Geisinger invites applicants for our full-time, one-year postdoctoral fellowship in adult clinical health psychology in dynamic and innovative integrated health setting. Five positions are available for academic year 2018-19, with a start date of Monday, August 6.

Program Overview:

The focus of our postdoctoral fellowship is to develop the professional and leadership skills psychologists need in their many roles within an academic medical setting. Upon completion of this program, fellows are ready to hit the ground running in their first professional positions. Each fellow takes ownership of a clinical specialty area (see tracks below), which involves a combination of direct clinical care, representing Behavioral Medicine on a multispecialty team and at interdisciplinary meetings, and leading efforts in clinical research or program development. Fellows may also have the opportunity to participate in other clinical programs and projects, which will be assigned based on a combination of interest, training goals, and clinical need. Those who are seeking some breadth of clinical training while establishing a specialty can provide consultation and brief, evidence-based therapy to general mental health and behavioral medicine referrals in our outpatient clinic. Fellows will have the opportunity to supervise pre-doctoral interns, teach medical students, residents, and staff, and present their work at internal, regional, or national conferences. Geisinger is dedicated to the recruitment and retention of our talented and well-trained residents, and with the continued expansion of our clinical and training programs system-wide, we have been successful at creating new positions for those who wish to stay.

Clinical Experiences:

Behavioral Medicine psychologists are integrated throughout our health system. Fellows will be assigned one of the following clinical “tracks” below based on their interests and training goals:

Obesity and Disordered Eating: Psychologists are key members of our ASMBS Center of Excellence in bariatric surgery and provide services to our patients well beyond the requisite pre-surgical evaluation, some of which we conduct via telemedicine and as part of our Destination surgery program. In addition to these evaluations, psychologists provide brief behavioral intervention and coaching to individuals at every stage of the surgical process: in preparation for surgery, adjusting to life during the rapid weight loss period, and addressing weight regain and behavior relapse years, sometimes decades, after surgery. Additional clinical services we provide include health behavior change for conservative weight management and metabolic disorders, as well as evidence based intervention for disordered eating. In addition to clinical training in the areas noted above, fellows will collaborate with Geisinger’s Obesity Institute on clinical research and quality improvement projects, provide training to Nutrition and Weight Management staff and medical residents, and serve as assistant director of behavioral medicine on the bariatric surgery team.

Integrated Primary Care - General Internal Medicine: We are embedded with General Internal Medicine outpatient clinic, where Primary Care Psychologists (and those in training) are viewed as valuable team members and are consulted for a variety of concerns, including depression, anxiety, acute stress disorder, smoking cessation, weight loss, and treatment adherence for chronic health diseases such as COPD, Heart Failure, and Diabetes. Fellows will provide targeted, evidence-based care through warm hand offs and brief episodes of treatment. Fellows collaborate with attending physicians, residents, advanced practitioners, medical case managers, nursing staff, and the medical pharmacist routinely to deliver comprehensive, quality care to patients. Attendance at morning huddles and Medical Home meetings add additional interdisciplinary, team-based care enhancement opportunities. Fellows also assist with resident training, and take part in research that has a direct impact on patient care in a general internal medicine setting. We are building this program from the ground up in General Internal Medicine, therefore, the fellow on this track will have the opportunity to learn marketable skills about building and strengthening integration and related programs. The fellow will develop and evaluate programs designed to strengthen our integration, enhance the patient experience, collaborate even more closely with providers, and train medical residents and staff about behavioral concerns relevant to their practice.

