Providence Swedish welcomes your application for a robust and enriching training experience in integrated primary care. Consistent with our organization’s mission to improve the health and well-being of each person we serve, our long-standing training program emphasizes the skills acquisition to promote meaningful change across the diverse patient population served combined with a dedication to reducing barriers to access. If you are passionate about health equity and whole person health, please apply for one of our pre-internship and practicum positions (up to 12 this year). Possible clinic placements include Bellevue Primary Care, Cherry Hill Family Medicine Residency, First Hill Primary Care, Renton Primary Care, and West Seattle Primary Care. Other clinics could be added as staffing allows.

Description of PCBH Trainee Role

Trainees will receive strong training in the Primary Care Behavioral Health (PCBH) model, which is the lead evidenced-based model for promoting population health. There is significant front-loaded training, including didactics and cross-shadowing, to become accustomed with this team-based approach to managing biopsychosocial issues that present in primary care, with the over-arching goal of improving primary care in general.

Expectations

PCBH and Family Medicine Residency trainees are expected to provide the equivalent of 2 full clinic days per week, which includes individual supervision, group supervision, and didactics, for a minimum equivalent of 10 months (up to 3 days per week can be accommodated for certain sites, if desired). We anticipate two options for start dates, July or September, with clinic hours during a M-F work week typically between 8 am and 5 pm.

Scheduling Requirements

➢ Two half-day orientations in July 2024, from 8:00 am – 12:00 pm, exact dates TBD.

➢ Mandatory Didactics and Group Supervision on the 2nd and 4th Tuesdays of every month from September 2024 through May 2025, from 8:00 am – 11:00 am.

➢ Clinic days will be determined with individual supervisors based on clinic needs, space availability, and the trainee’s availability.

Onboarding costs

As with all large hospital systems, onboarding into the Swedish healthcare system involves some one-time costs to the trainee such as enrollment in the Clinical Pathways Northwest (CPNW) platform and health requirements. The onboarding requirements are determined by the Swedish Clinical Education department and apply to all health professions. We are working on opportunities for mitigating these costs.

About Providence Swedish: 

Swedish was founded over 100 years ago and has grown into the Greater Seattle area's largest, most comprehensive medical system. Now in affiliation with Providence, we represent a powerful network of skilled providers and care centers across the greater Puget Sound region. Providence Swedish maintains its original values of compassion, justice, excellence, dignity, integrity, and safety, as well as its secular orientation.

• Serving as a fully integrated trainee Behavioral Health Provider (BHP) working alongside primary care physicians and their team to provide consultation and brief interventions to patients presenting with any range of behaviorally influenced issues, from preventive (e.g., lifestyle modification), to acute (e.g., sudden illness, suicidal ideation), or chronic behavioral needs (e.g., anxiety, depression, chronic pain, diabetes).
• Trainees placed in a Family Medicine Residency clinic will gain experience working in an integrated family medicine setting that serves as a teaching clinic for residents.
• Providing evidence-informed interventions in 30-minute visits with the focus of functional improvement, drawing from modalities including CBT, ACT, SFBT, and MI.
• Providing preventive education interventions (“anticipatory guidance”) during well-child checks for clinics that include pediatric populations.
• Helping the licensed Behavioral Health Provider with various clinical tasks, such as:
• Connecting patients with appropriate community referrals
• Obtaining collateral information to better serve patients’ needs (e.g., from families or schools during evaluation for ADHD, care coordination with community MH providers, etc.)
• Collaborating with psychiatry partners for care coordination and/or joining bi-monthly case consultation meetings
• Other opportunities of interest as they arise (e.g., MI skills groups for medical residents, research participation, etc.).

• Other opportunities of interest as they arise (e.g., supporting group facilitation [e.g., CBTi, executive functioning, etc.], attendance at Swedish sponsored trainings/CME’s, MI skills groups for medical fellows, research participation, etc.).
• Past opportunities have included partnering with the Swedish LGBTQI+ Program and gain experience working on a team that supports LGBTQI+ care across the Swedish Medical Group and Swedish Medical Center, which involved:
- Connecting LGBTQI+ patients with appropriate community referrals
- Providing short-term LGBTQI+-informed and gender-affirming behavior health

N/A

Twice monthly group supervision combined with twice monthly didactics with speakers including the founder of our program.

Direct, onsite individual supervision will be provided by a licensed BHP who is a psychologist, with the additional support of a licensed BHP who is an LICSW and serving in a “field instructor” role remotely. This setup meets legal and school requirements for hours collection.

The qualities that help a student to be successful in this position are:
• Interest in overlap of medical and mental health models of care
• Excellent communication skills, both verbal and written
• Eagerness to utilize time productively
• Comfort working in a fast-paced environment and ability to think soundly on one’s feet
• Enthusiasm for learning and desire to practice evidence-informed methods
• Ability to function effectively on a team as well as independently within guidelines of supervision

Please send application materials including 1) letter of interest, 2) resume and 3) two Professional References with contact information to Program Coordinator Jessica Edwards, who will disseminate applications to the Training Committee for review. Applications will be reviewed on a rolling basis until positions are filled, with interviews being held in February and March. We hope to hear from you!.

Contact Information:
Jessica Edwards: jessica.edwards@swedish.org
Program Coordinator – Ambulatory Behavioral Health Integration

Training Committee:
Shannon Albert, PsyD, Clinical Training Manager, Swedish Central Seattle Primary Care
Stephanie Arguelles, LICSW, Student Training Program Lead, Swedish Central Primary
Laura Boucher, PhD, Student Training Program Lead, Swedish Ballard Primary Care