![](media/image1.jpeg){width="6.74375in"
height="5.295138888888889in"}***San Francisco VA Medical Center***

***Psychology Postdoctoral Fellowships***

***2009-2010***

![](media/image2.png){width="3.173611111111111in"
height="0.38680555555555557in"}

Kellie M. Rollins, Psy.D.

Director of Psychology Training

San Francisco VA Medical Center

Psychological Services

4150 Clement Street (116B)

San Francisco, CA 94121

July 2008

Dear Prospective Applicant:

Thank you for your interest in the Postdoctoral Clinical Psychology
Fellowship Program at San Francisco VA Medical Center. Our fellowship is
fully affiliated with the University of California, San Francisco and is
accredited by the American Psychological Association (APA),

The fellowship class for which you are applying will begin in late
August, 2009. Three positions will be available with an annual stipend
of \$46,968. Benefits include health insurance options, 10 paid federal
holidays, 12 paid vacation days and 12 sick paid days; generous
professional leave; a public transportation program; reimbursement for
travel to outlying CBOC; and in most years, up to \$460 in travel funds
for conferences have been available (we anticipate this will continue
but we cannot guarantee until the new fiscal year).

The fellowship will provide \~2040 supervised hours, satisfactorily
meeting criteria for state licensing boards. For California licensure,
most if not all, mandatory coursework is available through our site,
UCSF, and/or Palo Alto VA.

To be eligible, you MUST have completed an APA accredited predoctoral
internship and MUST have graduated from an APA-approved clinical or
counseling psychology doctoral program. The VA also requires that you
must be a US citizen and that men must have registered for selective
service.

Please read this brochure to acquaint yourself with the training
opportunities offered at our site and the application process and
selection criteria. The application can be found at the end of this
brochure (Appendix F). Please send all materials in one packet. **The
application deadline is JANUARY FIRST, 2009.**

Briefly, the fellowships\' areas of training emphasis are co-occurring
posttraumatic stress and substance use disorders.  In both areas of
emphasis, fellows will receive supervised experience in evaluation and
assessment, psychological treatment, consultation, and treatment
planning.  They will be given opportunity to develop team leadership and
clinical supervision skills.  Fellows will attend two required advanced
seminars and can select from numerous other educational offerings. 
While all three fellows will receive didactic and clinical training in
both areas of emphasis, there are three tracks: one position is
stationed in the Substance Abuse Programs (SAP) and has an emphasis on
co-occurring substance use disorders and posttraumatic stress as well as
community mental health; the other two positions are in the PTSD Clinic
(PCT), one emphasizing co-occurring posttraumatic stress and substance
use disorders and the other working with a stronger focus on returning
warriors from the Iraq and Afghanistan conflicts (OEF/OIF veterans) with
PTSD and SUD. You are welcome to apply for any or all of the positions,
but please rank order your preferences on the application form. 

The national training mission of VA is broad and explicitly includes
training of health care professionals for the nation, as well as for the
VA system. We train fellows who go on to VA jobs, and we train others
who go on to work in research, academia, other medical centers, and the
private sector. A number of our own postdoctoral fellows have recently
gone on to obtain positions in the VA careers, both here and at other
facilities.

If you have questions regarding the fellowship, please feel free to
email me at <Kellie.Rollins2@va.gov>.

For questions about the status of your file and for other
administrative/technical questions, please call Makoto Horiuchi, our
Psychology Administrator, at (415) 750-2004 or email him at
makoto.horiuchi@va.gov.

Sincerely,

Kellie M. Rollins, Psy.D.

Director of Psychology Training

Kellie.Rollins2@va.gov

415-221-4810 ext. 4362

SFVAMC is an Affirmative Action/Equal Opportunity Employer. Minority
applicants are especially encouraged to apply.

**POSTDOCTORAL CLINICAL PSYCHOLOGY FELLOWSHIP PROGRAM**

**EMPHASIS IN POSTTRAUMATIC STRESS AND SUBSTANCE USE DISORDERS**

**San Francisco VA Medical Center**

August 2009 -- August 2010

[GENERAL INFORMATION]{.underline}

Hospital Community

The San Francisco VA Medical Center, or \"Fort Miley,\" as it is known
to native San Franciscans, is a nationally known teaching hospital in
one of the most cosmopolitan cities in the world. Located on a hill 7
miles from downtown San Francisco, the hospital overlooks the Pacific
Ocean to the west and the Golden Gate Bridge to the north. The grounds
cover approximately 30 acres and include 23 buildings. (See map in
APPENDIX E.)

Each year San Francisco VA Medical Center provides Services to more
than 310,000 veterans living in an 8-county area of Northern California.
The Medical Center provides diagnostic and treatment services in a
number of specialty areas including neurological diseases, cardiology,
cancer chemotherapy, renal dialysis, and open heart surgery in addition
to mental health treatment.

Through major affiliations with the Schools of Medicine, Nursing,
Dentistry and Pharmacy of the University of California San Francisco,
and a number of other institutions, the Medical Center conducts formal,
integrated educational programs at the undergraduate, graduate, house
staff, and fellowship levels. Each year more than 1500 students are
trained in 60 professional and allied health academic programs. Of
related significance, our Medical Center is the #1 ranked VA Medical
Center in terms of research grants.

The Medical Center is fully accredited by the Joint Commission for its
general medical and surgical programs as well as its psychiatry and
substance abuse programs. It is approved by the American Medical
Association for the training of medical students and residents in all of
the major specialties and subspecialties, the Council of Teaching
Hospitals of the Association of American Medical Colleges, and the West
Bay Hospital Conference.

Patient Population

The San Francisco VA Medical Center serves a predominantly male
population ranging in age from 18 to 90+ years, although the number of
women accessing services is increasing. All racial/ethnic groups are
represented and there is a large LGBT community. Patients span the
spectrum of socioeconomic classes but most are considered "working
class."

Veterans do not have to have served in a war to receive benefits;
however, the largest cohorts are the World War II/Korean Conflict
veterans, most of whom are 65 to 90 years old, and the Vietnam Era
veterans now in their fifties. Veterans from the Persian Gulf War
(Desert Storm, Desert Shield) and the current conflicts in Iraq and
Afghanistan (Operation Enduring Freedom, Operation Iraqi Freedom) also
receive health care in the VA system. Of late, particular attention has
been paid to program development and special services in order to meet
the needs of our returning warriors.

[THE PSYCHOLOGY POSTDOCTORAL FELLOWSHIP]{.underline}

In 2000, the San Francisco VA Medical Center inaugurated a VA-funded
clinical Postdoctoral Clinical Psychology Fellowship Program in clinical
psychology with emphasis in the areas of Posttraumatic Stress Disorders
(PTSD) and Substance Use Disorders (SUD). The fellowship complements our
growing amount of treatment, education and research in these areas over
the past three decades. Since 1980, we have had an ongoing VA-sponsored
Physician Fellowship in Substance Abuse, with over 30 graduates to date.
In 1998, the VA Sierra Pacific Network was awarded a Mental Illness
Research, Education and Clinical Center (MIRECC), with the San Francisco
VA Medical Center Posttraumatic Stress Disorder Clinical Treatment Team
(PCT) a core component. The clinical, teaching and scholarly
achievements of our faculty are extensive, and are delineated below in
the description and appendixes. Within Substance Abuse Programs (SAP)
and PCT, psychologists hold key leadership roles and are actively
involved in program development and clinical work, providing a rich
opportunity for mentoring and role modeling of postdoctoral fellows.

Psychological services and psychology training at the San Francisco VA
Medical Center are integrated within the Mental Health Service. The
current psychology staff consists of 15 doctoral-level psychologists,
all of whom hold academic appointments at the University of California,
San Francisco (UCSF). A Chief Psychologist oversees professional
activities, e.g. training, credentialing and privileging, performance
evaluations, and professional development. The core supervisors for the
postdoctoral fellows are referred to as the Psychology Training
Committee headed by the Director of Psychology Training.

The Mental Health Service teams where our psychologists and trainees are
placed have an interdisciplinary structure with the following
disciplines represented: psychology, psychiatry, social work, nursing,
internal medicine, addiction specialist, and vocational rehabilitation.
One of the cornerstones of our psychology training model is to expose
trainees to the unique contributions that other disciplines bring to
mental health treatment.

Education of current and future health care providers is one of the five
missions of the San Francisco VA Medical Center. Over 650 fellows,
residents, interns and students from a wide array of disciplines train
here yearly. Mental Health Grand Rounds occur monthly. Unit based
in-services are offered regularly. Since the Mental Health Service is
affiliated with the Department of Psychiatry, UCSF Medical School, our
staff and trainees have access to their library, colloquia and seminars
including weekly Psychiatry Grand Rounds.

Our Postdoctoral Clinical Psychology Fellowship with Emphasis in PTSD
and SUD are fully accredited by the American Psychological Association
Committee on Accreditation. We are also members of the Association for
Psychology Postdoctoral and Internship Programs (APPIC). The Psychology
Predoctoral Internship Program at San Francisco VA Medical Center has
been APA-accredited since 1979 with three full-time stipended positions.

Cultural & Individual Differences and Diversity

The patient population at the San Francisco VA Medical Center reflects
the rich diversity mix of the San Francisco Bay Area with respect to
racial/ethnic groups, religious affiliations, sexual orientations, and
socioeconomic statues. The San Francisco VA Medical Center serves, for
example, significant numbers of "minority" veterans, including African
Americans, Latino/Hispanics, Asian Americans, gay/lesbian-identified,
and transgender individuals. Reflecting an increased effort to serve
female veterans, particularly since the current conflict is resulting in
more women needing to access Mental Health Services, the San Francisco
VA Medical Center has an active Women's Health Program.

Moreover, in recognition of the key role families play in the lives of
veterans, the San Francisco VA Medical Center provides services to
spouses, partners, and children of patients through the Couple's/Family
Program and the Spouse/Partners' Support Programs.

In our mission to train culturally aware and competent psychologists,
our program integrates diversity-focused training in the forms of
clinical supervision, didactic seminars, and clinical case conferences. 
Our program faculty has expertise working with patients from various
racial/ethnic groups, sexual/gender orientations, religious
affiliations, and age groups. 

A prime example of the SFVAMC\'s committment to cultural competence and
diversity awareness is our active and expanding Psychology Diversity
Committee, with members representing all levels of psychology at the
SFVA, including faculty, fellows, interns, and externs.  The Diversity
Committee aims to provide a professional and open atmosphere that
respects diversity and provides a forum to discuss issues related to
cultural competence and diversity. Among the committee\'s monthly
activities are: presentation of case material for clinical consultation
and discussion, presentations and didactics focused on culture and
diversity, and integration of ongoing diversity trainings to faculty and
trainees. Another important task of the Diversity Committee is our
active participation in the annual intern selection process. Each intern
applicant is interviewed by at least one member of the Diversity
Committee and at least one representative from the Diversity Committee
is appointed to the Internship Selection Committee to assist in overall
ranking. 

Psychology Diversity Committee Mission Statement:

1. To provide a forum for psychology interns, postdoctoral fellows,
externs, and faculty members to discuss cultural and diversity issues as
they arise in clinical practice.

2\. To increase training in cultural competence with regard to the full
range of diversity represented by our patients, including ethnicity,
race, gender, sexual orientation, religion/spirituality, age, social
class, and physical status.

3\. To increase and maintain cultural diversity among our psychology
interns, postdoctoral fellows, externs, and faculty members with regard
to ethnicity, gender, and sexual orientation, and to act as advocates
for them when applying for advanced training (e.g. internships,
postdoctoral fellowships) or career positions.

Fellows may also attend the monthly UCSF Diversity Committee meeting at
Langley Porter (the first Tuesday of every month from 12-1). The
Committee has a mission statement similar to our VA Psychology Diversity
Committee and is advisory to the Chair of Psychiatry for issues of
diversity and diversity training. A member of the Diversity Committee is
assigned to every psychology staff search committee in the Department.
The committee sponsors the Annual Evelyn Lee Visiting Scholar Grand
Rounds and Lectures every year (presenters thus far:  Robert Carter,
Monica McGoldrick, Stanley Sue). The committee also completes occasional
reports on the topic of diversity (e.g.  The Ethnic and Gender Faculty
Report).

[FELLOWSHIP TRAINING ROTATION SITES]{.underline}

1.  *Posttraumatic Stress Disorder Clinical Team (PCT).* The PCT, led by
    Tom Neylan, M.D. with psychologists Victoria Tichenor, Ph.D., Dawn
    Lawhon, Ph.D., Eunie Jung, Ph.D., and Shira Maguen, Ph.D. treat
    patients with chronic PTSD, often associated with co-morbid
    conditions (including SUD) and functional impairment. There are five
    planned phases of treatment: evaluation, stabilization, exposure,
    integration/relapse prevention and maintenance, each with a
    different modality and intensity of intervention. The PCT,
    officially designated as a VA Center of Excellence, is one of the
    preeminent clinical, educational and research-based programs
    treating veteran outpatients suffering from PTSD. It is a fertile
    source of interprofessional collaboration and intellectual
    stimulation. The PTSD team consists of psychologists, psychiatrists,
    social workers, nurses, postdoctoral psychiatry fellows and
    residents, postdoctoral psychology fellows, predoctoral psychology
    interns, and psychology graduate students (externs).

2.  *Substance Use/PTSD Team (SUPT).* The SUPT Team, led by John
    Straznickas, M.D., with psychologist Samuel Wan, Ph.D., is one of
    only seven specialized programs in the VA system dedicated to
    treatment of veterans with co-occurring PTSD and SUD who served in
    combat. The team consists of a psychiatrist, psychologist, two
    social workers, an addictions therapist, postdoctoral psychology
    fellows, predoctoral interns, externs, and psychiatry residents.

3.  *Opioid Replacement Team (ORT*). The ORT Team, David Kan, M.D., Team
    Leader and Kellie Rollins, Psy.D., Clinical Supervisor, is an
    outpatient substance abuse treatment program for patients with
    primary opioid dependence. The majority of ORT patients also have
    co-occurring psychiatric disorders, medical problems, and
    polysubstance abuse issues. The clinic provides comprehensive mental
    health services, psychosocial rehabilitation and medication-assisted
    treatment such as methadone, buprenorphine, and disulfiram. Patients
    receive psychological treatment (group and individual) of varying
    intensity based on an 8-Phase Model and a Harm Reduction track. ORT
    functions as a multidisciplinary team that includes a psychiatrist,
    a psychologist, three addiction therapists, three nurses, a
    pharmacist, a toxicology specialist, a postdoctoral fellow,
    predoctoral psychology interns, two externs, psychiatry residents,
    and medical and nursing students. Although the clinic is classified
    as an outpatient clinic, the milieu more resembles a therapeutic
    community. ORT is one if the most multiculturally diverse clinics in
    terms of staff and patients.

