Medical College of Wisconsin Health Psychology Residency Doctoral Internship Program, 2027-28 Residency Information

• Demonstrates the substantially independent ability to critically evaluate and disseminate research or other scholarly activities (e.g., case conference, presentation, publications).
  
  
• Disseminate research or other scholarly activities (e.g., case conference, presentation, publications) at the local (including the host institution), regional, or national level.

Be knowledgeable of and act in accordance with each of the following:

1. the current version of the APA Ethical Principles of Psychologists and Code of Conduct;
2. relevant laws, regulations, rules, and policies governing health service psychology at the organizational, local, state, regional, and federal levels; and
3. relevant professional standards and guidelines.

• An understanding of how their own personal/cultural history, attitudes, and biases may affect how they understand and interact with people different from themselves.
• Knowledge of the current theoretical and empirical knowledge base as it relates to addressing diversity in all professional activities including research, training, supervision/consultation, and service.
• The ability to integrate awareness and knowledge of individual and cultural differences in the conduct of professional roles.
• The ability to apply a framework for working effectively with areas of individual and cultural diversity.
• The ability to work effectively with individuals whose group membership, demographic characteristics, or worldviews create conflict with their own.
• Appropriately and assertively addresses cultural issues pertaining to patients with other members on a multidisciplinary team.

• Behave in ways that reflect the values and attitudes of psychology, including cultural humility, integrity, deportment, professional identity, accountability, lifelong learning, and concern for the welfare of others.
• Engage in self-reflection regarding one’s personal and professional functioning; engage in activities to maintain and improve performance, well-being, and professional effectiveness.
• Actively seek and demonstrate openness and responsiveness to feedback and supervision.
• Respond professionally in increasingly complex situations with a greater degree of independence as they progress across levels of training.
• Demonstrates awareness of the roles of other disciplines on a multidisciplinary team and acts professionally, demonstrating respect for other disciplines and appropriate boundaries of practice.

• Develop and maintain effective relationships with a wide range of individuals, including colleagues, communities, organizations, supervisors, supervisees, and those receiving professional services.
• Demonstrate a thorough grasp of professional language and concepts; produce, comprehend and engage in communications that are informative and well-integrated.
• Demonstrate effective interpersonal skills and the ability to manage difficult communication well.
• Communicates assertively, professionally, and respectfully with other professionals on a multidisciplinary team making appropriate professional contributions to a patient’s care.

• Demonstrate current knowledge of diagnostic classification systems, functional and dysfunctional behaviors, including consideration of client strengths and psychopathology.
• Demonstrate understanding of human behavior within its context (e.g., family, social, societal and cultural).
• Demonstrate the ability to apply the knowledge of functional and dysfunctional behaviors including context to the assessment and/or diagnostic process.
• Select and apply assessment methods that draw from the best available empirical literature and that reflect the science of measurement and psychometrics; collect relevant data using multiple sources and methods appropriate to the identified goals and questions of the assessment as well as relevant diversity characteristics of the service recipient.
• Interpret assessment results, following current research and professional standards and guidelines, to inform case conceptualization, classification, and recommendations, while guarding against decision-making biases, distinguishing the aspects of assessment that are subjective from those that are objective.
• Communicate the findings and implications of the assessment in an accurate and effective manner sensitive to a range of audiences.
• Assess environmental factors that facilitate or inhibit patient knowledge, values, attitudes, and/or behaviors affecting health functioning and health care utilization.
• Assess biopsychosocial factors affecting adherence to recommendations for medical and psychological care.
• Assess the biopsychosocial impact of medical procedures.
• Demonstrates knowledge of the current DSM diagnostic criteria and able to appropriately diagnose psychological disorder in medical complicated patients.
• Demonstrates ability to evaluate, manage, and document patient risk related to suicidality, homicidality, or other safety issues and able to collaborate with appropriate hospital and clinic systems to mitigate risk.

• Establish and maintain effective relationships with the recipients of psychological services.
• Develop evidence-based intervention plans specific to the service delivery goals.
• Implement interventions informed by the current scientific literature, assessment findings, diversity characteristics, and contextual variables.
• Demonstrate the ability to apply the relevant research literature to clinical decision making.
• Modify and adapt evidence-based approaches effectively when a clear evidence-base is lacking.
• Evaluate intervention effectiveness, and adapt intervention goals and methods consistent with ongoing evaluation.
• Integrate medical data, psychological data, and behavioral observation to create a meaningful and coherent case conceptualization that is directly related to proposed interventions.
• Be able to identify and utilize appropriate empirically supported treatment interventions targeted toward specific populations for adjustment, adherence, health promotion, and health prevention.
• Demonstrates ability to handle crisis situations with patients.

