GENERAL CLINICAL PSYCHOLOGY TRAINING PROGRAM

4 MONTH OUTPATIENT PSYCHIATRY ROTATION: UNIVERSITY PSYCHIATRIC CENTER - JEFFERSON

A. Educational Experience:
On the outpatient rotation, the intern has the responsibility for evaluation, individual and group therapy of a number of patients. The intern conducts intake assessments which include the clinical interview, and preparation of a diagnostic formulation and treatment plan for adults with a wide variety of emotional disorders. Interns are expected to present their new evaluations in a diagnostic case conference chaired by senior faculty with different orientations (e.g. biological psychiatry, cognitive-behavioral, psychoanalytic). They have to integrate the feedback they receive and incorporate it into their own treatment plans and dispositions.  These are educationally-roented case conferences that all trainees attend including psychiatry residents, medical students and social work students as well as psychology interns.  During the outpatient rotation interns are required to administer one full battery per month (psychological testing) including written report and consultation.  Interns are expected to conduct a minimum of 10-12 individual therapy hours per week. In addition, they are expected to participate in at least one group. Interns can elect to spend one day per week (8-10 hours) gaining experience in forensic psychology or trauma psychology. Interns are also scheduled to see one new patient a week for a diagnostic evaluation. Interns spend 10-12 hours weekly in seminars and conferences and journal club. Faculty members are available for consultation and discussion. Interns will receive a minimum of three hours per week of individual supervision and two hours per month of group supervision.

B. Description of Faculty and Staff:
The faculty consists of four licensed psychologists, one social worker and three board-certified psychiatrists. In addition, a number of voluntary or paid consultants each spend about two to five hours per week at the University Psychiatric Center. Full-time faculty with expertise in research, psychoanalysis, cognitive therapy, behavior modification, biological psychiatry, medication management and family therapy are available for formal and informal teaching and supervision.

C. Patient Population:
Although the population is predominantly inner-city urban African American adults, there is diversity of clinical characteristics with respect to SES, race, religion and severity of psychiatric disorders with various sources of referral. The patient population includes schizophrenia, psychotic disorders, affective disorders, anxiety disorders, personality disorders, substance abuse/dependency, and adjustment disorders. Legal issues are presented with regards to disability, malingering, health and occupation.

Desired Competencies and Outcomes of Outpatient Psychiatry Rotation:

Goal 1 - Evaluation - To develop intermediate to advanced competency in making differential diagnostic decisions.

Objective A: Demonstrate intermediate to advanced skills in conducting differential diagnostic interviews (both structured and unstructured clinical interviews) with a heterogeneous outpatient psychiatric population.

Objective B: Demonstrate intermediate to advanced skills in using rating scales and psychological tests to make differential diagnostic decisions.

Outcome Measures: Observation of interviews, supervisor evaluations, discussion of case formulation in case conferences, review of cases in supervision, final exam.

Goal 2 - To identify appropriate assessment methods and techniques for diverse populations and different types of psychopathology, incorporating cultural and individual diversity in this process. (Applies to inpatient rotations also)

Outcome Measures: Review of test reports and intake evaluations, discussion of case examples during cultural issues seminar, observation of testing and interviewing, final exam.

12- MONTH OUTPATIENT EXPERIENCE:

Interns are required to carry outpatient psychotherapy cases throughout the year utilizing different psychotherapeutic approaches (e.g. psychodynamic, cognitive-behavioral, brief and crisis-oriented therapy approaches).

DESIRED COMPETENCIES AND OUTCOMES FOR 12-MONTH OUTPATIENT EXPERIENCE:

Goal 1 - To develop intermediate to advanced competency in psychotherapy.

Objective A: Demonstrate intermediate to advanced skills in individual psychotherapy, including psychodynamic therapy, supportive therapy, and cognitive/behavioral therapy.

Objective B: Demonstrate intermediate to advanced skills in group therapy (either process-oriented psychodynamic group or a skills-training cognitive-behavioral group).

