What does the 12-month postdoctoral clinical psychology residency program look like? This webinar will delve into the details of the structure, design, and content of the 12-month postdoctoral clinical psychology residency program. Topics such as recruitment, screening and selection of candidates, and core programmatic and curricula elements will be discussed. This webinar will feature speakers from the Community Health Center, Inc.’s postdoctoral clinical psychology residency program as well as guests from another FQHC based postdoctoral clinical psychology residency program. This was presented as a webinar on Wednesday, Feb 24, 2016 3:00 PM ET

1. Welcome
Implementing Post-Graduate
Nurse Practitioner and Clinical Psychology Residencies
February 24, 2016
WEBINAR 3: From Recruitment to Graduation: The Structure, Design, and Content
of the 12-month Postdoctoral Clinical Psychology Residency Program

2. Community Health Center, Inc.
Foundational Pillars
1. Clinical Excellence- Fully Integrated teams, Fully
integrated EMR, PCMH Level 3
2. Research & Development- The Weitzman Institute is the
home of formal research, quality improvement, and R&D
3. Training the Next Generation: Post Graduate Training
Programs for nurse practitioners, postdoctoral clinical
psychologists, and students of the health professions
CHC Profile:
•Founding Year - 1972
•200+ delivery sites
•130k patients

3. The Community Health Center, Inc. and its Weitzman Institute will provide
education, information, and training to interested health centers in:
Transforming Teams
• National Webinars on the team based care model
• Invited participation in Learning Collaboratives to launch team based care at
your health center
Training the Next Generation
• Two National Webinar series on developing Nurse Practitioner and Clinical
Psychology residency programs and successfully hosting health professions
students within health centers
• Invited participation in Learning Collaboratives to implement these programs at
your health center
Email your contact information to nca@chc1.com and visit www.chc1.com/NCA.

4. From Recruitment to Graduation:
The Structure, Design and Content of the 12-month Postdoctoral
Clinical Psychology Residency Program
Today’s Objectives:
1. Participants will describe the key components of the process of implementing a
postdoctoral clinical psychology training program at their health center.
2. Participants will identify the necessary structure, design, and content of a 12 month
postdoctoral clinical psychology training program.

5. Get the Most Out of Your Zoom Experience
• Send in your questions using Q&A function in Zoom
• Look out for our polling questions
• Live tweet us at @CHCworkforceNCA and #StartingResidencies and #HRSAnca
• Presentation and slides will be available after on our website
• CME approved activity – please complete survey
• Upcoming webinars: Register at www.chc1.com/nca

6. Preliminary Issues to Consider
1. Value postdoctoral residency adds to
your program
2. What you can give residents
3. Your resources
4. Association of Psychology Postdoctoral
and Internship Centers and American
Psychological Association standards
5. State licensing regulations

7. CHCI Postdoctoral Training Content
1. Direct clinical care
• In integrated care settings, school based health centers, and homeless/domestic
violence shelters
• Minimum of 900 visits/year
• Goal of 3 groups/week
• Full age range
2. WHOs
• Real time consults: reactive and proactive
• Brief screening with care planning
3. Supervision
• Meets CT licensing requirements
• 2 hours individual, 1 hour group
• Multidisciplinary teams (peer supervision)

8. CHCI Postdoctoral Training Content (Cont.)
4. PI Training
• Dartmouth Institute model/resident
projects
• Participation in quality improvement
initiatives, performance improvement
committee, BHQI committee,
5. Weekly training seminar
6. Individualized training opportunities
• IRB, school-based, BHQI, Project ECHO,
research
7. Supervision of externs with supervision
of supervision (new)

9. A year in the life CHCI Postdoctoral Residency
Getting Ready
• Our resident’s year runs Sept 1 to August 31st. The
leadership team is working before the residents
arrive.
• Minus 3 months: Postdoctoral leadership retreat to
plan for coming year and recruitment one year out
• Minus 2 months: Review training materials, ensure
placements and supervisors are lined up, plan
orientation
• Minus 1 month: Make individualized templates for
client scheduling, plan individualized schedules
(time and place at each site), match outgoing
resident’s clients with incoming residents

