APPIC Program Match Number 150915
Number of Intern Positions: 1
The Neuropsychology intern will spend approximately 60% of their time in assessment activities. The intern will complete one outpatient neuropsychological evaluation weekly. These assessments include a full neuropsychological test battery appropriate for the child’s age and presenting concerns. Interns will gain exposure to children with various medical, neurological, psychiatric, and developmental disorders. Referrals are received from a variety of hospital services, including the Sections of Neurology, Neurosurgery, Physical Medicine and Rehabilitation, Hematology / Oncology, and Developmental-Behavioral Pediatrics, as well as from many outpatient clinics (e.g., Myelomeningocele Clinic) and community physicians. Interns may have some opportunities for inpatient neuropsychological evaluations.
The intern will complete two preschool evaluations monthly. Preschool neuropsychological evaluation referrals typically are received from the Sections of Neurology, Neonatology, and Hematology/Oncology. The intern also will be involved in completing pre-epilepsy surgery neurodevelopmental and neuropsychological evaluations. The intern will attend Epilepsy Surgery Conference and will be involved in presenting evaluation findings and recommendations to the Epilepsy Surgery Team.
The Neuropsychology intern will be required to carry a minimum of 4 to 6 outpatient treatment cases throughout the year. The intern will gain specific experience treating children with brain insult or injury, neurological conditions (e.g, epilepsy), Tourette’s Disorder, tics, obsessive-compulsive disorder and their families. Cases are supervised by Dr. Kristen Gsanger and Dr. Heather Yardley. Out of the 4 to 6 cases, the intern will carry 1 to 2 Biofeedback treatment cases. Cases typically involve children and adolescents presenting with headache or abdominal pain or other physical symptoms exacerbated by stress. Many have a history of anxiety issues. Biofeedback cases are supervised by Dr. Cathy Butz and Dr. Anthony Alioto. The intern also may see a wider range of cases involving treatment of children with acute or chronic illnesses, adjustment difficulties, behavioral problems, phobias, and family problems.
Interns will provide consultation in Concussion and Epilepsy Clinics. Activities vary by clinic, but typically involve assessing the child’s need for resources and services (e.g., neuropsychological evaluation, behavioral health services, special education services, school advocacy, etc.). Brief neuropsychological testing also is completed in Concussion Clinic. The neuropsychology intern will be involved in providing inpatient consultation to the Neurology Section. Neurology consults are requested for children with a history of known or possible seizures who are admitted for long-term video-EEG monitoring. Psychology consultation also is requested for patients with suspected nonepileptic seizures or conversion disorder. Requests for consultation may involve developing pain management strategies, a behavior plan, or feeding program, a diagnostic assessment, behavioral interventions to increase compliance with medical regimens, facilitating patient and family adjustment/adaptation to a medical diagnosis, or coordinating a family meeting to discuss discharge and aftercare plans. Some additional opportunities to provide inpatient consultation in other areas of the hospital may also be available (e.g., General Medicine, Hematology/Oncology).
The Neuropsychology intern and fellows participate in bi-monthly group supervision / case conference along with Neuropsychology faculty. Biofeedback cases are also supervised in a group format by Dr. Cathy Butz and Dr. Anthony Alioto. Tic, Tourette’s Disorder, and obsessive-compulsive disorder cases are supervised in a group format with Dr. Heather Yardley.
Dr. Keith Yeates is involved in a number of large, multi-site research projects examining topics such as child and family sequelae of preschool brain injury, neurobehavioral late-effects in pediatric brain tumors, postconcussive symptoms in children with mild head injuries, and social outcomes of pediatric traumatic brain injury. Depending on dissertation status, the Neuropsychology intern may be able to collaborate on research projects during their training year.
Didactic experiences in the Neuropsychology specialty track are both formal and informal. The intern will be expected to complete readings in clinical neuropsychology, especially as they pertain to pediatric populations. Readings will be chosen in consultation with clinical supervisors.
In addition to internship-wide formal didactic activities, the Neuropsychology intern will participate in weekly Neuropsychology seminar. Neuropsychology Seminar is designed to introduce Neuropsychology faculty and trainees to current research, clinical, professional development, and ethical topics in the specialty of Neuropsychology.
The Neuropsychology intern also will attend bi-monthly Neuroradiology Rounds. Rounds are led by a neuroradiologist and attended by Neurology physicians, nurse practitioners, and trainees, as well as Neuropsychology faculty and trainees. Clinical aspects and neuroradiology findings of cases are discussed.
Many additional educational opportunities exist including Medical Grand Rounds, Tumor Board, Clinical Research Seminars, and the Multicultural Brown Bag Lunch Series.
Neuropsychology interns work five days per week, although rotating responsibility for coverage of weekend consultations is necessary. Hours worked per week vary, but are generally 40-50, depending on case load, special interests, and consultation coverage.
Sample Weekly Schedule
Experience working in a medical or hospital setting
Completion of formal coursework in neuropsychology and/or the neurosciences
A minimum of 200-300 intervention hours
A minimum of 200-300 neuropsychological assessment hours
A minimum of 15 child integrated psychological evaluation reports