Our Postdoctoral Fellowship Training Programs strive to provide each postdoctoral psychology fellow with advanced training and specialty expertise. The programs are structured to produce psychologists who are capable of understanding, appreciating, and contributing to the scientific underpinnings of clinical practice. We not only believe that science must inform clinical practice but that practice must inform science.
The Department of Psychology at TAMC offers postdoctoral training in three substantive specialty practice areas recognized by the Commission on the Recognition of Specialties and Proficiencies in Professional Psychology (CRSPPP) of the American Psychological Association (APA) or by the American Board of Professional Psychology (ABPP). These specialty areas are Clinical Child Psychology, Clinical Health Psychology and Clinical Neuropsychology that are accredited as separate postdoctoral programs in their specialty area. Each specialty practice area provides postdoctoral fellows with opportunities to achieve advanced levels of expertise in each specialty area. It is believed that postdoctoral training is the optimal opportunity to develop the high level of specialty expertise needed for health care delivery careers, academic careers or leadership roles in the health care delivery system. Our program highly values interdisciplinary training and multidisciplinary team participation. Our fellows train alongside trainees of many other disciplines, depending on their specialty practice area, e.g., child psychiatry fellows, pediatrics residents, family practice residents, surgery residents, etc. They also participate in multidisciplinary teams in primary care, pain rehabilitation, schools, oncology, etc. The faculty models interdisciplinary cooperation and demonstrates the unique contributions psychologists can make to multidisciplinary teams, thus helping prepare students to take active and productive roles on such teams.
Our Postdoctoral Fellowship Training Programs strive to facilitate the professional development of each postdoctoral fellow. Each postdoctoral fellow has unique career aspirations and is at his or her individual level of professional development. It is our conviction that this professional development be nurtured. We believe that this requires facilitation of appropriate opportunities for advocacy, development of research interests, cross-specialty or departmental collaborations, membership in professional organizations, and attendance at professional conferences.
The education and training goals of our Postdoctoral Training Programs are consistent with our aims to (1) prepare clinical psychologists for clinical psychology practice at an advanced competency level and (2) provide them with advanced specialty level training. The training that we provide includes: (a) diagnosing or defining problems through psychological assessment and implementing psychological interventions; (b) consultation, program evaluation, supervision and/or teaching; (c) strategies of scholarly inquiry; (d) organizational management and administration issues as they affect the service delivery or research setting; (e) professional issues and conduct, including law and ethics, and other psychology service provider standards; and (f) issues of cultural and individual diversity relevant to all of the areas above.
In addition to common training experiences, there are training experiences shared by fellows within a common specialty practice area. These may include university courses, seminars, workshops, case conferences, and clinic and treatment experiences as indicated below.
The Clinical Child Psychology specialty training area (or fellowship) prepares postdoctoral psychologists for advanced practice competence in Clinical Child and Adolescent Psychology. The Clinical Child Psychology (CCP) fellowship curriculum is consistent with the “Guidelines and Principles: Accreditation of Postdoctoral Training Programs in Clinical Child Psychology” (APA Division 53 Task Force) and the “Model for Training Psychologist to Provide Services for Children & Adolescents” (Roberts, Carlson, Erickson et. Al., 1998). A Practitioner-Scholar model guides the CCP Fellowship, with an emphasis on clinical practice with children, adolescents, and families that is validated by empirical research. The fellowship is a comprehensive and intensive 2-year training experience. The long-term goals of the program are to prepare postdoctoral psychologists to:
1. Pursue careers in Clinical Child Psychology, and;
2. Make significant contributions to the field of Clinical Child Psychology through delivery of clinical service, program development, research, consultation, or teaching-training activities.