• Apply supervision knowledge in direct or simulated practice with psychology trainees, or other health professionals. Examples of direct or simulated practice examples of supervision include, but are not limited to, role-played supervision with others, and peer supervision with other trainees.
• Apply the supervisory skill of observing in direct or simulated practice.
• Apply the supervisory skill of evaluating in direct or simulated practice.
• Apply the supervisory skills of giving guidance and feedback in direct or simulated practice.

• Demonstrate knowledge and respect for the roles and perspectives of other professions.
• Apply the knowledge of consultation models and practices in direct or simulated consultation with individuals and their families, other health care professionals, interprofessional groups, or systems related to health and behavior.
• Demonstrates an ability to be assertive, yet interpersonally effective, respectful, and appropriate on a multidisciplinary team.
• Demonstrate awareness of and appreciation for the unique knowledge base, skill sets, roles in the health care team, and limitations and boundaries of professionals that provide services to populations being served.
• Demonstrates skills in being able to communicate about and create mutual understanding about problems among individuals from diverse disciplines.

Metabolic and Bariatric Psychology
Alex Buhk, PhD & Amy Fraire, PhD

The Metabolic and Bariatric Psychology rotation spans two co-located outpatient clinics: the Bariatric Surgery Program—accredited by the American College of Surgeons and the American Society for Metabolic and Bariatric Surgery (ASMBS)—and the Medical Weight Management Program.

These clinics are housed within the Department of Surgery’s Division of Minimally Invasive and Gastrointestinal Surgery and the Department of Medicine’s Division of Endocrinology and Molecular Medicine, respectively.

Psychological care is provided as a part of a multidisciplinary team of surgeons, endocrinologists, advanced practice providers, nurses, dietitians, diabetes care and education specialists, pharmacists, and trainees of various disciplines. Clinical health psychologists are integrated within both programs.

Direct Services
This rotation offers a comprehensive outpatient training experience spanning both surgical and non-surgical approaches to obesity and metabolic treatment. Psychological services include empirically informed assessments and brief, targeted interventions drawing from approaches such as Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Motivational Interviewing (MI), Problem-Solving Therapy, Behavioral Activation, mindfulness-based strategies, and relapse prevention.

• Assessment – pre-surgical bariatric psychological evaluations; biopsychosocial and diagnostic interviewing; health & behavior assessments.
• Health & Behavior Intervention – behavioral weight management & lifestyle modification; sleep hygiene; adherence and self-management support; communication skills training; psychoeducation and coping skills training; behavioral pain management.
• Psychotherapy – eating disorders and disordered eating; anxiety, depression, and stress-related concerns; substance misuse; chronic illness coping and adjustment; health-related traumatic responses

Integrated Behavioral Health
Health psychologists are actively involved in interdisciplinary collaboration and team-based care. Cross-program coordination with bariatric surgery and medical weight management providers is frequent and supported by shared workflows, interdisciplinary consultation, and integrated communication systems.
Health psychology residents will develop skills in:

• Participating in shared decision-making and coordinated treatment planning, including pre-surgical evaluation, post-operative follow-up care, and medical weight management clinic
• Co-treating patients alongside providers in surgery, endocrinology, dietetics, diabetes education, nursing, pharmacy, and other specialties
• Communicating via in-person consultation, the electronic medical record, secure messaging, phone, and other secure modalities
• Consulting with medical teams regarding patients’ psychological functioning, treatment readiness, and barriers to care
• Providing behavioral strategies to improve adherence, reduce resistance, and promote sustainable health behavior change
• Offering behavioral management strategies to support medical team interventions
• Attending interdisciplinary team meetings
• Promoting effective patient–provider relationships through psychoeducation, consultation, and communication strategies

• Assessment – Pre-bone marrow transplant evaluation, biopsychosocial intake interviews (inpatient and outpatient) with medically ill patients, assessment for behavioral management
• Behavior Therapy – Behavioral activation, adherence and compliance management
• Health and Behavioral Intervention – Coping skills training, sleep hygiene, psychoeducation
• Pain management – non-pharmacological treatment for acute and chronic pain
• Inpatient/Outpatient Psychotherapy – Psychological disorder (depression, anxiety, PTSD), adjustment to illness (newly diagnosed patients, chronically ill patients, fostering
• Post Traumatic Growth, patients and families at end-of-life)
• Stress management – Mindfulness, relaxation strategies, cognitive restructuring
• Co-Facilitate a Mindfulness Based Cancer Recovery Group

