Dr. Cosme has been a nurse for seventeen years. She worked as a surgical specialty and the operating room nurse. She also has experience as a clinical nurse educator at a major academic teaching hospital in Washington, DC. Dr. Cosme has taught at the bachelors, masters, and doctoral level. She specializes in transition to practice programs and successfully ran a home grown and vendor-based program for 7 years. As the Director of the Practice Transition Accreditation Program at the American Nurses Credentialing Center she is responsible for ensuring transition to practice programs abide by the accreditation criteria set forth by the ANCC.  She has published several articles on transition to practice programs and evidence-based practice. Dr. Cosme presents both nationally and internationally on transition to practice.