Our Program
The Providence Medical Group – Oregon Integrated Care Psychology
Residency Program is a part of Providence Health and Services. Providence
Health and Services is a not-for-profit Catholic network of hospitals,
care centers, health plans, physicians, clinics, home health care, and
affiliated services guided by a Mission of caring that the Sisters of
Providence began in the West nearly 160 years ago. The residency program
was started in 2015 with two residents placed in Providence Medical Group
(PMG) primary clinics functioning as Behavioral Health Providers. With
ongoing Providence support the residency has grown to its current state
of 5 residents in the program.
The residency program's main intention is to prepare psychologists to function
effectively in integrated care settings as Behavioral Health Providers.
Recognizing that this is an emerging and rapidly developing area of practice,
the program also provides psychologists with the knowledge, skills and
abilities to function in integrated care leadership roles. Integrated
care leadership roles include program development/implementation, expansion
of integrated care into health care settings beyond primary care, and
development of healthcare policy related to the integration of behavioral
health and general medical care settings.
Accreditation
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Our program is Fully Accredited by the American Psychological Association’s
Commission on Accreditation. For more information, please contact the
Office of Program Consultation and Accreditation:
750 First Street NE
Washington, DC 20002-4242
Telephone:
(202) 336-5979
https://www.accreditation.apa.org/about-coa
Additionally, the residency is designed to meet all standards for a psychology
residency in the state of Oregon.
Curriculum
Residents participate in the following activities designed to develop advanced
competency as clinical health service psychologists functioning in integrated
healthcare settings.
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Residents work as Behavioral Health Providers embedded in Providence Medical
Group clinics for the service delivery component of their training for
28-30 hours per week. This experience gives them the opportunity to build
advanced skills and competency in:
- Application of the foundational knowledge base and current evidence to
the implementation/provision of behavioral health services in primary care.
- Functioning as a "go to" consultant and knowledge expert in ethical/legal
issues encountered in health care settings.
- Provision of behavioral health integration services to a diverse patient
population within a diverse multidisciplinary healthcare provider team.
- Effective application of screening-oriented assessment tools commonly utilized
in medical settings to guide the provision of behavioral health integration
services and facilitate population-based healthcare goals and initiatives.
- Development of focused concise consultation skills that are well suited
for the primary care and other medical settings.
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Residents complete one or more Clinical Rotation(s) with a specialty medical
team(s) one day per week in an area of professional interest allowing for:
- Working knowledge of the foundational and current empirical evidence base
that provides the rationale for behavioral integration services and informs
strategies for their effective implementation.
- Specialized training in healthcare ethics and cultural competency through
the internationally recognized Providence Center for Health Care Ethics.
- Knowledge of the evidence base regarding the promotion and development
of culturally diverse, multidisciplinary teams.
- Knowledge of the empirical basis and psychometric properties of assessment
tools commonly utilized in primary care and other medical settings.
- Knowledge of clinical supervision and primary care consultation models
that inform effective behavioral health consultation in integrated care settings.
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Most residents will supervise a pre-doctoral trainee for:
- Advancing skill using best practices in the provision of clinical supervision.
- Development of a professional identity as a leader and future advanced
practice provider.
- Promoting professional values such as applying ethical decision-making
approach to clinical decisions.
- Modeling professional boundaries, delivery of effective feedback and conflict
resolution in a supervisory relationship.
- Knowledge of the legal/ethical parameters informing clinical services and
clinical supervision.
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All residents receive individual and group supervision that:
- Provides clinical oversight of their direct service.
- Integrates didactic knowledge with the development of advanced service
delivery, consultation and leadership roles.
- Provides mentorship in the development of advanced service delivery, consultation
and leadership roles.
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The program differs from doctoral internship training in that internship
provides the generalist profession wide competencies that prepare a psychologist
for focused training in behavioral integration. The Providence Oregon
Psychology Residency builds on generalist training and provides advanced
and focused training that prepares the resident to work in a variety of
integrated care settings. The following areas of focused advanced training
distinguish our residency program from internship training and from other
postdoctoral training programs:
- Review of foundational research that defines the benefit and best practice
for psychologists working in integrated settings.
- Focused training in healthcare related law and ethics.
- Focused training in primary care and medical specialty-oriented assessment
methodology.
- Focused training in primary care, multidisciplinary consultation Support
for evidenced-based curriculum development or advancing behavioral health
services that promote population health.
- The program's overall duration is 52 weeks with an average of 40 total
program hours per week. It requires 12 months or one full calendar year
to complete the program.
Estimated Weekly Schedule:
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Monday
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Tuesday
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Wednesday
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Thursday
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Friday
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AM
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Home Clinic(s)
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Home Clinic(s)
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Program or Advanced Didactics / Group Supervision
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Clinical Rotation
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Home Clinic(s)
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PM
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Home Clinic(s)
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Home Clinic(s)
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Supervision of Supervision / Special Projects
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Clinical Rotation
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Home Clinic(s)
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Didactics & Clinical Rotations
- Residents attend regularly scheduled training program didactics 2 to 4
times per month related to Primary Care Behavioral Health services generally
and/or to Providence Medical Group services specifically.
- Advanced didactics are provided to residents on alternating weeks, designed
to advance clinical competencies, promote leadership and supervision skills,
and explore issues related to professional identity and personhood. The
format of the didactics combines lecture, case examples, and group discussion.
- Residents are encouraged to attend at least five Providence Ethics Center
“Ethics Core Program” seminars during the program year. The
format of the ethics didactics also combines lecture, case examples, and
group discussion.
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Clinical rotation opportunities include:
- Advanced Heart Failure Clinic
- Oncology Clinics
- Eating Disorder Program
- Pediatric Medical Specialty Clinic
- Bariatric and Wellness Services Clinic
- Behavioral Health Partial Hospitalization and Intensive Outpatient Services
- Psychiatric Outpatient Clinic
**Rotations are subject to change**
Supervision
- Residents are assigned an individual supervisor, who will work with them
for the duration of their residency. Individual supervision is provided
by a psychologist who works in one of the Providence Medical Group clinics
as a Behavioral Health Provider in a role similar to the resident’s
role in their primary placement clinic. Per Oregon law, the individual
supervisors assume professional and legal responsibility for the work
of the residents including monitoring patient care, ensuring the quality
of practice, overseeing all aspects of patient services, and mentoring
the resident. As part of their supervisory responsibilities, each supervisor
engages in live observation of the resident’s direct patient care
at least 2 to 4 times during the training year – with preference
for once quarterly observations. This direct observation adds to and informs
the individual supervisors’ evaluation of their resident trainee.
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Per Oregon Laws, if a resident works 1–20 hours in a week, the resident
must receive at least one hour of individual face-to-face supervision
during that week. If a resident works more than 20 hours in a week, the
resident must receive at least two hours of supervision during that week.
One hour must be individual and one hour may be group supervision. Group
supervision must be:
- A formal and on-going group of at least three mental health professionals
- Facilitated by a licensed psychologist
- Approved by the resident’s supervisor
- Consistent with the above requirements, the residents weekly schedule includes
1 – 2 hours of scheduled face-to-face individual supervision with
a psychologist licensed in Oregon for at least two years which is consistent
with the Oregon Board of Psychology requirements for a residency supervisor.
Residents also meet weekly for one or more hours of group supervision.
- Residents meet once monthly with neighboring Behavioral Health Providers
from 3-5 nearby Providence clinics to discuss clinical cases, refine workflows,
exchange community resources, etc.
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Residents also attend a once monthly meeting with all
area Behavioral Health Providers.
If you would like a copy of the Resident Handbook,
Click Here.