4.  *Drug and Alcohol Treatment Team (DAT*). The DAT Team, led by David
    Thomson, LCSW, with psychologists Joan Zweben, Ph.D. and Patrick
    Reilly, Ph.D., is an abstinence based clinic treating patients with
    alcohol, stimulant, and polysubstance abuse problems, mostly with
    group modalities. Addiction is viewed via a biopsychosocial
    perspective that accounts for multiple pathways to addiction.
    Psychosocial treatment is based on the Phase Model of treatment and
    includes supplemental interventions based on an integrative review
    of multiple assessments. The team consists of two part-time
    psychologists, a psychiatrist, three social workers, two addiction
    therapists, predoctoral psychology interns, a post-doctoral
    psychology fellow, and psychiatry residents.

5.  *Santa Rosa Community Based Outpatient Clinic (CBOC)* with
    psychologists Patrick Reilly, Ph.D. and Stephen Pennington, Ph.D.. 
    The Santa Rosa CBOC is located 55 miles north of San Francisco and
    is a satellite clinic of the San Francisco VA Medical Center,
    serving veterans from Sonoma, Marin, Napa, Lake, and Mendocino
    Counties. It operates as a community mental health center with a
    unique and diverse patient population and has been admitting an
    increasing number of returning OEF/OIF veterans. The clinic provides
    high quality care for veterans with mental health problems,
    emphasizing combat and sexual assault-related posttraumatic stress
    disorder, substance abuse, anger management, mental health problems
    of homeless veterans, late life depression, chronic mental illness,
    and psychiatric illness co-occurring with medical illnesses.  The
    Santa Rosa CBOC consists of an interdisciplinary treatment team
    including three psychiatrists, two psychologists, two registered
    nurses, two social workers, a postdoctoral psychology fellow, and
    two externs. The fellow in the Substance Abuse Programs will work 1
    or 2 days per week in the clinic and be reimbursed for travel.

6.  *Substance Abuse Day Hospital (SADH)*, led by Jeanna Eichenbaum,
    LCSW with psychiatrist Ellen Herbst, MD is a comprehensive
    outpatient treatment program for veterans with substance related
    disorders. The hospital is a Monday-Friday intensive outpatient
    program in which patients attend therapeutic activities from 8:30
    am- 4:00 pm. Veterans admitted to the SADH manifest problems based
    on the multiple disabilities which are typically related to a
    history of addiction to alcohol and other drugs of abuse. Problems
    may include psychiatric disorders such as primary affective
    disorders and primary psychoses, transient affective or psychotic
    symptoms resulting from substance abuse, PTSD or other anxiety
    disorders, dementia and varying degrees of cognitive impairment, and
    personality disorders of all types. The SADH patient census is 20
    patients, and enrolls approximately 45 patients per month. About 65%
    of enrolling patients are homeless at the time of presentation. The
    average age is 45 years old. Ethnic composition goes in the
    following order of magnitude:

7.  *Psychological and Neuropsychological Assessment Program (PNAP*),
    run by Johannes Rothlind, Ph.D., provides neuropsychological,
    intelligence, and other psychological assessment services to a)
    assist in diagnosis, b) provide documentation of baseline
    functioning and to monitor changes in cognitive functioning and
    psychological adjustment and c) aid in treatment planning. Other
    activities include consultation and brief individual and family
    interventions to assist in managing disability and psychological
    morbidity linked to the neurocognitive disorder. Median duration of
    each evaluation is 2.5 hours. The staff consists of one psychologist
    and six psychology trainees.

8.  *PTSD and Substance Abuse Research*. The PTSD and Substance Abuse
    Programs at the San Francisco VA Medical Center currently have
    approximately three million dollars/year in grant funding. The PTSD
    Program has developed a research program over the past twenty years
    that is recognized as one of the leading centers in the nation. Drs.
    Marmar and Weiss were the original investigators on the National
    Vietnam Veterans Readjustment Study of combat-related PTSD. The
    study persuaded the Department of Veterans Affairs to develop a
    nationwide initiative to provide specialized outpatient treatment
    for Vietnam veterans. The PCT has nine major research projects in
    operation. Since November 1998, it has been a MIRECC core site. PTSD
    research now underway include: Magnetic Resonance and Spectroscopy
    of the Human Brain in Gulf War Illness, Neuroendocrine Regulation of
    Sleep in PTSD, Diagnostic Evaluation of PTSD, Comparison of a
    Hypertensive Medication and Placebo in the Treatment of Patients
    with Post-Traumatic Stress Disorder, Cognitive Behavioral Therapy
    and D-Cycloserine Treatment, CBT and Imaging Studies of Veterans
    with PTSD, Prospective Study of Posttraumatic Stress in Police
    Officers, and PTSD Symptoms, Posttraumatic Growth & Colorectal
    Cancer. More detailed descriptions of current research are listed in
    the Appendix F.

The Substance Abuse Program has had a history of prolific research
productivity. Since the 1990's, we have served as the home of the San
Francisco Treatment Research Center (TRC), one of eight national centers
funded by NIDA to develop innovative drug abuse treatments. Currently we
have four funded grants in substance and nicotine abuse.

POSTDOCTORAL FELLOWSHIP TRAINING MISSION

Purpose

The postdoctoral fellowship provides advanced interdisciplinary
education and training, with emphasis in the areas of posttraumatic
stress and substance abuse disorders. We subscribe to the
scholar-practitioner model of psychology training. The fellow will
graduate competent to work as an advanced level psychologist within the
Veterans Health Administration system or other entity in which the
complementary areas of trauma and addiction are salient. Advanced
training is defined, but not limited to, the following criteria:

-   Focused learning by means of intensive immersion in clinical
    experiences in these two areas with supervision by licensed
    psychologists with established competencies in these areas.

-   Didactic training to provide a background and context in the
    empirical, clinical and other literatures relevant to these areas.

-   Opportunity to acquire leadership, program development and
    supervisory skills.

-   Greater depth of supervised clinical experiences than is feasible
    for a psychology intern on the same rotations. Examples include
    exposure to a wider variety of patients, more complicated or
    challenging cases, or cases requiring specialized skill sets.

-   Opportunity to participate in scholarly activities relevant to PTSD
    and Substance Abuse under the mentorship of psychologists or
    psychiatrists involved in cutting-edge research in these areas.

-   General professional development, including being treated as a
    junior colleague and internalizing the role of supervising and
    mentoring other trainees.

-   Multicultural competence and the ability to work effectively with
    individuals of various ethnic backgrounds, sexual orientation
    status, and religious affiliations.

Competency Objectives

We believe that a major goal of professional training as a clinical
psychologist is to develop core competencies. Six general competencies
are summarized and operationalized in our evaluation form in Appendix D.
Evaluations will occur every four months (December, April, August). In
response to APA's increasing emphasis on setting, measuring and
objectifying criteria for acquisition of these skills, Fellow
Evaluations quantitatively track successful mastery of each competency
area. To successfully complete the fellowship, a fellow's final set of
rotation evaluations should be rated at 80% competent. Additionally, to
ensure that fellows plan and obtain their own goals for fellowship, a
Self-Evaluation (Appendix E) is constructed and discussed with the
primary supervisor at the beginning of the training year and formally
reviewed at each evaluation period in order to assist in guiding further
educational needs and training activities.

##### Teaching Methods

Fellows will receive a weekly minimum of two hours of individual
supervision from their supervisors, members of the Psychology Training
Committee, and a total of four hours per week of supervision (e.g. group
or individual). Professionals from other disciplines may provide adjunct
supervision/consultation within their area of expertise.

Methods of supervision include in-depth review of cases and formulations
(written and/or verbal report), discussion of clinical techniques and
future directions, examining countertransference, role modeling,
mentoring, in-vivo observation, video or audiotape review, co-therapy,
and review of medical charting. Supervisors treat fellows as junior
colleagues.

Fellows will have opportunities to work with patients of varying
backgrounds, cultures, and clinical needs. We build upon baseline skills
acquired during predoctoral internship. The fellow will be granted
progressively more autonomy and responsibility over the course of the
year in an organized sequence.

The fellows will be required to attend the weekly Substance Abuse
Faculty Seminar. The PCT fellows will also attend the weekly PTSD
Seminar (see Appendix B for seminar options). The seminars are geared at
an advanced level, with emphasis on case examples of complicated
patients and increase in complexity and sophistication over time. The
fellows make a formal presentation in seminars during the training year.
See Appendix C for recent Sample Seminar Curricula.

There will be three to six hours weekly of supplemental structured
learning activities. Such experiences include case conferences,
in-services, seminars and formal scholastic presentations. Advanced
readings from the evolving body of scientific knowledge will be
assigned.

##### 

##### OVERALL STRUCTURE OF THE FELLOWSHIP

Clinical assignments on the PCT, SUPT, ORT, DAT, Santa Rosa CBOC and
PNAP are outlined below.   All fellows will receive didactic and
clinical experience with PTSD and SUD.  All fellows will have to option
to perform evaluations and supervision in the PNAP program for 4 hours
per week for the entire year and be encouraged to do so. In addition to
these shared duties, there are three distinct fellowship positions: 

> 1.   [Substance Abuse Programs Fellow (with an emphasis in
> co-occurring substance use disorders and posttraumatic stress and
> community mental health):]{.underline}  This fellow will become an
> integral and valued member of the Substance Abuse Programs, working in
> several clinics and being received as a junior faculty and important
> member of the team.  The fellow will co-lead a substance abuse group
> with Dr. Joan Zweben, a national leader in the field, in the DAT
> Clinic (3 hours per week).  The fellow will also work 5-7 hours in the
> ORT Clinic with Drs. Rollins and Kan and 10 hours per week in the SUPT
> program with Drs. Straznickas and Wan providing individual and group
> therapy and supervision of trainees.  The fellow may also co-lead
> groups in the SADH or the Women\'s Clinic.  Another unique part of the
> fellowship is working 1-2 days per week in the Santa Rosa CBOC with
> Dr. Reilly.  This complements the experience of the more urban
> population at the San Francisco campus and also runs like a community
> mental health center.  The fellow will be reimbursed for travel
> expenses.
>
> 2.    [PCT Fellow I (with an emphasis in posttraumatic stress disorder
> and substance abuse):]{.underline}  This fellow will function as part
> of the PCT Team for the entire year, approximately 30 hours per week,
> and as part of the SUPT Team, 10 hours per week for the year. In the
> SUPT rotation, the fellow will work with veterans in various stages of
> SUD treatment in various treatment modalities, present didactics and
> case presentations, and supervise trainees. As part of the PCT team,
> the fellow will provide intensive individual and group psychotherapy,
> supervise other trainees, and take an active role in program
> development. This fellow will also take an active leadership role in
> PCT case conferences, provide intake and triage services to OIF/OEF
> veterans, and work as an integral part of the multidisciplinary team.
>
> 3.    [PCT Fellow II (with an emphasis on posttraumatic stress
> disorder and substance abuse in OIF/OEF veterans):]{.underline}  While
> the fellow will have the opportunity to work with veterans from all
> eras, the focus of this fellow\'s clinical responsibilities will
> involve working with newly returned warriors from the Iraq and
> Afghanistan conflicts (Operation Iraqi Freedom \[OIF\] and Operation
> Enduring Freedom \[OEF\]).  This will involve opportunities for
> therapy and assessment experience with OIF/OEF veterans in individual
> and group contexts.  Since many of these veterans are struggling with
> substance abuse programs but are not ready to enter formal treatment,
> a special focus will be on assessing substance use patterns, providing
> motivational interviewing and harm reduction. Fellow will also
> participate in a monthly interdisciplinary case conference meeting on
> issues pertaining to Traumatic Brain Injury (TBI) in OIF/OEF veterans,
> supervise trainees, participate in program development, take an active
> leadership role, and work as an integral part of the multidisciplinary
> team.
>
>  

SPECIFIC TRAINING OPPORTUNITIES ON EACH ROTATION

[PCT.]{.underline} On this rotation, the fellow's experiences may
include some combination of the following: a series of skills-based
(e.g., Stress Management for PTSD, Seeking Safety, DBT) and/or PTSD
process/integration groups, individual psychotherapy utilizing
manualized CBT techniques such as cognitive processing therapy (CPT),
psychoeducation (covering PTSD symptom management, psychophysiology of
PTSD, sleep disorders, etc.), family therapy with a systems oriented
approach, PTSD consultation to the medical center and interprofessional
team meetings. Fellows gain leadership and administrative experience in
leading a weekly team meeting of the PCT staff and trainees. While on
the PCT rotation, the fellow presides over a weekly seminar that reviews
the empirical literature pertaining to a number of different topics
relevant to PTSD, including: epidemiological research findings,
diagnostic research, treatment research (e.g., relative efficacies of
group and individual therapies, research on cognitive behavioral,
psychodynamic, exposure therapies), physiological findings in PTSD,
psychopharmacology of PTSD treatment, and cultural factors in the
expression of and treatment for PTSD within various subpopulations.
Fellows also assist with triaging PTSD patients as they come through the
system, gaining knowledge of co-morbidity issues as well as presenting
cases to the team for evaluation assignment. Fellows will spend 1 hour
each week conducting triage and assessment interviews with OIF/OEF
veterans in the Integrated Primary Care clinic. Fellows will interface
with veterans from a number of conflicts, ranging from World War II to
Operation Iraqi Freedom (OIF). Time assigned is approximately 30-40
hours weekly, two fellows.

[SUPT]{.underline}. The fellow\'s experience on this rotation will
include providing individual and group psychotherapy, case coordination,
diagnostic evaluations and treatment planning for veterans with
co-occurring combat-related trauma and substance use disorders.  Fellows
will provide service to SUPT patients in all phases of SUPT treatment
which initially focuses on psychoeducation and motivational enhancement,
then progresses to an emphasis on substance abstinence and PTSD
management. Fellows also have the opportunity to supervise psychology
trainees (externs and interns) and to participate in the weekly clinical
conference where they may present case formulations and recent research
as well as didactic material presented by SUPT senior staff.   Time
assigned is 10 hours per week for 12 months, two fellows.

