Post-Doctoral Psychology Residency
Introduction to Post-Doctoral Residency Program
Confluence Health (CH) is an affiliation between the Wenatchee Valley Medical Center and Central Washington Hospital in 2013. Since the affiliation, Confluence Health is the largest provider of health care services in the Chelan and Douglas Counties and is dedicated to becoming the main provider of behavioral services in the area.
Confluence Health is located within the Wenatchee Valley, which has 300 days of sun and moderate temperatures throughout the four seasons. The area is filled with hiking trails, skiing, swimming, biking the 13 mile loop trail or mountain trails, geocaching, or snowshoeing, or any other sport you may be interested in. There is plenty to do and explore during the year of residency.
Post-Doctoral Residents Locations
Post-Doctoral Residents will be placed in one of five locations providing integrated services throughout the health system. Omak is a rural Primary Care and multi-specialty site located approximately 95 miles north of Wenatchee and has a unique blend of severe pathology as well as chronic conditions. There are a high proportion of monolingual Spanish speaking patients in this area providing yet another layer of skill required to serve patients. Moses Lake is a Primary Care and multi-specialty clinic located to the east approximately 70 miles east of Wenatchee. Is has a blend of primary care, internal medicine, palliative care, oncology, maternity, and pediatric services. This allows much diversity in one unique clinic.
Second Victim Program
The Second Victim Program will have one part-time post-doctoral psychology resident to provide ongoing support to staff and providers involved with medical errors. Many programs address the immediate need of staff and providers, but fail to actually address the long-term needs. Research supports that often second victims are traumatized by what has happened and experience flashbacks, difficulty returning to work, irritability, anxiety, self-doubt, etc. This leads to an increased risk of another error. Thus, through the use of longer term services this attempts to address this unmet need and keep CH staff/providers supported through the legal proceedings which can be years out if a provider wants these services. Thus, the goal is long-term, confidential, support that keeps providers and staff from leaving their careers and from self-harm related to the guilt that often follows these types of events. Support would also be provided throughout the legal proceedings.
Integrated Services to Spine Clinic
One post-doctoral resident will provide full time integrated services to the Spine Clinic. The spine clinic has recently developed a multidisciplinary team to address chronic pain management. The spine clinic has a designated nurse navigator who helps to place each patient to the right providers on the team. Specialties involved in the spine clinic include: orthopedics, occupational medicine, neurology, neurosurgery, physiatry, physical therapy and primary care. The spine clinic is dedicated to providing services using the biopsychosocial model of care. The post-doctoral resident would be responsible for providing health psychologically focused services as part of this clinic which would include: chronic pain evaluations, pain management group therapy, as well as individual psychotherapy. Goals of this clinic include comprehensive wellness such as diet, exercise, understanding pain, sleep hygiene, minimizing medications, minimizing chemical coping and using cognitive/behavioral strategies.
Resident Hospital Services
Central Washington Hospital is a tertiary hospital which serves a large 3 county area. Residents will provide services to patients on all floors of the hospital and with a variety of issues including surgery, oncology, pediatric, transitional care, medical, rehabilitation, and cardiology. The focus of this Residency will be in Medical Unit-1 which is a single bed certification unit. Patients are involuntarily detained for 72 hours up to 14 days. Residents will assess and provide treatment while they are inpatient. This includes participation in hospital rounds, mental health court, team case management meetings, and other care planning required.
The overall focus of the residency is integrating mental health providers into medical sites. As part of the Washington State mandate across the state with all medical centers, Confluence Health is an early adopter. Thus, the focus of training will be on extending the Post-Doc Residents knowledge of health psychology and improve skills of collaboration, short-term therapy, working with medical providers, and crisis response.
