The Psychology Internship at VHSO is a full-time, one year internship which will begin on the fourth Monday of August. Our internship setting is a comprehensive VA Medical Center that includes a 73 bed hospital with a psychiatric ward, primary care clinics, and diverse outpatient clinics including optometry, dentistry, audiology, speech pathology, and—of course—mental health. A new inpatient mental health unit is under construction right next to the outpatient mental health building where most internship activities take place. Our training calendar is built around three trimesters of four months each. When applying for Phase II of the 2023 Match, interns should indicate their interest in one of our three areas of focus. Interns will generally work in their chosen area of focus throughout the training year. They will also complete minor rotations that may be arranged for one or more trimesters each. Please note that our focus areas have changed since our current brochure was published. Our focus areas in Neuropsychology and Trauma Recovery remain as described in the brochure. However, due to staffing changes, we will not offer a focus in General Mental Health for the 2023-2024 training year. Dr. Rachel Jones, one of our General Mental Health psychologists, is transferring full time to our Primary Care Mental Health Integration clinic (PCMHI). Unfortunately, this leaves us without enough supervisors on the GMH team to promise that we can offer a full rotation in GMH. However, we will now be able to offer a rotation in PCMHI. This is a brief, solution-focused therapy model (generally 30 minute appointments, 1-6 sessions) with referrals coming directly from primary care—often via warm handoff during a primary care appointment. Veterans are referred to PCMHI for a wide range of mental and behavioral health concerns. We anticipate that interns on this rotation will provide services through a combination of telehealth and in person appointments. Interns on this rotation will have the opportunity to learn and implement brief EBPs such as CBT-Insomnia and Prolonged Exposure-Primary Care. PCMHI will be available as either a focus/major rotation or as a minor rotation. We also expect to continue offering experience leading group therapy through the GMH clinic. Minor rotations are assigned according to the interests, abilities, and training needs of the interns, as well as the training capacity of the minor rotations. The training experiences offered as major rotations/foci (i.e., PCMHI, Trauma Recovery Program, and Neuropsychology) are generally also available as minor rotations, though the experience offered as a minor rotation will obviously be less in-depth than it is when training on that rotation throughout the year. We also have training opportunities that are available only as minor rotations, such as our inpatient Substance Use Disorder program and Home Based Primary Care. Please note that Pain Management, despite being described in our brochure, will probably not be available as a minor rotation in 2023-2024. Assignment of rotations is a flexible process, reflecting our belief that training is at its best when it is a collaborative process that honors both the faculty’s and intern’s understanding of the intern’s aspirations and training needs.