10. A year in the life of the CHCI Postdoctoral Residency
Residents Arrive!
September
• Joint residency orientation with shared training and tracks for each specialty
Saturday brunch with supervisors, residents, and significant others/spouses
• Individual and group training goals set
• Shadow medical staff and supervisors
• Start seeing clients ( ramp up starting with intake, transfers and warm-
handoffs)
didactic seminar
individual and group supervision
reflective journal

11. A year in the life of the CHCI Postdoctoral Residency
The Resident’s Ramp Up
October to February
• Building a caseload
• Assignment to specialized training and other duties
• On line applications for the next cohort begin in the fall.
• Monthly supervisor’s meetings.
• First written evaluation in December (via Survey Monkey
for data collection)
• Residents each lead one didactic seminar December to
February
• Halfway through! - structured feed back session with
Residents in February
• Residents participate in interviews for next year’s class in
late February
• Tentative discussions begin about interest in staying on at
CHCI as the budget process for the next fiscal year gets
underway in February

12. A year in the life of the CHCI Postdoctoral Residency
The residents settle in
March to June
• Established relationships with medical providers lead to increased
• Deepening relationships with cohort. Program should provide ways to encourage this.
• Focus on skill development and self awareness as soon to be independent
psychologists
• Second formal written evaluation occurs in April
• New class is finalized in April (Phase II interviews and selection)
• Residents attend and present at the Behavioral Health Annual meeting
• Interviews for CHCI positions which will be open or created in the fall occur and job
offers for those staying on are made

13. A year in the life of the CHCI Postdoctoral Residency
Preparing to move on
July and August
• Future plans at CHCI or elsewhere are finalized
• Those accepting academic appointments may
need to plan to leave earlier than end of August
• For some states EPPP may be taken when
supervised hour requirements are met even prior
to completion of postdoc).
• Transfer and termination of clinical cases
completed
• Third and final written feedback completed by
supervisors and reviewed with Residents
• Program ends last week in August
• Graduation celebration for residents and
families, supervisors, and clinical staff

14. What we have learned
1. Offering a Postdoc Residency is possible.
2. Postdocs increase access for clients, bring their added
strengths to clinical programs, add current knowledge to
administrative committees and processes.
3. Supervisors and staff teaching didactics enjoy participating in
the Residency program.
4. Postdoc training is a great recruitment tool.
5 APPIC membership is a worthwhile investment.
6. Plan ahead for the APA accreditation process – especially
data on success of program
7. Supervision training is needed.
8. One day per week for didactics, supervision, and cohort
activity is invaluable.
9. Be very clear about expectations and what you can and
cannot offer to avoid conflicts and recriminations later in the
training year.
10. Post-docs improve processes and systems by providing
feedback to staff about workflow issues. Post-docs aid in the
testing of new initiatives, including a planned care dashboard
for behavioral health.

15. Salud Family Health Centers
Psychology Postdoctoral Fellowship (APPIC Member)
Jonathan Muther, PhD, Director of Behavioral Health & Psychology Training
1
7
5 4 4 3 3
0
5
10
2010-'11 2011-'12 2012-'13 2013-'14 2014-'15 2015-'16 2016 --->
# of Postdoctoral Fellows
Workforce
Funding
Recruitment
Rigorous
Training Ground
Range of
Services
Grant Support
Expanded Ψ
Testing
Postdoc Project
APPIC
Member
Extern
Expansion
Enhanced
Didactics
Spanish
Group Sup
BillingProgram
Eval.
Policy/
Healthcare
Landscape
Prep for
ACC 2.0
8 8 4
Current
Positions
Health Psych IPC Other
Acknowledgements: Andrea Auxier, PhD, Katrin Seifert, PsyD, Yaira Oquendo-Figueroa, PhD
Sustainability

16. Psychology Training
Program
• APPIC Member, Postdoc
• Licensed Psychologists
• 2-4 Postdoctoral
Fellows
• Pre-doctoral Intern
• Advanced practicum
students (DU GSPP, DU
Counseling & Clinical,
CSU, UNC, CU Denver)

17. Catchment Area
• Ft. Lupton
Frederick ●
● Longmont
●Brighton
●Commerce City
● Estes Park
● Ft. Morgan
● Sterling
● Ft. Collins

