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Ascension Genesys Postdoctoal Fellowship in Clinical Health Psychology

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Ascension Genesys Hospital
Grand Blanc, Michigan

Starts on Sunday, September 1, 2019

Applications due Monday, January 14, 2019

Are you looking for a one-year fellowship to further your education in Clinical Health Psychology?

Our Model of Training

The Ascension Genesys fellowship program is a one-year training program in Clinical Health Psychology. At Genesys, our Clinical Health Psychology program is embedded in our medical primary care residency programs (Family Medicine and Internal Medicine, OB/GYN). Since 1987, the core of our fellowship program has been to train psychology fellows alongside their medical colleagues. The psychology fellows are able to lend their expertise to and teach the medical resident in the learning of behavioral issues related to disease and health. Likewise, the medical resident has a role in teaching the psychology fellow more about medical diagnoses and treatment so that the psychologist can be a more effective colleague.

We focus on Primary Care applications of clinical health psychology. This area has broad implication for psychologists in medical settings as primary-care physicians identify a large portion of their patients as needing some mental health treatment, but fewer than 10 percent of these patients actually see a mental health professional. In order to meet this demand, we have focused on training primary-care psychologists to offer counseling and behavioral interventions to patients in medical settings. Our arrangement is collaborative and integrated. Our assessment and interventions work to help patients—often on the same day and sometimes without the patients ever leaving the exam room— and to train primary care physicians as to how to work collaboratively.

Our clinical training operates from an Integrated Primary Care (IPC) Model where clinical assessments and interventions are provided with primary care medicine to more fully address the spectrum of problems that patients bring to a primary medical site. This model functions with the psychologists as behavioral health providers (BHP) in the primary care clinic area receiving immediate "hallway handoffs", triaging cases, providing brief (15-20 minutes) behavioral interventions as well as short-term (3-6 sessions) solution-focused and evidence based interventions, and offering quick feedback to providers. The CHP fellows collaborate with the medical team to provide ongoing assessment, flexible treatment services, and regular monitoring of patient progress. Interventions target behavioral issues that affect a specific physical health problem (e.g., motivational interviewing for a patient with medication non-adherence; behavioral activation for patient with diabetes displaying symptoms of depression). These brief and focused interventions serve to complement the complete medical care of the patient, while reducing the burden on the primary care medical team.

Curriculum

There are three rotations during the fellowship. Each is approximately four months in duration. There is not a specific order that these are completed, but are completed based on fellow and program needs.

  • Family Medicine
  • Internal Medicine/OB
  • Hospital Consultation-Liaison

Family Medicine: East Flint Campus Rotation

While working on the East Flint Campus Rotation, the fellow will have the opportunity to function as a health psychologist within a family medicine training practice. There are numerous opportunities to acquire and polish clinical health psychology skills during this rotation. One of the central components of the fellowship program is medical education. Fellows are involved in designing and implementing the behavioral sciences curriculum for the family medicine residency program and in shadowing medical visits to promote learning about communication, time efficiency, and overall good patient care. Fellows also gain clinical health psychology skills and assist residents in learning about the psychosocial aspects of family medicine through several behavioral clinics including an Integrated Primary Care Clinic, an ADHD assessment clinic, and a lifestyle change clinic.

Integrated Primary Care (IPC) is our main approach to reaching our patients' immediate health needs and to providing medical education for family medicine physicians, who learn along with the psychology fellow, in IPC. Through focused psychological evaluation and treatment, the psychology fellow addresses a variety of presenting problems common to the primary care medical setting including mental health concerns, such as generalized anxiety, panic disorder, and major depression, as well as common behavioral medicine concerns such as medication adherence, emotional adjustment to new medical diagnosis/physical pain/physical injury etc., and other clinical health psychology related concerns, such as coping with chronic medical conditions. The fellow position is primarily IPC in nature, operating out of the medical preceptor's office or resident physician work stations. We respond to respond to calls for Behavioral Medicine consultation from any of our 40+ physician colleagues in the primary care clinic. To a lesser extent, the fellow maintains 5 hours per week for scheduled psychotherapy appointments, which are short-term in nature.  We typically only provide psychotherapy services for mild-moderate severity levels, while referring more severe cases out to our local community psychiatric/mental health centers.  Resident physicians may observe some of these IPC evaluations and treatment sessions (based on resident’s availability/rotation) to learn how to integrate some of these skills into their practice. This training opportunity aims to prepare health psychologists to function effectively in an outpatient medical setting as well as in medical residency training settings.

ADHD Assessment Clinic: This is a twice monthly clinic where children and adolescents identified as possibly having ADHD are provided a screening evaluation that includes clinical interviewing, psychological assessment materials, and a physical exam conducted by the family medicine resident. The fellow is responsible for teaching the residents how to conduct a clinical interview, how to interpret results from a psychological behavior index, identifying possible differential diagnoses, and providing relevant and timely feedback and recommendations to the parents.