Outcome Measures: Supervisor evaluations, observation (live, video, audio), review of cases during supervision, chart review of treatment plans and progress notes, input from co-therapist/supervisor for group therapy, discussion of case examples during seminars, final exam.

Goal 2 - To identify appropriate treatment methods and techniques for diverse populations and different types of psychopathology, incorporating cultural and individual diversity in this process. (Applies to inpatient rotations also)

Outcome Measures: Review of treatment plans and progress notes, discussion of case examples during multicultural issues seminar, observation of therapy sessions.

HEALTH PSYCHOLOGY ROTATION:

4-month Health Psychology rotation.
20 hours per week in either Behavioral Medicine (HIV & Primary Care Clinics) or Geriatric Psychology (local Nursing/Assisted Living facilities).

HEALTH PSYCHOLOGY ROTATIONS:

Combined rotation in HIV Clinic and Primary Care HIV Clinic

A. Educational Experience:
The goal of this program is to provide co-located, integrated behavioral and medical health care to persons living with HIV/AIDS in an outpatient infectious disease clinic. The focus is on how living with HIV/AIDS impacts mental health and how mental health issues impact HIV/AIDS medical status.  While interns will be immersed in the culture of living with HIV/AIDS, skills learned during this rotation will be applicable to working in other primary medical settings, which is a rapidly growing area for psychologists.  Services include consultation, evaluation/assessment, differential diagnosis, collaborative treatment planning, and group, individual and couples therapy.  Interventions may focus primarily on psychological issues or in support of optimal medical care such as treatment adherence.  The emphasis is on functioning as a member of a multi-disciplinary, collaborative team addressing the needs of the whole person.

HIV/AIDS - The Adult HIV/AIDS program operates in a Wayne State University Physician Group clinic run by the WSU Department of Internal Medicine, Division of Infectious Disease.  It is the largest provider of medical care to uninsured and underinsured people living with HIV/AIDS in the state of Michigan, serving over 1700 individuals annually, with approximately 250 new persons each year.  This multi-disciplinary clinic includes infectious disease physicians, a neurologist, nursing, patient advocates, peer advocates, case managers, social workers, psychologists, substance abuse specialists and a psychiatric nurse practitioner along with trainees from the various represented disciplines. Each half-day clinic begins with a 15 to 30 minute interdisciplinary meeting in which the clinical needs of each individual on the schedule are discussed.      

Behavioral health staff and psychology interns are assigned to each half-day clinic (nine throughout the week) in which they provide standardized assessment, consultation, and brief interventions in exam rooms alongside the infectious disease medical staff.  In addition to addressing obvious mental health diagnoses, interns address a myriad of issues related to HIV/AIDS.  This includes coping with and adherence to a medical regime that can have undesirable side effects but requires near perfect adherence.  Interns are actively involved in prevention where they work with consumers on how to negotiate safe sex.  Addressing stigma and disclosure of HIV status to family and friends as well as sex partners are other important areas of intervention. 

While interns can schedule follow-up sessions for more traditional ongoing psychotherapy, much of focus is on providing effective interventions at the time of medial visits.  This is a particularly important skill for our interns to learn to do as they prepare for careers serving populations who have a variety of cultural and logistical barriers that interfere with their ability or desire to come in for traditionally scheduled weekly psychotherapy sessions.  Similarly, group interventions, are an effective and efficient way to provide behavioral health care to medically underserved populations. Interns have the opportunity to lead or co-lead groups such as a Total Wellness group addressing overall healthy behaviors, a Positive/Negative Couples group addressing issues that come up when one partner is HIV+ and the other is not, a Relationship group, a Substance Abuse recovery group, a New to Care group for individuals newly diagnosed or newly entering HIV care, and a Chronic Pain management group. 

