Alpert Medical School of Brown University Clinical Psychology Training Consortium Postdoctoral Fellowship Description: Clinical Focus Title: Postdoctoral Fellowship in Stress Disorder (APA Approved) Site: Providence VA Medical Center Providence, Rhode Island Supervisor(s): Clinical: William Unger, Ph.D., Heather Frank, Ph.D., Christy Capone, Ph.D. Research: TBD depending upon research interests Fellowship Aims: 1. To provide the Fellow with post-doctoral training in the area of post-traumatic Stress (PTSD) in an outpatient setting. This will include: (a) a complete and thorough understanding of the nature of PTSD, Dual-Diagnosis (e.g., alcohol and substance use disorders), and comorbid psychiatric disorders; and (b) an understanding of the full range of clinical services typically required for the assessment and treatment of PTSD. 2. To provide the Fellow with clinical training in psychological assessment, diagnostic evaluation, individual, family, and group therapy, as a member of a multidisciplinary treatment team of the Providence VA Medical Center PTSD program. 3. To increase the Fellow’s knowledge and competencies with clinical research. This will include conducting data analyses and preparing manuscripts on existing data sets, critical reviews of articles and book chapters on PTSD, and attendance at research meetings. Fellowship Timeline This is a one-year Fellowship. The Fellowship will initiate September 1, 2014 and conclude August 31, 2015. Research, Academic/Didactic and Professional Training Activity Plan Twenty percent of the Fellow’s time will be devoted to research, academic/didactic, and professional training experiences. The Fellow will participate in the following activities: 1. Review of the Literature: The Fellow will complete readings on relevant historical and contemporary literature pertaining to theory, clinical practice, and research with PTSD. The Fellow also will be exposed to methodological/ pragmatic issues in conducting PTSD research. The Fellow also will become familiar with: (a) the major classes and types of drugs commonly prescribed for PTSD, including specific drug action, clinical purpose, and possible side effects; and (b) medical conditions commonly experienced by veterans with PTSD and their role in the development of emotional and/or behavioral disorders (2 % time). 1 Alpert Medical School of Brown University Clinical Psychology Training Consortium Postdoctoral Fellowship Description: Clinical Focus 2. Lecturing/Staff Development: The Fellow will have opportunities to provide inservice training to hospital staff, and participate in community speaking engagements, according to his/her interests and need (1 % time). 3. Manuscript Preparation and Submission: The Fellow will initiate and collaborate on manuscript preparation and submission of journal articles, and panel/poster submissions at a regional or national conference, in the area of PTSD (8 % time). 4. Grant Writing: For those Fellows interested in learning about writing a grant, seminars and mentoring opportunities are available with senior psychologists within the Department of Psychiatry. In this case, the Fellow will develop a grant idea and submit a grant proposal by the end of the Fellowship term (5 % time). Note that if the fellow does not write a grant, this time can be allocated to manuscript preparation or study coordination. 5. Ad Hoc Reviewing: For those Fellows interested in learning about the editorial review process of manuscripts submitted to refereed journals, ad hoc reviewing opportunities may be made available with her research mentors (1 % time). 6. Post-Doctoral Seminars: The Fellow will have the option to participate in the PostDoctoral Seminar Series through the Brown University Post-Doctoral Training Program, the Department of Psychiatry and Human Behavior Grand Rounds Series, and the Adult Track Seminar Series. The Fellow will also participate in the local VA Colloquia series for VA Post-Doctoral Fellows. The Fellow will be encouraged to participate in the Core Seminar Series (2 % time). 7. Licensure as a Psychologist: The Fellow will make application for licensure in the State of Rhode Island and work towards successfully negotiating all aspects of the licensure process, and obtain licensure as a psychologist in the state (1 % time). Clinical Activity Plan Eighty percent of the Fellow’s time will be devoted to clinically related activities. The Fellow’s clinical activity will be through the PTSD Clinic at the Providence VA Medical Center. In order to ensure that a high level of clinical training in the area of PTSD is provided, the following activities will be required: 1. Membership in the Multidisciplinary Treatment Team: The Fellow will actively participate in referral development, intake of referred patients, admission diagnostic conferences, weekly treatment review meetings, crisis clinic, conferences, and followup contacts with veterans and their families (15 % time). 2. Clinical Assessment: The Fellow will conduct diagnostic evaluations and/or psychological assessments of veterans at the PTSD Clinic. This will include: (a) competence in the selection, administration, scoring, and interpretation of psychological tests commonly employed with PTSD patients; (b) competence in integrating data and preparing written reports; and (c) competence in the oral presentation of psychological test findings to the multidisciplinary team, referral 2 Alpert Medical School of Brown University Clinical Psychology Training Consortium Postdoctoral Fellowship Description: Clinical Focus sources, and community agencies involved with the patient, and the patient’s family (10 % time). 3. Behavioral Assessment: The Fellow will actively participate in the development, implementation, and supervision of strategies for analyzing treatment effectiveness (5% time). 4. Treatment: The Fellow will provide individual, family, and group psychotherapy services to PTSD veterans and their families within the PTSD outpatient program. The Fellow will demonstrated competence in cognitive-behavioral methods and have familiarity with specific topics such as coping skills training, anxiety management, and goal setting. The Fellow will demonstrate competency in developing evidencebased treatment plans that specify measurable benchmarks for treatment success and that reflect working knowledge of several different theoretical models (40 % time). 5. Consultation: The fellow will demonstrate the ability to function as independent clinicians within the context of an interdisciplinary team and the broader general medical hospital setting. His/her interactions with other providers will demonstrate an understanding of the responsibilities and limitations of a psychologist in a general medical and psychiatric setting. She/he will be adept at reformulating referral questions into testable clinical hypotheses. She/he will make appropriate referrals for additional assessment from other specialty providers and then use the results to guide diagnostic formulation and treatment planning and implementation. The fellow will have the ability to maintain accurate records and to document case formulations, assessment results, treatment plans, and progress notes in a timely, concise, and clear manner. The fellow will be able to discuss relevant aspects of patients’ diagnosis (10 % time). Supervision and Evaluation Clinical supervision will be provided in the form of one-hour weekly individual supervision blocks with licensed clinical psychologists on site. An additional hourly block will be offered for academic/research supervision. The Fellow also will have access to several additional forums for direct and indirect supervision through optional participation in regularly scheduled rounds and treatment teams with members of the multidisciplinary team. The Fellow and supervisors will develop fellowship goals and learning objectives early on in the first year. At the midpoint and conclusion of the Fellowship, the Fellow and supervisors will provide formal performance evaluations and evaluations of the program relative to the goals and learning objectives of the Fellowship. Resource Requirements The Fellow will be provided with the following resources: 1. 2. 3. 4. Office space on the VAMC Telephone A personal desktop computer with internet access Access to copying equipment 3