The modalities for training include supervised clinical practice, didactic seminars, case conferences, inter-professional consultation, and team interactions. Fellows gain experience in CCP assessment, consultation/education, treatment, supervision, and research and are exposed to a wide range of psychological, developmental, and medical difficulties. The training experiences are graded, sequential, and graduated in complexity, moving from didactics, supervised practice, and observational learning to self-directed education and autonomous practice. The fellowship emphasizes a knowledge base and a set of foundational competencies (ethics, cultural diversity, professional development, and administration/ management) consistent with a specialty practice in Clinical Child Psychology. The training curriculum provides both a range and depth of learning experiences to ensure development of competency. Due to its unique geographical location and the blend of military & civilian training settings, the fellowship provides exposure to a rich array of cultural, individual, and role differences, including those based on: age, gender, race, ethnicity, culture, national origin, religion, sexual orientation, disability, and socioeconomic status.
Training Settings Fellows spend 2 years (24 hours or more per week) in the Child and Family Psychology Clinic. The Child and Family Psychology Clinic is an outpatient specialty service within the Department of Psychology at TAMC. Averaging five thousand patient visits and more than seven hundred new referrals per year, the Child and Family Psychology Clinic offers service for a range of childhood disorders and family problems. During their primary rotation, fellows conduct evaluations/assessments, provide a variety of treatments, participate in team meetings, supervise junior-level trainees, conduct a scholarly research project, and lead team projects.
Fellows also complete a year-long (12-16 hours per week) rotation in the Pediatric Outpatient Clinic, where they are supervised by a Pediatric Psychologist. During their rotation, Fellows are a part of an inter-professional team that treats children with a wide variety of medical illnesses. In addition to outpatient care, the rotation also encompasses inter-professional meetings (Morning Report, Grand Rounds, Multidisciplinary Rounds) and various specialty clinics (Adolescent Medicine, PICU, Pediatrics Ward, CF Clinic, Feeding Clinic).
Military fellows spend a year (8-12 hours per week) working offsite, either at a public school or community site located on/near a local military installation. Civilian fellows spend a year (8-12 hours per week) working at one of the rural Community Health Centers that provide care to medically underserved populations. These external rotations provide fellows with an opportunity to evaluate and treat childhood disorders in a nontraditional setting, and to gain further experience in community psychology as it pertains to clinical child psychology.
The Clinical Health Psychology Specialty follows the specific postdoctoral education and training guidelines depicted in the 2007 American Psychological Association Division 38 (Health Psychology) sponsored summit meeting revisiting the standards in training in clinical health psychology (France et. Al, 2008) and the Commission for the Recognition of Specialties in Professional practice (CRSPPP). As an institutional working member of the Council of Clinical Health Psychology Training Programs (CCHPTP), TAMC continues to refine this set of professional competencies to reflect advances in the field as they are integrated into this growing specialty.
The mission of the Clinical Health Psychology postdoctoral training program is to provide a comprehensive and intensive 2-year training program in the specialty area of Clinical Health Psychology to prepare for work in diverse health settings in military and civilian settings. The program’s primary goal is to develop board-eligible clinical health psychologists to work across the clinical health psychology spectrum of prevention, treatment and rehabilitation using the biopsychosocial model for addressing disease and wellness. Emphasis will be placed on a practitioner-scholar model that is both programmatic and competency based.
At the center of clinical health fellowship training is a set of core competencies and the biopsychosocial model. It is through the establishment of those competencies and application of the model that the fellow is able to be successful in diverse environments of health psychology. Fellows will also have a choice of either completing a Master’s of Science in Clinical Psychopharmacology (MSCP) or an independent research project.
Clinical psychopharmacology training provides an overview of the biochemical bases of therapeutics, physiology and pathophysiology, and integrated pharmacotherapy necessary to work closely with medical patients and other medical providers in a health setting. These courses are taken through the University of Hawaii – Hilo College of Pharmacy. All fellows will be required to take 3 foundational courses during their first year: Pathophysiology, Integrated Pharmacotherapy I and Integrated Pharmacotherapy II. Fellows will choose the MSCP or their research option by October 15 of their first training year. Each of the training settings and rotations offer both unique training opportunities (patient type and setting) as well the opportunity to first establish the core skills and then refine the skills while using the biopsychosocial model. Furthermore, the habit of lifelong learning is instilled in fellows in the field of health psychology.