• Providing training on psychological issues with cancer patients to nursing staff
• Attending weekly bone marrow transplant (BMT) multidisciplinary rounds
• Attending inpatient hematology multidisciplinary staffing meetings
• Providing consultation and behavioral management to nursing and medical staff for problematic patient behavior
• Collaborating with inpatient treatment teams (primary APPs, resident physicians, and fellow physicians) on psychological contributions to patient’s care
• Promoting effective patient-provider relationships through psychoeducation, consultation, and communication strategies

Trauma and Acute Care Psychology
Terri deRoon-Cassini, PhD, Timothy Geier, PhD, Andrew Schramm, PhD, Sydney Timmer-Murillo, PhD, Erick Herrera Hernandez, PhD

The trauma center at Froedtert Hospital/Medical College of Wisconsin is a Level 1 adult trauma center accredited by the American College of Surgeons’ Committee on Trauma. This trauma center serves 3,000 trauma activations per year, with just over 2,000 of those patients being admitted to the hospital. The most common mechanism of injuries are falls, motor-vehicle collisions, and assaults (e.g., gunshot wounds). Embedded in the trauma center, our unique program includes psychologists focused on the psychological and behavioral health needs of the trauma population. Psychological care is also provided to patients on the Acute Care Surgery Service, which provides urgent surgeries for a variety of non-trauma-related conditions (e.g., gallstone disease, diverticulitis, perforations of the colon). Psychological care is provided as a part of a multidisciplinary team of advanced practice providers, nurses, surgeons, emergency medicine physicians, case managers, social workers, and physical and occupational therapists.

Direct Services
Health psychology residents function as part of an interdisciplinary trauma/acute care surgery team to provide integrated behavioral health services in an inpatient medical setting. This includes working directly with patients and their families in addition to acting as a liaison with members of the surgery and nursing teams. This is a rich training setting with trainees across various levels of training, and residents have the opportunity to supervise practicum trainees and work with the trauma & health psychology postdoctoral fellows

• Assessment – clinical interviews in a fast-paced medical setting
• Behavior Therapies – behavioral activation and motivational interviewing to promote adherence to medical and PT/OT recommendations
• Health and Behavioral Intervention – psychoeducation and coping skills training, early prolonged exposure therapy for high PTSD risk
• Interpersonal Intervention – family dynamics, discussion with family regarding medical decision making
• Pain Management – non-pharmacological treatment for acute and chronic pain
• Brief Psychotherapy – adjustment to illness, functional limitations, anxiety, depression, PTSD, substance use, grief
• Stress Management – relaxation training and mindfulness-based stress reduction

• Provide training regarding psychological response to trauma and critical illness to other staff members and trainees
• Opportunities to attend clinical care rounds with other members of the multidisciplinary team
• Consult with staff regarding patients’ psychological functioning
• Facilitate effective communication between patients and providers
• Help differentiate between normative and maladaptive adjustment reactions
• Provide behavior management interventions to help staff effectively manage challenging behaviors while providing care
• Facilitate resiliency by encouraging non-avoidance of trauma related triggers and educate staff regarding behaviors that will facilitate better psychological outcomes

• Assessment – standardized screenings and clinical interviews
• Behavior Therapy – behavioral activation, compliance skills, communications skills
• Crisis Intervention –family conflict, medical emergency, patient aggression, self-harm
• Health Behavior Intervention – diet & exercise, sleep, health care system skills
• Pain Management – non-pharmacological treatment for acute and chronic pain
• Inpatient Psychotherapy – anxiety, depression, psychological trauma, substance use
• Stress Management – locus of control, relaxation methods, time management

Integrated Behavioral Health
Psychological services in rehabilitation are provided within an integrated behavioral health (IBH) model. Rehabilitation psychologists and residents function as an integrated part of an interdisciplinary team which includes Physical Medicine and Rehabilitation (PM&R) physicians, nursing, physical therapists, occupational therapists, speech and language pathologists, recreational therapists, rehabilitation counselors, vocational counselors, social workers, and case managers. Psychology residents collaborate with the other rehabilitation disciplines in the following ways:

