Medical Intern

About the role

Counseling & Recovery Services of Oklahoma (CRSOK) is a Section 223 Certified Community Behavioral Health Clinic (CCBHC) serving approximately 1,600 active clients across four sites. The Medical Clinic delivers integrated psychiatric medication management, medication-assisted treatment (MAT), and physical health monitoring to adults and youth with serious mental illness, substance use disorders, and co-occuring presentations.

Responsibilities

• Gain direct exposure to the full scope of PMHNP practice: SMI and SED evaluation and treatment, medication management, MOUD prescribing, integrated physical health monitoring, trauma-informed care, and care coordination across complex social systems.
• By the end of the rotation, demonstrate progressive competency in the following domains, calibrated to academic level:
• Pyschiatric diagnosis and differential reasoning across SMI, SED, SUD, and co-occuring presentations using DSM-5-TR
• Pyschopharmacology — selection, dosing, monitoring, and patient education across antipsychotics, mood stabilizers, antidepressants, anxiolytics, and MOUD
• MAT/MOUD competency — buprenorphine and naltrexone induction, maintenance, and SAMHSA/DEA compliance
• Physical health integration — metabolic monitoring, abnormal result escalation, and primary care linkage
• Documentation and regulatory compliance — E&M documentation, 42 CFR Part 2, PDMP navigation, and structured EHR field use
• Trauma-informed practice — Sanctuary Model application across complex, high-acuity populations
• Care coordination — closing care loops with case managers, counselors, PCPs, pharmacies, and community partners

Requirements

• Students should expect a high-acuity, diagnostically complex population: Adults and youth with schizophrenia spectrum disorders, bipolar disorder, major depressive disorder, and treatment-resistant presentations
• Patients in active MAT for opioid and alcohol use disorder — dual diagnosis with SMI is the norm, not the exception
• Patients with significant social-determinant complexity: housing instability, justice involvement, insurance gaps, transportation barriers
• Pediatric and adolescent patients at YES Tulsa and CALM Center sites — by assignment
• Patients on high-risk regimens (clozapine, LAIs, complex polypharmacy) — observed and discussed, not independently managed

Qualifications

• PMHNP Student
• Must be enrolled in an accredited PMHNP program
• Must have completed coursework in psychiatric diagnosis, pharmacology, and trauma-informed care
• Must have completed supervised clinical experiences in psychiatric settings

Skills

• Strong clinical skills in psychiatric diagnosis and treatment
• Proficiency in psychopharmacology and medication management
• Experience with trauma-informed care and care coordination
• Ability to work independently and as part of a multidisciplinary team
• Excellent written and verbal communication skills

Benefits

• Intensive, real-world clinical experience in a publicly funded, high-acuity behavioral health setting
• Opportunity to learn from experienced clinicians and participate in a trauma-informed, recovery-oriented environment
• Structured learning activities and feedback to support professional growth

Pay

Unpaid clinical rotation

Schedule

Length per program (typically 6–12 weeks)

Preceptor

A designated preceptor per rotation, named in writing before start (MD, DO, NP, or PA-C)

Student Expectations

• Arrive on time
• Notify the Medical Clinic Manager and preceptor at least two hours before any absence; unexcused absences are reported to the program coordinator
• Maintain professional conduct consistent with CRS dress code and the Sanctuary Model
• Engage patients in a trauma-informed, recovery-oriented, nonjudgmental manner at all times
• Do not discuss patient information outside the clinical setting
• Complete assigned readings and prepare structured case presentations as assigned
• Complete all program learning logs and competency documentation on schedule
• Flag any patient safety concern, suspected medication error, or scope uncertainty to the preceptor immediately — never manage independently
• Report any adverse event or near-miss to the preceptor and Medical Clinic Manager