[ORT Clinic.]{.underline} The fellow becomes an integral part of the ORT
Team. Training opportunities in the ORT clinic include co-facilitation
of psychotherapy groups, providing individual psychotherapy, conducting
psychodiagnostic and intake assessments, treatment planning/case
coordination, and participation in daily patient rounds and clinical
team meetings and didactics. The fellow will also have the opportunity
to plan, develop, and implement a psychotherapy group of choice with an
intern or extern and supervise. Examples of such groups are DBT, Seeking
Safety, Interpersonal Psychotherapy, Alcohol Recovery, Social Skills,
Anger Management, Harm-Reduction, ongoing process groups, and others.
Additionally, the fellow will develop skills in clinical supervision by
serving as a secondary supervisor for the psychology pre-doctoral
externs and interns. These clinical experiences will be supplemented by
weekly individual supervision by Kellie Rollins, Psy.D. and consultation
with David Kan, MD.  Time assigned is 5-7 hours weekly for 12 months,
Substance Abuse Programs Fellow.

[DAT Team.]{.underline} On this rotation, the fellow conducts a
Mixed-Phase Substance Abuse group twice weekly, co-led with Joan Zweben,
Ph.D. once per week. This group is an ongoing abstinence-based process
group that focuses on substance abuse relapse prevention. The fellow
will attend DAT team meetings once per month to discuss the group
progress and receive clinical supervision with Dr. Zweben, a nationally
recognized leader in the substance abuse field. Substance Abuse Fellow,
3 hours/week.

[Santa Rosa Community Based Outpatient Clinic (SRCBOC]{.underline}). The
fellow plays an integral role in the mental health clinic at the Santa
Rosa Community Based Outpatient Clinic. The fellow completes weekly
psychodiagnostic assessments for new patients, and when applicable,
coordinates patient services, including referrals for psychotherapy,
psychiatry, and social services. The fellow also carries a caseload of
2-5 patients for individual psychotherapy and conducts 1-2 groups per
week. Group opportunities include early and advanced phase treatment
groups for substance abuse; PTSD groups with OIF/OEF, Vietnam, Korean,
and World War II era veterans; anger management groups; seeking safety
groups; and depression and mood management groups. The fellow often
serves as a co-therapist with the primary supervisor. Given the large,
diverse patient base, there is tremendous opportunity to tailor the
rotation to the interests of the fellow, including developing and
implementing new groups. A valuable part of the training program is the
role as supervisor of two psychology externs and active leadership in
the weekly training seminar. The training seminar includes case
presentations and discussion on a myriad of topics including models of
substance abuse treatment, posttraumatic stress disorder, mood
disorders, motivational interviewing, nicotine dependence, genetics of
alcoholism, alcohol withdrawal, and 12-step treatment. Time assigned
8-16 hours per week (negotiable) for the Substance Abuse Programs
Fellow.

[Psychological and Neuropsychological Assessment Program.]{.underline}
The fellow is assigned the direct administration and/or supervision of
assessments that involve particularly complex questions about cognitive
status, neuropsychological issues or complicated issues in personality
and psychopathology of addicted or traumatized patients. In addition to
assessment of complicated or challenging cases involving issues within
PTSD and/or Substance Abuse, this aspect of training offers important
components of supervision and consultation for the fellows, who are
often called upon to supervise psychology trainees in their assessment
efforts with complex patient. Fellows must become proficient in
directing trainees to various background literatures relevant to the
cases being assessed and to present various topics at the weekly PNAP
case conferences. Fellows are expected to conduct one battery
approximately every month.

Other opportunities

[Research.]{.underline} Up to six hours weekly may be allotted for
research activities and should be negotiated with your supervisor. The
fellow may select a research mentor and meet weekly to discuss planned
or ongoing research. The fellow may join one of the existing PTSD or SA
projects and pick a topic of research interest, collaborate in the
development of grants for new research projects, and attend regularly
scheduled research laboratory meetings.

[Leadership.]{.underline} Fellows are treated as junior colleagues. As
such, they will attend the Psychology Faculty Meeting that meets three
times per month and the Psychology Training Committee Meetings unless
they will pertain to fellows. Fellows are also taught supervision skills
and will be secondary supervisors for interns and externs, usually
meeting 1-3 hours per week. Fellows also participate in program
development and take active leadership roles in their assigned clinics.

[Administrative Project]{.underline}. All fellows will choose from an
administrative project to conduct for the year. We feel these tasks are
good practice for employment positions as well as CV enhancers. Examples
of such include Externship Coordinator, Quality Improvement Project,
Organizing Trainee Seminar, etc.

###### FACILITIES/ RESOURCES

The fellow will have an assigned office. Clinical space will be provided
on assigned rotations. The fellow will have a computer in his/her office
which has access to the Internet and on-line literature search resources
as well as word processing and medical record keeping. There is a broad
range of psychological and neuropsychological tests available. Clerical
support is available through each treatment unit as well as through
Psychological Services. The SFVAMC Medical Library has over 350 current
journal subscriptions, 43 of which are mental health related. Medline
and Psych Info searches are provided through the library, as are
numerous other resources. Fellows also have access to the medical
library of UCSF, with its 2,600 current journals and Center for
Knowledge Management services.

APPLICATION INFORMATION

[Eligibility]{.underline}: Candidates MUST be graduates of
APA-accredited doctoral programs in clinical or counseling psychology
and MUST have completed an APA-accredited internship. All requirements
for the doctoral degree must be completed prior to the start of the
fellowship year. Persons with a Ph.D. in another area of psychology who
meet the APA criteria for respecialization training in Clinical or
Counseling Psychology are also eligible. The VA requires that applicants
are US Citizens, men have registered for selective service, and all have
had varicella infection ("chicken pox" or vaccination for such prior to
the start of the fellowship.

[Application:]{.underline} **All application materials must be received
in ONE PACKET by JANUARY 1, 2009**. The application can be found at the
end of this brochure (Appendix F).

[Selection]{.underline}: Selection will involve review of written
application materials and the three letters of reference, and in-person
or telephone interviews with each member of the Fellowship Selection
Committee. Selection criteria will include "goodness of fit" in terms of
complementary interests, attitudes and experience in the areas of PTSD
and SUD, as well as the quality of the applicant's educational,
scholarly and clinical skills.

# 

We will make a decision about accepting a particular individual for
interview as quickly as possible and communicate this decision by phone
or e-mail so that on-site interviews can be scheduled as soon as
possible. We will work hard to make accommodations around your travel
schedule and for your convenience. For applicants whom are accepted to
interview but who cannot afford or arrange for an on-site visit, we will
consider arranging telephone interviews.

Interviews will be scheduled over a four week period from early January
to early February. They will consist of 30 minute individual meetings
with the Director of Training and members of the Fellowship Selection
Committee (which includes supervising staff and current postdoctoral
fellows).

Our postdoctoral fellowship notification date is Thursday, February
26^th^. Candidates will be phoned from 9am to noon PST and either
offered a position or informed of ranking status. Candidates will be
asked to make their decision no later than 24 hours and not to hold more
than one offer at a time. This policy and procedure is consistent with
Dr. Russell Lemle's work to have a Uniform Notification day (UND) for
all postdoctoral fellowship programs. This can be further explained
during your interview with Dr. Rollins.

For questions about the status of your file and for other
administrative/technical questions, please call Makoto Horiuchi, our
Psychology Administrator, at (415) 750-2004 or email him at
makoto.horiuchi@va.gov.

If you have more substantive questions relating to the fellowship,
please feel free to email Dr. Rollins at <Kellie.Rollins2@va.gov> or
speak with any of the direct faculty.

**[Appendix A]{.underline}**

**FACULTY BIOGRAPHIES**

***Keith R. Armstrong, L.C.S.W.*** is the Director of the Family Therapy
Clinic, the social workers in mental health service and is a Clinical
Professor of Psychiatry at the University of California, San Francisco.
He is also a member of the Posttraumatic Stress Disorder Program. Prior
to his 19 years of outpatient work at the VA he was the inpatient social
worker for the VA\'s Psychiatric Inpatient Unit. He received his masters
degree in Social Work from University of California, Berkeley in 1984.
He is author of clinical and research articles and chapters addressing
the treatment of traumatized individuals and families. He co-authored
*Courage After Fire*, a self-help book for returning Iraq and
Afghanistan veterans and their families. In 2005 he was given his 4th
excellence in teaching award by the University of California Psychiatry
Residents Association. In 2005 he also won the Excellence in Direct
Teaching Award by the Haile Debas Academy of Medical Student Educators.
He also maintains a private practice in the Bay Area.

***Peter Banys, M.D., M.Sc.*** is the Chief of the Substance Abuse
Programs and the Substance Abuse Physician Fellowship at the SF-VAMC for
over 25 years. Dr. Banys has developed a phase model of recovery that
guides treatment in these programs. He is Health Sciences Clinical
Professor of Psychiatry at UCSF. Twenty-five fellows have completed the
fellowship and have obtained junior faculty appointments at UCSF,
Stanford, University of Pennsylvania, Yale and elsewhere. Others have
gone to work for Kaiser Permanente, City and County of San Francisco,
and other community agencies such as the Haight Ashbury Free Clinics. He
is active in clinical research and is a co-investigator in two NIDA
sponsored research centers. Dr. Banys was educated at Harvard University
(as a National Merit Scholar), the London School of Economics and
Political Science (M.Sc. in Social Psychology), and obtained his MD from
Case Western Reserve School of Medicine in 1973. He is a Past-President
of the California Society of Addiction Medicine and a member of the
Executive Boards of the California Society and the American Society of
Addiction Medicine. Dr. Banys is the recipient of the Federal Employee
of the Year Award from the VA, and the Vernelle Fox Award from CSAM for
Excellence in Physician Teaching. He sits on the State Advisory
Committee for the California

Department of Alcohol and Drug Programs. He is listed in Best Doctors in
America. In 2006 he began consulting to the government of Vietnam about
development of addiction treatment programs in-country.

***Steven L. Batki, M.D.*** directs the Addiction Psychiatry Research
Program at the San Franciosco VA Medical Center, within the UCSF
Department of Psychiatry. Prior to his return to UCSF, Dr. Batki had
served as Professor and Director of Research in the Department of
Psychiatry at the State University of New York (SUNY) Upstate Medical
University from 1999 to 2007. Dr. Batki completed his psychiatry
training at UCSF where he taught, directed clinical services, and
conducted clinical research from 1983 to 1999. In his previous roles at
UCSF, he was Clinical Professor of Psychiatry and Director of the
Division of Substance Abuse and Addiction Medicine at San Francisco
General Hospital until his move to SUNY Upstate Medical University in
1999. Dr. Batki engages in clinical research in addiction psychiatry and
psychopharmacology with a focus on the treatment of addiction and
comorbid mental illness and medical disorders. His NIAAA-funded research
addresses the treatment of alcohol problems among individuals with
schizophrenia. His NIDA project is aimed at improving the treatment of
injection drug users with chronic Hepatitis C infection. Dr. Batki's
research at the San Francisco VAMC will continue to focus on
psychopharmacology and addiction comorbidity with schizophrenia as well
as PTSD.

***Timothy P. Carmody, Ph.D.*** is Director of the Health Psychology
Program and Psychology PRIME Programs. He is a Clinical Professor in the
Department of Psychiatry, UCSF, and has been a member of the
Psychological Services staff since 1985. Dr. Carmody received his
doctorate in clinical psychology from the University of Montana in 1977
and spent eight years on the faculty in the Department of Medical
Psychology at the Oregon Health and Sciences University. His
professional interests include nicotine dependence, chronic pain,
behavioral factors in the prevention and treatment of coronary heart
disease, stress/anxiety management, biofeedback, and obesity/weight
control. He is affiliated with the Department of Psychiatry's Treatment
Research Center in which he directs a clinical trial on tobacco use
cessation in alcohol-dependent smokers. He has published in a variety of
areas in behavioral medicine including smoking cessation, pain
management, dietary management of hyperlipidemia, coronary risk factors,
coronary-prone behavior, and medical adherence. Dr. Carmody has been the
recipient of a Research Career Development Award from the National
Heart, Lung, and Blood Institute (NHLBI) and he has served on several ad
hoc grant review committees for NHLBI. His research has been funded
through the VA HSR&D and RR&D Programs, NIDA, and the University of
California Tobacco-Related Diseases Research Program. He serves as an
editorial consultant to several professional journals and as a member of
the editorial board for the *Journal of Clinical Psychology in Medical
Settings*. He also serves as a member of the VA's National Technical
Advisory Group for tobacco use cessation, membership committee for the
APA Division 18/VA section, and Evidence-Based Behavioral Medicine
Committee for the Society of Behavioral Medicine.

***Caitlin Hasser, MD*** is a staff psychiatrist in the PTSD clinical
team where she provides clinical services to veterans, supervises
residents, and participates in the case conferences and seminars. While
she provides care to both men and women, she focuses on the needs of
traumatized women including combat trauma, military sexual trauma, and
civilian traumas. She also works as a consultant to the Women's Clinic,
a multidisciplinary clinic designed to provide comprehensive services to
women veterans. Her role is to perform psychiatric consultation and
ongoing treatment to women referred by their primary care providers. She
is working to increase the services provided to women as well as
educational opportunities for trainees in this integrated setting. She
also provides telemental health consultation and treatment to women
veterans in the community based outpatient clinics. She has published in
the area of depression and pregnancy. She received her MD at the
University of Virginia and trained at UCSF. She is currently a clinical
instructor in the Department of Psychiatry at UCSF School of Medicine.

***Ellen Herbst, M.D.*** is an Assistant Clinical Professor of
Psychiatry at UCSF. She is the Medical Director of the Substance Abuse
Day Hospital (SADH) at the VA Medical Center, an intensive outpatient
day program for patients with substance use and dual-diagnosis
disorders. She has extensive clinical experience working with veterans
with chronic mental illness, with a particular interest in substance use
disorders, women\'s health, and post-traumatic stress disorder. In 2005,
Dr. Herbst helped to design and implement a clinical trial investigating
the effectiveness of D-cycloserine medication treatment combined with
cognitive behavioral therapy for post-traumatic stress disorder. She
also has a strong commitment to teaching and regularly supervises UCSF
psychiatric residents, fellows, and medical students.

