METHODS—Residents of a single pediatric residency were assigned to one of two continuity clinic sites at the beginning of training. At one site, psychology fellows and faculty were integrated into the pediatric continuity clinic teams. At the other site, conventional patterns of behavioral health referral (that is, referral to outside specialists) and consultation continued. We surveyed fifteen years of graduates (N=245) from both clinic settings using a mailed 34-item instrument that queried alumni about their experiences during training and their comfort after training with behavioral health care and collaboration