B.Description of Faculty and Staff:
In addition to regular supervision with licensed psychologists on the service, interns will have the opportunity to work closely with a psychiatrist, psychiatric nurse practitioner, case/care managers, and substance abuse therapists as well as with infectious disease staff including physicians, nurses and patient advocates, providing a diversity of approaches and viewpoints in the training experience.

Integrated Collaborative Primary Care

Primary Care – Interns are placed 4-months at one or both of two primary care clinics that serve as residency training sites for WSU/DMC Internal Medicine residents. At both of these sites, interns sit in a shared conference room with Internal Medicine attending physicians, a licensed psychologist, residents and medical students.  As cases are staffed, interns are expected to offer insights from a psychological viewpoint.  Their involvement in patient care is varied and can involve providing consultation to the primary care provider, seeing the patient on their own or having joint sessions in the exam room together with the primary care provider.  Patients are most often seen at the time of their medical appointments but can also be scheduled for separate individual or group psychotherapy follow-up sessions.  Psychology interns assist in the detection and treatment of mental health problems and other behaviors that impact overall health.  Targeted interventions include pain management, smoking cessation, stress management, adjustment to chronic illnesses, vague somatic symptoms and medical adherence as well as addressing more traditional mental health issues such as depression, anxiety, and substance abuse.           

WSU Physician Group’s General Medicine Ambulatory Practice (GMAP). This internal medicine primary care clinic serves primarily Medicaid and uninsured individuals. As more individuals in Detroit have become uninsured with the current economic downturn and the auto industry crisis, there has been a shift in the clinic population to more and more individuals without even publicly funded insurance.  The Detroit Receiving Hospital emergency department refers their resurgence of uninsured individuals to this clinic where they are guaranteed medical care.  Patients present with uncontrolled chronic illnesses along with multiple confounding psychosocial problems.

A. Educational Experience and Faculty
Psychiatrist, Behavioral Health and Case Management specialists provide: Mental health and substance abuse screening, Immediate psychiatric consultations/evaluations, Consultation and joint treatment planning with primary care staff, Walk-in sessions, brief in-clinic interventions supporting medical issues (e.g. adherence), Motivational Interviewing around medical, mental health, and substance abuse issues,Case management, linkage and follow-up with community resources, and Groups and short-term individual psychotherapy (e.g. smoking cessation, substance abuse, chronic pain, self-esteem, violence exposure, PTSD and poor choices).

Behavioral Medicine - Desired Competencies and Outcomes:

Goal 1 - Develop consulting skills as a behavioral health specialist.

Objective A: Demonstrate the ability to review medical charts and obtain information from nursing and medical staff.

Objective B: Demonstrate the ability to interview HIV+ adults and those suffering from psychological trauma efficiently, formulate a working diagnosis and a treatment plan.

Objective C: Communicate diagnostic information and findings to other professionals in a sensitive, respectful and clear manner.

Outcome Measures: Supervisor evaluations, feedback from  medical and nursing staff, discussions with primary supervisor, written consultation forms, and discussion of cases during seminars.

Goal 2 - To develop intermediate to advanced competency in making differential diagnostic decisions.

Objective A: To develop intermediate to advanced skills in conducting differential diagnostic interviews with HIV+ adults/ medically ill adults with comorbid psychiatric diagnoses.

Objective B: Demonstrate intermediate to advanced skills in using ratings scales, and observational measures to make differential diagnostic decisions.

Outcome Measures: Observation of interviews, supervisor evaluations, collaborative clinical information from staff, lab reports, review of cases during supervision and seminars.