Lifestyle Change Clinic: This is a weekly clinic run by the psychology fellow and 1-2 family medicine residents that aims to assist patients identified by their primary care physician as needing assistance with weight management, smoking cessation, or increasing physical activity. The fellow assists the residents in learning motivational interviewing strategies for health behavior change and dealing with ambivalence according to the transtheoretical model of stages of change.

Internal Medicine & OB/GYN - Downtown Flint Campus

The psychology fellow at the Genesys Downtown Flint Health Center is an integrated member of the internal medicine and obstetrics-gynecology treatment teams. This setting is a busy academic ambulatory practice in which approximately 10,000 patient visits occur each year. These visits occur in the internal medicine residency program, the obstetric-gynecology residency program, the podiatry residency program, the general surgery program, and the behavioral science psychology program.

The main focus of this rotation is to continue to refine medical education skills in a setting requiring a higher level of autonomy, while also providing clinical consultation to the primary care ambulatory practices. Fellows participate in the following teaching activities:

Shadowing internal medicine and OB-GYN residents to provide feedback about both clinical content related to psychology, but also strategies to improve doctor-patient relationships, advanced counseling skills, and time efficiency. Videorecording internal medicine and OB-GYN residents co-jointly with physician faculty to improve residents’ skills Designing curriculum to improve the patient experience and physician skills and confidence Precepting clinical cases with physicians

Clinically, the psychology fellow provides a variety of services to our patient population. Fellows typically carry a caseload of approximately 20-25 patients, with approximately 10 clinical contact hours per week. Many of these encounters are traditional psychotherapy cases, but approximately 25-50% of them are triage primary care appointments. These triage services use an integrated primary care psychology approach. Fellows typically treat patients collaboratively with their physician health care provider. Presenting concerns mirror a primary care practice. They can include:

  • adjustment to medical illness
  • health related behavior
  • neuropsychological screening
  • treatment of uncomplicated depression
  • panic disorder assessment and treatment
  • chronic pain
  • substance abuse
  • trauma

Hospital C-L Rotation

The psychology fellow on the consultation-liaison rotation manages the psychology consult service at Genesys Health Park providing inpatient psychological services. The psychology consult service responds to requests for consults, assessing mental health problems among admitted patients on the general floor and providing treatment recommendations to the medical team regarding patient needs.

Commonly encountered referral questions include:

  • assessment and treatment of anxiety and depression
  • pain assessment and management
  • capacity for medical decision-making

We also provide follow-up services to patients as needed, such as relaxation training, pain management, and behavioral activation.

We work closely with the family practice and internal medicine teams, including residents and attendings, regarding patient care.

Other responsibilities include completing pre-surgical psychological evaluations for the bariatric program at Genesys and providing behavioral science lectures within the hospital to various groups of residents and medical students. The psychology fellow works closely with a psychology faculty member, who provides supervision and didactic training covering topics pertinent to psychologists working in inpatient settings.

Didactic Schedule

The program offers extensive didactic experiences and opportunities.  We partner with local postdoctoral fellowship programs to provide a wide complement of Structured Didactic Training Activities.  These include:

  • Clinical Health Psychology Core Seminars
  • Functioning as a Psychologist in a Medical Setting
  • Psychology in Primary Care & Health Related Behavior Change
  • Professionalism & Diversity
  • Coping with Chronic and Terminal Illness
  • Assessment
  • Case Consultation Seminar
  • Psychopharmacology curriculum
  • Pathophysiology (by attending Ascension Genesys Congdon Lecture series)
  • Rehabilitation Psychology Seminars
  • Leadership and Management Seminars
  • Diversity training and activities
  • Personal wellness training and activities
  • More details can be found at our website.

Additional Information

Agency Type
Private/General Hospital
APPIC Membership
No
APA Accredited
No
Recognized Specialty
Clinical Health Psychology
Emphasis or focus area
Health Psychology
Other Emphasis
Primary Care
Research Focus
Less than 20% of time is allocated for research activities
Training Director
Mark Vogel, Ph.D., ABPP
Contact Email
[email protected]
Contact Phone
8106065126
Duration in Months
12
Hours Per Week
40-45
Full time doctoral supervisors
3
Number of Positions
3
Applications recieved last year
19
Stipend
$46,600
Will follow APPIC Selection Guidelines
Yes
Date offers will be made to applicants
Monday, February 25 2019
Created Date
Thursday, September 20 2018
Fringe Benefits
Health insurance, dental, vision, disability coverage. Educational stipend and meal allowance.
Application Instructions
Applicants can use the APPA CAS system to apply. We have been historically part of the MSU/FAME CAPT program. Our programs are listed under MICAPT (Michigan Consortium for Advanced Psychology Training). Alternatively, applicants can email Tawanda Mattison ([email protected]) the following documents: Cover Letter, Personal Statement of Interest, Curriculum Vitae, Three (3) Letters of Recommendation (One must be from your current supervisor - may be mailed or emailed and must come directly from the letter writer), and Official Transcripts (May be mailed or emailed but must come directly from the institution).

This record was last updated on Tuesday, November 27, 2018

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