***Eunie Jung, Ph.D.,*** is a staff psychologist on the Posttraumatic
Stress Disorder Clinical Team (PCT). Dr. Jung completed her internship
and postdoctoral training at the San Francisco VA Medical Center after
receiving her doctorate in Clinical Psychology from UCLA in 2007. Within
the PTSD clinical program, Dr. Jung conducts evaluations, leads process
and skills-based therapy groups, and sees patients for individual
therapy. Included among the groups she leads are a Vietnam Medics
Process Group, a group for spouses/partners of veterans with PTSD, and
stress management and wellness groups. Dr. Jung specializes in
psychodynamic and skills-based therapies for PTSD. She provides
supervision to psychology interns, externs and fellows, teaches
psychiatry residents in training with the PCT, and participates in the
PCT educational seminar. Her clinical and research interests include
culture and diversity issues in treatment, mindfulness and meditation,
and comorbid substance abuse and PTSD. Dr. Jung is also the Chair of the
Diversity Committee at the SFVAMC.

***David Kan, M.D.*** is the Medical Director of the ORT clinic.  He
received his medical degree from Northwestern University Medical School
and completed his psychiatry residency at UC San Francisco.  He has also
completed a Forensic Psychiatry Fellowship.  He has supervised
psychiatry and psychology trainees in the ORT and Substance Abuse Day
Hospital.  His professional interests include addiction treatment,
forensic psychiatry and assessment and treatment of special populations
including the criminal justice populations.  He also works part time for
the City and County of San Francisco conducting evaluations and risk
assessments.  He is a member of the SFVAMC psychotherapeutic medications
committee.

***Dawn Lawhon, PhD*** is a staff psychologist on the Posttraumatic
Stress Disorder Team (PCT). After receiving her Ph.D. in Clinical
Psychology and Women's Studies from the University of Michigan (2004),
Dr. Lawhon completed a clinical post-doctoral fellowship in PTSD at the
San Francisco VAMC (2005) and a NIDA-funded research fellowship in
substance abuse treatment at the University of California, San Francisco
(2007).  Dr. Lawhon's research focuses on family systemic issues of
individual treatment (e.g., how a patient\'s significant other affects
and is affected by the patient's involvement in treatment, and in turn,
how such systemic processes might be used to increase treatment
adherence and efficacy).  Other interests include psychotherapeutic
issues of race, gender, class, and sexual orientation. Within the PTSD
clinical program, Dr. Lawhon conducts evaluations, leads therapy groups,
and treats patients in individual therapy, with emphasis on enhancing
motivation for treatment and recovery from military sexual trauma.   She
serves as PCT Intake Coordinator, and also oversees coordination and
provision of mental health services for Afghanistan and Iraq War
veterans through an integrated clinic located in Primary Care.  Dr.
Lawhon specializes in psychodynamic, interpersonal, and
self-psychological approaches to treatment, and also conducts prolonged
exposure therapy for PTSD.  She provides supervision to psychology
interns, externs and fellows, teaches psychiatry residents in training
with the PCT, and participates in the PCT educational seminar.

***Russell Lemle, Ph.D.*** is Chief Psychologist, Mental Health Service
and Associate Clinical Professor, UCSF Medical School, Department of
Psychiatry. He obtained his doctorate from SUNY at Buffalo in 1979. He
completed his predoctoral internship at UCLA Neuropsychiatric Institute
in 1978 and his postdoctoral   fellowship in Family Therapy at Langley
Porter Psychiatric Institute. Between 1984 and 1993, he was Chief of the
SFVAMC Outpatient Alcohol Clinic, during which period he authored
clinical articles on alcohol treatment and etiology. He became the Chief
Psychologist in 1992 and  interimly served as  Director of Psychology
Training 2003 -2008 . Other areas of professional interest and teaching
include existential/process psychotherapy and couples and group therapy.
Dr. Lemle is on the Planning Committee of the yearly national VA
Psychology Leadership Conference and trainees are encouraged to attend
the conference. In 2005, he received an APA Presidential Citation for
his significant contributions to national VA Psychology issues. Dr.
Lemle is a Fellow in the APA Division 18 (2004).

***Shira Maguen, Ph.D**.* is a Staff Psychologist on the Posttraumatic
Stress Disorder Clinical Team (PCT). Dr. Maguen completed her internship
and postdoctoral training at the National Center for PTSD at the VA
Boston Healthcare System after receiving her doctorate in Clinical
Psychology from Georgia State University. She is involved with both the
clinical and research components of the PTSD program. Within the PTSD
clinical program, Dr. Maguen conducts evaluations, leads therapy groups,
and sees patients for individual therapy. She is involved in the
provision of services for the returning Afghanistan and Iraq War
veterans, including working as part of the Integrated Care Clinic and
facilitating an OIF/OEF Reintegration Group. Dr. Maguen specializes in
evidence-based cognitive behavioral therapies, including Cognitive
Processing Therapy (CPT) and Prolonged Exposure (PE) Therapy and for
PTSD.  She leads the CPT seminar and supervision group offered through
the PCT. She provides supervision to psychology interns, externs and
fellows, teaches psychiatry residents in training with the PCT, and
participates in the PCT educational seminar. Her research interests fall
under the umbrella of PTSD and include risk and resilience factors in
veterans, the psychological impact of exposure to death and dying in
Iraq War veterans, complicated grief, and coping with the ongoing threat
of terrorism in countries such as Israel.

 

***Charles Marmar, M.D.*** is a Professor of Psychiatry in the
Department of Psychiatry at the University of California. Dr. Marmar is
currently Associate Chief of Staff, Mental Health Service at the SFVAMC,
and the Vice Chair of the Department of Psychiatry, UCSF. Dr. Marmar is
internationally recognized as one of the outstanding figures in the
field of Posttraumatic Stress Disorder. His publications are prolific
and varied.

Dr. Marmar earned his MD from the University of Manitoba, Canada in
1970. He subsequently completed a residency in psychiatry at the
University of Toronto, and was the R. Samuel McLaughlin Research Fellow
in Stress and Anxiety, in the Psychiatry Department at the UCSF, from
1977-78. Dr. Marmar is engaged in a broad range of research areas in
PTSD. He is examining the nature of acute stress response and risk
factors for acquiring PTSD and resiliency in preventing it. Closely
linked to this effort is Dr. Marmar's inquiry into neurobiologic
mechanisms of PTSD, including: studies of sleep, neuroendocrine changes,
sensory gating, event-related potential and neuroanatomic changes. He
has been an important contributor to the development of a manualized
form of trauma-focused group therapy, which is being tested in the
national multi-site VA Cooperative Study 420, the largest study of its
kind, for PTSD ever undertaken. Dr. Marmar is one of the world's experts
on the question of dissociation and PTSD. Dr. Marmar is the Associate
Director of the Mental Illness Research, Education and Clinical Center
(MIRECC) recently awarded to Sierra Pacific VISN 21. He is the director
of the PTSD core of the MIRECC.

Dr. Marmar has served as president of two major research societies, The
Society for Psychotherapy Research and the International Society for
Traumatic Stress Studies. He has served as the Chairman of the Violence
and Traumatic Stress Initial Review Group at NIMH, the Scientific
Advisory Board to the National Vietnam Veterans Readjustment Study and
the Department of Veterans Affairs Deputy Assistant Secretary\'s
Resource Committee for PTSD. Dr. Marmar has served as an editorial board
member and reviewer for numerous scientific journals. He is the founder
and was the Director of the Posttraumatic Stress Disorder Program at the
San Francisco VA Medical Center until 1996.

Dr. Marmar has received a number of honors for his scientific
contributions and community service including the Robert Laufer Memorial
Award for Outstanding Scientific Achievement from the International
Society for Traumatic Stress Studies and the Department of Veterans
Affairs Chief Medical Director\'s Honor Award for public service after
the Loma Prieta earthquake*.*

***Thomas Neylan, M.D.*** received his medical school education from
Rush Medical College, graduating in 1984, and completed his psychiatry
residency at the University of Pittsburgh. He began his research
training at the University of Pittsburgh in a NIMH funded clinical
research fellowship. He is currently the Director of the PCT.  Dr.
Neylan is an Associate Professor of Psychiatry in Residence at the
University of California School of Medicine, San Francisco. Dr. Neylan
has been an active researcher in the study of sleep, psychopharmacology,
and Posttraumatic Stress Disorder for the past 18 years. He is the
Principal Investigator (PI) on a National Institutes of Health grant
studying the role of the PTSD and gender on endocrine sleep regulation.
He is also the PI on a Veterans Affairs Administration grant study the
effects of prazosin on sleep polysomnography in PTSD, and a Department
of Defense grant studying gene expression arrays in PTSD. He is a
Co-Investigator on an NIH funded study of the responses of police
officers to traumatic exposure and a Department of Defense study of
magnetic resonance imaging and spectroscopy in veterans who served in
the Persian Gulf War.

Dr. Neylan has first-authored multiple articles in prominent psychiatric
journals including the Archives of General Psychiatry, the American
Journal of Psychiatry, Neuropsychopharmacology, Journal of Clinical
Psychiatry, Biological Psychiatry, Journal of Traumatic Stress, and
Psychosomatic Medicine. He has presented his research at national
meetings such as the American Psychiatric Association, the American
College of Neuropsychopharmacology, the American Sleep Disorders
Association, and the International Society for Traumatic Stress Studies.
Dr. Neylan serves on the National Institutes of Health, Center for
Scientific Review, Adult Psychopathology and Disorders of Aging Study
Section.

***Nancy Odell, L.C.S.W***. is a clinical social worker on the Substance
Use/ Posttraumatic Stress Team (SUPT) and an Associate Clinical
Professor at the UCSF Medical School, Department of Psychiatry. She
received her graduate degree in Clinical Social Work from Boston College
and worked at the National Center for Posttraumatic Stress Disorder
prior to working at the San Francisco VA Medical Center. She provides
group supervision for psychiatry residents and coordinates the SUPT
Clinical Training Seminar. Ms. Odell participated in an inter-cultural
exchange in the Republic of Vietnam. She traveled to Vietnam and met
with various mental health professionals, university and government
officials to exchange treatment information on Posttraumatic Stress
Disorder and substance use disorders. She participated in a treatment
outcome study with Stanford University investigating the effectiveness
of group psychotherapy for women diagnosed with Posttraumatic Stress
Disorder from childhood sexual abuse. She has participated in MIRECC
funded studies in the treatment of PTSD and is currently involved in an
exposure based treatment for Iraq/Afghanistan veterans. She has specific
training in Control Mastery and her orientation is cognitive/ behavioral
and psychodynamic. Ms. Odell has a private practice in San Francisco.

***Patrick Reilly, Ph.D.*** is a staff psychologist at the Santa Rosa VA
Community Based Outpatient Clinic and the San Francisco VAMC, and
Professor of Clinical Psychology at the University of California, San
Francisco. He received his doctorate in counseling psychology from
Stanford University in 1989, where he was an American Psychological
Association Minority Fellow. His professional interests include
substance abuse treatment, anger management, and the treatment of
violent behavior. He currently has administrative, clinical, and
teaching duties at both the Santa Rosa VA and the San Francisco VAMC. He
has completed research studies with the San Francisco Treatment Research
Center and the San Francisco VAMC on group treatment of anger management
for drug treatment patients, and is currently a co-investigator on a
PTSD and anger management study at the Honolulu VAMC. He has also served
as a co-investigator on cocaine treatment studies and 180-day methadone
detoxification protocols. He has received several awards including the
2003 Apex Award for publication excellence for his cognitive-behavioral
anger management treatment manual; the American Psychological
Association, Division 18, VA Section, Outstanding Administrator Award
for 2002; and the 1999 Interdisciplinary Achievement Award by the
Langley Porter Psychiatric Institute Alumni-Faculty Association at UCSF.
His publications include "Anger Management for Substance Abuse and
Mental Health Patients: A Cognitive- Behavioral Therapy Manual" through
the Center for Substance Abuse Treatment, SAMHSA, "Anger Management
Group Treatment for Cocaine Dependence: Preliminary Outcomes" in the
American Journal of Drug and Alcohol Abuse, "Self-Efficacy and Illicit
Opioid Use in a 180-Day Methadone Detoxification Treatment" in the
Journal of Consulting and Clinical Psychology, and "Anger Management and
Temper Control: Critical Components of Posttraumatic Stress Disorder and
Substance Abuse Treatment" in the Journal of Psychoactive Drugs.

***Kellie Rollins, Psy.D.*** is the Director of Psychology Training and
the Clinical Supervisor of the Substance Abuse Programs, Opioid
Replacement Treatment Clinic (ORT). Dr. Rollins received her doctorate
degree from Nova Southeastern University and subsequently completed
postdoctoral fellowship at San Francisco VA Medical Center specializing
in the treatment of co-occurring substance use disorders and
posttraumatic stress. Prior to her fellowship, she completed predoctoral
internship in the women's acute inpatient psychiatry unit at Harvard
Medical School/Boston VA Healthcare System and received specialized
training in severe psychopathology and longer term psychodynamic and
interpersonal/relational psychotherapy. Dr. Rollins also spent many
years employed in supervisory roles in residential facilities for
severely mentally ill and acute psychiatry in Little Haiti, Miami. Dr.
Rollins' specific interests include education and training, and the
psychological assessment and treatment of individuals with co-occurring
substance use disorders and psychiatric/characterological disorders. She
also serves on the Board of Directors of San Francisco Psychological
Association and is active in other professional organizations such as
California Psychological Association and the VA Training Council. She is
Chair of the Quality Improvement for the Substance Abuse Programs and
serves on a number of administrative and planning committees for the
Medical Center.

