The Keith Haring Nurse Practitioner Postgraduate Fellowship in LGBTQ+ Health

Welcome to the Keith Haring Nurse Practitioner Postgraduate Fellowship in LGBTQ+ Health! Callen-Lorde is so proud to offer the first LGBTQ+ health fellowship available to nurse practitioners. The inaugural class of Haring Fellows will start in September, 2020. Applications will be available on January 15, 2020.

Through this fellowship, we strive to create a premier LGBTQ+ healthcare training program that enhances knowledge, increases compassion, and brings awareness to the healthcare barriers that LGBTQ+ communities face. With this training and experience, our fellows will bring the skills they learn with them to help close the gap in health disparities for LGBTQ+ people.

This full-time, 12 month program consists of precepted and independent sessions as well as specialty rotations and didactic portions. Haring Fellows will have benefits and earn a modified salary. The fellowship is designed to give the academically prepared practitioner an opportunity to spend more time under the guidance of a preceptor.

The Keith Haring Nurse Practitioner Postgraduate Fellowship in LGBTQ+ Health is funded, in part, through the The Keith Haring LGBTQ+ Health Equity Endowment, which was established at Callen-Lorde by the Keith Haring Foundation in 2019.

Fellowship Mission
Our mission is to train postgraduate nurse practitioners to provide high quality, patient-centered, culturally responsive, and compassionate primary care to LGBTQ+ communities in all of their diversity.

Fellowship Vision
Haring Fellows, with their increased knowledge and competency to treat the complex health care needs of LGBTQ+ communities, will bring these new skills with them to help close the gap in health disparities for LGBTQ+ people.

Goals & Expectations

The fellowship program is designed to be rigorous and comprehensive. Haring Fellows will commit to a 12 month program that includes a full schedule of training, patient care, and didactics. Haring Fellows learn over time and have constant access to expert providers who will help shape their practice, alongside mentorship, networking, and professional growth opportunities. We expect Haring Fellows to feel passionately about primary care and working with LGBTQ+ communities.

Program goals:

• Increase the number of LGBTQ+ sensitive primary care providers and increase access to LGBTQ+ care that is comprehensive, team-based, patient-centered, coordinated, accessible, high quality, and safe.

• Increase primary care workforce retention through improving confidence, capability and job satisfaction.

• Develop leadership qualities to improve clinic and patient outcomes through quality improvement, population health and/or research.

• Advance skills for creating organizational change to transform healthcare systems to be LGBTQ+ inclusive and affirming.

By the end of the program, Haring Fellows will:

• Provide comprehensive, team-based, patient-centered, high-quality and safe primary and LGBTQ+ care.

• Demonstrate confidence that aligns with their competence.

• Develop a quality improvement plan, propose an intervention to improve population health, and/or engage in a research project at Callen-Lorde.

• Perform an evaluation and hold a sensitivity training at an outside organization regarding LGBTQ+ inclusivity.

• See 15-16 patients a day.

Curriculum & Schedule

Curriculum focuses on the advancement of clinical and diagnostic skills as well as leadership and scholarship skills. Haring Fellows will have supervised as well as independent sessions each week. Each fellow will have a primary preceptor and also work with other clinicians as they rotate through specific specialties and areas of practice. A strong focus will be placed on primary care, HIV and STI prevention and treatment, including HIV pre-exposure and post exposure prophylaxis, anal health, gynecological care for sexual minority women and people of trans experience, transgender health (including hormone therapy, pre- and post- surgery evaluation), alternative insemination and parenting options, and HIV specialist training. Scholarly and leadership pursuits, such as presenting and publishing, quality improvement work and teaching are encouraged and mentored. While the majority of sessions will be spent in our Brooklyn site, for some of the specialty rotations there will be travel to offices outside of Brooklyn and to our Chelsea Manhattan location.

The fellowship consists of six sessions:

Precepted Session:

This is where Haring Fellows starts to develop their own patient panel while working hand in hand with a preceptor.

Independent session:

Haring Fellows will continue to develop their panel, seeing patients on their own at a reduced case-load. A number of providers are available for consultation during these times.

HIV session:

Haring Fellows will be trained and mentored in treating HIV. Though likely to see people living with HIV (PLWH) during other sessions, this session will focus on seeing PLWH alongside an HIV specialist.

Specialty session:

Haring Fellows will spend two to four weeks rotating through a variety of specialties in-house and outside of Callen-Lorde including cardiology, colorectal, dermatology, sports medicine/orthopedics, gender affirming surgery post-op care, reproductive health care and more.

Didactic session:

Didactic training will be offered by Callen-Lorde providers and external specialists in a wealth of topics relevant to primary care, LGBTQ+ care, HIV and professional development such as training in motivational interviewing techniques, counseling for tobacco and other substance use, and the development of quality measures.

Administrative session:

This is when Haring Fellows will have time to dedicate towards finishing notes, labs, self-evaluations, and tasks as well as research, writing for publications, quality improvement work, and any other non-clinical pursuit dedicated to continued development in leadership and scholarly work.

Frequently asked questions:

How long is the program and what hours will I be expected to work?

The Keith Haring Nurse Practitioner Postgraduate Fellowship in LGBTQ+ Health lasts 12 months, starting in September. Haring Fellows will be expected to work Monday through Friday. Your day may start at 8:30am or 12:30pm and may end at 4:30pm or 8:30pm depending on the shifts you are working that day. You will not be expected to work until 8:30pm more than twice a week.

What will the specialty rotations be like?

The specialty rotations will both be in house within Callen-Lorde and externally at private practices or other community health clinics. Haring Fellows can expect to learn the more intricate details in treating warts, anal health, reproductive health, post-op care, and a variety of other topics.

Who are the preceptors?

The preceptors will consist of expert clinicians that practice at Callen-Lorde. Each Haring Fellow will be assigned a primary preceptor who is a nurse practitioner with whom they can go to regularly for consultation. Other physician and physician assistant preceptors will also work with fellows as they cycle through specialty rotations and work together on the multidisciplinary medical teams.

What topics will be covered in the didactic sessions?

The didactics will correspond to specialty rotation topics, LGBTQ health, primary care updates, and information relevant to starting practice and professional development.

I do not live in New York City. Can I still apply?

Of course! You may apply from anywhere in the country. You will be expected to have all your licensure and certifications to practice in New York completed and ready by the time the program starts. We request you live within the area by the start of the program as well.

I am not a new graduate and/or I already practice as a nurse practitioner. Can I still apply?

Sure can! While this program is geared towards new graduates, we welcome all interested in becoming a specialist in LGBTQ health care to apply.

I am not a family nurse practitioner nor an adult-gerontology nurse practitioner. Can I still apply?

Unfortunately, we are only accepting applications from family and adult-gerontology nurse practitioners.

Will I be paid and have benefits during the program?

Fellows will be employees of Callen-Lorde Community Health Center. As such they will receive a competitive salary, full benefits and PTO. This will be discussed in more detail during the interview.

What if I need to take time off?

Fellows can schedule time off in advance. It must be submitted for approval.

How do I get more information?

For more information about the program please email us at haringfellowship@callen-lorde.org.