A 12-month primary care training program, 100% FTE Nurse Practitioner/Physician Assistant Fellowship position is divided into:

• 80% clinical time with 3 areas of focus: family medicine, pediatric, and pre-natal. In addition, there will be clinic rotations in specialty areas such as, but not limited to, procedure clinic, podiatry, physical therapy, teen clinics.
• 20% non-clinical time which includes one half day of didactic training weekly, a Quality Improvement project, and administrative follow-up time.

For more information, please refer to the Fellowship website: https://lifelongmedical.org/advanced-practice-provider-fellowship/

Major area of responsibility includes but are not limited to:

Primary Care Clinics:

• Fellow will provide comprehensive primary care services to a diverse population of patients. This includes performing routine, acute, urgent, preventive, curative, and rehabilitative medical care to patients as well as placing referrals to specialty providers and managing follow-up. Fellow is expected to deliver evidenced based care that supports La Clínica’s aim of improved health outcomes, exceptional patient experience and efficient use of resources.

• Fellow will be scheduled for a 50% patient load initially with gradual ramp-up to full patient load by the final quarter of the program. 2 fellows will be assigned to 1 preceptor every clinical day. The fellow will have schedules with a mix of existing clinicians’ patients and their own growing panel. The fellow will practice more independence in clinical practice as the year progresses. By the end of the year, each fellow will have a small panel of patients that they are managing.

Didactic Sessions:

• Fellow is expected to participate in weekly didactic sessions. Didactics are designed to provide both content and skills building opportunities that will support fellows’ clinical practice and lead to mastery of core competencies. Didactics consist of presentations by clinicians from partner FQHCs and experts from outside agencies such as UC San Francisco as well as group activities focused on building clinical reasoning skills, learning tools for evidence-based medicine, and developing good self-care and professional boundaries.

Quality Improvement:

• Fellow is expected to participate in team-based quality improvement projects that teaches skills to diagnose and treat both patients and systems. This project also provides them an opportunity to give back to their clinical sites. Fellow will work in pairs to engage primary stakeholders in the selection and application of their project. Their projects will be supported by a series of didactics led by quality improvement experts.

Minimum job requirements:

• The fellow position requires a current license from the California Board of Registered Nursing, a national certification from the American Academy of Nurse Practitioners or other national certifying bodies, a certificate of completion of a Nurse Practitioner Program,
• OR a current license from the California Physician Assistant Committee, graduation from an approved program of instruction in primary health care as attested by the American Medical Association, having passed a certification examination administered by the Bureau of Medical Quality Assurance. DEA license is also required.
• Requires board certification. In the absence of a board certification, candidate may still be eligible for hire but must become board certified within 6 months of employment with La Clinica.
• The fellow position also requires Spanish language proficiency.