***Martha Schmitz, Ph.D.*** is a psychologist with both research and
clinical responsibilities.  She coordinates a V.A. clinical research
project (CSP #504) studying the effectiveness of Risperidone (Risperdol)
in managing symptoms of PTSD.  She offers both present-centered and
past-centered (e.g., *Prolonged Exposure*) individual psychotherapy to
veterans with MST and combat-related PTSD.  She also facilitates several
groups, including an interpersonal process group for Vietnam veterans,
an Anger Management group for OEF/OIF veterans, and a psychoeducational
group for veterans of all eras.  For the past 5 years, Dr. Schmitz has
offered continuing education workshops and supervision in *Seeking*
*Safety*, a cognitive-behavioral therapy for PTSD and substance abuse,
to mental health professionals throughout the United States. 

***John Straznickas, M.D.*** is the Team leader for the Substance Use
Posttraumatic Team (SUPT) and a staff attending psychiatrist in the
Substance Abuse Outpatient Clinic (SAOPC) at the San Francisco VA
Medical Center.  He is an Associate Clinical Professor in the Department
of Psychiatry at the University of California, San Francisco School of
Medicine, and has received several teaching awards from the residents in
psychiatry including the Excellence in Teaching Award in 2004 and 2007. 
He leads the substance abuse seminars for the psychiatry residents and
the psychology interns, supervises psychology fellows, interns,
residents and medical students. Dr. Straznickas received his medical
degree from Duke University and is a graduate of the UCSF psychiatry
residency program.

***Victoria Tichenor, Ph.D***., is the Director of Training and the
coordinator for individual therapies in the PCT. Dr. Tichenor is one of
the founders of the Family Therapy and women's clinical services
components of the PTSD Program. Dr. Tichenor received her Ph.D. in
Counseling Psychology at the University of Maryland (1989), and is
currently is an Assistant Clinical Professor of Psychiatry at the UCSF.
She has been a member of the PCT staff since 1989. She has published
articles on the relationship of peritraumatic dissociation and PTSD in
female Vietnam Theater veterans therapeutic alliance on psychotherapy
process.

***Angie Waldrop, Ph.D*.,** is a psychologist and researcher. She
received her doctorate in clinical psychology from the University of
Missouri-St. Louis. She completed her clinical internship and a
NIMH-funded research postdoctoral fellowship at the Medical University
of South Carolina (MUSC), primarily at the National Crime Victims
Research and Treatment Center. After four years on the Psychiatry
faculty at MUSC in the Clinical Neuroscience Division, she joined the
Psychiatry faculty at UCSF and is a Staff Psychologist at the San
Francisco VAMC. Her research interests include comorbidity of cocaine
dependence and PTSD, role of impulsivity in risky behaviors, HIV risk
behaviors, associations between stress reactivity and addiction.
Clinical expertise is in the treatment of PTSD, anxiety and mood
disorders, substance use disorders.

***Joan Zweben, Ph.D.*** obtained her doctorate in 1971 from the
University of Michigan. She is part time staff psychologist at the VA
where she supervises trainees in issues related to the treatment of
addiction. Dr. Zweben is a Clinical Professor in the Department of
Psychiatry, UCSF Medical Center. Dr. Zweben is an APA Fellow in the
Addiction Division since 1997. She is also Director of the Fourteenth
Street Clinic and East Bay Community Recovery Project in Oakland, an
outpatient drug program with psychological and medical services. Dr.
Zweben is widely known as a consultant in the area of drug and alcohol
treatment. She has numerous publications and is on the editorial board
of the Journal of Psychoactive Drugs. She does consulting and training
in a wide range of drug and alcohol treatment modalities.

#### **Appendix B**

######### **[POSTDOCTORAL FELLOWSHIP SEMINARS AND EDUCATIONAL OFFERINGS]{.underline}**

####### **[Fellows Professional Meeting/Seminar with Director of Training]{.underline}**

Dr. Rollins meets biweekly with fellows for 60 minutes. The time is
devoted to checking in about their fellowship experiences and focus on
the development of generalist skills pertaining to being an advanced
professional psychologist. Supervision, consultation, leadership,
ethics, cultural diversity, licensure and career direction issues are
discussed. Completion of the EPPP prior to the end of the fellowship
year will be strongly encouraged and alternating weeks may be used as
study time. Additionally, presentations and didactics will be offered
based on fellows' interest and agenda.

####### **[UCSF Seminars]{.underline}**

Fellows will attend UCSF Clinical Seminar at UCSF for 12 weeks of the
year. This seminar focuses on evidence-based clinical interventions,
career development, and licensure issues. This seminar also provides the
opportunity to meet with fellows outside of the VA and other UC Faculty.
In addition to the Clinical Seminar Series, there is also a research/
professional development seminar that meets weekly.  This earlier half
of the seminar series covers topics such as making presentations, grant
writing, work-life balance, lab management etc, and the later seminars
are usually job talk/ presentations from the current fellows. 

####### **[Substance Abuse Faculty Seminar]{.underline}**

The Substance Abuse Faculty Seminar is a weekly collegial 90-minute
forum required for post-doctoral fellows. It is chaired by Joan Zweben,
Ph.D., an APA Division 50 fellow and author of numerous books, articles
and papers on the treatment of addiction, and Peter Banys, MD, past
president of the California Society of Addiction Medicine, and Chief of
Substance Abuse Programs at San Francisco VA Medical Center.  Attendees
include SAP staff psychiatrists, staff psychologists, psychiatry
residents, post-doctoral fellows, pain fellows, medical students,
substance abuse externs, invited professionals from the community, other
trainees and core faculty. This advanced seminar covers the full range
of the scholarly underpinnings of substance abuse treatment, including:
the basics such as stages of change, motivational interviewing,
psychosocial treatments of addiction, also legal and political issues
affecting the substance abuse field, medical literature and medical
interventions relevant to substance abuse, issues pertaining to special
populations (e.g., nicotine use in pregnant women, use of prescription
medications in adolescents, methamphetamine use in gay men, alcohol use
in the elderly), specific substances including "club drugs", history of
substance abuse field, "myths of addiction", etc. There are required and
recommended readings. PCT fellows are required to present at least twice
during the year and SAP fellows present three times (one may be a case).

####### **[PTSD Seminar]{.underline}**

The weekly one hour PTSD Seminar is run by the fellow during his/her
PTSD semester, under the supervision and direction of Victoria Tichenor,
Ph.D.  It is attended by a multidisciplinary staff of psychologists,
psychiatrists, nurses, social workers, predoctoral psychology interns,
post-doctoral fellows, and psychiatry fellows and residents. At the
beginning of the training year, meetings consist of didactic
presentations covering epidemiology of PTSD, assessment of PTSD,
characteristics of our population, physiology of PTSD,
psychopharmacology, and various interventions such as exposure,
information processing and psychodynamic therapies. Following this
introductory phase, trainees present both assessments for disposition
and cases for clinical discussion.  Clinical research investigators are
invited to discuss their ongoing research in the seminar as well.  In
addition to presenting cases, the post-doctoral fellow would present a
topic of interest during one of the later didactic sessions.

 

####### **[PTSD Conferences]{.underline}**

As a core site for the VISN 21 Mental Illness Research, Education and
Clinical Center (MIRECC), the PTSD Program sponsors monthly VTEL grand
rounds teleconferences, mini-residencies at the VA Palo Alto Healthcare
System, and regular network meetings.  Topics focus on cutting edge
scientific findings and clinical applications regarding dementia in PTSD
patients and advanced PTSD principles in sexual assault and combat. PTSD
fellows also participate in mental health grand rounds and are involved
in organizing topics and speakers.

**[SUPT Clinical Conference]{.underline}**

This is a one hour meeting held biweekly among all the interprofessional
staff and trainees of the SUPT program, including the post-doctoral
psychology fellows, a psychology intern and an extern.  The conference
alternates between case presentations (including psychodynamic and
Acceptance and Commitment Therapy formulations of patients with PTSD and
Substance Abuse), and didactic presentations of material relevant to the
formulation and treatment of these populations (including the
neurobiological underpinnings of addiction).  The fellows have the
opportunity to present on their clinical cases and their relevant
research.

**[ORT Team and Administrative Meetings]{.underline}**

Drs. Rollins and Kan lead a weekly 1.5 hour Clinical Team Meeting that
includes interviews of new patients, development of treatment plans,
case discussions, treatment planning, and reports on group therapies.
There is also a weekly 1 hour Administrative Meeting to discuss workings
of the clinic, federal guidelines, standards of practice, medical
updates, and quality improvement. Fellows are invited to contribute
innovative ideas for patient care, clinical opportunities, and unit
improvements in these meetings.  

**[Santa Rosa CBOC Seminar]{.underline}**

One hour weekly. Topics include models of substance abuse treatment,
posttraumatic stress disorder, mood disorders, motivational
interviewing, nicotine dependence, genetics of alcoholism, alcohol
withdrawal, and 12-step treatment. Recommended readings are assigned
throughout the year.

####### **[Mental Health Grand Rounds]{.underline}**

##### At San Francisco VA Medical Center, Mental Health Service Grand Rounds are held monthly for one hour. Fellows are encouraged to help plan and organize a Grand Rounds series. At UCSF, the Department of Psychiatry sponsors grand rounds weekly. They are one hour forums where invited nationally recognized experts and university faculty present on cutting edge research, and clinical innovation. 

##### Advanced Psychotherapy Seminar

A weekly Advanced Psychotherapy Seminar is taught by Mardi Horowitz,
M.D. who is the Director of the Center on Stress and Personality at
UCSF. Dr. Horowitz has been a pioneer in the understanding and treatment
of trauma-related problems. UCSF and SFVAMC psychiatrists,
psychologists, social workers, psychology interns, psychiatry residents,
psychology fellows, and social work interns attend this seminar. It
focuses on planning, formulating and conducting psychotherapy from Dr.
Horowitz' blend of psychodynamic, interpersonal, cognitive-behavioral
and family system approaches. Videotaped session review, consultation of
case material, discussions of selected readings, and lectures form the
basis of the seminar. Topics involving trauma and trauma-related
problems such as PTSD or bereavement are often discussed, particularly
as they manifest in relation to varying personality styles or
structures.

### Neuropsychological and Psychological Assessment Seminar

A weekly Neuropsychology and Psychological Assessment Seminar is taught
by Johannes Rothlind, Ph.D., the director of the Neuropsychological and
Psychological Assessment Program. The seminar provides a review of
important foundations for clinical neuropsychological assessment. It
includes a review of functional neuroanatomy, and advanced training in
psychological and neuropsychological assessment and methods of
psychological and neuropsychological consultation. In the seminar,
trainees review clinical neuroscience literature pertaining to a variety
of neuropsychiatric syndromes, including developmental disorders, ADHD,
head trauma, PTSD, substance-abuse related dementia, normal cognitive
aging, other dementing illnesses and Axis I and II disorders.
Participants in the seminar examine clinical cases and develop advanced
proficiency in integrating psychometric findings, history, and mental
status examination in case-formulation, diagnosis, and treatment
planning. Fellows are encouraged to attend when schedule permits and
will present and preside over selected case conference meetings where
topics of relevance to PTSD or Substance Abuse are discussed.

**[Family Therapy Supervision]{.underline}**

Fellows have the opportunity to carry a family therapy case and receive
weekly supervision from Keith Armstrong, LCSW, Director of the Family
Therapy Program. Didactic topics also might include domestic violence
and relational conflict, determination of therapeutic focus with
operationalized goals, and modalities of family therapy.

**[UCSF Writer's Task Force]{.underline}**

The Writer's Task Force (WTF), led by Drs. Joseph Guydish and Carmen
Masson, meets twice per month from December to May of each year, assists
postdoctoral fellows in honing their writing skills and focuses on
scientific presentation including manuscript writing, and poster and
oral presentation, as well as on the technical and practical aspects of
manuscript publication from the perspective of journal editors and
professional editors.  In the WTF session for 2006-2007 there were 10
participants (including the co-leaders), including 8 postdoctoral
trainees from NIDA funded T32 program.  From its inception in 1992, the
WTF has reviewed 147 papers and, of these, 65% were submitted and 56%
were published.  For the current WTF session (2006-2007), 8 papers have
been reviewed and one has been submitted.  The 2006-2007 session also
included presentations on Writing an Effective Grant Proposal, Where to
Publish Your Paper , and Strategies for Secondary Data Analysis.

**[Psychology Diversity Committee]{.underline}**

The Diversity Committee is open to all fellows, interns and faculty
members and meets once monthly with the following goals: 1. To provide a
forum for psychology interns, postdoctoral fellows, externs, and faculty
members to discuss cultural and diversity issues as they arise in
clinical practice; 2. To increase training in cultural competence with
regard to the full range of diversity represented by our patients,
including ethnicity, race, gender, sexual orientation,
religion/spirituality, age, social class, and physical status; and 3. To
increase and maintain cultural diversity among our psychology interns,
postdoctoral fellows, externs, and faculty members with regard to
ethnicity, gender, and sexual orientation.

**[UCSF Diversity Committee]{.underline}**

Fellows may also attend the monthly UCSF Diversity Committee meeting at
Langley Porter (the first Tuesday of every month from 12-1). The
Committee has a mission statement similar to our VA Psychology Diversity
Committee and is advisory to the Chair of Psychiatry for issues of
diversity and diversity training. A member of the Diversity Committee is
assigned to every psychology staff search committee in the Department.
The committee sponsors the Annual Evelyn Lee Visiting Scholar Grand
Rounds and Lectures every year (presenters thus far:  Robert Carter,
Monica McGoldrick, Stanley Sue). The committee also completes occasional
reports on the topic of diversity (e.g.  The Ethnic and Gender Faculty
Report).

**[Psychology Predoctoral Intern Seminar]{.underline}**

This weekly seminar is mandatory for predoctoral interns and is optional
for fellows. Fellows are welcome to attend if there is a topic of
interest or one that is needed for licensure. Psychology Faculty and
community professionals speak on a range of relevant topics.

**[Palo Alto VAMC Trainings]{.underline}**

The Palo Alto VAMC sponsors many trainings and courses for all of the
topics. Many are required to achieve initial California licensure as a
psychologist. Fellows are invited to attend at no cost.

In addition to the in-house didactic seminars provided within the
fellowship, fellows are apprised of and invited to attend trainings in
PTSD, Substance Abuse or advanced psychological practice. For example,
fellows attend a bi-yearly workshops on Legal and Ethical Update for
Psychologists, and Advances in Supervision given at this Medical Center.
With the \$460 they are (usually) provided to attend conferences, they
can choose from many off-site offerings as well.

