Outpatient Psychiatry APP Fellowship

About Vijapura Psychiatry
Vijapura Psychiatry is a Harvard-trained physician-led, medically integrated outpatient psychiatry practice serving Northeast Florida since 1991. Our model combines expert psychopharmacology, integrated psychotherapy, medical collaboration, and lifestyle-based interventions.

We are launching a structured 12-month Outpatient Psychiatry Fellowship for Psychiatric Nurse Practitioners (PMHNPs) and Physician Assistants (PAs) who are committed to mastering outpatient psychiatric medicine under direct physician mentorship.

This is a deliberate, mentored transition into excellent outpatient practice.

Position Overview
This 12-month fellowship is designed to bridge the gap between graduate training and independent outpatient psychiatric practice through immersive supervision, structured didactics, and progressive clinical responsibility.

Fellows train directly under:

• Dr. Sagar Vijapura, MD – Medical Director
• Lead APP (trained in-house, 5+ years with practice)
• Dr. Priyanka Vijapura, MD – Internal Medicine (former Mayo Clinic faculty)
• Additional physician faculty for case conferences and clinical trial review

Clinical Setting

Hybrid model including:

• In-office visits at our primary location on Wednesdays

9141 Cypress Green Drive, Suite 1
Jacksonville, Florida

• Telemedicine visits

Clinical days: Monday–Thursday, 8am to 5pm
Friday mornings: Structured didactics and case conferences
Friday afternoons: Independent study

Fellowship Structure

Pre-Start Shadowing
Final-stage candidates will complete structured shadowing to ensure mutual fit and clarity of expectations.

Month 1

• 60-minute new patient evaluations under direct observation
• Intensive supervision and note review
• Structured psychiatric interview training
• 4 - 5 patients per day
• 3 hours weekly didactics (core psychiatry + clinical trials)

Months 2–6

• Increased autonomy with supervisory oversight
• Lab ordering and interpretation
• Expanded follow-up panel
• ADHD and mood disorder evaluation intensification

Months 7–9

• Complex case exposure
• Independent formulation prior to review
• Bipolar spectrum and personality disorder mastery
• Rational polypharmacy reduction strategies

Months 10–12

• Near-independent outpatient panel
• Weekly formal supervision
• Scholarly case or literature presentation

Core Clinical Competencies Developed

By completion, fellows will demonstrate mastery in:

• Evidence-based ADHD assessment (ASRS, WURS, impairment evaluation)
• Longitudinal stimulant management and risk mitigation
• Differentiating unipolar depression from bipolar spectrum disorders
• Treatment-resistant depression algorithms
• Borderline personality characterization and outpatient boundary management
• Suicide risk assessment
• Rational deprescribing and polypharmacy reduction
• Conservative, evidence-based controlled medication prescribing
• Lab interpretation and medical monitoring in psychiatric patients

Integrative Psychiatry Training Model

Fellows train within our four-pillar framework:

1. Advanced Psychopharmacology
Diagnostic precision, medication selection, deprescribing strategy, and documentation standards.

2. Integrated Psychotherapy
Use of CBT, ACT, DBT-informed approaches within 30-minute medication visits.

3. Psychiatry–Medicine Interface
Collaboration on:

• GLP-1 medications and psychiatric considerations
• Obesity and metabolic syndrome
• Thyroid disorders
• Obstructive sleep apnea
• Restless legs syndrome
• Cardiac screening
• Laboratory interpretation and monitoring

4. Lifestyle & Whole-Health Psychiatry
Sleep optimization, exercise, nutritional psychiatry fundamentals, mindfulness principles, and care coordination.

Compensation

Year 1 (Fellowship Training Year):
$80,000 annual salary (W-2)
Protected supervision and didactic time included
No productivity requirement

Year 2 (Post-Fellowship Opportunity):
$110,000 base salary + $20,000 productivity-based compensation
Structured transition to full outpatient panel
Leadership and mentorship pathways available

Year 3 (Post-Fellowship Opportunity):
$110,000 base salary + $30,000 productivity-based compensation
Structured transition to full outpatient panel
Leadership and mentorship pathways available

Qualifications
Required:

• PMHNP-BC or Physician Assistant (with psychiatric experience)
• Eligible for Florida licensure
• DEA license
• Commitment to outpatient psychiatry

Preferred:

• Strong interest in evidence-based medicine
• Comfort with feedback and structured supervision
• Long-term interest in integrative, physician-led private practice

Who This Fellowship Is For

This program is designed for clinicians who:

• Want structured mentorship
• Value diagnostic precision
• Desire mastery in outpatient psychiatry
• Prefer ethical, conservative prescribing practices
• Are committed to professional growth

This is a selective program intended for serious candidates seeking long-term excellence in outpatient psychiatric practice.

Application Requirements
Interested candidates should submit:

• Current CV or resume
• A 1–2 page letter of interest addressing:
• Why you are pursuing outpatient psychiatry
• Areas of clinical growth you hope to develop
• What integrative psychiatry means to you
• Your 5-year professional goals

Application Timeline:
Start Date: July 1, 2026
Priority application review begins March 15, 2026.
Final application deadline: April 1, 2026.

Interviews are conducted on a rolling basis. The position may be filled prior to the final deadline if an exceptional candidate is identified. Selected applicants will be invited to complete a structured shadowing experience as part of the interview process. Professional references will be requested at the final interview stage.

Job Type: Full-time

Pay: From $80,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Professional development assistance
• Retirement plan
• Vision insurance

Work Location: Hybrid remote in Jacksonville, FL 32256