations.
“I love coming to the practice and working with the kids,” he says. “I love that I’ve found a way to make a living that helps improve the lives of others.”