There is no panel matching the key "Alert"
There is no panel matching the key "MicroAlert"

Psychology Post-Doctoral Fellowship Program

The Psychology Post-Doctoral Fellowship program further develops and strengthens future clinicians' ability to assess and treat a wide variety of mental health concerns within the medical population.

The Pediatric Psychology Fellowship is a one-year fellowship program, while the Adult Health and Rehabilitation Psychology Fellowship is a one-year fellowship program with the option to extend to two years. The start date for both programs is anticipated to be September 14, 2020, but may be somewhat flexible based on the fellows chosen for these positions. End dates for both programs will be the same if the Adult Health and Rehabilitation Psychology fellow decides to complete a one-year training experience.

Pediatric Psychology program information

Sequence of Postdoctoral Training

Fellows will practice within the hospital and outpatient clinic settings at Gundersen Health System in La Crosse, Wis. Fellows will begin their training shadowing supervisors providing care across the hospital system. They will be able to shadow intake appointments, consults, therapy sessions and multidisciplinary clinics. Additionally, they will shadow other clinicians in multidisciplinary clinics to get better oriented with the clinic's flow and the roles of all participants. After shadowing, fellows will progress to providing care alongside their supervisors. During this training progression, supervisors will be providing additional feedback, recommendations and care, as well as assessing the fellow's readiness for more independence. Once supervisors feel fellows are progressing at an expected level, fellows will be provided more autonomy and begin to provide more care with less supervision. Degrees of autonomy will continue to progress throughout the fellowship as fellows improve their skills and as supervisors feel is appropriate. Even with increased autonomy, supervising psychologists will continue to oversee all care of the fellows and be present for a portion of all appointments.

Pediatric Psychology Postdoctoral fellows will gain clinical experience under the supervision of Licensed Clinical Psychologists working across the hospital setting. Fellows will be offered opportunities to gain additional experience providing outpatient therapy; outpatient IQ/Achievement and ADHD testing services; inpatient consultation and liaison; working on multidisciplinary treatment teams; conducting crisis evaluation; and group therapy services. Services provided are short-term and evidenced-based. There is also potential for research collaboration and teaching opportunities. Fellows will also have regularly scheduled supervision and didactic seminars. Opportunity to attend hospital wide Grand Rounds and Continuing Education conferences will also be available. Career development opportunities, including licensure support, will also be provided.

Fellows will be based on Gundersen's main campus in La Crosse, Wis. and have an office located in Outpatient Behavioral Health, in which they will see outpatient and testing patients. Fellows will also interact with staff and patients in Gundersen Pediatrics, the Pediatric Intensive Care Unit and the Neonatal Intensive Care Unit through the consultation and liaison service. Fellows will be included in multidisciplinary teams in Gundersen Pediatric Specialties and Pediatric Neurology, including Pediatric Allergy; Pediatric Gastroenterology; Pediatric Endocrinology; Pediatric Cardiology; Pediatric Hematology/Oncology; Pediatric Comprehensive Weight Management; and Pediatric Neurology. Formal participation in Cystic Fibrosis clinic and Pediatric Headache Clinic opportunities will also be available. Fellows will regularly collaborate with Gundersen pediatricians, who represent a significant referral source.

Fellows will also receive at least two hours per week of individual supervision. Fellows attend a weekly didactic and weekly professional development seminar and will have access to other recurring training activities such as the Gundersen Expert Lecture Series (GELS) and other on-campus trainings as offered.

Fellowship Goals and Objectives

Vision: To train excellent, early-career pediatric psychologists

Mission: To train culturally-competent fellows, who will graduate from their fellowship experience with the clinical and professional background necessary to be highly competitive for the position of their choosing

Aims of Fellowship:

  1. Function independently as a psychologist in a medical center and outpatient practice setting, providing evidence-based psychological assessment and treatment to children with a variety of medical and psychological conditions;
  2. Complete supervised training requirements necessary to obtain state licensure to practice psychology (the fellowship meets licensure requirements for licensure in the state of Wisconsin)

Competencies of Fellowship:

  1. Competence in clinical care that recognizes the mutuality and interaction of science and practice
  2. Competence in the interdisciplinary and biopsychosocial model of healthcare delivery
  3. Competence in clinical care that is effective, sensitive and respectful for persons of diverse backgrounds
  4. Competence in ethical and professional issues

Competency Learning Elements of Fellowship

(Adopted from: Palermo, Janicke, McQuaid, Mullins, Robins & Wu, 2014; Piazza-Waggoner, Karazsia, Hommel & Modi, 2015)