GERIATRIC PSYCHOLOGY

The Geriatric Psychiatry program that has been in existence informally since 1999, has since become a full-time endeavor. The program has two clinicians associated with it. Ancuta Matei, M.D., a board certified psychiatrist with UPG was chief resident in the WSU general psychiatry residency program, completed a geriatric psychiatry fellowship at Wayne State University and has been the supervising psychiatrist of record through UPG in the community geriatric settings. Suzanne Keller, Ph.D., LP, a clinical psychologist with specializations in geriatric psychology, health psychology, and behavioral medicine is a graduate of Western Michigan University and has been a full-time faculty in the Department of Psychiatry and Behavioral Neurosciences for 11 years. The Geriatric Psychiatry program has a dual emphasis on quality clinical care for the elderly as well as training future professional practitioners to understand and competently treat older adults.

Clinically the program provides services at multiple sites having very diverse populations.

1. Henry Ford Village is a three tiered Erickson Retirement Community in Dearborn with 1, 500 independent apartments, 100 assisted living beds, and 100 long-term care beds.

2. Henry Ford Health System – Center for Senior Independence is a PACE (Program of All-Inclusive Care for the Elderly) program that has 230 participants in Detroit, on Outer Drive

3. DMC Geriatric Center of Excellence is one of the new specialty clinics in DMC’s University Health Center.  Currently, Dr. Matei is spending one day a week consulting with the DMC multi-disciplinary team of geriatric specialists on geriatric mental health issues.

Academically the Geriatric Psychiatry program helps to train multiple disciplines through didactics and community on-site supervision.  Currently the program is training geriatric psychiatry fellows, general psychiatry residents (PG-2), pre-doctoral psychology interns, and geriatric medicine fellows.  Behavioral management meetings also take place at the various community sites, encompassing consultation and training for social work, nursing, case managers, physician assistants, and medical staff.

Desired Competencies and Outcomes for Geriatric Psychology:

Goal 1 - Develop intermediate to advanced competency in geriatric assessment and diagnosticskills.

Objective A: Demonstrate the ability to interview geriatric patients efficiently, using observation, age appropriate interview techniques, screening tools, and collateral report from caregivers

Objective B: Demonstrate the ability to integrate the medical history obtained from medical charts, nursing and medical staff when appropriate.

Objective C: Demonstrate the ability to make informed decisions for appropriate referrals for neuropsychological and psychological testing, medical consultation, and diagnostic testing to further determine diagnosis.

Objective D: Demonstrate the ability to formulate a working diagnosis, based on psychological, medical,and collateral information and determine a treatment plan specific to the elder’s needs.

Objective E: Communicate the diagnostic information and findings to other professionals and caregivers in a sensitive, respectful and clear manner.

Outcome Measures: Supervisor evaluations, feedback from interdisciplinary geriatric team, discussions with primary supervisor, written psychological assessments and treatment plans, and review of cases during treatment team, supervision, and seminars.

Goal 2 - Develop intermediate to advanced competency in psychotherapy approaches with a geriatric population.

Objective A: Demonstrate the ability to identify appropriate treatment methods and modalities for diverse geriatric abilities, and different types of psychopathology.

Objective B: Demonstrate intermediate to advanced skills in individual psychotherapy including cognitive behavioral, interpersonal, and supportive therapy.

Objective C: Demonstrate intermediate to advanced skill in group therapy; either cognitive behavioral, skills training, or process oriented therapy.

Outcome Measures: Supervisors evaluations, review of case during supervision, chart review of treatment plans and progress notes, observation (video, live, audio), input from geriatric interdisciplinary team, and discussion of case studies during seminars.

OPTIONAL SPECIALTY ROTATIONS:
Interns can elect a 4-month specialty rotation (by approval only) for 20 hrs./week in one of the following areas:Psychosocial Rehabilitation/Corrective Psychology, Neuropsychology, Child/Adolescent Inpatient/Pediatric Psychology, Forensic and Trauma.

Mutual evaluation of the intern and training program will be conducted three times during the training year, in December, April, and August, including a final exam (mini-Board model) at the end of each rotation.

II. SEMINAR REQUIREMENTS:

The following core seminars are required for interns in the General Clinical Psychology Internship.

