Clinical Health Psychology Fellowship
There are three rotations during the fellowship. Each is approximately four months in duration. Fellows rotate through each rotation during the fellowship year with one fellow assigned to one rotation, and all fellows complete all three rotations.
- Family Medicine
- Internal Medicine/OB
- Hospital Consultation-Liaison
Integrated Primary Care (IPC)
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
Lifestyle Change Clinic
Internal Medicine & OB/GYN - Downtown Flint Campus
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
- Gut directed hypnotherapy for GI related conditions
- neuropsychological screening
- treatment of uncomplicated depression
- panic disorder assessment and treatment
- chronic pain
- substance abuse
Hospital C-L Rotation
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 bariatric surgery center at Genesys and providing behavioral medicine 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.