Competency 1: Competence in clinical care that recognizes the mutuality and interaction of science and practice

Learning Elements

  • Fellows promptly and competently complete diagnostic assessment in an accurate and timely manner, while also prioritizing rapport development with the family/patient.
  • Fellows are able to systematically and efficaciously conceptualize and formulate goals about how to treat a wide range of psychological conditions affecting children, adolescents, and their families.
    • Fellows autonomously write well-organized psychological documentation on children and youth seen in a medical setting, which clearly answers the referral concerns and provides the multidisciplinary team with appropriate diagnostic input and directions/recommendations for interventions.
    • Fellows implement interventions that are well-timed, effective and consistent with empirically-supported treatments.
    • Fellows complete consultations that are well-timed, effective, consistent with empirically-supported treatment, and address the medical team needs.

Competency 2: Competence in the interdisciplinary and biopsychosocial model of health care delivery

Learning Elements

  • Fellows independently interact with professionals and colleagues from other disciplines and can integrate their information with the information provided by other professionals.
  • Fellows are knowledgeable about the interaction between biological and psychosocial variables influencing the clinical presentation and are able to accurately assess psychosocial aspects of clinical cases.

Competency 3: Competence in clinical care that is effective, sensitive and respectful for persons of diverse backgrounds

Learning Elements

  • Fellows are aware of the patient's worldview and how it impacts conceptualization of assessment and treatment with culturally-diverse children, adolescents and their families.
  • Fellows are aware of their own biases and how these impact work with children, adolescents and families from diverse backgrounds so as to provide culturally-sensitive services.

Competency 4: Competence in ethical and professional issues

Learning Elements

  • Fellows demonstrate good knowledge of the following and are able to apply principles consistently, seeking consultation as appropriate using:
    • Ethical Principles of Psychologist and Code of Conduct established by the American Psychological Association
    • Wisconsin Psychology Law
    • Fellows demonstrate use of positive coping strategies to manage personal and professional stressors to maintain high standards of professional functioning.
    • Fellows effectively prioritize and accomplish tasks in a timely fashion.
    • Fellows demonstrate professionalism in relationships with colleagues and staff and are adherent to department policies, including clinical and administrative responsibilities.

Fellowship activities provided to meet program competencies, goals and objectives

Fellows will have significant clinical opportunities to assist with meeting the first area of competency: competence in clinical care that recognizes the mutuality and interaction of science and practice. Throughout the fellowship training year, fellows will be trained utilizing evidence-based practices for a variety of presenting problems. Clinical skills are based in research and science and are taught through observation, assigned readings, in vivo exposure and didactic experiences. Fellows are expected to utilize evidenced based practices and develop patient treatment plans outlining their plan of care, which will be reviewed and discussed with supervisors to ensure treatment is evidenced based.

Fellows will have the opportunity to work throughout the medical center to gain experience and meet their second area of competency: competence in the interdisciplinary and biopsychosocial model of healthcare delivery. Providing care to young patients in a medical center, fellows will experience the significance of the biopsychosocial model and health. Fellows will participate in several multidisciplinary teams, assist with the care of patients on the inpatient medical floors and be in frequent communication with clinicians of shared patients. Fellows will gain experience communicating and working with all levels of clinicians throughout the hospital system, providing shared treatment plans and interventions for patients with health concerns.

Fellows will be provided didactic, supervisory and in vivo opportunities to develop skills to meet their third area of competency: competence in clinical care that is effective, sensitive, and respectful for persons of diverse backgrounds. Fellows participate in multicultural, didactic opportunities, will gain practice working with interpreters and will have opportunities to work with patients from a wide range of backgrounds.

Activities to meet the fourth area of competency – competence in ethical and professional issues – allow fellows to read and understand the Principle Code of Ethics for Psychologists. They will be provided two or more hours of individual supervision during which supervisors will address any ethical/professional challenges or concerns that arise during practice. Additionally, fellows will participate in one hour per week of professional development training organized by licensed psychologists. Fellows also attend two didactics presented by a member of the Gundersen Ethics Review Board and Legal Department to increase awareness of frequent hospital-based challenges and to familiarize themselves with these departments and resources. Fellows will attend eight (8) hours of ethics training during their year, as well as ample shadowing opportunities of their supervisors.

