Postdoctoral Fellowship in Integrated Primary Care and Behavioral Pediatrics

Overview

2 Positions: These postdoctoral residency positions are within the Division of Psychology in the Institute on Development and Disability (IDD), Department of Pediatrics, Oregon Health & Science University, Portland, OR. They are 1-year positions, with the option of extending for a second year (pending funding and satisfactory performance). These positions emphasize consultation and treatment activities in outpatient pediatric settings. Some limited opportunities for inpatient consultation-liaison activities also exist.

Clinical Training: These positions are primarily clinical in nature and emphasize training in integrated primary care and behavioral pediatrics. Clinical care will be delivered via a blend of in-person/face-to-face care and telehealth.

Approximately 40-60% of the resident’s clinical time will involve integrated behavioral health care in general pediatrics primary care clinics. Specifically, residents will provide direct consultation to patients during well-child and standard medical visits, as well as primary intervention for specific presenting concerns or stabilization support while patients seek specialty mental health care. Limited comprehensive psychological assessments may also occur. Residents may also contribute to program development and the training of medical residents, psychology interns, and practicum students.

Approximately 40-60% of the clinical time will be devoted to providing services to children with issues falling under the purview of behavioral pediatrics. Behavioral pediatrics blends behavioral and pediatric sciences to promote health and well-being of children, addressing what is often called the “well-child gap”. The IDD Behavioral Pediatrics Treatment Program emphasizes care to children with toileting issues (e.g., soiling, bed wetting, delayed toilet training), tic and habit disorders (e.g., Tourette s, trichotillomania, body focused repetitive behaviors), common child rearing challenges in young children (e.g., tantrums, bedtime resistance and sleep problems) and adherence challenges in young children (e.g., CPAP non-adherence, difficulty completing required medical examinations).

While these are primarily clinical positions, multiple opportunities exist to engage in scholarly activity. Examples include contributing to existing or new research as part of our Integrated Behavioral Health & Behavioral Pediatrics teams (evaluation of integrated behavioral health care services, dissemination of behavioral health care via technology, study of strategies for common child rearing challenges), co-authoring chapters, systematic reviews, or meta-analyses on topics of interest related to the focus of this residency, and completing mentored reviews of manuscripts submitted for possible publication.

Previous residents with academic interests typically co-author one or more manuscripts submitted for publication per year.

A multitude of professional development and learning opportunities are available to residents, including psychology-specific training activities (e.g., didactic seminar, journal club, research in progress meeting), pediatric grand rounds, and rich individual and group supervision, to highlight just a few.

Oregon Health & Science University is Oregon’s only academic medical university, consisting of multiple academic and health care units and institutes. The Institute on Development and Disability, which houses the Division of Psychology, is dedicated to advancing knowledge of human development across the life span and includes clinical services, public health and outreach, educational programs, and research; psychologists within the Institute provide care across the full spectrum of pediatric services from primary care through inpatient (medical) consultation as well as patient populations (well patients through those with chronic medical and developmental conditions).

Pediatric clinical care occurs at Doernbecher Children’s Hospital, which provides excellence in inpatient and ambulatory care. The Division of Pediatric Psychology consists of…