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>> The Primary Care Behavioral
Health track, or PCBH track
for short, within the psychology
internship program, is a new
and very unique track
that is focused
on primary care training.
And so, within this track,
we have two specific sites
where a person could rotate,
the first site being housed
within the family medicine
residency's continuity clinic
at the Robert Brady
Green campus.
And so, here, they work
alongside family medicine
residents, physician faculty,
primary care providers, nurses,
dietitians, really the full
team-based care component.
At the second site,
that is at the Center
for Healthcare Services,
and they have an
integrated care clinic
that does bidirectional
integration.
So it's really, really
interesting
where you're bringing primary
care to the psychiatry clinics.
>> In our particular setting,
the intern gets the opportunity
to learn a significant amount
about severe mental illness
and psychopathology and the
development of those disorders,
together with the treatment
of chronic medical conditions.
And so it is a very
unique experience
that most interns can't
really get in other places.
>> Traditionally, psychology
has been separated from sort
of the rest of medicine
as a separate --
oh, you're mental,
you go over here.
No, we see each patient
as a whole person,
and from that perspective, we
try to treat the whole person.
>> It's the opportunity to work
in an interdisciplinary team
and just the diversity in
patient population, ages,
presenting health conditions --
I think that's one of the most
exciting and unique things
about working in primary care.
>> This model is unique
because you get to provide care
when somebody needs it
and when they want it.
Whereas they don't have to have
these long wait times to get
in to see you, they could
see you the same day
as their provider.
>> We interact with
family practice physicians,
with registered nurses,
with care coordinators
that might be licensed
professional counselors
or social workers.
And so there's a high
degree of interaction
and knowledge transfer
that happens in the team.
It's a really wonderful model.
They get to learn not only a lot
about how behavior change
happens in the clinic
but they also get to learn
from other professionals.
>> So it's definitely
advantageous to be able
to take this whole-person
approach and also to know
that you're not going
at it alone.
So trainees will learn that they
are not alone in this process,
that they have a team.
They're part of a team that will
all put their heads together
for the benefit of the patient.
>> Psychologists
are being trained
to be behavioral health
consultants, and I believe
that we offer them an
outstanding group of teachers
but also an outstanding
opportunity to train
in the highest quality
of care on that model.
>> So, for clinical
supervision in primary care,
we use the precepting
model at both
of our sites within the track.
And this model essentially is
helping you learn on the spot.
You're seeing a patient
in real time.
You're stopping in the middle
of the visit once you
gather enough information
to figure out, here's what
I think I'd like to do
as an intervention
for the patient.
And you get to come back and
speak with your supervisor
and talk through your
ideas, your thoughts,
what you think would be most
helpful for the patient,
getting feedback
from the supervisor
at that moment in time.
And then you get to go back into
the visit into the exam room
and finish the visit
with this new knowledge
that you didn't have before.
>> So, while the work is
definitely challenging,
it's also highly rewarding.
And part of what we love
about bringing students
into our center is that they get
to touch people's lives in a way
that they never thought
was possible.
And that intrinsically
provides a lot of reward
and makes it very easy
to continue the work
and to learn how to
become better at it.
And so what we're looking at is
somebody that can be a learner,
somebody who's ready and
willing and able to jump
into a fast-paced highly
complex environment.
We're looking for somebody that
can be adaptable and flexible
and someone that learns how
to incorporate new
information into their thinking.
That's really important as well.
>> We also want trainees
who are willing to learn.
We recognize that
trainees are not going
to know everything,
and that's okay.
That's why their trainees and
that's what we're here for.
But we want that willingness to
learn, to recognize what it is
that they know, what it
is that they don't know,
and to be willing to say,
I need help with this.
What can we do to
help my patient out?
And not just willingness to
learn from their supervisors,
but from their fellow team
members who also bring a lot
of information and
a lot of wealth
of knowledge to their training.
>> There are many benefits
to training in primary care.
I think the biggest benefit
is that you really get to hone
in on your generalist skills --
being able to see patients
across the lifespan,
being able to see patients not
only for mental health needs
but for health behavior
change, like tobacco cessation,
weight management, sleep issues.
And so you'll leave
fully equipped
to really handle any presenting
issue that comes your way
after training in primary care.
>> I think that a psychologist
who decides to train
in this area will
have the opportunity
to really get their
career to flourish
because of their ability
to really deliver care
to a population that
really needs it.
But I can promise you that if
you come here, you'll be coming
to a program that will not
only value you but develop you
and challenge you in a way
that will make you come alive.
>> The Primary Care
Behavioral Health track is
such a unique experience
for most folks
and it will allow them to
elevate any of the training
that they've already received
in this particular model.
And if they haven't received
any training in this model,
I think it's something that
will really excite them
about the future.
I really believe the Primary
Care Behavioral Health model is
definitely going to be the
wave of the future and the way
that we -- that all healthcare
is going to be practiced.
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