The use of acute care nurse practitioners (ACNPs) has been increasing, and they are practicing in several different specialty areas, including hospital medicine. However, this expansion has outpaced the development and implementation of postgraduate ACNP specific competency standards. This project outlines the findings of a crosswalk analysis between the Society of Hospital Medicine's (SHM) Core Competencies in Hospital Medicine and the National Organization of Nurse Practitioner Faculties' (NONPF) Adult-Gerontology Acute Care Nurse Practitioner (AGACNP) Core Competencies. The primary aim of this examination is to evaluate the level of alignment between these two frameworks. Furthermore, recommendations for implementing these findings will be discussed in the context of developing local onboarding processes or Fellowships.