**[Appendix C]{.underline}**

**[SAMPLE SEMINAR CURRICULA]{.underline}**

**UCSF CPTP Clinical Seminar Syllabus**

**2007 - 2008**

**2^nd^ and 4^th^ Monday of the month, 3:30-4:30 PM\***

\* unless otherwise indicated

**Location: Room LPPI-226**

**Overview**: A 12-session seminar for pre- and post-doctoral fellows in
clinical psychology focused on evidence-based clinical interventions,
career development, and licensure issues.

**Roles and Responsibilities:** We ask that you come on time and come
ready with questions and comments for our invited speakers. Please let
us know beforehand if you need to miss a session.

**Seminar contacts**: Jodi Prochaska, Ph.D. Janice Tsoh, Ph.D.

Assistant Professor Associate Professor

Ph: 415-476-7695 Ph: 415-502-8438

<JProchaska@ucsf.edu> <JTsoh@lppi.ucsf.edu>

**Dates, Speakers, & Topics:**

October 22: *Surviving the Clinical Licensure Exam*

Rachel Loewy, PhD, UCSF Assistant Adjunct Professor in Psychiatry

Dawn Lawhon, PhD, SF VAMC

Amy Busch, PhD, SFGH Child Trauma Research Project

November 12: NO SEMINAR: Veteran's Day

November 19: *Cultural Adaptations of Psychotherapy*

\*LP-460 Joyce Chu, PhD, Assistant Professor & Associate Director of
Clinical Training

> Pacific Graduate School of Psychology

December 10: NO SEMINAR: CPTP Applicant interviews

December 24: NO SEMINAR: UCSF Holiday

\*January 14: *Psychosocial Aspects of HIV treatment*

3 - 5 pm Mallory Johnson, PhD, UCSF Associate Professor Center for AIDS
Prevention Studies

LPPI-Aud

\*January 28: *Psychological Consequences of Infertility & Fertility
Treatment*

3 -- 5pm Lauri Pasch, PhD, UCSF Assistant Adjunct Professor, Department
of Psychiatry

LPPI-Aud

February 11: *When Patients Die: Effects of Patient Deaths, Including
Suicides, on Therapists*

David Wasserman, PhD, UCSF San Francisco Treatment Research Center

February 25: *Culturally Varied Experiences of Psychopathology*

> Rieko True, PhD, Director of Clinical Psychology MA Japan Program,
> CSPP, Alliant International University

March 10: *Settings for Conducting Clinical Research: Research Clinics
vs. Clinical Settings vs. Clinical Treatment Networks*

Sharon Hall, PhD, UCSF Professor, Department of Psychiatry

\*March 24: *How to Set Up and Run a Clinical Private Practice*

3:30 -- 5pm Russell Lemle, PhD, SF VAMC Psychology Director & Director
of Training

\*April 14: *Working with LGBT Special Populations*

3 -- 5pm Greg Merrill, MSW, UC Berkeley and UCSF/CARTA Fellow

April 28: *Forensic Psychology*

Karen Froming, PhD, UCSF Clinical Supervisor

\*May 12: *Intimate Partner Violence: Assessment, Treatment & Legal
Issues*

3 -- 5 pm Allison Briscoe-Smith, PhD, Pacific Graduate School of
Psychology

LPPI-Aud

May 26: NO SEMINAR: Memorial Day

June 9: *Feedback & Summary*

**PTSD Seminar Schedule**

**[Date]{.underline} [Lecture]{.underline} [Faculty/Staff]{.underline}**

January 20 Current SFVAMC Research Protocols T. Neylan.

January 22 WW II, Korea & Vietnam Wars F. Schoenfeld,

> Byron Wittlin.

& Keith Armstrong,

January 29 Modern Deployment Wars Patrick McGregor

February 5 Biological Bases of PTSD T. Neylan

February 12 Pharmacology I F. Schoenfeld

February 19 Pharmacology II F. Schoenfeld

February 26 CBT As a Treatment Model V. Tichenor

March 4 PTSD Research T. Neylan.

March 11 Debriefing P. Domenici

March 18 DBT G. Basten

March 25 Group Treatment P. Domenici

April 1 Talking About Trauma V. Tichenor

April 8 Case Presentation

April 15 Malingering, Extern Presentation

April 22 Case Presentation

April 29 Termination G. Rhodes

May 6 Case Preentation

May 13 Transpersonal Psychotherapy Group F. Hiatt

May 20 Case Presentation

May 27 EMDR D. Domenici

June 3 Case Presentation

June 17 Team Luncheon

June 24 Feedback

**SUPT Clinical Conference**

**Topic** **Faculty** Date

SUPT Phase Model Part I Odell 8/2

SUPT Phase Model Part II Odell 8/16

Case Presentation Ceppi 8/30

Relapse Prevention Odell 9/13

Pharmacotherapy for comorbid PTSD and Addiction Glatt 9/27

Case Presentation Glatt 10/11

Vietnam War History Koller 10/25

Control Mastery Theory Park 11/8

No Meeting 11/22

Clinical Update on Shame and Guilt Zaslav 12/6

Police Study Ballenger 12/20

Trauma Outcomes Vernon 1/3

Case Presentation 1/17

Systems Centered Group Therapy Karpenko, Straznickas 1/31

Clinical and Cultural Correlates of PTSD Odell 2/14

Case Presentation 2/28

**SUBSTANCE ABUSE SEMINAR**

Wednesdays, 1:00 PM -- 2:30 PM

**2006-07**

July 5: no seminar

July 12: Planning

July 19: Therapeutic Communities -- Joan Zweben

July 25: Psychological Autopsies -- David Kahn

Aug 2: Project COMBINE -- Joan Zweben, et al

Aug 9: no meeting

Aug 16: no meeting

Aug 23: Mendelson

Aug 30: Darryl Inaba

Sep 6: Basic Substance Abuse Issues (David Kan, MD)

Sept 13: Cultural Issues -- Gemma Lopez, MD

Sep 20: Risk Assessment -- David Kan, MD

Sep 27: Psychosocial Treatment of Addiction -- Joan Zweben, Ph.D.

Oct 4: Stimulants -- David Kan, MD

Oct 11: Hypem Protocol -- Peter Banys, MD

Oct 18: Alcohol -- Peter Banys, MD

Oct 25: Alcohol -- Peter Banys, MD (part 2)

Nov 1: Club Drugs -- Kellie Rollins, Ph.D.

Nov 8: No Meeting

Nov 15: Review of Effectiveness of AA -- Lee Kaskutas, Ph.D.

Nov 22: no meeting

Nov 29: Hythiam/Prometa -- Lori Karan, MD

Dec 6: Varenicline for Smoking -- David Sachs, MD

Dec 13: Ellen Herbst, MD Women & Alcohol

Dec 20: Marijuana Psychosis in Adolescents - Catherine Frances, D.O.

Dec 27: no meeting

Jan 3: Planning

Jan 10: Application of DBT to Substance Abuse -- Matt Sacks, Ph.D.

Jan 17: Case Study: PTSD and Substance Abuse -Teo Ernst, Psy.D.

Jan 24: Geriatric Issues - Patrick Dulin, Ph.D.

Jan 31: Women's Issues (Clinical) - Joan Zweben, Ph.D.

Feb 7: Geriatric Issues II -- Patrick Dulin, Ph.D.

Feb 14: Smoking and Pregnancy - Jenny Jordan, MD

Feb 21: PTSD and Exposure Therapy - Gretchen Lindner, Ph.D.

Feb 28: PTSD and Exposure Therapy - Gretchen Lindner, Ph.D.

Mar 7: Prescription Drugs -- David Kan, MD

Mar 14: HIV - Ellen Herbst, MD

Mar 21:

Mar 26: Matt Sacks, TBA

April 4: Matrix Model -- Joan Zweben, Ph.D

April 11: Matrix Model II -- Joan Zweben, Ph.D.

April 18: Pharmacological Treatments for Drug Abuse -- Peter Banys, MD

(with NIDA Fellows, Janice Tsoh)

April 25: Buprenorphine & MET -- Brad Novak, Ph.D.

May 2: HIV/Methamphetamine - Adam Carrico, Ph.D.

May 9: Club Drugs - Jonathan

May 16: Neurobiology of Addiction - John Straznikas, MD. (Peter & JZ
gone)

May 23: (Peter & JZ gone) Cancelled.

May 30: Countertransference -- Kellie Rollins, Psy.D. (Peter gone; JZ
present)

# 

**[Appendix D]{.underline}**

COMPETENCIES AND EVALUATION (Draft)

Fellow Evaluation

Training Year:

Fellow:

Supervisor:

Rotation:

Rating Period: First Mid End

Date:

Please review the competencies in the attached document and rate each
according to the scale provided. Add free text items as indicated by
specific training activity. Calculate the percentage of items rated as
competent for fellow's level of training. Please discuss all of the
narrative, ratings, and scores with the fellow. Also discuss what the
intern might emphasize in his/her continued training. After you have
reviewed all feedback with the fellow, please sign at the end of this
form and return to the Director of Training no later than 2 weeks after
the end of the evaluation period.

Scale:

Please rate the trainee\'s skill level using the scale below.

2 Close supervision needed (mid-practicum level)

3 Some supervision needed (intern entry level)

4 Little supervision needed (intern exit/postdoc entry level)

5 No supervision needed (postdoc exit level)

6 Advanced Practice (Full Performance Level)

N/O Not Observed

Competency Goal for evaluations done at 12 months: At least 80% of items
in competency areas will be rated at a 4 or higher. No items in
competency areas will be rated as a 1. For New Skill area, supervisor
may uncheck items so they will be not be included in percentage
calculation.

Please indicate below what modalities you have used to obtain
information for making your evaluations. Check off all that are
applicable:

\_\_\_\_\_ Interns self-report of interview/therapy sessions

\_\_\_\_\_ Audiotape review of interview/therapy sessions

\_\_\_\_\_ Videotape review of interview/therapy sessions

\_\_\_\_\_ Direct, live observation of interview/therapy sessions

\_\_\_\_\_ Individual supervision sessions

\_\_\_\_\_ Group supervision sessions

\_\_\_\_\_ Observation during team meetings

\_\_\_\_\_ Co-therapy conducted by intern and supervisor

\_\_\_\_\_ Review of written evaluations, care plans, progress notes and
consultations

\_\_\_\_\_ Consultation with team members/other staff

\_\_\_\_\_ Oral case presentations to team

\_\_\_\_\_ Observation during seminars

\_\_\_\_\_ Behavioral measures from interventions

Other:

ASSESSMENT

Please rate the trainee\'s skill level using the scale below.

2 Close supervision needed (mid-practicum level)

3 Some supervision needed (intern entry level)

4 Little supervision needed (intern exit/postdoc entry level)

5 No supervision needed (postdoc exit level)

6 Advanced Practice (Full Performance Level)

N/O Not Observed

+-------------------------------------------------------------+---+---+
| ASSESSMENT                                                  |   | ! |
|                                                             |   | [ |
|                                                             |   | ] |
|                                                             |   | ( |
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|                                                             |   | m |
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|                                                             |   | . |
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|                                                             |   | 0 |
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|                                                             |   | 1 |
|                                                             |   | 3 |
|                                                             |   | 5 |
|                                                             |   | 4 |
|                                                             |   | 1 |
|                                                             |   | 6 |
|                                                             |   | 6 |
|                                                             |   | 6 |
|                                                             |   | 6 |
|                                                             |   | 6 |
|                                                             |   | 6 |
|                                                             |   | 6 |
|                                                             |   | 6 |
|                                                             |   | 6 |
|                                                             |   | 6 |
|                                                             |   | 6 |
|                                                             |   | 6 |
|                                                             |   | i |
|                                                             |   | n |
|                                                             |   | " |
|                                                             |   | h |
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|                                                             |   | = |
|                                                             |   | " |
|                                                             |   | 0 |
|                                                             |   | . |
|                                                             |   | 1 |
|                                                             |   | 3 |
|                                                             |   | 5 |
|                                                             |   | 4 |
|                                                             |   | 1 |
|                                                             |   | 6 |
|                                                             |   | 6 |
|                                                             |   | 6 |
|                                                             |   | 6 |
|                                                             |   | 6 |
|                                                             |   | 6 |
|                                                             |   | 6 |
|                                                             |   | 6 |
|                                                             |   | 6 |
|                                                             |   | 6 |
|                                                             |   | 6 |
|                                                             |   | 6 |
|                                                             |   | i |
|                                                             |   | n |
|                                                             |   | " |
|                                                             |   | } |
|                                                             |   |   |
|                                                             |   |   |
|                                                             |   |   |
|                                                             |   | - |
|                                                             |   | - |
|                                                             |   | - |
|                                                             |   |   |
|                                                             |   |   |
|                                                             |   |   |
|                                                             |   |   |
|                                                             |   |   |
|                                                             |   |   |
|                                                             |   | - |
|                                                             |   | - |
|                                                             |   | - |
+-------------------------------------------------------------+---+---+
| 1\. Diagnostic interviewing skills                          |   |   |
+-------------------------------------------------------------+---+---+
| 2\. Differential diagnostic skills and knowledge of DSM-IV  |   |   |
+-------------------------------------------------------------+---+---+
| 3\. Completes interview within a reasonable time frame      |   |   |
+-------------------------------------------------------------+---+---+
| 4\. Selection of appropriate assessment approaches          |   |   |
+-------------------------------------------------------------+---+---+
| 5\. Administration/scoring of psychological tests           |   |   |
+-------------------------------------------------------------+---+---+
| 6\. Interpretation of psychological tests                   |   |   |
+-------------------------------------------------------------+---+---+
| 7\. Administration/scoring of neuropsychological tests      |   |   |
+-------------------------------------------------------------+---+---+
| 8\. Interpretation of neuropsychological tests              |   |   |
+-------------------------------------------------------------+---+---+
| 9\. Evaluates suicidal concerns and potential for violence  |   |   |
| when appropriate.                                           |   |   |
+-------------------------------------------------------------+---+---+
| 10\. Understands effects of medical conditions and          |   |   |
| medications on psychological functioning                    |   |   |
+-------------------------------------------------------------+---+---+
| 11\. Exhibits advanced knowledge of brain-behavior          |   |   |
| relationships and influence of neurodevelopmental factors.  |   |   |
+-------------------------------------------------------------+---+---+
| 12\. Demonstrates working knowledge of neuroimaging and     |   |   |
| other neurodiagnostic findings.                             |   |   |
+-------------------------------------------------------------+---+---+
| 13\. Clarity and conciseness of report writing              |   |   |
+-------------------------------------------------------------+---+---+
| 14\. Integration of behavioral observations, historical     |   |   |
| data, medical records, and other non-test based information |   |   |
+-------------------------------------------------------------+---+---+
| 15\. Formulates well conceptualized recommendations         |   |   |
+-------------------------------------------------------------+---+---+
| 16\. Communication of results to patients/family members    |   |   |
+-------------------------------------------------------------+---+---+
| 17\. Reliably manages expected work load                    |   |   |
+-------------------------------------------------------------+---+---+
| 18\. Awareness of, and adherence to APA ethical guidelines  |   |   |
| and ethics in assessments                                   |   |   |
+-------------------------------------------------------------+---+---+
| 19\. Awareness and current use of literature, research and  |   |   |
| theory in assessments                                       |   |   |
+-------------------------------------------------------------+---+---+
| 20\. Sensitive to issues of ethnic, cultural, gender, or    |   |   |
| sexual diversity in assessments                             |   |   |
+-------------------------------------------------------------+---+---+
| 21                                                          |   |   |
+-------------------------------------------------------------+---+---+
| 22                                                          |   |   |
+-------------------------------------------------------------+---+---+
| 23                                                          |   |   |
+-------------------------------------------------------------+---+---+
| PERCENTAGE OF ITEMS RATED AS COMPETANT                      |   |   |
+-------------------------------------------------------------+---+---+
|                                                             |   |   |
+-------------------------------------------------------------+---+---+

Competency Goal for evaluations done at 12 months: At least 80% of items
in competency areas will be rated at a 4 or higher. No items in
competency areas will be rated as a 1.

