Adult Clinical & Health Psychology Fellowship

Fellows join a team of multidisciplinary providers and staff who comprise the Metabolic and Bariatric Surgery Center of Excellence program.  Fellows learn to conduct comprehensive pre-surgical psychological evaluations with patients seeking bariatric surgery.  Fellows become proficient at record review and report writing.  Fellows also learn to communicate diagnostic impressions and recommendations to the treatment team regarding a patient's candidacy for surgery, management of the patient through the pre to post-surgical regime, and any mental health treatment needs that the patient may have requiring alignment of additional resources.

Fellows work with adult patients diagnosed with cancer as part of the Psycho-Oncology Service.  Fellows work in consultation with medical oncologists, radiation oncologists, neuro-oncologists, surgeons, nurse practitioners, nurses, patient navigators, medical social workers, and medical assistants to meet patient care needs.  Brief assessment, consultation, and individual and family consultation are  provided to patients screening high in distress and/or requesting Health Psychology services as part of their medical care. Fellows gain exposure to adjustment disorders, anxiety, depression, and other psychiatric disorders precipitated or exacerbated by a cancer diagnosis and cancer treatment and learn to treat these conditions in the context of cancer.  Fellows learn how to interact effectively and efficiently with medical specialists, document services in medical records, and participate in a variety of team based meetings to include Cancer Committee, Breast Cancer Committee, HPC Transplant Committee, and the Oncology Continuum of Care Committee.

Fellows work with adults exhibiting a wide range of emotional and behavioral problems including adjustment disorders, anxiety disorders, mood disorders, personality disorders, behavioral disorders, medical conditions, and relationship distress. The patient population covers a broad spectrum of psychopathology, symptomatology, and functioning spanning from seeing patients typical of those presenting to community mental health settings, to patients with significant medical comorbidity, to patients who are highly accomplished professionals.  This breadth provides fellows a full range of clinical exposure to diverse patient populations. Assessment includes diagnostic evaluation, collateral contacts with family and other professionals, psychological testing, and use of screening instruments. The fellow conducts diagnostic assessments, conceptualizes cases, develops treatment plans, collaborates with other professionals for care of a patient, and implements interventions.  Interventions include individual psychotherapy, marital/family therapy, and consultation.  Fellows train in short-term psychotherapy and consultation involving rapid assessment and formulation of interventions. Fellows gain experience with long-term psychotherapy with persistent conditions such as trauma, clinical depression, and personality disorders.  Fellows have many opportunities to collaborate with other professionals to include psychiatrists, psychiatric nurse practitioners, clinical social workers, and nurses.

PCBH training includes rapid diagnostic evaluation, proficiency with use of screening instruments, brief psychotherapy intervention, and consultation and coordination of care with primary care physicians, psychiatrists, integrated behavioral health nurses, nurse practitioners, and other staff within an embedded integrated care service.  Services in PCBH center around management of mental health conditions and chronic disease with patients seen in the primary care setting.

In the Psychological Testing Service, fellows administer and interpret comprehensive psychological evaluations to assess for anxiety, depression, thought disorders, personality traits, atypical behaviors, ADHD, and cognitive disorders. Fellows become proficient at administering and interpreting objective personality measures with additional training opportunities in cognitive, academic, executive functioning, and projective personality measures. Fellows learn to combine testing data, relevant background information, and other sources of data into an integrative report. Fellows become skilled at communicating the results to patients and medical professionals. 

Fellows learn to provide an array of cognitive/behavioral and mindfulness-based psychotherapy interventions for the treatment of insomnia and other sleep disorders diagnosed at either the Marshfield Medical Center Sleep Lab and by physicians and APCs in the health system.  Fellows learn to coordinate care with neurologists, nurse practitioners, and other staff specializing in Sleep Medicine. 

The mission of the Adult Clinical and Health Psychology Postdoctoral Fellowship Program at Marshfield Clinic Health System is to train future psychologists to function with high levels of competency, diverse clinical skills, and leadership in multidisciplinary health care settings. Our program mission promotes the development of advanced skills for psychologists in the areas of both clinical psychology and clinical health psychology. 

Our program embodies the APA vision for training competent practitioners in health service psychology for the 21st century. This development occurs through the fellow's participation in a structured, intensive training program that involves direct and indirect supervision, didactic seminars, case conferences, and a planned clinical caseload involving varying practice settings, presenting problems, clinical tasks and patient populations.

