Site Learning Activities and Requirements
All interns will participate in the internship learning activities as specified in the manual. Specific site activities/rotations/requirements above and beyond what is listed in the manual are provided below:
At HealthPoint, the primary training is our Primary Care Behavioral Health (PCBH) model of integrated care, with a focus on working with underserved populations. Additional learning activities include a rotation in one of our school-based health centers (SBHC), consultation with psychiatrists, conducting brief integrated assessment reports (examples are ADHD, cognitive impairment, N-648 forms for citizenship testing exemption, and letters for gender-affirming surgery), as well as learning much more about medical and psychiatric conditions, medications, natural medicine, and nutrition from providers across these disciplines. Some examples of training opportunities are listed at the bottom of this section.
We are excited to have interns involved at all levels of our program. After an initial period of intensive training in the PCBH model, associated assessment and intervention skills, and crisis management procedures, students will be placed in a clinic where they will typically have an on-site staff Behavioral Health Consultant (BHC) as their Main Primary Supervisor. Occasionally, an intern may have an off-site supervisor or may at times be the only behavioral health consultant on-site and may need to operate with much autonomy. Supervision and consultation will always be readily available from staff BHCs, postdocs, and primary care providers (PCPs).
Additional training throughout the year may include relevant behavior change theories, such as Cognitive-Behavioral Therapy, Motivational Interviewing, Acceptance and Commitment Therapy (ACT/fACT), and group approaches. This training may also be individualized based on the clinical interests of the intern and clinic needs.
Interns will receive HealthPoint-specific didactics and group supervision at HealthPoint Admin in Renton, WA. Interns will also receive one day per month of didactics with other interns from Cascades Region consortium sites. Some of these didactics will occur at HealthPoint Admin in Renton, WA, others will occur at Community Health of Central Washington in Yakima, WA, and Yakima Valley Farm Workers in Toppenish, WA.
Additional Learning Activities:
Interns will write 6 integrated reports using primary care-appropriate brief neurocognitive assessment batteries that are supervised by the assessment supervisors. Batteries are designed by Dr. Allred and the BHC team. Patients will be selected by the interns and approved by Main Primary Supervisors. Interns will conduct a contextual interview and biopsychosocial history of the patient prior to the assessment. Once approved to schedule the assessment, students will coordinate with Dr. Allred checking-out the assessment kit. Assessments will be completed in 1-3 visits.
Interns will complete a Quality Improvement project over the course of the training year. This is an informal project that will be designed in collaboration with the intern’s Main Primary Supervisor.
Interns may elect a six-week or longer rotation (one day/week) at one of our school-based health centers to learn more about behavioral health consultation in schools with middle and high school students, or a rotation (one day/week for about 6 weeks) at urgent care.
It is expected that the internship and training activities come first, and any other roles/duties are secondary to the completion of the internship program.
Administrative Overview
Salary:
$40,000
Schedule:
Interns work 40-45 hours each week. At the Toppenish Medical-Dental Clinic, patient appointments may begin as early as 7:30 am and end as late as 7:00 pm Monday through Friday. There is no call coverage required.
Overtime:
Some overtime work may be required, but interns should never work over 50 hours per week.
Nights/Weekends:
There are no night/weekend requirements.
Malpractice Insurance:
If an intern is not covered by their school, YVFWC will provide coverage during the internship year.
Mileage:
YVFWC follows the NPTC Travel Policy with regards to Intern travel reimbursement when didactic training is not held virtually.
Benefits:
Interns are eligible for benefits offered to other site employees. Benefits will be discussed in detail during the site orientation.
Leave Time
Paid Time Off (PTO):
14 days (112 hours) combined vacation and sick leave available from your first day.
Professional Development Leave:
3 days (24 hours) of professional development leave represented as CME.
Professional Development time is not considered PTO time. To use this time, interns will coordinate their schedules with their Primary Supervisor and Training Director, and track the hours as hours worked in their local system and as “Professional Development Leave” in the NPTC time tracking portal.
Interns who are requesting PTO must receive approval first from their immediate supervisor and site Business Director. PTO requests are then submitted through YVFWC’s employee timecard system and the Training Director will make the final approval. Prior to taking PTO (unless the PTO was taken for an emergent illness or situation), PTO must be recorded on the interns time sheet (NPTC and YVFWC). All PTO requests need to be made at a minimum 2 weeks in advance, if possible, a month notice for PTO is recommended.
In an effort to promote self-care, interns are encouraged to utilize all PTO. Any unused PTO at the end of the program year will not be paid out or compensated. Since Professional Development time is not considered a type of PTO, unused Professional Development will not be paid out at the end of the year.
Holidays:
This site observes the following holidays:
Holiday List
New Year’s Day
President’s Day
Memorial Day
Independence Day
Labor Day
Thanksgiving Day
Day After Thanksgiving
Christmas Day