18. Who Are Our Patients (2015, All sites)
• ~70,000 Unique Patients, ~300,000 Visits/Year
Patients by
Age Group
0 to 5 5 to 17 18 to 64 65 and over
Percentage 14.9% 22.2% 57.6% 5.3%
Insurance
Below
Poverty
line
Medicaid Medicare Private CHP+ Uninsured
Percentage 61% 52.5% 5.7% 13.0% 2.8% 26.0%

19. Who Are Our Patients (2015, All sites)
Language
English Spanish Other
Percentage 59.11% 37.4% 3.49%
Race/Ethnicity
Hispanic NH/White NH African
American
NH Other Unreported
Percentage 57.61% 34.74% 2.24% 2.20% 3.22%

20. Services we Provide
• Universal screening of all
patients for psychosocial
stressors and MH conditions
– Follow up assessment and
treatment for positive
screens
• Consultation: PCP requests
evaluation and/or intervention
by BHP
• Brief/Short-term therapy
• Psychological assessment for
adults & children in English and
Spanish
• Shared Medical Appointments

21. Qualifications
• A generalist – able to address the full range of symptoms
seen in primary care
• Interested in, and strongly value importance of cultural
awareness and interventions designed to meet the need of a
diverse population
• Have some degree of understanding of medical terminology
and medical illnesses
• Have at least a rudimentary understanding of normal and
abnormal human developmental processes across the
lifespan to be able to work with people of all ages
• Willing to see patients in the medical rooms, often with
interruptions
• Able to make quick connections with patients, formulate
assessments rapidly, determine appropriate intervention,
and communicate the relevant findings to the PCP
immediately

22. Training Components
• Weekly individual supervision, 2 hours
– Sup of Sup, Professional Development, Project
• Act independently as a part of the Behavioral Health
team
• Provision of supervision to practicum extern
• Bi-weekly psychology didactics
– Healthcare Policy; Short-term therapy; Behavioral Medicine;
Clinical Spanish & Latina/o Culture; Guest speakers
• Bi-monthly Behavioral Health meetings
• Participation in Denver-area postdoctoral meetings
• Opportunities to provide trainings to colleagues,
Americorps members, medical team

23. Program Development & Evaluation
The Postdoc “Project”
• Reducing ER overutilization: Targeted screening &
intervention to identify risk factors, e.g., complex
medical, co-morbidities, chronic pain
• DM Shared Medical Appointments: Predictors of
barriers and engagement, BH and physical outcomes
• BH Outcomes: Validating PCOMS measures in primary
care; comparing outcomes to other treatment settings
• Team-based care: Improving BH and biomedical
outcomes; casting a broader net; demonstrating our
model works
• IPC to meet the needs of Latina/os

24. Requirements
• Completion of APA accredited Pre-doctoral internship
• Completed Ph.D. or Psy.D. in Clinical or Counseling
Psychology
• Strong commitment to working with underserved
populations
• Ability to provide services with cultural competence and
sensitivity
• Ability to deliver services in Spanish (preferred)

25. Important Dates
Orientation/
Training
Marketing
Applications due
1/15
Offers made/
Mid-year Eval
EPPP
Job Search
August November January February March April/May June/July
Academic Year Timeline

26. Open Space for Discussion

27. Reminders
Sign up for our next webinar in this series:
What Your Board, Management, and Staff Need to Know about
Starting a Postgraduate Residency Program in Your Federally
Qualified Health Center
Wed., March 9th, 3–4 p.m. EST
Our “Transforming Teams” series:
Enhancing the Role of the Medical Assistant
Thurs., March 3rd, 2–3 p.m. EST
Sign up at www.chc1.com/NCA

28. Speakers
From Community Health Center, Inc.
Margaret Flinter, APRN, PhD, Senior Vice President & Clinical Director
Kerry Bamrick, MBA, Senior Program Manager
Timothy Kearney, PhD, Chief Behavioral Health Officer
Adriana McCormick, Psy.D., Training Director, Postdoctoral Residency
Erica Preston, Psy.D., Behavioral Health Clinician II, Danbury CT,
Supervisor and Former Postdoctoral Resident
From Callen-Lorde Community Health Center
David Guggenheim, PsyD, Chief Mental Health Officer
From Salud Family Health Center
Jonathan Muther, PhD, Director of Behavioral Health & Psychology
Training
Yajaira Johnson-Esparza, Ph.D., Current Postdoctoral Resident