Please provide written comments including 2-3 things the trainee is
doing well and 2-3 things where they could improve.

INTERVENTION

2 Close supervision needed (mid-practicum level)

3 Some supervision needed (intern entry level)

4 Little supervision needed (intern exit/postdoc entry level)

5 No supervision needed (postdoc exit level)

6 Advanced Practice (Full Performance Level)

N/O Not Observed

+-------------------------------------------------------------+---+----+
| INTERVENTION                                                |   | !  |
|                                                             |   | [] |
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|                                                             |   | 13 |
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|                                                             |   | 16 |
|                                                             |   | 66 |
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|                                                             |   | 35 |
|                                                             |   | 41 |
|                                                             |   | 66 |
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|                                                             |   | 66 |
|                                                             |   | 66 |
|                                                             |   | 66 |
|                                                             |   | in |
|                                                             |   | "} |
|                                                             |   |    |
|                                                             |   |    |
|                                                             |   |  - |
|                                                             |   | -- |
|                                                             |   |    |
|                                                             |   |    |
|                                                             |   |    |
|                                                             |   |    |
|                                                             |   |  - |
|                                                             |   | -- |
+-------------------------------------------------------------+---+----+
| 1\. Discusses issues of confidentiality and informed        |   |    |
| consent                                                     |   |    |
+-------------------------------------------------------------+---+----+
| 2\. Establishes and documents therapy goals and development |   |    |
| of a treatment plan                                         |   |    |
+-------------------------------------------------------------+---+----+
| 3\. Formulates a useful case conceptualization from a       |   |    |
| theoretical perspective                                     |   |    |
+-------------------------------------------------------------+---+----+
| 4\. Establishment and maintenance of therapeutic alliance   |   |    |
+-------------------------------------------------------------+---+----+
| 5\. Recognizes and responds appropriately and efficiently   |   |    |
| to patient crises                                           |   |    |
+-------------------------------------------------------------+---+----+
| 6\. Selects and implements appropriate cognitive            |   |    |
| rehabilitation techniques                                   |   |    |
+-------------------------------------------------------------+---+----+
| 7\. Effective and flexible application of therapeutic       |   |    |
| strategies                                                  |   |    |
+-------------------------------------------------------------+---+----+
| 8\. Awareness of personal issues interfering with therapy   |   |    |
+-------------------------------------------------------------+---+----+
| 9\. Maintenance of professional boundaries                  |   |    |
+-------------------------------------------------------------+---+----+
| 10\. Monitors and documents patient progress during therapy |   |    |
| and toward goals                                            |   |    |
+-------------------------------------------------------------+---+----+
| 11\. Planning for, and management of, therapy termination   |   |    |
+-------------------------------------------------------------+---+----+
| 12\. Coordination of care with other providers              |   |    |
+-------------------------------------------------------------+---+----+
| 13\. Reliably manages expected work load                    |   |    |
+-------------------------------------------------------------+---+----+
| 14\. Awareness of, and adherence to APA ethical guidelines  |   |    |
| and ethics in treatment                                     |   |    |
+-------------------------------------------------------------+---+----+
| 15\. Awareness and use of current literature, research and  |   |    |
| theory in interventions                                     |   |    |
+-------------------------------------------------------------+---+----+
| 16\. Sensitive to issues of ethnic, cultural, gender, or    |   |    |
| sexual diversity in treatment                               |   |    |
+-------------------------------------------------------------+---+----+
| 17                                                          |   |    |
+-------------------------------------------------------------+---+----+
| 18                                                          |   |    |
+-------------------------------------------------------------+---+----+
| 19                                                          |   |    |
+-------------------------------------------------------------+---+----+
| PERCENTAGE OF ITEMS RATED AS COMPETANT                      |   |    |
+-------------------------------------------------------------+---+----+

Competency Goal for evaluations done at 12 months: At least 80% of items
in competency areas will be rated at a 4 or higher. No items in
competency areas will be rated as a 1.

Please provide written comments including 2-3 things the trainee is
doing well and 2-3 things where they could improve.

CONSULTATION AND SUPERVISION

Please rate the trainee\'s skill level using the scale below.

2 Close supervision needed (mid-practicum level)

3 Some supervision needed (intern entry level)

4 Little supervision needed (intern exit/postdoc entry level)

5 No supervision needed (postdoc exit level)

6 Advanced Practice (Full Performance Level)

N/O Not Observed

+--------------------------------------------------------------+---+---+
| CONSULTATION AND SUPERVISION                                 |   | ! |
|                                                              |   | [ |
|                                                              |   | ] |
|                                                              |   | ( |
|                                                              |   | m |
|                                                              |   | e |
|                                                              |   | d |
|                                                              |   | i |
|                                                              |   | a |
|                                                              |   | / |
|                                                              |   | i |
|                                                              |   | m |
|                                                              |   | a |
|                                                              |   | g |
|                                                              |   | e |
|                                                              |   | 3 |
|                                                              |   | . |
|                                                              |   | p |
|                                                              |   | n |
|                                                              |   | g |
|                                                              |   | ) |
|                                                              |   | { |
|                                                              |   | w |
|                                                              |   | i |
|                                                              |   | d |
|                                                              |   | t |
|                                                              |   | h |
|                                                              |   | = |
|                                                              |   | " |
|                                                              |   | 0 |
|                                                              |   | . |
|                                                              |   | 1 |
|                                                              |   | 3 |
|                                                              |   | 5 |
|                                                              |   | 4 |
|                                                              |   | 1 |
|                                                              |   | 6 |
|                                                              |   | 6 |
|                                                              |   | 6 |
|                                                              |   | 6 |
|                                                              |   | 6 |
|                                                              |   | 6 |
|                                                              |   | 6 |
|                                                              |   | 6 |
|                                                              |   | 6 |
|                                                              |   | 6 |
|                                                              |   | 6 |
|                                                              |   | 6 |
|                                                              |   | i |
|                                                              |   | n |
|                                                              |   | " |
|                                                              |   | h |
|                                                              |   | e |
|                                                              |   | i |
|                                                              |   | g |
|                                                              |   | h |
|                                                              |   | t |
|                                                              |   | = |
|                                                              |   | " |
|                                                              |   | 0 |
|                                                              |   | . |
|                                                              |   | 1 |
|                                                              |   | 3 |
|                                                              |   | 5 |
|                                                              |   | 4 |
|                                                              |   | 1 |
|                                                              |   | 6 |
|                                                              |   | 6 |
|                                                              |   | 6 |
|                                                              |   | 6 |
|                                                              |   | 6 |
|                                                              |   | 6 |
|                                                              |   | 6 |
|                                                              |   | 6 |
|                                                              |   | 6 |
|                                                              |   | 6 |
|                                                              |   | 6 |
|                                                              |   | 6 |
|                                                              |   | i |
|                                                              |   | n |
|                                                              |   | " |
|                                                              |   | } |
|                                                              |   |   |
|                                                              |   |   |
|                                                              |   |   |
|                                                              |   | - |
|                                                              |   | - |
|                                                              |   | - |
|                                                              |   |   |
|                                                              |   |   |
|                                                              |   |   |
|                                                              |   |   |
|                                                              |   |   |
|                                                              |   |   |
|                                                              |   | - |
|                                                              |   | - |
|                                                              |   | - |
+--------------------------------------------------------------+---+---+
| Consultation:ND SUPERVISION                                  |   |   |
+--------------------------------------------------------------+---+---+
| 1\. Determines and clarifies referral issues                 |   |   |
+--------------------------------------------------------------+---+---+
| 2\. Provides colleagues and other trainees with feedback and |   |   |
| guidance (group supervision)                                 |   |   |
+--------------------------------------------------------------+---+---+
| 3\. Communication of assessment and intervention results to  |   |   |
| team, referral source, patient, and/or family                |   |   |
+--------------------------------------------------------------+---+---+
| 4\. Rapidly and effectively translates complex               |   |   |
| biopsychosocial issues to other professionals                |   |   |
+--------------------------------------------------------------+---+---+
|                                                              |   |   |
+--------------------------------------------------------------+---+---+
| Providing Supervision:                                       |   |   |
+--------------------------------------------------------------+---+---+
| 5\. Provides others with appropriate feedback in group       |   |   |
| supervision                                                  |   |   |
+--------------------------------------------------------------+---+---+
| 6\. Provides a safe atmosphere in supervision                |   |   |
+--------------------------------------------------------------+---+---+
| 7\. Provides constructive feedback/guidance to supervisees   |   |   |
+--------------------------------------------------------------+---+---+
| 8\. Effectively deals with resistance in supervisee          |   |   |
+--------------------------------------------------------------+---+---+
| 9\. Effectively deals with ethical issues in supervision     |   |   |
+--------------------------------------------------------------+---+---+
| 10\. Effectively deals with boundary issues in supervisory   |   |   |
| relationship                                                 |   |   |
+--------------------------------------------------------------+---+---+
| 11\. Awareness of, and adherence to APA ethical guidelines   |   |   |
| and ethics in consultation and/or in providing supervision   |   |   |
+--------------------------------------------------------------+---+---+
| 12                                                           |   |   |
+--------------------------------------------------------------+---+---+
| 13                                                           |   |   |
+--------------------------------------------------------------+---+---+
| 14                                                           |   |   |
+--------------------------------------------------------------+---+---+
| PERCENTAGE OF ITEMS RATED AS COMPETANT                       |   |   |
+--------------------------------------------------------------+---+---+

Competency Goal for evaluations done at 12 months: At least 80% of items
in competency areas will be rated at a 4 or higher. No items in
competency areas will be rated as a 1.

Please provide written comments including 2-3 things the trainee is
doing well and 2-3 things where they could improve.

SCHOLARLY INQUIRY

Please rate the trainee\'s skill level using the scale below.

2 Close supervision needed (mid-practicum level)

3 Some supervision needed (intern entry level)

4 Little supervision needed (intern exit/postdoc entry level)

5 No supervision needed (postdoc exit level)

6 Advanced Practice (Full Performance Level)

N/O Not Observed

+-------------------------------------------------------------+---+----+
| SCHOLARLY INQUIRY                                           |   | !  |
|                                                             |   | [] |
|                                                             |   | (m |
|                                                             |   | ed |
|                                                             |   | ia |
|                                                             |   | /i |
|                                                             |   | ma |
|                                                             |   | ge |
|                                                             |   | 3. |
|                                                             |   | pn |
|                                                             |   | g) |
|                                                             |   | {w |
|                                                             |   | id |
|                                                             |   | th |
|                                                             |   | =" |
|                                                             |   | 0. |
|                                                             |   | 13 |
|                                                             |   | 54 |
|                                                             |   | 16 |
|                                                             |   | 66 |
|                                                             |   | 66 |
|                                                             |   | 66 |
|                                                             |   | 66 |
|                                                             |   | 66 |
|                                                             |   | 6i |
|                                                             |   | n" |
|                                                             |   | h  |
|                                                             |   | ei |
|                                                             |   | gh |
|                                                             |   | t= |
|                                                             |   | "0 |
|                                                             |   | .1 |
|                                                             |   | 35 |
|                                                             |   | 41 |
|                                                             |   | 66 |
|                                                             |   | 66 |
|                                                             |   | 66 |
|                                                             |   | 66 |
|                                                             |   | 66 |
|                                                             |   | 66 |
|                                                             |   | in |
|                                                             |   | "} |
|                                                             |   |    |
|                                                             |   |    |
|                                                             |   |  - |
|                                                             |   | -- |
|                                                             |   |    |
|                                                             |   |    |
|                                                             |   |    |
|                                                             |   |    |
|                                                             |   |  - |
|                                                             |   | -- |
+-------------------------------------------------------------+---+----+
| 1\. Seeks out professional writings regarding assessment    |   |    |
| and treatment cases                                         |   |    |
+-------------------------------------------------------------+---+----+
| 2\. Awareness and use of current literature, research, and  |   |    |
| theory in assessments                                       |   |    |
+-------------------------------------------------------------+---+----+
| 3\. Awareness and use of current literature, research and   |   |    |
| theory in interventions                                     |   |    |
+-------------------------------------------------------------+---+----+
| 4\. Provides quality oral presentations in case             |   |    |
| conferences, seminars, etc.                                 |   |    |
+-------------------------------------------------------------+---+----+
| 5\. Proposes realistic goals for scholarly activities for   |   |    |
| the year                                                    |   |    |
+-------------------------------------------------------------+---+----+
| 6\. Generates independent scholarly questions/hypotheses    |   |    |
+-------------------------------------------------------------+---+----+
| 7\. Demonstrates independent, critical thinking in          |   |    |
| scholarly endeavors                                         |   |    |
+-------------------------------------------------------------+---+----+
| 8\. Time management and discipline in the use of allotted   |   |    |
| scholarly/research time                                     |   |    |
+-------------------------------------------------------------+---+----+
| 9\. Works towards communicating findings of scholarly       |   |    |
| endeavors through poster presentations                      |   |    |
+-------------------------------------------------------------+---+----+
| professional papers, local or national presentations, etc.  |   |    |
+-------------------------------------------------------------+---+----+
| 10\. Awareness of, and adherence to APA ethical guidelines  |   |    |
| and ethics in scholarly inquiry                             |   |    |
+-------------------------------------------------------------+---+----+
| 11\. Sensitive to issues of cultural and individual         |   |    |
| diversity relevant to scholarly inquiry                     |   |    |
+-------------------------------------------------------------+---+----+
| 12                                                          |   |    |
+-------------------------------------------------------------+---+----+
| 13                                                          |   |    |
+-------------------------------------------------------------+---+----+
| 14                                                          |   |    |
+-------------------------------------------------------------+---+----+
| PERCENTAGE OF ITEMS RATED AS COMPETANT                      |   |    |
+-------------------------------------------------------------+---+----+

Competency Goal for evaluations done at 12 months: At least 80% of items
in competency areas will be rated at a 4 or higher. No items in
competency areas will be rated as a 1.

