Fellows will complete three 17-week rotations during the program in each of the following service lines at Unity Center for Behavioral Health:

1. Psychiatric Emergency Service [PES]
2. Emergency Substance Use Disorder Unit [E-SUD]
3. Adult Inpatient Psychiatry

During the PES & E-SUD rotations, fellows will work three 10-hour clinical days/week. Days will vary, and will include weekend shifts. Time of shifts will also vary, and may include any combination of day, mid, and night shifts.

During the adult inpatient rotation, fellows will work four clinical weekdays.

Didactics will take place on Tuesdays, and will be in addition to the clinical workdays listed above. Didactics will include work on a Quality Improvement Project, participation in the OHSU Department of Psychiatry Grand Rounds, Unity Center for Behavioral Health Journal Club, as well as on a variety of topics, including fundamentals of acute psychiatry, psychopathology, psychopharmacology, psychotherapy, substance use disorders, and diagnostic interviewing. 

After completing this fellowship, learners will achieve the following outcomes in each of these domains, based on Level 3 of ACGME’s Psychiatry Milestones, which have been slightly modified for this program. 

Patient Care

• Conduct comprehensive psychiatric evaluations by gathering and organizing findings from the patient interview, mental status exam, and collateral sources, while integrating risk assessment.
  Organize and summarize findings to generate a biopsychosocial formulation and differential diagnoses.
• Create evidence-based treatment plans, monitor and revise treatment plans when indicated and incorporate the use of community resources.
• Establish therapeutic alliances and manage boundaries, provide brief supportive psychotherapy and manage the therapeutic process.
• Understand the mechanisms of action, indications and evidence base for somatic therapies and appropriately apply them to patient care, educate patients about somatic therapies and monitor response to treatment.
• Request clinical consultation, apply consultant recommendations to patient care, an demonstrate understanding of multidisciplinary mental health and primary care in a psychiatric hospital setting. 

Medical Knowledge

• Demonstrate knowledge of human development and the pathological and environmental influences on development.
• Demonstrate sufficient knowledge to identify and treat psychiatric conditions and demonstrate knowledge at the interface of psychiatry and the rest of medicine.
• Demonstrate knowledge of neurodiagnostic testing and neuropsychiatric comorbidity.
• Demonstrate knowledge of the fundamentals of psychotherapy, including evidence base and indications.

Systems-Based Practice

• Complete quality improvement project.
• Coordinate patient care utilizing the roles of the interprofessional team.
• Understand provider role in health care systems.

Practice-Based Learning and Improvement

• Demonstrate evidence-based and informed patient care.
• Demonstrate reflective practice and commitment to personal growth. 

Professionalism

• Demonstrate professional behavior and utilize ethical principles.
• Demonstrate accountability.
• Demonstrate self-awareness and help-seeking.

Interpersonal and Communication Skills

• Establish therapeutic relationships, recognize biases.
• Communicate effectively with all members of health care team.
• Document concisely and accurately.

We accept two applicants for the program each year. By the start of the program, successful applicants must:

• Be a U.S. citizen or legally able to work in the U.S.
• Have completed an accredited physician assistant or nurse practitioner program
• Have unencumbered licensure as either:
  • A physician assistant with the Oregon Medical Board, or
  • A nurse practitioner with the Oregon State Board of Nursing
• Have national board certification as either: 

  • Physician assistant from the National Commission on Certification of Physician Assistants by the start of the program 

    OR

  • Psychiatric-Mental Health Nurse Practitioner from a nationally accredited organization
• Eligible for DEA licensure
• BLS/ACLS certified

Hired as an employee

Salary paid every 2 weeks

Paid time off and sick time

OHSU Health insurance

Fellows will receive a laptop to use during the program

No tuition expenses

Living expenses, such as housing, meals, transportation and parking are at the fellow’s expense.

Applications will be accepted beginning late spring 2026

Virtual interviews will be completed on a rolling basis, as applications are received. 

Once a notification of acceptance is received, candidates must accept within one week. 

Summer 2026: Candidates to obtain licensure, board certification and forward final transcripts

Fall 2026: Credentialing packet due

Fall/winter 2026: Fellowship begins

The fellowship will be open to applications in late spring 2026, exact dates to be determined

Submit the following as a complete package for your application to be considered:

• Completed OHSU online application. Upload:
  • Curriculum vitae
  • Statement describing why you are pursuing a post-graduate fellowship and your career goals upon completion of this program. Format should be no more than one page, double-spaced, in 12-point font.
• Unofficial PA or NP graduate transcripts. Your accredited program must email these directly to: hancoang@ohsu.edu
• Three letters of recommendation. Evaluators must use official letterhead and email them directly to hancoang@ohsu.edu. Letters from applicants will not be accepted.
  • For new graduates: one letter of recommendation must be submitted from a physician or APP mentor, one from a faculty member of your graduate program, and one from a person of your choice who is qualified to comment on your professional practice.
  • For experienced APPs: one letter of recommendation must be submitted from a physician or APP mentor, one from a peer, and one from a person of your choice who is qualified to comment on your professional practice.

Unity Center for Behavioral Health is a psychiatric emergency service and psychiatric hospital through Oregon Health & Science University’s Department of Psychiatry, and in partnership with other major Oregon health systems. We use a non-coercive, highly community-oriented treatment program, which will prevent hospitalization when possible, and return patients to community services as soon as feasible. The hospital is a major training site for the department’s residency training program, medical students, and other health profession’s trainees.