Find the friction.
Make development visible.
Before any training day, ClearShifts maps where cognitive load and mis-sequencing form in your team's workflow — across Load, Signal, Sequence, and Return. Then the competency platform makes a cohort's development visible, documented, and discussable. Built to the standard a GME office can approve.
See the friction pattern before anyone trains on it.
Every engagement starts the same way: evidence about your program, not assumptions about programs in general.
The Shift Pattern Intake.
Brief pre-work your team completes before the engagement — the same four-domain reflection clinicians take individually, gathered across the program. It surfaces which domains press hardest: tracking load, urgency signal, working order, or recovery after interruptions.
A pattern readout.
The intake comes back as a friction pattern — where the day asks clinicians to hold too much in working memory, and where sequence is set by noise instead of consequence. A shared language for what needs attention now and what can safely wait.
Training shaped to the pattern.
The workshop emphasizes the domains your intake surfaced. A team drowning in tracking load gets more card practice; a team losing its order to interruptions drills the return.
Documented, milestone-mapped formative signal.
Three evidence streams that never blend — so the committee works from documented signal instead of recall.
The rules the system is built to obey.
Commitments to the program — several of them enforced at the database layer, not just promised.
Formative, not summative
Flags "appears below trajectory; recommend review." Never "not competent." Never triggers your remediation process.
No blending
Self-assessment, entrustment, and committee determination are labeled and rendered distinctly — never averaged into one score.
The blind rating path
No study or practice data appears on the path to an entrustment rating — observation captured free of anchoring.
No hidden signal
A flag a fellow can't see cannot be stored — the database rejects it. Anything the director sees, the fellow sees.
Live training, in formats that fit how programs schedule.
Every format includes the Shift Pattern Intake, hands-on practice with scenarios from your setting, and a 30-day plan so the method survives the week after.
2 HOURS
Foundational Lab
Introduce the method to a small team or pilot site. The BPC moves, the one question, and a first card built in the room.
HALF DAY
Core Workshop
The flagship format. Diagnostic readout, card practice, scenario drills from your team's own interruption patterns, and a 30-day adoption plan.
FULL DAY
Implementation Day
An institutional engagement: the Core Workshop plus a leader debrief, adoption supports, and a structure for capturing what your program observes.
ONGOING
Train-the-Trainer
For institutions ready to embed the method. Your facilitators learn to run the intake, read the pattern, and teach the moves — so the capability stays in-house.
What this is — and what it isn't.
- It is workflow and competency-development support. A method and a platform that help clinicians externalize routine tracking and make development visible, documented, and discussable.
- It is specific to inpatient behavioral health. Built on real shifts in the setting your team works in.
- It is not a wellness program, a staffing fix, or a replacement for clinical judgment, supervision, or institutional policy.
- The software is in active development. A feasibility pilot is underway during 2026–27; we make no claims about its effects yet, and results are in preparation.
The Pilot
A year-long feasibility pilot is underway at a Child & Adolescent PMHNP fellowship during 2026–27. Results are in preparation.
Start with a
discovery conversation.
Twenty minutes about your program, your friction, and whether this is the right fit.
Book a discovery call