1. Health Psychology (weekly)
2. Psychoanalytic Theory and Technique (weekly)
3. Cognitive Behavior Therapy (weekly)
4. Continuous Case Conference (weekly)
5. Professional Issues Seminar (monthly)
6. Department of Psychiatry Grand Rounds (weekly)

GENERAL PSYCHOLOGY TRAINING PROGRAM FACULTY

Core Training Faculty
Jesse Bell, Ph.D., ABPP
Suzanne Keller, Ph.D.
Kathleen Moore, Ph.D.
Lori Lackman-Zeman, Ph.D.

Rotation Supervisors

Adult Rehabilitation - John Restum, Psy.D.

Child/Adolescent Inpatient/Pediatrics - Vicki Petti, Ph.D., Arthur Robin, Ph.D., Angela Tzelepis, Ph.D.

Geriatric Psychology - Suzanne Keller, Ph.D., Ancuta Matei, M.D.

Behavioral Medicine - Jesse Bell, Ph.D., Lori Lackman-Zeman, Ph.D., Jeannette Godfrey, Ph.D., MSN

Neuropsychology - Darren Fuerst, Ph.D., Robert Rothermel, Ph.D.

Trauma - Barry Tanner, Ph.D., Christina Ramirez, Ph.D., Diane Fischer, Ph.D.

Forensic - Elizabeth Jarratt, Ph.D., Judith Shazer, Ph.D.

Outpatient - Jesse Bell, Ph.D., Kathleen Moore, Ph.D., 
Suzanne Keller, Ph.D., Richard Balon, M.D., Melvin Bornstein, M.D.

Other Contributors - Teachers/Instructors
David Dietrich, Ph.D.
Lori Lackman-Zeman, Ph.D.
Richard Balon, M.D.
Melvin Bornstein, M.D.
Manuel Tancer, M.D.
Eugene Ebner, Ph.D.
Steve Ondersma, Ph.D.
George Fleming, Ph.D.
Georgia Michalopoulou, Ph.D.
Jack Haynes, Ph.D

Wayne State University Department of Psychiatry and Behavioral Neurosciences  welcomes applications from under-represented groups and does not discriminate based on race, ethnicity, age, gender, national origin, or sexual orientation.

COMPLETE AND SUBMIT AAPI ONLINE APPLICATION MATERIALS TO:

Jesse Bell, Ph.D., ABPP
Director, Psychology Training Program
University Psychiatric Center - Jefferson
Suite 200
2751 East Jefferson
Detroit, MI 48207
Program Match Number: 136712

Applicants may apply to either the General Track or Integrated Care Track, or both. Applicants must specify in their cover letter to which track(s) they are applying.

Integrated Behavioral Healthcare Track

Primary Care- Obstetrics & Gynecology - Infectious Diseases (HIV/AIDS)

Our Integrated Care Track is housed administratively within our General Internship Program and physically at various Wayne State University Physician Group and Detroit Medical Center medical clinics.  We can accept 2 interns into this newly established track. While interns in our general program have opportunities for 4-month rotations in medical settings, this new track is designed for interns committed to careers as health psychologists in the exciting and rapidly expanding area of integrated healthcare, with a focus on reaching underserved populations.  Interns learn to function as part of an interdisciplinary team and collaborate effectively with other professionals to benefit a patient’s total wellness and increase their overall quality of care. There is a strong focus on short term and health psychology interventions, as well as opportunities for longer term interventions.  Many didactic and enrichment opportunities are available including funding to travel to one national integrated care conference and participation in a certification in primary care behavioral health course via a live interactive webinar.  Interns have opportunities to contribute to the training experiences of other disciplines through informal consultations and formal lectures. To prepare our interns to become leaders in integrated care settings, we also provide training experiences that address program development and evaluation, funding, and political issues.  Interns spend 12 months as part of the care teams in internal medicine residency training clinics and in OB/GYN and HIV specialty medical clinics.  Interns also select 6-month part-time rotations from a variety of settings such as geriatrics, pediatrics, adolescent medicine, trauma, or forensics.  Rotations can also include more concentrated time in the primary care, OB/GYN or HIV clinics.  Integrated Care interns also attend core didactics with the General Track interns (Note:  Due to the funding mechanism for interns in this track, associated benefits are different than for our other interns.  Interns in this track receive a higher stipend ($21,180) but health insurance is not provided.  Health insurance can be purchased at a reduced rate via the university.  Once health insurance is purchased the overall compensation becomes similar across internship programs.)

