The Spokane VAMC Psychology Predoctoral Internship Program offers four internship positions and is a 52-week, 40-hour per week program. Clinical experiences will emphasize development of skills for serving diverse veterans in urban, rural, and highly rural settings. The mission of the Spokane VAMC Psychology Predoctoral Internship Program is to provide comprehensive generalist training in professional psychology based on the practitioner-scholar model. Our primary goal is to develop an intern's knowledge, skills, and abilities through direct, supervised patient care and integrated educational and scholarly opportunities that will prepare them for licensure, postdoctoral residencies, and entry-level professional positions. The training program emphasizes development of clinical and professional skills commensurate with providing services within VHA and with rural populations. While interns will spend the majority of their time in direct patient care, the intern's training goals are of primary importance and take precedence over workload demands. Our program's emphasis on the application of current scientific knowledge to professional delivery of services is reflected in the content of training experiences, which include training in evidence-based practices, exposure to varied treatment settings, application of clinical research, and participation in didactics offered by both Spokane VAMC staff and local experts. Our goal is to provide each intern with a broad range of training experiences in assessment, intervention, and consultation with a wide array of patients in medical and mental health settings. Interns may choose from the following rotations for their training year: General Mental Health clinic (required), PTSD Clinical Team, Neuropsychology Clinic, Adult Psychiatric Unit, Community Living Center, Primary Care/Mental Health Integration, Pain Clinic, and Substance Treatment Program. Lastly, Eastern Washington is a geographically beautiful area with a host of outdoor activities available, four seasons, and a very high quality of life.