Integrated Primary Care - Department of Women’s Health: Behavioral health is embedded at the Women’s Pavilion, and provides short term, targeted behavioral and mental health services on an inpatient and outpatient basis. Fellows will have the opportunity to address the full range of women’s behavioral health needs which can present uniquely during specific life transitions such as menarche, initiation of contraception, pregnancy, childbirth and menopause. A few of the presenting concerns include unintended pregnancies, infertility, pregnancy loss, chronic illness and pain, mood and sleep difficulties, caregiving challenges, grief and loss, interpersonal trauma and cancer diagnoses. The fellow will be involved in assessment, consultation via warm hand offs and brief psychotherapy. In addition, the fellow will staff both a multidisciplinary gynecological oncology survivor clinic and a multidisciplinary clinic for patients who screen positive for BRCA1 or 2. Other clinical duties include inpatient consultation on both the labor and delivery and medical/surgical units.  The fellow will collaborate with OB/GYN, maternal fetal medicine and psychiatry residents, and teaching opportunities exist.  If desired, there is also an opportunity to staff a multidisciplinary breast cancer clinic.  In addition to clinical work, fellows on this track will also be involved in training residents and providers to better identify the behavioral health needs of their patients. Opportunities to conduct research and to expand the existing scope of behavioral health services at the Women’s Pavilion will also be afforded.

Behavioral Pain Management: We are recruiting 2 fellows for this track as psychologists at Geisinger are increasingly involved in the development of new institutional programs, policies, and guidelines, the redesign of existing systems, and the evaluation of current programs within Pain. One of the most exciting and unique aspects of this track is that fellows will be exposed to these aspects of professional practice and develop a skillset in system re-design and program evaluation for pain management at all levels in our system. Fellows will have the opportunity to participate in grant-funded clinical research/program development; work on an existing project; or identify an area of need and establish measures to evaluate needs/outcomes, design a program to address the needs, and evaluate the impact of the program. Fellows have the opportunity to engage in clinical work at all levels of pain management within our system, from primary care based interventions to specialty consultation in pain medicine, perioperative pain management, multidisciplinary clinics, and neurosurgery. Clinical pain management services include conducting initial assessments and evaluations, collaborating with patients to improve treatment readiness, compliance, and treatment planning/goals, providing evidence-based behavioral medicine treatment in individual and group formats, as well as leading psychoeducational lectures within various multidisciplinary clinics. Fellows also conduct evaluations on pre-surgical candidates within our unique Destination Spine program and pain medicine for spinal cord stimulators. Fellows will also be very involved in the provision of programs aimed at supporting and educating primary care and specialty medicine providers and staff, as well as helping to develop further programming to promote chronic pain self-management throughout the system.

Seminars and Supervision:

As this is a pivotal training year, all fellows participate in professional development seminars, a weekly inter-professional case conference, and at least 2 hours of individual supervision per week. Fellows will also have the opportunity to teach and supervise 3rd year psychiatry residents in CBT and ACT and practice supervision skills with pre-doctoral psychology interns.

About Geisinger:

Geisinger is a large, physician-led hospital/Level-1 trauma center, which has been nationally recognized for innovative clinical programs and quality care. Geisinger Medical Center is located Danville, Pennsylvania, which is approximately a 3-hour drive from New York City, Philadelphia, Washington D.C., and Baltimore and within 20-25 minutes of the charming college towns of Bloomsburg, Lewisburg, and Selinsgrove. Geisinger as a health system spans much of central Pennsylvania and given the system-wide expansion of our clinical programs, fellows will have the opportunity to serve other regions and diverse populations outside the main campus.

How to Apply:

PhD or PsyD in clinical or counseling psychology and completion of an APA-accredited internship with relevant experience required. Salary and benefits are very competitive. Our program will adhere to APPIC’s Uniform Notification Date (UND), which is February 26, 2018. Any unfilled positions thereafter will be listed on the Universal Psychology Postdoctoral Directory (UPPD). To apply, by Jan 5, 2017 please send a detailed letter of interest, curriculum vitae and three letters of reference emailed directly from the letter writers to: Laura K. Campbell, PhD, ABPP, Adult Psychology Training Director. E-mail: lkcampbell@geisinger.edu.

Geisinger is an Equal Opportunity/Affirmative Action Employer. http://www.geisinger.edu