Integrated Care Track -General Clinical Psychology Training Program
Wayne State University
Department of Psychiatry and Behavioral Neuroscience
APA-Accredited Pre-doctoral Internship Program

Program Requirements:

Core Clinical Placements (12 months):
- Primary Care:  1 to 1 ½ days per week in Internal Medicine primary care resident training clinics
- HIV/AIDS:  ½  to 1 day a week in HIV comprehensive multidisciplinary medical care clinic
- OB/GYN:   ½  to 1 day a week in faculty-based OB/GYN clinic

Didactics:

- Health Psychology (bi-weekly with interns from General Track program)
- Cognitive Behavior Therapy (bi-weekly with interns from General Track program)
- Psychoanalytic Theory and Technique (weekly with interns from General Track program)
- Professional issues (monthly with interns from all programs/tracks)
- Dept of Psychiatry Grand Rounds (weekly except summer)
- Certification course in Primary Care Behavioral Health (6 six-hour live interactive webinars with interns from General Track program) – facilitated locally with webinar faculty from University of Massachusetts.
- Motivational Interviewing seminars/supervision as available.

Conference attendance:  funding provided to attend one national conference related to integrated care

Supervision: Using the preceptor model of supervision common in medical residency training programs, interns staff patients in the primary care clinics as they are seen.  Supervision is provided by a licensed PhD psychologist and an attending primary care physician where psychology interns and medical residents learn side-by-side in the resident staffing room or in exam rooms.  Individual supervision, group supervision and case conferences also take place in each clinical setting.  While a licensed PhD psychologist reviews each case, supervision/teaching is also provided by individuals from other disciplines including psychiatry, nursing, OB/GYN physicians, infectious disease physicians, primary care physicians, social work, addiction medicine and pain specialists.

Teaching/consultation/supervision:  Interns in this track are expected to contribute to the learning experiences of other trainees and staff from other disciplines.  This can be done via grand round presentations, case conferences, mini-presentations during residency staffing sessions, case consultations, etc.

Administration: Interns are expected to attend program, institutional, consumer and county-wide meetings where they will be exposed to issues and participate in solutions related to program development, implementation, evaluation, funding, system integration, and political forces. 

Research:  Interns have optional opportunities to participate in research related to clinical placements (particularly around program evaluation) depending upon interests and time.

ROTATIONS/ELECTIVES: Interns spend 1 to 2 days a week in 2 selected rotations/electives, each 6 months in duration. (Options are described in Rotations/Elective link on home page)
Rotations/electives currently available to integrated care track interns (subject to change) include:

- More concentrated time in HIV, OB/GYN or Primary Care clinics
- Geriatrics (Detroit Medical Center Nursing and Assisted Living Centers
- Forensic Center
- Wayne County Jail
- Trauma (Detroit Receiving Hospital)
- Neuropsychology (Adult at University Health Center or Child/Adolescent at Children’s Hospital of Michigan)
- Pediatric Psychology (Children's Hospital of Michigan)
- Adolescent Medicine (University Health Center and WSU Psychology Clinic)
Interns are expected to participate in rotation-specific didactics and supervision

Description of Core Clinical Placement Settings:  All of the core clinical settings (as well as many rotation/elective settings) are located on or adjacent to the Wayne State University School of Medicine and the Detroit Medical Center campus and thus are within walking distance of each other.  Paid on-campus parking is provided. Interns in this track are also assigned netbook computers that they can carry from site to site.  Electronic medical records are used at each core clinical site. The different clinics have varied organizational set-ups giving interns exposure to variations of integrated care models as well as different target populations. Six months into the year, interns switch days of the week assigned to each clinic, providing greater exposure to varying practice patterns amongst medical providers. This gives interns opportunities to learn how to work within different integrated care models and with different physician practice styles. 

