She is also residency program director at the Providence Medical Center in Spokane, Washington where she teaches Collaborative Care to residents and medical students. Dr. Keeble completed her psychiatry residency through the UW's Psychiatry Residency Training Program. She began working on a Collaborative Care team in 2010 through the Washington ​State Mental Health Integration Program (MHIP) program where she worked as a psychiatric consultant in a Spokane community health center. In 2015, Dr. Keeble moved her focus to training residents in Collaborative Care.​