The APA accredited Postdoctoral Fellowship in Clinical Health Psychology at Brooke Army Medical Center (BAMC) is located within the San Antonio Military Medical Center. It is an intensive, 2-year training program designed to develop advanced competencies and specialized skills in Clinical Health Psychology. The fellowship is a civilian position and fellows are under no obligation to join the military upon completion of training. The curriculum provides an integrated training program, using a practitioner-scholar model, towards the development of specific skills relating to the unique application of Clinical Health Psychology within a military medical treatment facility. The program prepares fellows to create and direct clinical programs, develop and carry out specific treatment protocols, consult and collaborate in patient care with other providers, and educate other health care professionals. The program seeks to develop professionals with the advanced training necessary to effectively assess, accurately diagnose, and successfully treat patients for whom medical illness is a primary concern and who may have a wide range of related psychological difficulties.

The Clinical Health Psychology Fellowship is located within the San Antonio Military Medical Center (SAMMC), on Joint Base San Antonio, Fort Sam Houston, Texas. The San Antonio Military Health System (SAMHS) provides safe, quality, evidence-based care to military service members, their families, veterans and civilian emergency patients and is the most robust and productive healthcare organization within the Military Health System. Both inpatient and outpatient services are provided by approximately 8,500 staff members, including active duty military personnel from each of the uniformed services, Public Health personnel, federal civilians, contract employees, and volunteers.

SAMMC is the largest military hospital in the Nation, designed to care for up to 425 inpatients. As the sole verified Level I Trauma Center within the Department of Defense (DoD), SAMMC simultaneously provides emergency services during 80,000 Emergency Department visits annually and serves as the premier medical readiness training platform for both the Army and the Air Force. SAMMC providers also care for more than 4,000 patients each day during visits to its five separate outpatient clinics. Prominent on the hospital campus, and surrounded by four Fisher Houses, the four-story Center for the Intrepid (CFI) stands as a pre-eminent extremity injury rehabilitation center.

SAMMC serves active duty and retired military members and their families across the different branches (e.g. Army, Air Force, Marines, Navy) of the Armed Forces. As a military treatment facility, SAMMC service recipients are extremely diverse with members from a wide range of ethnic groups and geographical locations across the United States and around the world. While active duty patients are still primarily male, there is a growing number of active duty female Service Members as well. Family member and retiree patients ensure that fellows have exposure to both male and female patients across a variety of ages. Because we serve such a variety of patients, the delivery of culturally-competent healthcare is essential. Further, as the regional burn center for South Central Texas and the sole burn center in the Department of Defense, the Burn Center receives and treats a large number of civilian emergencies providing fellows the opportunity to also serve this population.

The BAMC Clinical Health Psychology fellowship is committed to going beyond clinical and didactic preparation in the development of professional psychologists. Training experiences develop leadership skills in supervision, training/education, production and application of science to the practice of psychology, treatment and program evaluation, legal and ethical practice in psychology and an ongoing awareness of the impact of issues of diversity on individuals, groups and institutions.

The Clinical Health Psychology fellowship has patient care locations primarily at BAMC. First year fellows typically have an office located near the Clinical Health Psychology Service administrative office with fellowship faculty located nearby. Second year fellows are typically located in the specialty clinic where they are working (e.g. Pain Clinic, amputee center, GI clinic). Training settings can include any of the medical facilities under BAMC command, such as Center for the Intrepid or the Burn Unit which is operated under the Institute for Surgical Research.

The Clinical Health Psychology core faculty consists of health psychologists who are all embedded in specialty clinics. All faculty members have considerable experience in their specialty fields. The BAMC Department of Behavioral Medicine supports an APA-accredited internship, as well as several other postdoctoral Fellowships. Fellows in the other training programs participate in some fellowship didactic training with Clinical Health Psychology Fellows. Therefore, opportunities for joint training and professional socialization are offered.

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