Post-DNP Fellow (Psychiatry; PMHNP)

Post-DNP Fellowship

Graduating your doctoral program is an exciting time filled with mixed hope and uncertainty. The idealism and zeal for learning is met with the complexity of the clinical landscape and licensing requirements. You're 'thrown from the nest' of your graduate program, and while you're prepared for what's next, you're often left to cobble together work experiences and supervision that count for licensure. The worst case scenario is finding yourself in a role where it's all about work where the first thing that goes out the window is your learning. This is why our fellowship exists.

Everything in One Spot

What if you could find a job that included the required collaboration but also psychotherapy training? A role in an interprofessional clinic where you could learn from other professions, not just your own? A role that isn't just a job but part of a training program where you could be part of a learning cohort with other folks at your same licensure stage? What if that role was salaried, with a steady, predictable paycheck, not variable gig work? A position where you didn't have to worry about having enough of the right type of clients and had the autonomy to choose your caseload. What if there was a position that was about your learning, not just churning out billable hours?

Our Post-DNP Fellowship is a position designed to help amplify your learning and get licensed. The fellowship follows a cohort model so that you can leverage a group of interprofessional peers to further your learning. The program's myriad benefits aren't easily reduced to a bulleted list, soundbite, or tweet, so we encourage you to learn more about the program by visiting our website.

The Clinic

Lorenz is on a mission to heal the world one relationship at a time To be the best clinic in Minnesota, not the biggest. We've fast become a regional leader in clinical services and training, our novel approach to clinician development often emulated by other practices. The clinic was the first Family Psychology specialty clinic in the North and was the first clinic in Minnesota to develop organized Post-Master's Fellowships. It is recognized by many as one of the best post-degree training programs in Minnesota for clinicians looking to employ systemic, relational therapies. Compared to other large clinics regionally, Lorenz has the highest standards and ideals for clinicians and is the most selective in its hiring.

Our people have diverse backgrounds and experiences. We welcome an ever-changing, increasingly diverse group of applicants. Clinicians and trainees most often want to be here more than anywhere else because of how inspiring our high ideals are. Although training isn't all we do, the training center is the font of vitality to the institution at large. We are growing, evolving, and changing on a daily basis.

We think big but act small, locally. Thirty years from now, Lorenz Clinic aspires to become one of the leading family institutes in the country, having gone from a microscopic mom and pop shop at someone's dining room table to one of the premier family institutes in the world. The people that pass through Lorenz have been the movers and shakers in the field, leaders that have infuses systems thinking and relational, reflective practice into the mental health field for generations to come. We hope that our contributions to the specialty will be deep and lasting. Our hope is that people will always take great pride in being part of an organization that, for decades, has served a progressive leader in strengthening and healing relationships of all kinds. Through an integrated approach that involves research, training, and the service of others through therapy, Lorenz will deliver superior results and distinctive impact with lasting endurance for the children, adults, families, and couples of Minnesota.

What You'll Learn

Lorenz Clinic's interprofessional training program was founded on the values and competencies of professional psychology as well as a systemic epistemology. The clinic seeks to develop effective interventionists judged by their ability to create change. Graduates leave with a deep professional network and the ability to work both independently and on interdisciplinary treatment teams. The fellowship provides invaluable client hours needed for licensure while ensuring the pre-licensure period is focused on professional development, not just working.

The signature pedagogy of the interdisciplinary mental health profession is clinical supervision. In contrast to graduate school where much of the learning is from classroom instruction, the majority of the learning on fellowship happens during applied practice and within the context of the supervisory working relationship. Most of the learning occurs within the confines of one's professional practice and regular clinical supervision. The clinic does host intermittent didactics, but "training" does not mean that fellows will be provided step-by-step guides or detailed procedural guidance, as that would be developmentally inappropriate for trainees at this level, especially independently-licensed PMHNPs.

Fellowship activities are intentionally targeted to provide training in the following foundational areas:

• Professionalism
• Ethical, Legal, & Policy Issues
• Individual & Cultural Diversity
• Relationships
• Scientific Knowledge
• Reflective Practice
• Interdisciplinary Systems & Interprofessional Collaboration

Additionally, the fellowship helps clinicians develop their skills in the following functional areas:

• Selecting Effective Treatments
• Assessment, including problem & treatment formulation
• Psychotherapeutic Intervention
• Leveraging Supervision & Consultation
• Teaching Others
• Self-Management & Effectively Working in Organizations
• Advocacy

The Post-DNP experience is distinctive in that fellows receive weekly collaboration from both a psychologist and either an advanced practice nurse or psychiatrist. This allows for an interdisciplinary blend of learning and services. The DNP track is distinctive in that it offers supervision in psychotherapy in addition to the provision of medication management services.

The Lorenz system is particularly well suited to relationally- and systemically-minded clinicians who want to learn more about leveraging the interpersonal process to bring about change. Lorenz Clinic sees the spectrum of mental health issues across all walks of life. The training experience is constructed such that fellows work with a diversity of issues and clients to maximize learning. The practice enjoys deep, special relationships with referring clinics that have grown to trust the clinic to deliver a high level of interprofessional collaboration and specialized consultation.

The Post-DNP fellowship is structured as 0.2 FTE training-related activities and 0.8 FTE PMHNP role. 0.2 FTE of the role is spent in training-related activities that includes:

• 1 hour per week of consultation with a PMHNP or Psychiatrist
• 1 hour per week of psychotherapy supervision with a psychologist
• 4 hours of consultee-focused case consultation per month
• 8 hours of fellowship cohort seminar per month
• 1 hr/wk of didactic seminar
• 1 hour of Grand Rounds per month
• 2 hours per quarter of invited practitioner series
• Ad hoc continuing education events

The role also includes 0.8 FTE time spent in direct patient service. This involves 25.6 completed clinical hours (1536 min.) per week, which can be a mix of 60 min. diagnostic assessments or 30 min. Follow-ups. There is also 2 hrs/month of team meetings. The client contact hours represented in this section is the minimum expectation. The other hours in this section are general, on average; the exact number of hours will vary depending on program need, scheduling constraints, etc.. The start date of various training series is dependent on when each cohort is convened and effectively onboarded.

Note: training outcomes are aspirational and not guaranteed, as they are a function of myriad factors including trainees' prior preparation, learning goals, personality traits, commitment to learning, openness, flexibility, and so on.

The Role

Fellows function in an applied, clinical role providing services to clients in an outpatient setting. The postdoctoral fellowship is a 1-year, full- time, salaried clinical position that prepares doctorally-prepared trainees for independent clinical work post-licensure. The fellowship represents the final year of intensive, formal training before independent practice. The fellowship is truly the culmination of many years of preparation and hard work, and is meant to help prepare you for your first position. Core clinical activities include carrying a patient caseload that includes adults, children, couples, and families. Fellows discuss prior to the Fellowship the expected goals for the Fellowship, which may include ages and populations for psychotherapy and psychological assessment cases (if assessment is a stated goal).

Job duties include but are not limited to:

• Provide psychiatric services including diagnostic assessment, treatment planning, medication management, psychotherapy, and discharge planning
• Provide individual, couples, group, or family psychotherapy as assigned by supervisor based on prior preparation, established learning goals, and program need
• Att