Pediatric benefits information

Adult Health and Rehabilitation Psychology program information

Sequence of Postdoctoral Training

Gundersen Health System (GHS) is a physician-led, not for profit healthcare system located in La Crosse, WI. Our system includes multi-specialty group medical practices, a teaching hospital with 325 beds, regional clinics, behavioral health services, vision services, pharmacy, and air and group ambulance with a Level II Trauma and Emergency Center. The organization employs approximately 6,000 people including 500 physicians. GHS has been recognized for it's End-of-life planning work with 95% of all people who die in La Crosse, WI having an advanced directive. It has also been recognized for environmental efforts, becoming the first energy-independent hospital in the country in 2014.

Fellows will begin their training shadowing supervisors providing care across the hospital system. They will be able to shadow intake appointments, consults, therapy sessions and multidisciplinary clinics. Additionally, they will shadow other providers in multidisciplinary clinics to get better oriented with the clinics flow and the roles of all participants. After shadowing, fellows will progress to providing care alongside their supervisors. During this training progression, supervisors will be providing additional feedback, recommendations and care as well as assessing the fellow's readiness for more independence. Once supervisors feel the fellow is progressing at an expected level, fellows will be provided more autonomy and begin to provide more care with less supervision. Degrees of autonomy will continue to progress throughout fellowship as fellows improve skills and as supervisors feel is appropriate. Even with increased autonomy, supervising psychologists will continue to oversee all care of the fellows as well as be present for a portion of many appointments.

The Adult Health and Rehab Psychology Fellow will work under the supervision of licensed, board certified Clinical Health and Rehab Psychologists primarily in the Departments of Behavioral Medicine (outpatient) and Physical Medicine and Rehabilitation.

Rotations in the above departments will occur concurrently throughout the year-long fellowship. The fellowship has the option to be extended to a second year depending on the fellow's training goals and performance during the first year. The fellow will receive 2 hours of individual supervision per week, 1 hour of didactics, and 1 hour of professional development each week. The fellow will have access to numerous recurring training activities including Gundersen Expert Lecture Series (Grand rounds) weekly.

The Health Psychology Rotation includes opportunities to conduct psychological evaluations, personality testing, crisis evaluations, and individual and group therapy services, with many referrals coming from specialty medical clinics. Collaboration with multi-disciplinary medical teams is also expected. The fellow will have opportunities for evaluation and treatment of patients in the following areas: weight management (bariatric surgery, medical/behavioral weight management), eating disorders, pain management, audiology/tinnitus, insomnia, and general mental health conditions that may be occurring in the context of a adjusting to or experience of chronic medical condition.

The Rehabilitation Psychology Rotation includes neuropsychological and psychological evaluation, treatment and consultation within a 20-bed, acute rehabilitation unit servicing the full spectrum of rehabilitation populations across the adult lifespan. The primary population served consists of individuals with stroke, followed closely by those with traumatic brain injury (TBI). The remainder of the patient populations served includes those with debility, chronic and significant medical illnesses that compromise physical and/or cognitive functioning, limb amputation and spinal cord injury. The fellow will work closely with the rehabilitation team including two physiatrists, multiple mid-level staff (physician assistants and nurse practitioners), rehabilitation nursing staff, a rehabilitation psychologist, speech therapists, occupational therapists, physical therapists, recreation therapists, social workers, nutritionists and a chaplain. The fellow will have ample opportunity to work closely with these allied providers as part of a strong, collegial and well-integrated interdisciplinary team. The fellow will also have the opportunity to be a part of the Spinal Cord Injury Service Line, where the Rehabilitation Psychology Service follows all patients with traumatic spinal cord injury across the continuum of care, often intervening in the Critical Care Unit/ICU as well as the Neuroscience Unit prior to admission to the Rehabilitation Unit. There will also be opportunities for the resident to see clinic patients for routine follow-up from acute rehabilitation and for outpatient neuropsychological evaluation.

Fellowship goals and objectives

Vision: To develop competent early-career clinical psychologists by providing advanced training in health and rehabilitation psychology, which includes the provision of psychological assessment and intervention to medical populations, as well as consultation to interdisciplinary medical teams

Mission: To train fellows who will graduate from their fellowship experience with the clinical and professional foundation necessary to practice high quality, evidence-based care and attain the psychologist position of their choosing

Aims of Fellowship:

  1. Function independently as a psychologist in a medical center and/or outpatient practice setting, providing evidence-based psychological assessment and treatment to adults across the lifespan who have various medical and psychological conditions
  2. Complete supervised training requirements necessary to obtain state licensure to practice psychology (the fellowship meets licensure requirements for licensure in the state of Wisconsin)

Competency Learning Elements of Fellowship

Competency Learning Elements

Adapted from the following:

Competency 1
Integration of Science and Practice

Description: The integration of scientific literature and evidence-based theory and research into clinical practice. This includes fellows' ability to utilize knowledge of the existing literature in approaching assessment, conceptualization and intervention.