• Co-treat with other disciplines to more effectively address mental or behavioral health concerns
• Consult with staff regarding patients’ psychological functioning
• Participate in weekly team conferences
• Facilitate effective communication between patients and providers
• Provide education and clinical training to the therapy and nursing teams
• Offer guidance for staff to most effectively work with patients’ support systems
• Build staff knowledge and skills regarding mental illness
• Encourage teamwork among the staff
• Collaborate with staff to promote community-building among patients in rehabilitation unit
• Help differentiate between normative and maladaptive adjustment reactions
• Promote effective patient-provider relationships
• Provide behavior management interventions to help staff effectively manage challenging behaviors while providing care

Behavioral Medicine and Primary Care Psychology (BMPC) Clinic
Amber Craig, PhD & Lawrence Miller, PsyD

The Behavioral Medicine and Primary Care Psychology (BMPC) Clinic is a collaborative care clinic focusing on serving patients referred by primary care and medical subspecialty providers without integrated health psychology services in their clinics. The BMPC Clinic is housed in the Department of Psychiatry and Behavioral Medicine and is an outpatient, ambulatory clinic.

Patients referred to the BMPC clinic have a variety of presenting problems including adjustment to physical health conditions and/or treatments, primary or comorbid mental health concerns (e.g., depression, anxiety, trauma), or engaging in healthier habits (e.g., improved sleep, increasing physical activity, smoking cessation). Psychology residents will perform empirically informed psychological assessments and brief interventions to promote symptom reduction, self-management of mental and physical health conditions, functional status, and quality of life, which include but are not limited to: Problem Solving Therapy, Cognitive Behavioral Therapy, Mindfulness Based Stress Reduction, and Acceptance and Commitment Therapy.

Direct Services
The goals of this clinic include optimizing patient health and quality of life through the assessment and management of their symptoms, barriers, and functional status.

• Assessment – clinical biopsychosocial interviews and health psychology assessments
• Health & Behavior Interventions – healthy diet, exercise, sleep, reduction of substance misuse, stress management, behavioral pain management, medication adherence, and health-related communication skills
• Brief Psychotherapy – anxiety, depression, health-related traumatic responses, substance use, adjustment to life changes, and management of personality disorders in patients who are medically complicated
• Group treatment – co-facilitation of a 6-week “ACT for Chronic Illness” group, as well as additional opportunities for the creation of treatment groups

Following the Four Quadrant Clinical Integration Model, psychology residents will maintain a psychologically and medically diverse BMPC outpatient caseload throughout the entire training year. Psychology residents will also have the opportunity to carry some cases on a long-term basis where the presenting concern is managing complex chronic illness. Residents will also have the opportunity to learn how to manage an outpatient caseload throughout the training year, by providing courses of care to a diverse set of patients. The BMPC clinic operates on Thursdays and Fridays.

Integrated Behavioral Health
Since the COVID-19 pandemic, in concert with other health settings and systems, referred patients have presented with greater health complexities. Psychology residents will work to understand the reasons for referral to the clinic and evaluate patients’ needs to devise a plan of care that fits within the scope of the clinic. They will collaborate with multiple health professionals through the electronic medical record system, phone consultation, and collaborative practice; and refer patients to other needed services and provide bridge care as appropriate. Psychology residents will become familiar with coordinating care across multiple treating providers in multiple locations. Activities include:

• Co-treat with other disciplines to more effectively address mental or behavioral health concerns and communicate via medical record and other forms of technology
• Consult with staff regarding patients’ psychological functioning via electronic medical record
• Be available for behavioral health consultation from providers in the health enterprise as requested
• Consult on behavioral management interventions via medical record and/or phone to help medical providers effectively manage challenging behaviors while providing care to patients.