The fellowship program builds upon the fellow's clinical skills developed in graduate school and internship. Based on this foundation, the program advances clinical and professional skills towards a fellow's development as a highly competent psychologist by providing a graduated level of clinical experiences and intensive individual supervision. Fellows progress to increasing levels of independent functioning based upon close supervision of cases and directed review of the relevant literature and other training materials. Each fellow accepted into the program is supported to master the training experiences of the program, attain professional goals of passing the EPPP and gaining licensure, and graduate from the fellowship.

The fellowship program is a small program consisting of psychologists who are dedicated to teaching as part of their clinical careers. We find teaching to be a mutual learning process in which fellow and supervisor are enriched. This is well demonstrated in the supportive, collegial mentoring that is provided to each fellow.

The goals indicated below are derived from the Program's Mission Statement and Philosophy of Training:

• The fellowship will assist the fellow in becoming an accomplished clinician capable of practicing independently at an advanced level in a variety of clinical settings.
• The fellowship will involve postdoctoral fellows with a range of consultation activities to facilitate their development as integrated care clinicians, in addition to their roles as diagnosticians and psychotherapists.
• The fellowship will provide a structured sequence of seminars and training activities in support a fellow's development of breadth and depth of clinical skill and knowledge.
• The fellowship will provide feedback and guidance to each fellow regarding their progress via: weekly supervision with their primary supervisor, weekly supervision with their clinical supervisor, monthly meetings with the Director of Training, quarterly formative performance feedback anchored to observable practice activities (OPAs), and semiannual summative feedback based on the functional and foundational psychology competencies.
• The fellowship faculty will remain contemporary with clinical and professional practice standards, maintaining active involvement in continuing education in the areas relevant to fellowship training.
• The fellowship will seek to balance structured training rotations with each fellow's unique training needs and interests as reflected in the development of the Individual Fellowship Plan (IFP) at the beginning of training.
• The fellowship will assist postdoctoral fellows with completion of state licensing tasks to become licensed during or at the conclusion of the fellowship.

Faculty will pursue the Mission Statement and Program Goals with fellows in a respectful and non-exploitative manner as a means protect the civil and personal rights of each fellow while adhering to treatment expectations of all staff at the Marshfield Clinic Health System.

Our program is committed to training professional psychologists utilizing the Competency Benchmarks for Professional Psychology (Fouad et al., 2009). We teach, model, reinforce, evaluate and, when necessary, remediate elements of each of the following foundational and functional core competencies in professional psychology:

• Professionalism
• Reflective practice, self-assessment, and self-care
• Scientific knowledge and methods
• Interpersonal relationships
• Individual and cultural uniqueness
• Ethics, legal standards and policy
• Interdisciplinary systems
• Assessment
• Intervention
• Consultation
• Management
• Advocacy
• Research evaluation
• Evidence-based practice 
• Teaching
• Supervision

We offer a competitive salary and benefit package that includes relocation assistance, malpractice coverage and an annual $1,750 travel/education fund available to each fellow.

Salaries for 2026-2027 (effective July 1, 2026): $59,120

Please visit this document for more information about our benefits.

• 15 workdays per contract year.
• Continuing Medical Education (CME)/Meeting time: Working days are allotted per academic year for scientific meetings (includes travel time).
• Interview days: Fellows are allotted interview days during the course of their fellowship for job-related interviews.
• Birth/adoption leave: Fellows may take up to six weeks of leave in a 12 month period for the birth of the Fellow's natural child or the placement of a child with the Fellow for adoption. Absence from the fellowship program beyond six weeks may require an extension of the fellowship to meet board eligibility criteria.
• Family and Medical Leave Act (FMLA): The FMLA is an unpaid, job protected leave. Fellows who meet the eligibility criteria will be eligible for unpaid leave under the FMLA. Absences from the fellowship program may request an extension of the fellowship to meet board eligibility criteria.

• Fully covered under Marshfield Clinic Health System’s self-insurance plan for professional liability. This is an occurrence policy. Contribution to the State of Wisconsin Patients Compensation Fund is also made on behalf of each licensed fellow, which provides additional protection.
• Covered under Worker's Compensation.
• Short and Long term disability insurance is purchased for each Fellow. This policy is effective the 1st of the month following 90 days from your hire date in a benefited status.
• Group term accidental death and dismemberment insurance is an option at the Fellow's own expense.
• Group term life insurance: A $50,000 term life insurance is purchased for each Fellow.

• Accidental death and dismemberment insurance is an option at the resident's/fellow's own expense.
• Group term life insurance: A $50,000 term life insurance is purchased for each fellow.

