CLEARSHIFTS

Software for fellowship & residency programs

Make how your fellows develop visible.

ClearShifts builds software for behavioral-health training programs — a competency platform that makes a cohort's development visible, documented, and discussable.

New — ClearShifts Reasoning is live. Train how your fellows think
ACGME C&A Milestones — mapped Consortium APP Competencies Entrustment-based No PHI by design
Fellow C ADOLESCENT INPATIENT · WK 3

Development view — three evidence streams, never blended.

Studied
12
topics · exposure
Tested
Active
practice signal
Demonstrated
8
entrustment ratings
Entrustment trajectory · by week cobalt = observed
Committee determination · entered by faculty Milestone band recorded
Fellowship Competency Engine — development view. Representative UI; synthetic data.
01 · The Applications

A platform for the whole arc of training.

Four applications, one design language — covering what fellows know, how they reason, how they practice, and how they develop, without adding work to a shift.

Track · Demonstrate

Fellowship Competency Engine

Preceptors log an entrustment rating of a directly observed encounter in under 30 seconds. Fellows see their own development by domain. Committees get documented, milestone-mapped formative signal — three evidence streams that never blend.

Beta · feasibility pilot 2026–27

Think · Reason

ClearShifts Reasoning

The metacognition companion. Trains how fellows think — illness scripts, dual-process reasoning, debiasing, and transferable mental models — on synthetic cases that make reasoning visible. Education, not a clinical decision tool.

Live · pilot  ·  Open ClearShifts Reasoning

Study

ClearShifts Learning

A DSM-5-TR study app for Child & Adolescent fellows — plain-language chapters, practice questions, and spaced review, aligned to the program's curriculum and scope.

In development

Practice

Conversation Simulator

Voice practice for the hard clinician–parent conversations, with a structured, formative debrief against named communication techniques. Practice, never a patient.

In development

The Method Underneath

One method, made into software.

Build · Park · Clear gets the routine work out of working memory, so judgment is free for the work only judgment can do. The platform turns that method into a system a whole program can run on.

3
evidence streams, never blended
<30s
per entrustment rating
0
PHI fields collected
Formative
only, by design

A year-long feasibility pilot is underway at a Child & Adolescent PMHNP fellowship during 2026–27. Results are in preparation.  ·  See the method →

02 · Governance & Security

Built to be approved by a GME office.

The narrow design is the adoptable design: ClearShifts captures a supervisor's rating of an observed behavior — never patient data — and enforces that boundary in the software itself.

  • No PHI, enforced in code at every entry path.
  • Role-restricted & append-only — a record can't be quietly rewritten or hidden from its fellow.
  • FERPA-aware, US-region hosting, program-owned data.

See governance & security →

US-region hosting Row-level access Append-only audit No PHI FERPA-aware Small-cohort protections Tier A claims only

The Governance & Data Pack, on the web — and available to your compliance office.

03 · The Evidence

Built on published science.

Working memory and attention, entrustment, the testing effect, audit-and-feedback — the design rests on decades of peer-reviewed work, stated honestly.

Miller · Cowan · ten Cate · Roediger · Ivers (Cochrane) · Leroy · Gollwitzer

Read the evidence →

On the unit

The card, where many clinicians first meet the method.

Fellows on rotation and prescribers on a full inpatient list use the free ClearShifts card and on-shift app — the tangible starting point of the method. A small part of what we do, and an easy first step.

For prescribers →
04 · The Founder

A clinician building for clinicians.

"The method I built on shift, made into software a whole program can run on."

Andrew spent six years as a U.S. Army psychiatric nurse practitioner before moving to child & adolescent inpatient work — and now leads a year-long feasibility pilot at a C&A PMHNP fellowship.

Andrew Cordek·MSN·APRN·PMHNP-BC·U.S. Army veteran

The Next Step

Bring ClearShifts
to your program.

A twenty-minute discovery conversation about your program, your friction, and whether this is the right fit.