Clinical CE That Respects Your Time

Evidence-based CE for real outpatient practice

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CE that teaches judgment not checklists

Education is not the learning of facts, but the training of the mind to think.
— Einstein

Most CE focuses on information and protocols: what to prescribe, what to document, what the guideline says to do next. That's necessary, but it's not sufficient.

Real outpatient practice means deciding what to do when the guidelines conflict with each other, the patient doesn't fit the algorithm, the payer won't cover your first choice, and the documentation risk is high no matter which direction you move.

That's not a knowledge problem. It's a judgment problem.

And almost no CE teaches you how to structure clinical reasoning under those conditions.

This CE teaches clinical judgment: the systematic reasoning behind decisions in gray zones.

How This is Different

Not just protocols, structured reasoning frameworks

We don't teach more algorithms. We teach you how to evaluate competing risks, navigate payer restrictions, and defend your clinical reasoning when the guideline doesn't give a clear answer.

Not academic theory, real outpatient practice

Outpatient care happens inside constraints: documentation risk, payer rules, scope boundaries, liability exposure, and patients who don't follow textbook patterns.

Our courses teach the full range of judgment you actually use in practice: clinical reasoning, documentation strategy, billing compliance, ethical trade-offs, and workflow implications.

We don't stop at "best practices." We teach how to weigh the real-world tradeoffs in front of you: risk vs. benefit, safety vs. autonomy, clinical indication vs. system limitation.

Not generic advice, decision-level precision

Who This Serves Best

This CE is designed for clinicians who:

  • Want clarity when making decisions in gray zones

  • Value systematic reasoning over intuition or shortcuts

  • Need their clinical judgment and documentation to hold up under scrutiny

  • Practice in outpatient settings where payer reality, risk management, and clinical complexity intersect constantly

This isn't just CE for clinicians who need hours.

This is CE for clinicians who want to think more clearly under pressure.

What You Get

Two Paths. Same Philosophy.

You can learn through CE courses alone, or you can continue the work in the community where judgment, documentation strategy, and clinical reasoning are developed in practice.

Path 1: CE Courses

ANCC-accredited continuing education focused on mandatory topics and high-stakes clinical decisions.

Each course is structured to teach judgment, not just information. The goal is to help you think more clearly, document more defensibly, and make decisions that hold up under scrutiny.

Courses focus on:

  • Clinical reasoning: Suicide assessment, diagnostic complexity, medication management

  • Documentation & billing: Risk documentation, billing compliance, audit-proof strategies

  • Practice systems: EHR selection, telehealth compliance, hiring and delegation

  • Ethics & boundaries: Professional conduct, ethical risk management, system constraints

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Current and upcoming courses include:

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Path 2: CE + Forum Membership

The learning of judgment doesn't stop with the CE course.

Clinical reasoning develops through reflection, conversation, and seeing how other clinicians think through the same decisions you face in practice.

The Think Beyond Practice forum is where that ongoing work happens, combining judgment development with practical systems for documentation, billing, and workflow.



One Free CE course per month: Complete one course per month at no additional cost.

Access to Think Beyond Practice forum: A private community for therapists, PMHNPs, and counselors. Including:

  • Clinical reasoning and judgment development

  • Documentation strategies and billing compliance

  • Ethical dilemmas and boundary decisions

  • Workflow systems, EHRs, and practice management

  • Real-world case discussion

Active clinical reasoning discussions: See how experienced clinicians think through complex decisions, compare approaches, and get feedback on real scenarios

Direct engagement from Michael in discussion threads, alongside peer discussion

Practical tools and templates: Code breakdowns, audit-proof documentation examples, workflow systems

$99/month, cancel anytime

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Mentorship through structured discussion

This isn't coaching. It's guided development for clinicians who want to think more clearly, document more effectively, and make clinical decisions that hold up under scrutiny in real-world practice.

Through case-based learning and real-time discussion, you'll watch experienced clinicians reason through complex decisions, refine your own thinking, and get feedback on real scenarios. All within a professional, grounded community.

“It's not about giving answers. It's about helping you build a framework for better ones.”

You're not learning what to think. You're learning how to think like a clinician.

What's included

A sampling of active topics inside the forum

Licensing & Legal

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Clinical Tools & Practice Resources

Billing and Documentation

⭐️⭐️⭐️⭐️⭐️
“This is the only forum I’ve found that’s actually useful long term. Other communities felt basic, performative, or recycled. Here, the clinical info is thorough, the business and coding guidance is what nobody else teaches, and everything is organized, practical, and miles better than the hype forums. The mix of real-world charting, coding, practice-building, ketamine/spravato breakdowns, and ethics makes it useful whether you’re new or seasoned.”
— Haley, PMHNP-BC

Clinical Leadership
Michael Van Gelder, M.S. Clinical Psychology, M.N., PMHNP-BC
13+ years psychiatric practice | Private practice owner | CE developer


ANCC Accreditation
ANCC Provider Application: In Progress
Target submission: February 2025

A Different Approach to CE

Most continuing education recycles the same topics: psychopharm, diagnostic criteria, and treatment protocols. Useful? Yes. Sufficient? No.

The decisions that actually challenge clinicians in real practice are not about what a medication does. They are about how to document complex presentations, bill integrated visits correctly, navigate payer and regulatory constraints, and make defensible decisions in clinical gray zones.

Think Beyond Education focuses on the skills most CE providers skip: clinical judgment, documentation strategy, billing and workflow competence, and the systems that allow clinicians to practice confidently under scrutiny.

We still teach psychopharm and diagnosis. But we treat them as part of the larger practice, not the whole picture.