The fellowship is comprised of 4 major 6-month rotations with correspondingly aligned minor rotations. The major rotations are Behavior Medicine, Integrative Pain Management Center, LEAN Healthy Lifestyle Program, and Oncology. The aligned minor rotations are located outside of the Department of Psychology in Endocrinology and Cardiology/ Cardiothoracic Surgery. Additional elective training experiences can be coordinated within the TAMC system. Primary Care opportunities may be obtained through the psychopharmacology practicum experience associated with the clinical psychopharmacology training.
The Mission of the Clinical Neuropsychology Postdoctoral Fellowship Program is to provide advanced training in the specialty area of Clinical Neuropsychology in the application of knowledge of brain-behavior relationships for the benefit of patients suffering from disorder, disease, or injury to the central nervous system. The training and program standards of the Postdoctoral Fellowship Program are designed to fulfill criteria designated by the Houston Conference on Specialty Education and Training in Clinical Neuropsychology (Hannay et al., 1998) and prepare fellows for independent practice in the specialty and eventual board certification in Clinical Neuropsychology through the American Board of Clinical Neuropsychology in conjunction with the American Board of Professional Psychology. This specialty area complies with the training guidelines of Division 40 of the American Psychological Association.
Fellows obtain experience and develop a high level of professional expertise in the conduct of clinical neuropsychological evaluations, in differential diagnosis, clinical interviewing and in case formulation based on contemporary clinical practice. Fellows develop a philosophy of neuropsychological assessment, brain organization, and professional ethics and develop professional consultation skills and the ability to provide lectures and information on neuropsychological issues. Fellows obtain skills in treatment intervention, consultation, and supervision of junior trainees, providing input in the development of training curriculum for those trainees. Fellows become highly competent and capable of independent and systematic neuropsychological research. To maintain consistency with the Houston Conference Guidelines on specialty education and training in clinical neuropsychology, the Clinical Neuropsychology Fellowship adheres to a scientist-practitioner model as applied to clinical neuropsychology (Belar & Perry, 1992). That is, aspects of general neuropsychology and education and training are integrated, beginning with doctoral education and continuing through postdoctoral education and training.
The Clinical Neuropsychology Fellowship Program extends over 24 months and is structured to ensure the development of advanced professional and technical expertise in the practice of Clinical Neuropsychology of each fellow based upon sound scientific and professional practice foundations. Fellows are expected to attain the knowledge required for advanced training in Clinical Neuropsychology. Weekly inter-institutional seminars and case conferences are provided via video teleconferencing with fellowship sites in Washington D.C. and with neuropsychology services in other areas of the country. Fellows also participate in the weekly Neuropsychology Service series that may include clinical rounds (case conferences), didactic presentations, and journal club discussions. Fellows present at clinical rounds and review scholarly articles in a group consisting of neuropsychology faculty, rotating interns, and other trainees. Fellows also participate as examinees for ABPP mock examination fact-finding and ethics examinations exercises. Course work in neuroanatomy is required and currently taken as a post-baccalaureate online course. The fellows may attend neurology rounds, neuroradiology case conferences, neuropathology braincutting sessions, neurosurgery observation, and lectures in the Department of Medicine and Department of Psychiatry lectures as available. Fellows also have the opportunity to present to other disciplines and medical residents on topics of neuropsychological assessment, fostering interdisciplinary awareness.
A supervised training experience in a subspecialty area of neuropsychology at an outside setting is available to enhance the breadth of training during fellowship. Fellows are required to participate in a 3-month rotation at the Rehabilitation Hospital of the Pacific, an acute rehabilitation center providing services specifically designed to meet the rehabilitation needs of individuals who have suffered injuries or illnesses such as brain injury, spinal cord injury, stroke, amputation, neurological disorders, and orthopedic injury and multiple traumas. Training in this setting is focused on the provision of assessment as well as rehabilitation strategies in an inpatient setting under the supervision of a board-certified neuropsychologist. This rotation provides the fellow with the opportunity to gain experience in rehabilitation and behavioral management strategies and practices.