The WSU DMC HealthSource primary care clinic is located in the University Health Center, connected to Detroit Receiving Hospital (part of the Detroit Medical Center, DMC). HealthSource is an urban capitated managed care clinic publicly funded by Wayne County to provide medical care for people who have monthly incomes of less than $300 and who do not qualify for Medicare/Medicaid and do not have other health benefits.  While patients who attend this clinic and meet Severe and Persistent Mental Illness (SPMI) criteria are eligible for services through CMH, those with mild to moderate symptoms are left without behavioral health care coverage.  Limited access to behavioral health services is only one barrier our patients experience to healthcare.  Psychosocial issues associated with poverty such as low literacy, unemployment, limited transportation, unstable housing or homelessness, and exposure to crime and violence also contribute to poor health outcomes.  Approximately 3200 adults between the ages of 18 and 65 are assigned to this clinic.  Nearly all are African American and 65% are male. Many of them suffer from chronic illnesses in which collaborative behavioral health services are particularly critical for favorable health outcomes.Most do not qualify for CMH services and others do not follow-up with CMH referrals due to stigma and other barriers. 

OB/GYN – WSU Physician Group’s University Women’s Clinic.  This faculty-based clinic provides OB/GYN services to a publicly and privately insured population. This clinic has a large need for on-site integrated behavioral health services to meet the needs of at-risk women. Located in the same building and adjacent to the HIV medical clinic, there is extensive on-site back-up and support from other behavioral health staff.  Integrated care services are new to this clinic and as such, current interns are involved in implementing needs assessments from patients and clinic medical staff.  Currently interns see patients as referred by their OB/GYN providers.  We plan to develop specific protocols targeting women who present with targeted problems.   Interns learn to address a variety of women’s health issues including chronic pelvic pain, post-partum depression, infertility, and miscarriages.

Core Competencies and Outcomes (see descriptions of rotations/electives for related competencies at those sites)

Goal 1 – Develop comprehensive understanding of common medical conditions and chronic illnesses and how they interplay with psychological factors.

Objective A.  Interns will be able to identify physical symptoms of various medical conditions.
Objective B. Interns will develop an advance understanding of medical terminology
Objective C.  Interns will learn what various medical tests and lab values indicate along with desired targets for optimal health
Objective D.  Interns will develop an appreciation for how specific medical conditions impact psychological well-being
Objective E.  Interns will learn specific ways that psychological factors can have negative and positive impacts on the progression of various physical symptoms

Goal 2 – Develop advanced skills to effectively collaborate with providers form other disciplines including physicians

Objective A.  Interns will become skilled at reviewing medical records for pertinent information.
Objective B: Interns will demonstrate the ability to seek out input and integrate information from other providers.
Objective C: Interns will demonstrate the ability to provide feedback and suggestions to medical providers in a concise, relevant and respectful manner.
Objective D.  Interns will demonstrate ability to engage in joint treatment planning
Objective E. Interns will develop comfort and skill to intervene with patients along side other providers, often in medical exam rooms
Objective F.  Interns will be able to effectively modify their collaborate approach depending upon different demands of various organizational structures, physician practice styles, and patient needs.

Outcome Measures: Supervisor evaluations, observation in multidisciplinary team meetings, review of cases during supervision, written reports and progress notes, and review of feedback from multidisciplinary team members.

Goal 3 –Develop optimal skills to communicate effectively with physicians and other providers.

