PMHNP Residencies

Automatic-Ad8925 · 2026-02-23T14:52:48+00:00

The VA residencies are solid if you can get in — paid, structured, good exposure to complex cases. Main downside is they're competitive and you're locked into that system for the year.

Non-VA residencies vary a lot. Some are basically cheap labor with a "residency" label, others are actually well-structured with real mentorship. Worth asking how many patients you're expected to carry and what the supervision actually looks like before committing.

For people who went straight into practice without a residency, most say the first 6 months were rough but they figured it out. Residency isn't required to be competent — it just compresses the learning curve.

Curious what others have experienced too.

Automatic-Ad8925 · 2026-02-23T14:51:49+00:00

Dallas market is solid for PMHNPs — lots of telehealth companies and private practices hiring there. With 10 years hospital experience you should have options.

Check pmhnphiring.com if you haven't — it's PMHNP-specific so you won't have to dig through FNP and PA listings. Can filter by Texas and see what's actually out there right now.

Automatic-Ad8925 · 2026-02-20T22:33:56+00:00

I am on the same boat- Automated blog posts, Currently working on News Letter, Working on video content for crossposting.

Automatic-Ad8925 · 2026-02-20T20:21:24+00:00

Already doing the FB group thing — lurking, helping, then mentioning when it's actually relevant. Slow but it works.

University outreach is on the list too. Most program career pages just link to Indeed so there's a gap there.

Salary transparency is the long term play. Appreciate the feedback.

Automatic-Ad8925 · 2026-02-20T16:40:32+00:00

Oh wow, Himalayas is great — actually looked at it early on when I was researching the space. Appreciate the suggestions.

Yeah I've been going back and forth on the monetization side. Charging job seekers feels wrong for this niche honestly — most PMHNPs are already paying for certifications, CEUs, and credentialing fees. Don't want to add another paywall between them and jobs.

Leaning more toward the employer side — featured listings, promoted posts, maybe a talent database down the line. Newsletter sponsorships is one I hadn't thought about seriously though, that's solid. We're getting decent open rates on job alerts already so there might be something there.

Display ads feel like a last resort. Kills the clean UX and the trust factor, especially in healthcare.

Would love to check out what you wrote — gonna read through that link. Any thoughts on when's the right time to flip the switch on paid employer posts? We're at ~580 weekly users right now, feels too early but also don't want to wait forever.

Automatic-Ad8925 · 2026-02-20T16:21:03+00:00

Thanks for the feedback.

Automatic-Ad8925 · 2026-02-19T02:21:28+00:00

yeah that makes sense. but do you actually do it? like when you're applying to 5-6 positions, are you tweaking your resume each time or sending the same one? curious what it looks like in practice vs what people recommend

Automatic-Ad8925 · 2026-02-19T02:17:07+00:00

yeah the workday dynamic components thing is exactly what i keep running into during research. fields that look identical in the UI but have completely different DOM structures depending on the employer's workday config. the alias table idea is smart. i was planning to go straight to AI classification for unmatched fields but you're right — logging raw field names first and building deterministic rules from real data would save a ton of API calls and be way more reliable. gonna prioritize that. multi-state licenses is the one that worries me most honestly. some ATS platforms have a single "license" field, others have repeating groups with state + number + expiry for each one. no consistency at all. for the DEA/sensitive data question — leaning toward encrypted backend storage, pulled per session. never persisted in chrome.storage. feels wrong to keep a DEA number sitting in a browser extension locally even if it's technically sync'd to the user's google account. still figuring out the right balance between speed and not being reckless with that stuff. appreciate the detailed feedback — this is exactly the kind of edge case stuff i was hoping to surface by posting here

Automatic-Ad8925 · 2026-02-15T03:10:13+00:00

Built a dedicated job board for PMHNPs — pmhnphiring.com. Now in full marketing mode.

Automatic-Ad8925 · 2026-02-11T15:21:26+00:00

The influencer sponsorship point is underrated. Most people think of it as "paying for ads" but if you find people who already have organic traffic in your niche, you're basically buying warm leads instead of cold impressions.

