CLEARSHIFTS™ Covering the whole arc of training — what fellows know, how they reason, how they practice, and how they develop — in one design language, with the same governance and no-PHI posture across every surface.
Track · Demonstrate
Entrustment ratings in under 30 seconds; fellow-owned development by domain; documented, milestone-mapped formative signal for committees. Three evidence streams that never blend.
Beta · feasibility pilot 2026–27
Think · Reason
The metacognition companion. Trains how fellows think — illness scripts, dual-process reasoning, debiasing, and transferable mental models — on synthetic cases that make reasoning visible.
Live · pilot · Open ClearShifts Reasoning
Study
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
Voice practice for hard clinician–parent conversations, with a structured, formative debrief against named communication techniques. Practice, never a patient.
In development
Every application shares the same design system, the same accessibility bar, and the same governance: no PHI, formative-only, role-restricted, US-region. Approvable by a GME office by design.
A year-long feasibility pilot is underway at a Child & Adolescent PMHNP fellowship during 2026–27. Results are in preparation. · Governance & security →