Please provide written comments including 2-3 things the trainee is
doing well and 2-3 things where they could improve.

PROFESSIONAL ISSUES

Please rate the trainee\'s skill level using the scale below.

2 Close supervision needed (mid-practicum level)

3 Some supervision needed (intern entry level)

4 Little supervision needed (intern exit/postdoc entry level)

5 No supervision needed (postdoc exit level)

6 Advanced Practice (Full Performance Level)

N/O Not Observed

+-------------------------------------------------------------+---+----+
| PROFESSIONAL ISSUES                                         |   | !  |
|                                                             |   | [] |
|                                                             |   | (m |
|                                                             |   | ed |
|                                                             |   | ia |
|                                                             |   | /i |
|                                                             |   | ma |
|                                                             |   | ge |
|                                                             |   | 3. |
|                                                             |   | pn |
|                                                             |   | g) |
|                                                             |   | {w |
|                                                             |   | id |
|                                                             |   | th |
|                                                             |   | =" |
|                                                             |   | 0. |
|                                                             |   | 13 |
|                                                             |   | 54 |
|                                                             |   | 16 |
|                                                             |   | 66 |
|                                                             |   | 66 |
|                                                             |   | 66 |
|                                                             |   | 66 |
|                                                             |   | 66 |
|                                                             |   | 6i |
|                                                             |   | n" |
|                                                             |   | h  |
|                                                             |   | ei |
|                                                             |   | gh |
|                                                             |   | t= |
|                                                             |   | "0 |
|                                                             |   | .1 |
|                                                             |   | 35 |
|                                                             |   | 41 |
|                                                             |   | 66 |
|                                                             |   | 66 |
|                                                             |   | 66 |
|                                                             |   | 66 |
|                                                             |   | 66 |
|                                                             |   | 66 |
|                                                             |   | in |
|                                                             |   | "} |
|                                                             |   |    |
|                                                             |   |    |
|                                                             |   |  - |
|                                                             |   | -- |
|                                                             |   |    |
|                                                             |   |    |
|                                                             |   |    |
|                                                             |   |    |
|                                                             |   |  - |
|                                                             |   | -- |
+-------------------------------------------------------------+---+----+
| 1\. Aware of need for and receptive to supervision          |   |    |
| ROFESSIONAL ISSUES                                          |   |    |
+-------------------------------------------------------------+---+----+
| 2\. Seeks consultation/supervision as needed and uses it    |   |    |
| productively                                                |   |    |
+-------------------------------------------------------------+---+----+
| 3\. Well prepared for supervisory meetings and effectively  |   |    |
| presents clinical material in supervision                   |   |    |
+-------------------------------------------------------------+---+----+
| 4\. Responds to consultation/supervision with constructive  |   |    |
| action or changes                                           |   |    |
+-------------------------------------------------------------+---+----+
| 5\. Recognizes how personal characteristics impact clinical |   |    |
| work                                                        |   |    |
+-------------------------------------------------------------+---+----+
| 6\. Awareness of own competence and limitations as a        |   |    |
| clinician                                                   |   |    |
+-------------------------------------------------------------+---+----+
| 7\. Aware of their continuing developmental professional    |   |    |
| goals                                                       |   |    |
+-------------------------------------------------------------+---+----+
| 8\. Possesses an appropriate level of confidence in         |   |    |
| clinical abilities                                          |   |    |
+-------------------------------------------------------------+---+----+
| 9\. Has a sense of self as a \"Psychologist\"               |   |    |
+-------------------------------------------------------------+---+----+
| 10\. Interacts effectively with other staff                 |   |    |
+-------------------------------------------------------------+---+----+
| 11\. Accountability, dependability, responsibility          |   |    |
+-------------------------------------------------------------+---+----+
| 12\. Initiative                                             |   |    |
+-------------------------------------------------------------+---+----+
| 13\. Exercises good judgment as professional                |   |    |
+-------------------------------------------------------------+---+----+
| 14\. Actively participates in seminars/didactics            |   |    |
+-------------------------------------------------------------+---+----+
| 15\. Possess realistic career plans                         |   |    |
+-------------------------------------------------------------+---+----+
| 16                                                          |   |    |
+-------------------------------------------------------------+---+----+
| 17                                                          |   |    |
+-------------------------------------------------------------+---+----+
| 18                                                          |   |    |
+-------------------------------------------------------------+---+----+

Competency Goal for evaluations done at 12 months: At least 80% of items
in competency areas will be rated at a 4 or higher. No items in
competency areas will be rated as a 1.

Please provide written comments including 2-3 things the trainee is
doing well and 2-3 things where they could improve.

ETHICS AND SENSITIVITY TO DIVERSITY

Please rate the trainee\'s skill level using the scale below.

2 Close supervision needed (mid-practicum level)

3 Some supervision needed (intern entry level)

4 Little supervision needed (intern exit/postdoc entry level)

5 No supervision needed (postdoc exit level)

6 Advanced Practice (Full Performance Level)

N/O Not Observed

+-------------------------------------------------------------+---+----+
| ETHICS AND SENSITIVITY TO DIVERSITY                         |   | !  |
|                                                             |   | [] |
|                                                             |   | (m |
|                                                             |   | ed |
|                                                             |   | ia |
|                                                             |   | /i |
|                                                             |   | ma |
|                                                             |   | ge |
|                                                             |   | 3. |
|                                                             |   | pn |
|                                                             |   | g) |
|                                                             |   | {w |
|                                                             |   | id |
|                                                             |   | th |
|                                                             |   | =" |
|                                                             |   | 0. |
|                                                             |   | 13 |
|                                                             |   | 54 |
|                                                             |   | 16 |
|                                                             |   | 66 |
|                                                             |   | 66 |
|                                                             |   | 66 |
|                                                             |   | 66 |
|                                                             |   | 66 |
|                                                             |   | 6i |
|                                                             |   | n" |
|                                                             |   | h  |
|                                                             |   | ei |
|                                                             |   | gh |
|                                                             |   | t= |
|                                                             |   | "0 |
|                                                             |   | .1 |
|                                                             |   | 35 |
|                                                             |   | 41 |
|                                                             |   | 66 |
|                                                             |   | 66 |
|                                                             |   | 66 |
|                                                             |   | 66 |
|                                                             |   | 66 |
|                                                             |   | 66 |
|                                                             |   | in |
|                                                             |   | "} |
|                                                             |   |    |
|                                                             |   |    |
|                                                             |   |  - |
|                                                             |   | -- |
|                                                             |   |    |
|                                                             |   |    |
|                                                             |   |    |
|                                                             |   |    |
|                                                             |   |  - |
|                                                             |   | -- |
+-------------------------------------------------------------+---+----+
| 1\. Overall awareness of APA ethical guidelines and ethics  |   |    |
| issues that arise in professional activities                |   |    |
+-------------------------------------------------------------+---+----+
| 2\. General ability to think critically about ethics issues |   |    |
+-------------------------------------------------------------+---+----+
| 3\. Overall behavior is consistent with ethical guidelines  |   |    |
+-------------------------------------------------------------+---+----+
|                                                             |   |    |
+-------------------------------------------------------------+---+----+
| Awareness of, and adherence to APA ethical guidelines:      |   |    |
+-------------------------------------------------------------+---+----+
| 4\. in assessments                                          |   |    |
+-------------------------------------------------------------+---+----+
| 5\. in treatment                                            |   |    |
+-------------------------------------------------------------+---+----+
| 6\. relevant to consultation and in providing supervision   |   |    |
+-------------------------------------------------------------+---+----+
| 7\. relevant to scholarly inquiry                           |   |    |
+-------------------------------------------------------------+---+----+
|                                                             |   |    |
+-------------------------------------------------------------+---+----+
| Sensitive to issues of ethnic, cultural, gender, or sexual  |   |    |
| diversity:                                                  |   |    |
+-------------------------------------------------------------+---+----+
| 8\. in assessments                                          |   |    |
+-------------------------------------------------------------+---+----+
| 9\. in treatment                                            |   |    |
+-------------------------------------------------------------+---+----+
| 10\. relevant to consultation and in providing supervision  |   |    |
+-------------------------------------------------------------+---+----+
| 11\. relevant to scholarly inquiry                          |   |    |
+-------------------------------------------------------------+---+----+
| 12                                                          |   |    |
+-------------------------------------------------------------+---+----+
| 13                                                          |   |    |
+-------------------------------------------------------------+---+----+
| 14                                                          |   |    |
+-------------------------------------------------------------+---+----+
| PERCENTAGE OF ITEMS RATED AS COMPETANT                      |   |    |
+-------------------------------------------------------------+---+----+

Competency Goal for evaluations done at 12 months: At least 80% of items
in competency areas will be rated at a 4 or higher. No items in
competency areas will be rated as a 1.

Please provide written comments including 2-3 things the trainee is
doing well and 2-3 things where they could improve.

Comment about any of the above rating areas and/or other aspects of the
fellow's performance:

I have reviewed the above evaluation material with (fellow's name) on
(date), including the general and site-specific competencies. We have
discussed the intern's strengths and any areas of expected improvements.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Supervisor date

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Fellow date

**[APPENDIX E]{.underline}**

**[MAP OF FACILITY]{.underline}**

**[APPENDIX F]{.underline}**

**[APPLICATION]{.underline}**

**San Francisco Department of Veterans Affairs Medical Center**

**Postdoctoral Psychology Fellowship --Substance Abuse and Posttraumatic
Stress Disorders**

**APPLICATION**

**Deadline: January 1, 2009**

**Please type.**

**Program Emphasis to which you are applying (please rank order):**

**Substance Abuse Programs (emphasis on co-occurring SUD and PTSD)**

**\_\_\_\_\_\_ PCT I (emphasis on co-occurring PTSD and SUD)**

**\_\_\_\_\_\_ PCT II (emphasis on OEF/OIF veterans and PTSD/SUD)**

## 

## **Identifying Information**

**Name: U.S. Citizen?** (MUST BE TO APPLY)

**Mailing Address:**

**Email:**

**Work Telephone: Home Telephone: Cell:**

**\*\* Telephone number where you can be reached on February 26^th^
between 9 - noon (PST). (Our notification day.)
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

## **Doctoral Program:**

**Program APA-approved?** (MUST BE TO APPLY)

**Program Type:** Clinical / Counseling University / Professional?

**Doctoral Degree:** Psy.D. / Ph.D. **Completed?** YES NO

**Dissertation completed (date):**

If not completed, please provide a letter from your dissertation
chairperson describing your dissertation status and timeline.

## **Pre-Doctoral Internship Completed (date):**

If not completed, please provide a letter from your Internship Training
Director indicating you are in good standing and when you are expected
to graduate.

**Pre-Doctoral Internship:**

**Internship APA-approved?** (MUST BE TO APPLY)

**Postdoctoral Experience(s) (if any, list)**

**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

Essay Questions:

Use no more than one typewritten page to answer each of the following:

1.  Discuss your relevant experiences and interests in working with
    substance use and trauma populations. This may involve a discussion
    of both clinical and research experiences, and include details such
    as types of patients seen, clinical or research activities
    performed, and supervision received.  Discuss how these experiences
    pertain to your goals for this fellowship, including specific
    interests, deficiencies in past training, career goals, and reasons
    why this fellowship would be a "good fit."

2.  Please discuss your approach to clinical work, and describe how this
    bears upon your approach to the conceptualization and treatment of
    substance use and/or posttraumatic stress.  Also discuss briefly how
    your understanding of issues of diversity influence your clinical
    work in these areas.

3.  Please discuss a case from your own clinical experience with
    substance use and/or trauma populations in which you found yourself
    working with someone perceived to be very different from yourself.
    How did you address this perceived difference in your work with this
    client, and how did it affect the course and outcome of treatment? 
    (Please be sure to remove all identifying information).

4.  What are the ways you feel that trauma and/or substance abuse affect
    the psyche?

**Application Checklist**

\_\_\_\_\_\_\_ Completion of application and 4 essay questions

\_\_\_\_\_\_\_ A letter of support from your current Internship Training
Director indicating that you are in good standing to successfully
complete your predoctoral internship, including the expected completion
date. If already completed, you can mail a copy of your pre-doctoral
internship certificate.

\_\_\_\_\_\_\_ Three letters of recommendation in support of your
application.

\_\_\_\_\_\_\_ If you have not completed doctoral degree please submit a
letter from your dissertation chairperson describing your dissertation
status and timeline.

\_\_\_\_\_\_\_ Current Curriculum Vitae

\_\_\_\_\_\_\_ Official Graduate Transcript

\_\_\_\_\_\_\_ Self-addressed stamped card or envelope for receipt of
application

**Please mail all application materials in one packet to:**

**Makoto Horiuchi**

**Psychology Adminstrative Assistant**

**Psychological Services**

**San Francisco VA Medical Center**

**4150 Clement Street (116B)**

**San Francisco, CA 94121**