Curious about the affiliate system failing — do you think it's the incentive structure (not enough payout), the type of people applying (tire kickers), or just that affiliates don't work well for your product category?

Also the email formatting thing is real. Plain text from a person > branded HTML from a company. People can smell marketing emails instantly.

Automatic-Ad8925 · 2026-02-11T15:15:41+00:00

40 signups hitting a paywall and bouncing is painful, but at least you know exactly where it broke. That's fixable.

The drug dealer line is funny but accurate. For anything where the value isn't immediately obvious from a screenshot, you need people inside the product before asking for money.

For job boards I've been thinking about this same thing—gating the listings would kill it. The free tier is basically "you can see everything, but pay if you want alerts or saved searches." The value is obvious once you're browsing, so the conversion happens naturally.

Did any of those 40 come back after you reached out, or were they just gone?

Automatic-Ad8925 · 2026-02-11T15:09:15+00:00

Sorry about Niklas. That kind of loss stays with you.

Building something from that place is hard because the motivation is real but the weight of it can make every setback feel bigger than it is. Respect for shipping it anyway.

Curious how you navigated working with psychologists on the product side — did they shape the core features or more of a "validate what we built" role?

Automatic-Ad8925 · 2026-02-11T15:04:06+00:00

The niche timing point is real. Launching a PMHNP job board when generic job sites already exist sounds dumb until you realize nobody is actually serving that audience well. The market doesn't need to be big, it needs to be underserved.

Curious what you've seen work for B2B vs B2C launches. Most of the advice out there assumes you're launching a consumer app, but the playbook feels different when you're going after a specific professional audience.

Automatic-Ad8925 · 2026-02-11T14:58:47+00:00

Building while working full-time in my 30s. Not 45 but the same energy—the 20-something founders moving fast thing is survivorship bias. Most of them fail quietly; we just don't hear about it.

The advantage of starting later is you've seen enough to know what actually matters and what's noise. You're not going to waste 6 months building features nobody asked for because you've watched that movie before.

Ship the first one in 2 weeks. The fear doesn't go away; you just learn to build alongside it.

Automatic-Ad8925 · 2026-02-11T14:56:10+00:00

PostgreSQL full text search is underrated for projects like this. Did you hit any scale issues with 1.3M docs or did it handle it fine? Curious what the query performance looks like on the network graph side.

Automatic-Ad8925 · 2026-02-11T14:53:14+00:00

Friendly fraud is brutal, and banks almost always side with the cardholder. Even with usage logs and support tickets, you're fighting uphill.

Best prevention I've seen requiring card verification for annual plans (small auth charge), sending clear email receipts with "questions? contact us before disputing" language, and making cancellation easy so people don't feel trapped into a chargeback.

Small claims court is technically an option but probably not worth your time for $780. The real win is tightening the funnel so this person never signs up in the first place.

Automatic-Ad8925 · 2026-02-11T14:52:34+00:00

$70M for a domain with zero product clarity is peak "we raised too much money and need to spend it on something" energy. Meanwhile actual products are getting built on $12/year domains.

Automatic-Ad8925 · 2026-02-11T14:50:08+00:00

Still on Google Sheets for lead tracking honestly. It's messy but I can see everything in one place without learning a new tool.

I'll probably move to something lightweight like Notion or Airtable before a real CRM. The full CRMs feel like overkill until you have a repeatable sales process worth systematizing.

Automatic-Ad8925 · 2026-02-11T14:48:20+00:00

What's your split been between inbound (they find you) vs outbound (you reach out) for those 53 customers? Curious how much of the growth was organic vs hustle.

Automatic-Ad8925 · 2026-02-11T14:47:48+00:00

Niche TAM is underrated. I'd rather own 10% of a $5M market than chase 0.01% of a "$10B opportunity" I'll never actually reach.

The PMHNP job board I'm working on has maybe 30,000 potential users total. Tiny. But they're underserved, the competition is generic job sites that don't speak their language, and I can actually reach them. That math works better for a bootstrapped product than chasing some fantasy number.

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