Objective A.  Interns will become skilled at identifying key information that needs to be communicated to various other care providers.
Objective B.  Interns will learn to communicate key information using appropriate terminology in a respectful and useful manner
Objective C.  Interns will write succinct and clear chart notes that include assessment, intervention, plan and recommendations.

Goal 4 – Become skilled at patient-centered interventions that take into account cultural perspectives and optimize outcomes for underserved populations.

Objective A. Interns will gain an advanced appreciation of cultural and social factors that contribute to healthcare disparities and need to be taken into account for optimal treatment planning
Objective B.  Interns will become skilled at using techniques such as motivational interviewing that take into account patient values and circumstances to collaboratively determine optimal interventions
Objective C. Interns will interact with community advisory boards and patient volunteers to gain greater appreciation of related issues

Goal 5 –Become skilled at assessments relevant to medical settings.

Objective A.  Interns will become knowledgeable about a wide range of standardized assessments that can be used for screening and follow-up monitoring. 
Objective B.  Interns will become skilled at choosing most appropriate tools dependent upon clinical need.
Objective C.  Interns will become skilled at administering, interpreting and conveying key findings from assessments to patients and to other medical care team members.
Objective D.  Interns will develop advanced clinical interviewing skills .

Goal 6 – Develop advanced intervention skills to be optimally effective during brief in-clinic sessions as well as during scheduled follow-up sessions.

Objective A.  Interns will become skilled in interventions targeting specific conditions commonly seen in medical settings such as pain management, smoking cessations, lifestyle changes, management of chronic illness and stress reduction.
Objective B.  Interns will develop advanced skills to develop and implement group therapies relevant to the needs of the target population.
Objective C.  Interns will develop advanced skills at employing longer term therapies as warranted and feasible to individual patients.

Goal 7 – Become skilled consultants and teachers to a variety of other learners and medical staff

Objective A.  Interns will gain confidence and skills to provide feedback and coaching to other providers that not only helps with specific cases but enhances the other provider’s understanding of psychological factors.
Objective B.  Interns will gain comfort and skills to give effective presentations.

Goal 8– Develop skills that will position interns to become leaders in integrated care settings

Objective A.  Interns will develop an appreciation for and understanding of various integrated care models and how they can be tailored and implemented to best meet the needs of various medical settings
Objective B.  Interns will develop a skill set related to the various roles that a psychologist can play in development, administration, program evaluation, teaching, supervision and clinical care within medical settings
Objective C. Interns will develop an understanding of various barriers and challenges related to setting up and administrating integrated care programs and effective strategies to address them.
Objective D.  Interns will develop an understanding of political and economic factors that contribute to the success and sustainability of integrated care programs including grant writing and grant management.

WHAT TYPE OF INTERN ARE WE LOOKING FOR?
We are looking for interns who are committed to careers in health psychology with a specific focus on working with underserved populations. This track was developed specifically to address health care disparities and to meet the growing demand for health psychologists to work within outpatient integrated care medical settings.  We expect our graduates to become leaders in this growing specialty area.  A strong applicant will have experience working within medical settings and also have a solid foundation of general psychological assessment and intervention skills. Simply writing about your interest in health psychology and underserved populations in your application essays is insufficient; you must have proven your interest by the work you have already done in order to receive an interview in the Integrated Care Track. Applicants who are interested in gaining exposure to health psychology but do not have a demonstrated commitment might be better suited to our General track where integrated care rotations can be selected.

FOR MORE INFORMATION, CONTACT:          
                       
Lori Zeman, Ph.D.
Program Director of Integrated Care Track
Lzeman@med.wayne.edu
313-577-8172
Program Match Number: 136712

COMPLETE AND SUBMIT AAPI ONLINE APPLICATION MATERIALS TO:

Jesse Bell, Ph.D., ABPP
Director, Psychology Training Program
University Psychiatric Center - Jefferson
Suite 200
2751 East Jefferson
Detroit, MI 48207
Program Match Number: 136712

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