The primary training method is supervised service delivery with direct patient care. However, fellows’ service delivery activities are intended to be primarily learning oriented and training considerations are given precedence over service delivery and revenue generation. Each fellow receives at least 4 hours of training per week, with a minimum of at least 2 hours involving individual, face-to-face supervision. In addition, fellows have access to supervisor consultation and intervention as needed. Educational and training activities also comprise a large portion of the fellow’s training and are designed to be cumulative, graduated in complexity, and structured.
The Clinical Neuropsychology Fellowship Program is housed within the Neuropsychology Service of the Department of Psychology. The Neuropsychology Service is composed of three neuropsychologists, two who are board-certified in Clinical Neuropsychology through the American Board of Clinical Neuropsychology, an adjunct faculty member who is also board-certified in Clinical Neuropsychology, two master’s level psychometrists, and clerical support. The Neuropsychology Service serves recipient young adult to geriatric populations. Diversity is represented within each of the populations, including ethnicity, race, gender and SES level. The population served at TAMC is ethnically diverse, reflective of both the traditional military and local populations.
All fellows spend up to 9 hours during an average week in common training experiences. This total increases to about 18 hours per week when they participate in 2-day visits by a distinguished visiting professor.
Year-long Fellowship Seminar Series
Fellowship Seminar and Director of Training Meeting (1 hour per week)
Advanced Biopsychosocial Bases of Behavior/Psychopharmacology Training
The TAMC Psychology Postdoctoral Fellowship Training Programs place a significant emphasis in the acquisition of knowledge of the Advanced Biopsychosocial Bases of Behaviors and psychopharmacology. This training experience is a 33-credit hour, graduate level series of courses, conducted by the University of Hawaii Hilo College of Pharmacy. Fellows who opt to complete this training in its entirety spend up to 7 hours per week in class throughout the fellowship. They are also responsible for related readings and outside-of-class assignments. This significant training experience reflects our programs’ commitment to the biopsychosocial model of pathology and the notion that psychologists with advanced level training must thoroughly understand how physical factors and drugs of all kinds affect mental functioning.
Clinical Health Psychology Fellows have the option to complete all the course work and the practicum training required for a Masters Degree of Science in Psychopharmacology. The Clinical Health Fellows who do not choose the academic option are required to complete a research project. They also are required to complete three foundational psychopharmacology courses during their first year: Pathophysiology, Integrated Pharmacotherapy I and Integrated Pharmacotherapy II.
The Psychopharmacology Program is offered to all fellows through the Department of Psychology, but is neither a formal requirement nor an integrated activity in the Clinical Neuropsychology or the Clinical Child Psychology Fellowships. As such, Clinical Neuropsychology and Clinical Child Psychology fellows who are interested in this opportunity must be prepared to complete course work and practicum training after duty hours and beyond the requirements of fellowship training. This commitment would amount to an estimated eight to ten hours over the regular fellowship schedule. Fellows who cannot perform their regular duties of the fellowship may be counseled to withdraw from the Psychopharmacology Program in order achieve their fellowship’s training objectives. Clinical Neuropsychology and Clinical Child Psychology Fellows are required to complete a research project.
The selection procedures of military fellows and civilian fellows differ. The TAMC Department of Psychology Fellowship Training Programs do not have direct input in the selection of military fellows.
The fellowship faculty consists of military and civilian licensed psychologists assigned to TAMC. Additional training and supervisory experiences may be provided by other psychologists within the Department of Psychology, by other licensed psychologists, and by other health care professionals on a contractual basis as appropriate. The Fellowship Faculty Committee meets weekly to discuss faculty and training concerns. The Committee provides guidance, planning, and ongoing evaluation of the program and assists in formulating policy and designing the curriculum.