Consult Liaison Service
Jennifer LeNoble, PhD, Patricia Marik, PsyD, Stephen Molitor, PhD

Consultation Liaison Psychology Residents work as part of an interdisciplinary team of providers on the inpatient medical units. These residents assess and provide services to address the psychosocial needs of patients and families during their inpatient admissions. Residents involved on this service will conduct patient and family biopsychosocial interviews, liaison with the multidisciplinary inpatient care team members, participate in care conferences, provide input into patient care plans, and implement empirically supported psychological interventions. On the inpatient units, psychological care is provided within a multidisciplinary team of physicians and advanced practice providers, nurses, hospitalists, psychiatrists, case managers, social workers, neuropsychologists, child life specialists, dietitians, and physical and occupational therapists. Common consult questions include medical trauma, adjustment to chronic illness/hospitalization, behavioral concerns interfering with medical care, pain management, somaticizing/functional disorders, procedural distress, family support, and difficulties with adherence to treatment regimens.
Direct Services

• Biopsychosocial Assessments – These assessments are designed to address concerns brought by the interdisciplinary inpatient treatment team members. These assessments employ medical chart reviews, diagnostic interviews, and behavioral observations to generate psychological impressions and recommendations to be considered by the treatment team.
• Cognitive Behavior Therapy which may include methods to promote adjustment to illness, behavioral activation, adherence to medical regimen, cognitive strategies to cope with hospitalization, and promote appropriate child/caregiver behaviors while hospitalized.
• Pain and Stress management – Mindfulness, relaxation strategies, progressive muscle relaxation techniques, cognitive restructuring, nonpharmacologic interventions for acute and chronic pain or stress
• Motivational interviewing to address treatment adherence.
• Family Focused Interventions – Caregiver support; family adjustment to illness, improving adherence to treatment plans, interpersonal interventions focused on family dynamics and support of medical treatment plans, and caregiver training to promote health plan transition to home.

Integrated Behavioral Health
The psychologists on the Consultation/Liaison team collaborate regularly with a variety of other disciplines including physicians, advance practice providers, nurses, dietitians, physical/occupational therapists, medical trainees, neuropsychologists, social workers, and child life specialists. The psychology resident will have opportunities to collaborate with other disciplines in the following ways:

• Attend rounds (multiple formats) with other members of the multidisciplinary team Participate in care conferences/behavioral health huddles in support of patient care and staff support
• Provide consultation with staff regarding patients’ psychological functioning
• Facilitate effective communication between patients and providers
• Provide suggestions for behavior management and help to develop care plans to facilitate staff effectively managing patient challenging behaviors
• Assess normative vs. maladaptive adjustment reactions

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Neonatal Intensive Care Unit (NICU) and Cardiac Intensive Care Unit (CICU) Early Childhood Mental Health
Vanessa Aguilera Snyder, PsyD & Elizabeth Fischer, PhD

This unique training experience will expose trainees to pediatric clinical care in two inpatient settings (NICU and CICU) and the cardiology outpatient setting.

The psychosocial programs in these areas offer a multilayered training experience encompassing both inpatient critical care consultation and ongoing outpatient follow up care of infants, young children, and families. Consistent with the growing national interest in early childhood mental health and family support, trainees will gain experience providing psychological care to families and parent-child dyads in support of long-term family and patient outcomes.

Direct Services

• Inpatient Consultation-Liaison (NICU and CICU) - Providing Health & Behavioral Assessment and Intervention to support and care for parents experiencing the critical illness of their infant or very young child. This includes infant developmental needs, bonding and engagement, coping with hospitalization and managing stress, anxiety, sadness, grief, and end of life care.
• Outpatient Behavioral Health Treatment - Follow families discharged from the CICU in outpatient cardiology clinic and conduct clinical interviews, administer behavioral health screenings, provide developmentally appropriate anticipatory guidance, and provide treatment for concerns about behavioral and emotional adjustment in infants, toddlers, and preschool-aged children. Trainees may also gain experience observing in NICU follow up clinics.
• Assessment - Conduct clinical biopsychosocial interviews and parent and child screenings in both the inpatient and outpatient settings. Respond to postpartum screening evaluations in the NICU and CICU. Trainees will learn to conduct psychological pre- heart transplant evaluations.

Integrated Behavioral Health
Pediatric psychology is fully integrated into the NICU, Neuro NICU follow up clinic, CICU, and outpatient heart transplant clinic settings. This allows for ample interdisciplinary work alongside our neonatology team, cardiology and heart transplant teams, and a variety of subspecialty physicians, fellows, residents, speech therapists, physical therapists, occupational therapists, and nurses. Our psychosocial team is also interdisciplinary in nature and includes chaplains, social work, child life, music therapy, and the March of Dimes staff member.

