The VA North Texas Health Care System (Dallas VAMC) is the 2nd largest VA health care system in VHA. The Dallas campus is a large General Medical/Surgical hospital with over 1,400,000+ outpatient visits per year. Interns choose 4 rotations from 20 available rotations. Rotation activities include medical/surgical, consultation/Pain Clinic, primary care medicine, primary care mental health, homeless domiciliary, substance abuse treatment, neuropsychology, spinal cord injury, nursing home care, and PTSD (combat and military sexual trauma). The site also offers an APA-accredited Post-doctoral program (7 slots) in "Clinical Psychology" with an emphasis in substance abuse, Patient Aligned Care Teams (Medical Psych), LGBT treatment, and PTSD, and an independently APA accredited fellowship in Clinical Neuropsychology (2 positions). This program is a member of APPCN as well. On-site interns have been highly considered for these positions. Of the 90 staff psychologists, approximately half are available as rotation and on-going psychotherapy supervisors. Supervision is at least 2 hours face-to-face weekly, plus 1 hour weekly from EBP supervisors, and 1 hour of group supervision by the TD. Nearly all past interns have passed licensing exams and have obtained either post-docs or jobs following internship. Interns will receive training in Evidence Based Psychotherapy including CPT, CBT, ACT, IPT, IBCT, and PE and will carry two patients each half or the year, using one EBP (each six months), in addition to rotation work. Over the course of the training year, interns accrue sick leave and annual leave (totaling 13 days of annual leave and 13 days of sick leave), have 10 federal holidays, and have health and life insurance benefits. Time off to defend one's dissertation is provided along with time off to attend APA, Texas Psych Assn., or Dallas Psych. Assn. meetings. The VA North Texas Health Care System's Pre-doctoral internship was re-accredited in 2013 for the full 7 years (i.e., until 2020).