The Post-Doctoral Resident is considered part of the medical team and participates in provider meetings and is frequently sought after for their expertise. Patients with all levels of need are seen on a daily basis and preferably at their time of need. The Department of Behavioral Medicine was designed to allow the Primary Care Providers (PCPs) to contact the Behavioral Medicine Provider/Resident when a patient issue arises. This can be a simple meet and greet or helping patients deal with more complex types of issues (new diagnosis, diabetes, asthma, panic, depression, pain, sleep, etc.). The focus is on whatever the patient presents with that is impairing their functioning or their ability to be compliant with medical recommendations.
Therapy in the Primary Care Setting is generally focused on improved function and is brief in nature. Though the Resident will be involved in longer-term care with a more severe type of persistently mentally ill group as well as those that present for other types of issues. Post-Doctoral Residents are required to carry a caseload of patients. Post-Doctoral Residents will work with children, adults, geriatrics, families and groups throughout their training. Pain management is a large focus in most of our clinics. Further, many patients are monolingual Spanish speaking. If the Post-Doctoral Resident is unable to fluently speak Spanish an interpreter will be provided. This allows for the opportunity to work with Hispanic patients dealing with a variety of issues such as acculturation, immigration & deportation, migrant work, seasonal work, etc.
Integrated Services Post-Doctoral Position
The Confluence Health Integrated Services Post-Doctoral position is a one year, full-time position with a flexible start time. Preference is given to candidates that can start as soon as possible, but no later than September 1, 2017. This Post-Doctoral position is a part of the APPIC membership, but it is not APA accredited; though, the standards for the position closely match the expectations set forth by APPIC and APA.
Applicants should be comfortable in a fast-paced work environment that can change throughout the day and have an interest in Health Psychology. Stipend is $45,000 for twelve months of 40 hours a week; other benefits such as medical, dental, and vacation (~3 weeks) plus holidays.
ALL candidates must be licensed at the Master’s level (LMHC, LMFT) at the start of their Post-Doctoral Residency position in Washington State. Please check the Department of Health website for specific requirements and transfer of licensure to ensure you qualify.
WA STATE DOH MASTERS LICENSURE
WA State DOH Masters Licensure
Interested applicants should submit the following through the CH online link below:
1. COVER LETTER
2. CURRICULUM VITAE
3. 3 REFERENCES
4. PROOF OF COMPLETED DOCTORATE PROGRAM and INTERNSHIP
We will continue to receive applications until all 6 positions have been filled. Candidates must be available to start no later than September 1, 2017. Applicants that we are interested in will be contacted for a phone interview and possibly an onsite or Skype interview. Candidates chosen for an interview must provide 3 letters of reference or provide 3 people that can be contacted by phone for a reference.
Kasey Grass, PhD
Clinical Director of Integrated Behavioral Medicine Services
730 N. Emerson Ave., Suite 20
Wenatchee, WA 98801
509-663-=8711, ext. 7185
Julie A. Rickard, PhD
Director of Fellow Training / Director of Integrated Behavioral Medicine Services
730 N. Emerson Ave., Suite 20
Wenatchee, WA 98801
509-663-8711, ext. 7104
Note: If hired, incoming Post-Doctoral Residents will be required to submit to a background check, provide a urine drug screen, and participate in an employee health visit (ensuring current immunization status) prior to beginning work. Despite marijuana being legalized, employees are not allowed to use marijuana during their employment or may be at risk of losing their position.
Confluence Health does not unlawfully discriminate or unlawfully make employment decisions on the basis of race, color, gender, religion, sexual orientation, disability, marital status, national origin, age or any other characteristic protected by law. Diverse applicants are encouraged to apply.
Integrated Behavioral Health Providers:
Kasey Grass, Ph.D.
Nicole Avila-Parker, PMHNP
Mark Hoffman, LICSW
Miglany Gomila, Ph.D.
Kelley Drayer, Ph.D.
Sneha McClincey, Psy.D.
Simone Heyward, Psy.D.
Grant Mundell, Psy.D.
Erin Harper, Psy.D.
Julie Rickard, Ph.D.