Interdisciplinary activities include:

• Collaborative inpatient consultation and care
• Attendance at care conferences
• NICU Psychosocial Rounds (weekly attendance)
• Medical rounds
• Heart Failure & transplant Psychosocial Rounds (weekly attendance)
• Providing psychoeducational seminars to medical and psychology trainees
• Participating in a national quality improvement collaborative for single ventricle patients with congenital heart disease (NPC-QIC)

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Hem/Onc/BMT Psychology
Jennifer Hoag, PhD & Jeffrey Karst, PhD

Hem/Onc/BMT psychology is the practice of health psychology as it applies to those being treated with cancer and blood disorders addresses issues of adjustment to illness, coping with chronic illness, adherence and behavioral management, and end-of-life care. Hem/Onc/BMT psychologists work with pediatric, adolescent, and young adult (AYA) patients and their family members to help cope with cancer and blood disorders as well as the impact it has on functioning, emotional distress, mental health, and family relationships. Hem/Onc/BMT psychologists work in the inpatient, outpatient, and day hospital settings and as part of a multidisciplinary team.

Direct Services
Hem/Onc/BMT psychology has areas of focus on coping and adjustment, management of psychological distress and disorder, and family functioning at times of illness.

• Assessment – Pre-bone marrow transplant evaluation, biopsychosocial intake interviews (inpatient and outpatient) with medically ill patients, assessment for behavioral management, neurocognitive screening for pediatric and adolescent patients with sickle cell disease, neurocognitive testing for cognitive late effects of cancer treatment
• Behavior Therapy – Behavioral activation, adherence and compliance management
• Health and Behavioral Intervention – Coping skills training, sleep hygiene, psychoeducation
• Pain management – non-pharmacological treatment for acute and chronic pain
• Inpatient/Outpatient Psychotherapy – Psychological disorder (depression, anxiety, PTSD), adjustment to illness (newly diagnosed patients, chronically ill patients, fostering
• Post Traumatic Growth, patients and families at end-of-life)
• Stress management – Mindfulness, relaxation strategies, cognitive restructuring

Integrated Behavioral Health
Hem/Onc/BMT psychologists work as part of multidisciplinary teams, collaborating with physicians, advanced practice providers (APPs), nurses, social workers, medical residents, and medical fellows. The psychology resident will have opportunities to collaborate with other disciplines in the following ways:

• Providing psychological assessment and consultation in multidisciplinary clinics such as survivorship, sickle cell, and hemophilia clinics
• Providing training on psychological issues with pediatric and AYA cancer and other blood disorder patients to nursing staff
• Attending weekly Hem/Onc/BMT multidisciplinary rounds
• Providing consultation and behavioral management to nursing and medical staff for problematic patient behavior
• Collaborating with inpatient treatment teams (primary APPs, resident physicians, and fellow physicians) on psychological contributions to patient’s care
• Promoting effective patient-provider relationships

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Pediatric Gastroenterology
Andrea Begotka, PhD, Alan Silverman, PhD, Meghan Wall, PhD

Psychology Residents working in this clinic will receive specialized training in diagnosis and empirically supported treatment of disorders commonly seen in gastroenterology. The Pediatric Gastroenterology clinics include major experiences in the comprehensive feeding team, and the constipation clinic. Other experiences may be available based on interest and availability. Residents involved in the gastroenterology clinics will learn to conduct a biopsychosocial evaluation; develop a collaborative treatment plan; implement behavioral and cognitive-behavioral interventions; and to communicate with multiple health care professionals.

Direct Services

• Assessment – Interdisciplinary intake evaluations will be conducted with gastroenterologists and other allied health care professionals to identify etiologies of psychological concerns within a medically complex set of patients.
• Behavior Therapy – Behavioral activation, compliance management, exposure therapy
• Health and Behavioral Intervention – Caregiver training, psychoeducation
• Inpatient/Outpatient Psychotherapy – Psychological disorder (pediatric feeding disorder, elimination disorders, functional pain disorders, and adjustment to illness)
• Stress management – Mindfulness, relaxation strategies, cognitive restructuring, and support to caregivers
• Group Therapy- Constipation and encopresis group therapy with simultaneous caregiver and child therapy groups

Integrated Behavioral Health

• Pediatric psychologists work as part of multidisciplinary teams, collaborating with physicians, advanced practice providers (APPs), nurses, dietitians, speech and language pathologists, social workers, medical residents, and medical fellows. The psychology resident will have opportunities to collaborate with other disciplines in the following ways:
• Providing training on psychological issues with gastroenterology patients to gastroenterology fellows and staff
• Attending weekly feeding team interdisciplinary rounds
• Providing consultation and behavioral management to nursing and medical staff for problematic patient behavior
• Collaborating with inpatient treatment teams (primary APPs, resident physicians, and fellow physicians) on psychological contributions to patient’s care
• Promoting effective patient-provider relationships