Fellows receive 4 hours of regularly scheduled supervision with a minimum of two hours of face-to-face individual supervision per week by licensed psychologists, depending on the specialty area. In addition, they attend didactic weekly conferences and other training experiences as available (Distinguished Visitors Professors). Fellows also receive one or more hours of group supervision per week depending on the specialty. Supervisors review clinical charts, observe sessions via video or telehealth modalities, and may join fellows during clinical work on occasion as part of the supervision process. As fellows rotate through specialty medical clinics, they are supervised by clinic staff. Supervision is scheduled in 1-hour increments and is monitored by the specialty practice area Training Director for attendance and punctuality. Through work with multiple role models, postdoctoral fellows gain an appreciation for differing perspectives and professional styles of functioning. In addition to formal and informal supervision experiences, fellows participate in 8 or more hours of structured learning activities per week, dependent on the week and the specialty area the fellow is pursuing.
These activities are listed for in the Fellowship Handbooks (Handbooks are available upon request).
Each fellow has one primary supervisor for their specialty practice area training and is supervised by at least one additional psychologist from their specialty area during their fellowship experience. They may also have additional psychologist supervisors depending on the specialty and the interests of the fellows. As noted previously, fellows may also have non-psychologist clinical supervisors as they rotate through medical clinics. Supervisors are also generally available for ad hoc consultations as the need arises. The appropriate supervising psychologist has responsibility for the clinical services provided by each fellow while at the same time working to facilitate the growth of the fellow’s professional responsibility. Ultimately, the Director of Training and the Chief of Education and Training are responsible for the services provided by the fellow.
Provisions are made for emergency consultation and assistance in crisis intervention. This assistance is available from supervising faculty psychologists. All supervisors have email, voice mail and are required to carry pagers. Thus, they are accessible during clinic hours to fellows. In each specialty training area, at least one faculty member is available by page during clinic hours for the purpose of emergency consultation and intervention. Since TAMC is a military facility, accountability exceeds most standards. All supervisors are required to discuss emergency procedures with their staff and all persons in training.
Postdoctoral fellows are formally evaluated twice a year, except Clinical Health Fellows who are evaluated at the midpoint and end of their four six-month rotations. They receive written evaluations (see Specialty Practice Area Handbooks) from each supervisor they work with during the quarter, reviewing each training competencies, as well as indicating strengths and weaknesses in clinical and academic areas, and goals for further training. The specialty area director of training discusses the evaluations and training goals with the fellow. This discussion forms the basis for considering changes in training goals or activities. A summary of this evaluation is documented and signed by both the Director of Training and the fellow. If desired, a fellow may attach his/her own written addendum to the evaluation for the faculty and Chiefof Education and Training to review. All evaluation forms are then forwarded, with written notes concerning training goals, to the Director of Training. Fellows are also asked to complete an evaluation of their experience during the rotation.
Evaluation of a fellow’s performance is an ongoing process. Scheduled evaluations are not meant to preclude giving the fellow feedback at any time throughout the training program. The progress of all fellows is regularly reviewed at the weekly faculty meeting. Evaluation methods and data used by the Fellowship Faculty to assess the fellows’ attainment of the advanced knowledge, skills and abilities specified in the competency lists for each specialty area include: their attendance and participation at seminars, workshops and conferences, direct observation of assessment and treatment skills, written work samples, feedback from supervisors, didactic presentations given by the fellows, and daily interaction with patients and colleagues.
Fellow Conflicts and Grievance Procedures
The stipend for the civilian fellow is $54,000 plus benefits.
The TAMC Clinical Child Psychology, Clinical Health Psychology and the Clinical Neuropsychology Fellowship Programs are accredited as separate postdoctoral programs by the APA CoA until 2013. The Clinical Child Psychology Fellowship was placed on inactive status because the program did not admit any child fellow for training cycle 2012-2013.
This program plans to admit a fellow for training cycle 2013-2015.
The three programs are currently undergoing re-accreditation through APA. We expect an APA re-accreditation visit by fall 2013.
We are also a member of the Association of Psychology Postdoctoral and Internship Centers (APPIC). They can be contacted at:
APPIC Central Office
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