• An annual $1,750 travel/educational fund is available for attending meetings, purchasing textbooks or a combination of these activities. Fellows are allotted seven working days which includes travel per academic year for scientific meeting time.
• Fellow’s Wisconsin State Psychology fees (including the EPPP exam fee) are paid when applied and scheduled during employed contract training years.
• Relocation assistance up to $2,500 per resident family household.
• Graphic arts services are available to fellows.
• A standard 35 percent discount (excluding contact lenses) at Marshfield Clinic Optical Shop.
• Special funds are available for paper/poster presentations.
• Marshfield Clinic provides state of the art computer hardware and software for each fellow including a convertible tablet and fully wireless environment.
• Resident/learner lounge is accessible 24/7.

Affordable housing is available in Marshfield. The range for rental cost of a two bedroom apartment is $425-$700 per month. A variety of housing is available, ranging from apartment complexes to single houses and duplexes.

Each fellow is assigned a primary supervisor and clinical supervisor(s) throughout the duration of the fellowship.  Supervisors may change over the course of the fellowship.  Quarterly evaluations are completed by all supervisors.  These are done via assessment of performance linked to core competencies. The purpose of the evaluations is to provide feedback, guidance, and directed remediation as needed.  Supervisors review completed evaluations directly with the fellow.  Evaluations are designed to be consistent with and in support of the program goals and in reference to each fellow's Individualized Fellowship Plan (IFP).  Additional evaluation may be conducted by supervisors overseeing specific rotations based on expectations for clinical skill development and professional functioning outlined for the rotation.   The overall goal is for the fellow to reach a level of skill and proficiency to function in an autonomous manner and be ready to lead a similar service at an advanced level upon graduation.

The Psychology Fellowship Program's Clinical Competency Committee (CCC), comprised of all supervisors and the Program Director, comprehensively reviews the progress the fellows in the program. The CCC serves the important function to synthesize the quantitative and qualitative assessments of each fellow.  The committee meets on a semiannual basis to conduct an overall performance assessment of each fellow based on both the functional and foundational competencies of professional psychology practice.  The committee is also responsible for providing a recommendation about graduation for the fellow in the later part of the second year of training.

A primary goal of the evaluation process is to enhance performance of the fellow. In support of this goal, we conduct regular evaluations of the fellow, the supervisors, the program and the program director.  The program director meets monthly with each fellow to review progress and discuss any concerns with training, supervision, the program, and adjustment to the program and community. The program strives to provide formative feedback throughout training, such that the summative feedback provided semiannually by the Clinical Competency Committee is consistent with feedback that fellows have received throughout training. 

Semiannual evaluations are completed by the fellows on their primary and clinical supervisors.  The purpose of these evaluations is to provide feedback on ways to enhance the clinical supervision.  The evaluation is designed to facilitate adjustments in the supervisory interaction and to facilitate the fellow's successful pursuit of their IFP and the program's goals.  The evaluation addresses supervision logistics, the supervisory relationship and process, and specific skills training.

Semiannual evaluations are completed by the fellow on the Fellowship Program.  The purpose of these evaluations is to provide a structured, systematic way of obtaining feedback regarding strengths and areas of recommended improvement in the program.  These evaluations are reviewed directly by the fellow with the primary supervisor and the Program Director.  Program evaluation reviews general characteristics of the program, specific training opportunities, and how they support pursuit of the fellow's IFP.

Semiannual evaluations are completed by the fellow on the Program Director.  The purpose of these evaluations is to structure a process for fellows to provide feedback to the Program Director about their interaction and about program concerns.  This evaluation activity is designed to facilitate adjustments in the interaction and to facilitate the fellow's successful pursuit of their IFP and the program's goals. The evaluation assesses the Program Director's availability and support to the fellows, leadership, contributions to training and support for self-care.

The faculty of the Adult Clinical and Health Psychology Postdoctoral Fellowship Program value open communication and strong working relationships with the fellows.  If a disagreement arises between a fellow and a faculty member over the evaluations/feedback, the optimal outcome would be that the disagreement be resolved directly between the individuals in a professional manner, such that the resolution process itself becomes a learning opportunity for conflict management among colleagues. Division of Education policies related to due process, grievances, and professional behavior are followed throughout this process.

If a situation cannot be resolved in the above manner, the fellow is encouraged to utilize the sequence noted below:

1. Talk with primary supervisor; if unresolved,
2. Talk with the Program Director; if unresolved,
3. Talk with the Director of the Division of Education and implement a Grievance/Due Process procedure through the Division of Education.
4. At any point, a fellow may directly consult the Program Director or the Director of the Division of Education if circumstances preclude using the aforementioned sequence.