Pediatric Behavioral Medicine and Primary Care Psychology (PBMPC) Clinic
Clinical Faculty: Jacqueline Kawa, PhD & Jacquelyn Smith, PhD
Testing Faculty: Margaret Altschaefl, PhD & Adiona Mustafaraj, PsyD

The Pediatric Behavioral Medicine and Primary Care Psychology (PBMPC) Clinic is a collaborative care clinic focusing on serving patients referred by primary care pediatrics and pediatric subspecialty providers without integrated health psychology services in their hospital-based clinics. The PBMPC Clinic is housed in the Department of Pediatrics section of Pediatric Psychology and Developmental Medicine at Children’s Wisconsin and is an outpatient, ambulatory clinic.

Patients referred to the PBMPC clinic have a variety of presenting problems including adjustment to physical health conditions and/or treatments, mental health concerns (e.g., depression, anxiety), behavioral concerns (e.g., impulse control problems, oppositional behaviors), learning concerns and/or academic performance concerns (e.g., attention problems, learning disability), or failure to engage in healthier habits (e.g., adherence to medical regimen, increasing physical activity). Psychology residents will perform empirically informed assessments and brief interventions. In addition to their weekly supervision of therapy cases, residents will receive bi-weekly supervision from a testing faculty member on a minimum of eight assessment cases per year. Residents will independently conduct evaluation intakes and provide families with feedback on assessment results.

Direct Services
The goals of this clinic include optimizing patient health and quality of life through the assessment and management of their symptoms, barriers, coping, and functional status.

• Assessment –Tests of intellectual, academic, and executive functioning; parent, teacher, and self-report rating scales; personality inventories; clinical biopsychosocial interviews; and health psychology assessments. Each resident will conduct monthly assessment batteries (intake assessment, testing, and feedback) under the supervision of a primary testing supervisor competing a minimum of 8 full batteries over the year.
• Health & Behavior Interventions – healthy lifestyle promotion, sleep training, procedural anxiety management, coping with chronic health conditions, pain management, and medication adherence.
• Brief Psychotherapy – anxiety, depression, health-related traumatic responses, ADHD, and adjustment to life changes. Therapeutic interventions utilized include but are not limited to Parent-Child Interaction Therapy (PCIT), Parent Management Training (PMT), Cognitive Behavioral Therapy (CBT), Behavioral Therapy (BT), Motivational Interviewing (MI), Acceptance and Commitment Therapy (ACT), Unified Protocol (UP).

Psychology residents will maintain a PBMPC outpatient caseload throughout the entire training year. Psychology residents can self-refer patients to the PBMPC clinic directly from the inpatient wards when appropriate. Psychology residents also can carry one or more cases on a long-term basis. The PBMPC clinic operates on Thursdays and Fridays.

Integrated Behavioral Health

• Psychology residents will collaborate with multiple health professionals through the electronic medical record system, phone consultation, case consultations, and other collaborative practices. Psychology residents will become familiar with coordinating care across multiple treating providers in multiple locations. Activities include:
• Multidisciplinary and interdisciplinary treatment to address mental or behavioral health concerns and communicate via medical record and other forms of technology more effectively
• Consult with staff regarding patients’ psychological functioning via electronic medical record
• Be available for behavioral health consultation from providers in the health enterprise as requested
• Consult on behavioral management interventions via medical record and/or phone to help medical providers effectively manage challenging behaviors while providing care to patients

• Enrollment in an APA-accredited doctoral program in clinical or counseling psychology
• Completion of all doctoral coursework prior to internship year
• Strong core clinical/counseling psychology psychotherapy and assessment experience
• Endorsement of doctoral chair for readiness for internship

• One or more practicum in a health setting (e.g., hospital, academic medical center, integrated primary care)
• Interest in pursuing career in health psychology
• Primary clinical experience/interest with adults (for adult track) and pediatrics (for pediatric track)
• Experience with empirically validated treatment approaches
• Experience with health psychology behavioral interventions
• Strong assessment background with experience in health psychology assessment
• Dissertation proposed or defended prior to internship year
• Minimum of 400 hours of APPI intervention and 50 hours of APPI assessment hours