A Comprehensive Layered Learning Ambulatory Orientation Model

The Onboarding360 program at a Central Texas academic medical center addresses gaps in ambulatory care orientation through a layered learning model that integrates education, clinical skills, competency standards, and Electronic Health Record simulation. This structured approach improves new-hire engagement, satisfaction, and retention while reducing safety events and enhancing quality outcomes. Nursing Professional Development Practitioners benefit from a replicable orientation framework that standardizes practices and supports individualized learning in a safe, ambulatory-specific environment.