Learning Elements:

  • Fellows critically evaluate and apply relevant literature to inform the approach to assessment and intervention with patients and families.
  • Fellows utilize relevant literature to conceptualize assessment findings and formulate an approach to intervention or management that is tailored to the unique needs of the patient.
  • Fellows provide consultation to interdisciplinary care teams that is based on relevant scientific findings related to the patient presenting concerns.
  • Fellows demonstrate knowledge of psychometric properties, strengths, and limitations of psychological and neuropsychological measures administered as part of a patient's care, and are able to demonstrate sound interpretation of such measures in light of a patient's presenting concerns and functional capabilities.

Competency 2
Individual and Cultural Diversity

Description: The recognition and understanding of how one's own cultural background impacts clinical practice, while also striving for multicultural competence across various aspects of cultural diversity, including disability

Learning Elements:

  • Fellows demonstrate awareness of how his or her own cultural background and worldview influences interactions with patients.
  • Fellows demonstrate awareness of how a patient's cultural background and worldview influence his or her beliefs about health and wellness as well as interaction with the healthcare system
  • Fellows are knowledgeable about the interaction between biological and psychosocial variables influencing the clinical presentation and are able to accurately assess psychosocial aspects of clinical cases.
  • Fellows demonstrate sound interpretation of psychological and neuropsychological measures in accordance with a patient's cultural background.
  • Fellows demonstrate awareness and knowledge of disability and age as other facets of diversity and are able to address these factors in his or her interactions with patients.

Competency 3
Ethical and Legal Foundations

Description: The awareness of standards of professional conduct, ethics and law, as well as how these impact clinical practice of psychologists within a medical setting.

Learning Elements:

  • Fellows demonstrate knowledge of applicable laws and ethical standards (APA Ethics Code) pertaining to the broader practice of psychology as well as the specific practice of psychology in the medical setting.
  • Fellows demonstrate knowledge of HIPAA and institutional policies protecting the privacy and confidentiality of patients.
  • Fellows demonstrate knowledge of Wisconsin Statutes governing the practice of psychology.

Competency 4
Assessment

Description: The appropriate selection, administration, modification (where indicated) and interpretation of standardized tests, behavioral observations, and/or clinical interviews based on the needs of the patient and upon which recommendations are made and communicated to optimize patient outcomes

Learning Elements:

  • Fellows assess adjustment to illness/disability in patients.
  • Fellows assess adjustment to illness/disability in family members.
  • Fellows assess the extent and nature of disability and preserved abilities/strengths.
  • Fellows evaluate educational and vocational capacities where indicated.
  • Fellows assess mood and personality functioning to inform interventions.
  • Fellows evaluate cognitive functioning.
  • Fellows evaluate decision-making capacity.
  • Fellows assess for substance use disorders.
  • Fellows assess pain and associated psychological factors.
  • Fellows evaluate psychological strengths and risk factors of individuals seeking surgery and make appropriate recommendations to interdisciplinary teams regarding candidacy for surgery.
  • Fellows assess social and behavioral functioning in patients with neurologic conditions.
  • Fellows assess concerns related to sexual functioning in individuals with disabilities.

Competency 5
Intervention

Description: The selection of appropriate treatment modalities for the needs of the patient, and conducts said interventions with skill, sensitivity, and use of a relevant knowledge base to optimize patient outcomes

Learning Elements

  • Fellows can appropriately select and utilize empirically-supported interventions across a wide range of presenting psychological concerns including depression, anxiety, mood disorders, and acute and chronic stress.
  • Fellows can utilize empirically-supported behavioral interventions for medical conditions including pain, obesity, insomnia, cancer tinnitus and other acute or chronic illnesses.
  • Fellows can utilize empirically-supported interventions as related to adjustment to disability/illness and prevention of chronic illness.
  • Fellows can utilize empirically-supported family/couples therapeutic interventions as related to disability/illness and the prevention of chronic illness.
  • Fellows guide and implement behavioral management interventions for individuals with neurologic/cognitive impairments.
  • Fellows utilize assessment of concerns related to sexual functioning in individuals with disabilities to guide intervention.

