Open Door is pleased to announce its Family Nurse Practitioner/Physician Assistant Residency Training Program. The residency is a 12-month program providing intensive training to both the clinical complexity of family practice in the safety net setting, and training to a high performance, PCMH model for primary care.

The program is specifically intended for family nurse practitioners/physician assistants who are committed to developing careers as PCPs in the challenging setting of community health centers and other safety net settings.

The residency is a full-time, 12-month salaried position. The program structure includes precepted primary care sessions, specialty rotations, mentored independent clinics and didactic sessions.

About the NP/PA Residency Program

We’re training the residents to Open Door’s model of high-performance health care: advanced access scheduling, planned care, the chronic care model, integrated behavioral health/primary care, team-based, with expert use of health information technology and the electronic health record.

The residency year begins with intensive orientation to Open Door Community Health Centers, the neighborhoods in which the training sites are located, and the health problems of the target population, and includes walking tours of neighborhoods, tours of Open Door sites statewide, meetings with community leaders, technical training on electronic health record, and orientation by our chief medical officer to the responsibilities and privileges of medical staff participation at Open Door.

The residency has four key components:

Precepted “Continuity Clinics”
(4 sessions/week) These are the cornerstone of the residency. In precepted clinics, the NP residents develop their own patient panel while having an expert Open Door primary care provider (MD, APRN or PA) exclusively assigned to them.

Specialty Rotations:
(2 sessions/week x 1/month) Rotations in areas of high-volume/high-burden/high-risk situations most commonly encountered in the setting of the FQHC. Sample rotations include: Orthopedics, Dermatology, Women’s Health, Pediatrics, Geriatrics, Newborn/nursery, HIV care, Adult Behavioral Health, Child and Adolescent Behavioral Health and Healthcare for the Homeless.

Mentored Independent Clinics:
(2 sessions/week) During independent clinics, the NP residents work as a member of a team, and see patients at the delegation of the primary care providers, who remain available for consultations. The focus is on the practice of episodic and acute care visits.

Didactic Education Sessions:
(1 session/week) Formal learning sessions on a variety of complex clinical challenges most commonly encountered in FQHCs. The content of the presentations is planned to correspond to the residents’ current clinical experiences.

Quality Improvement training: Training on Open Door’s quality improvement model, including clinical microsystems and facilitation as well as leadership development.

Evaluations: The Open Door Nurse Practitioner residency training program provides and ongoing multi-input evaluation component using qualitative and quantitative measures.

Program Goals

The Nurse Practitioner/Physician Assistant Residency in Family Practice and Community Health has the following goals:

  • Increase access to quality primary care for underserved and special populations by training family practice nurse practitioners and physician assistants in a FQHC-based residency program that prepares residents for full and autonomous expert care of complex underserved populations across all life cycles and in multiple settings
  • Provide new Nurse Practitioners (NPs) & Physician Assistants (PAs) with a depth, breadth, volume and intensity of clinical training necessary to serve as primary care providers in the complex setting of the country’s FQHCs
  • Train new NPs & PAs to a model of primary care consistent with the Institute of Medicine (IOM) principles of health care and the needs of vulnerable populations
  • Improve the clinical skills, confidence, productivity, and job satisfaction of new nurse practitioners and physician assistants who choose to work in underserved community settings, as well as contribute to employer satisfaction and workforce retention
  • Increase the number of NPs & PAs ready to serve in leadership roles in community health settings.

How to Apply

Open Door Health NP/PA Residency Application

Application deadline: April 30th, 2017. Interviews to be held May 12th & 15th 2017.


Nurse Practitioner

Applicants must be recent graduates (less than 18 months) from an accredited Masters or DNP program, licensed (RI APRN) and credentialed (FNP-C) or license/credential-eligible as FNP, bilingual preferred, with a stated commitment to practice as a primary care provider in a Federally Qualified Health Centers (FQHC) or other safety net settings upon completion of the residency.

Physician Assistant

Applicants must have graduated from an ARC-PA (Accreditation Review Commission on Education for the Physician Assistant, Inc.) approved PA Program or are currently a second year student in a PA program. Masters or Graduate degree or evidence of commensurate work experience required. Eligible to sit for PANCE or NCCPA certified.

If you have any questions, please e-mail

We’re pleased to announce our 2016 inaugural NP residency cohort

Gina Silveira, NP – Lake Havasu, AZ

  • Special interest in rural area family practice.
  • Enjoys spending time with her husband and two daughters either outdoors, or watching movies.
  • “I’m excited to be a part of an inaugural NP residency program which will enrich and grow my FNP skills… I have a passion for serving communities in need… I’m looking forward to enjoying the outdoors without getting a sunburn or heat exhaustion!”

Beth Spellmeyer, NP – Vancouver, WA

  • Special interest in Sports Medicine and rehabilitation.
  • Triathalon and Half-Iron Man participant.
  • “Having the added support while you get your bearings in a new career and new location is HUGE. I felt so much more confident and comfortable being on my own after completing the residency program in my nursing career. I am super stoked about this program!”