Competency 6
Consultation

Description: The effective consultation with other professionals appropriate to the needs of the patient, in ways that will promote efficiency of care and transdisciplinary collaboration

Learning Elements:

  • Fellows consult with interdisciplinary team members to improve behavioral functioning of patients to optimize participation in rehabilitation efforts.
  • Fellows provide consultation to interdisciplinary teams regarding psychological and behavioral interventions for shared patients.
  • Fellows provide consultation regarding cognitive functioning and modification of rehabilitation efforts in light of this.
  • Fellows engage the interdisciplinary team in vocational/educational planning for individuals with neurologic illness.
  • Fellows consult with members of the interdisciplinary team regarding findings on assessment of personality and mood as they impact participation in care and adherence to recommendations.

Competency 7
Professional Values, Attitudes and Behaviors

Description: The sensitivity to the welfare, rights, and dignity of others as a priority in clinical practice This also involves the capacity to empathetically relate to clients/patients and others, including members of the interdisciplinary care teams, in ways that enhance the effectiveness of services provided.

Learning Elements:

  • Fellows respect and attend to the welfare of patients, their rights, and dignity across clinical work.
  • Fellows demonstrate the ability to assess a patient's capacity across multiple domains and advocates for patients' autonomy in accordance with their capabilities.
  • Fellows demonstrate good boundaries with patients and staff.
  • Fellows demonstrate the ability to collaborate effectively with other disciplines to the benefit of the patient.
  • Fellows are receptive to feedback and suggestions from supervisors and other professional colleagues.

Fellowship activities provided to meet program competencies, goals, and objectives

Integration of Science and Practice: The fellow will be provided with a reading list at the beginning of the fellowship year, which highlights relevant books and peer-reviewed journal articles that provide the scientific foundations of the assessment, intervention, consultation, ethical, and diversity issues they will encounter while on fellowship. During individual supervision and through didactics and professional development presentations, fellows will be given information on and asked to describe the scientific basis for their approach to patient-care. In-vivo supervision will provide fellows with an opportunity to be evaluated on their application of the scientific base.

Individual and Cultural Diversity: Fellows will gain skills in this area through readings provided at the outset of fellowship, through face-to-face assessment and intervention with diverse patient populations, and through supervision, where this topic is routinely explored when staffing new and ongoing patients. Didactics and Professional development topics devoted to diversity are also included in the fellowship year.

Legal and Ethical Foundations: Fellows will gain skills in this area through readings provided at the outset of fellowship and through supervision, where this topic is routinely explored when staffing new and ongoing patients. Didactics and Professional development topics devoted to legal and ethical foundations are also included in the fellowship year. Fellows will develop and deepen their knowledge of and commitment to consumer protection primarily through work in the Rehabilitation and Neuropsychology clinics, where patient populations include individuals with neurological impairments that could impact decision making capacity. Shadowing the primary supervisor, Dr. Kolberg, and working closely with the multidisciplinary teams in this clinic will enrich their understanding in this area.

Assessment: While working with the Bariatric Clinic, Dig DEEP Clinic, Eating Disorders Program, and Outpatient Behavioral Health, the fellow will have opportunity to conduct intake assessments for patients with weight management difficulties, chronic pain, eating disorders, and/or co-occurring medical and mental health difficulties. Assessments generally involve a clinical interview and administration of self-report, objective questionnaires (e.g., PHQ-9 to assess depression). While working within the rehabilitation psychology rotation, the fellow will complete intake assessments and/or neuropsychological test batteries to evaluate cognitive, emotional, and behavioral comorbidities that may impact rehabilitation. Fellows will receive direct and indirect supervision regarding their assessment work throughout the fellowship year. Several didactics will also focus on assessment skills.

Intervention: While working with the Bariatric Clinic, Dig DEEP Clinic, Eating Disorders Program, and Outpatient Behavioral Health, the fellow will have opportunity to conduct brief, empirically supported therapy interventions for patients with a variety of co-occurring medical and mental health conditions. Similarly, within the rehabilitation psychology rotation, the fellow will have opportunity to provide brief rehabilitation intervention to aid in their transition to discharge/return home. Fellows will receive direct and indirect supervision regarding their intervention work throughout the fellowship year. Several didactics will also focus on intervention skills.

Consultation: Fellows will have the opportunity to develop consultation skills by shadowing their supervisors during interactions with multidisciplinary teams. Fellows will transition to taking on more independence with consultation to other providers and will receive feedback in supervision.

Professional Values, Attitudes, and Behaviors: Fellows will collaborate closely with their supervisors and multidisciplinary teams throughout the hospital. They will learn citizenship and strategies for communication with medical providers through shadowing and direct and indirect supervision.

Adult benefits information

Love + Medicine

Every day, Gundersen Health System staff deliver great medicine plus a little something extra—we call it Love + Medicine.

Share Your Story