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, Genetics, Cardiology and Developmental-Behavioral Pediatrics, as well as from many outpatient clinics (e.g., Myelomeningocele Clinic) and community physicians. Interns have some opportunities for inpatient neuropsychological evaluations, largely on the hospital's inpatient Rehabilitation Unit.
The intern will complete two preschool evaluations monthly. Preschool neuropsychological evaluation referrals typically are received from the Sections of Neurology, Neonatology, Hematology/Oncology and Cardiology. The intern also may be involved in completing pre-epilepsy surgery neurodevelopmental and neuropsychological evaluations and 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 experience treating children with brain insult or injury including concussions and neurological conditions (e.g, epilepsy). Cases are supervised by Dr. Kristen Trott and Dr. Kelly McNally. 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. Biofeedback cases are supervised by Dr. Cathy Butz. 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 gain some limited exposure to 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, a diagnostic assessment, behavioral interventions to improve adherence, facilitating patient and family adjustment/adaptation to a medical diagnosis, or coordinating a family meeting to discuss discharge and aftercare plans.
The Neuropsychology intern and fellows participate in bi-monthly group supervision / case conference along with Neuropsychology faculty. Biofeedback and concussion, cases are also supervised in a group format with Dr. Cathy Butz and Dr. Kelly McNally.
Depending on dissertation status, the Neuropsychology intern may be able to collaborate on research or quality improvement projects during their training year.
Didactic experiences in the Neuropsychology 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 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 and rotate responsibility for coverage of weekend consultations. Hours worked per week vary, but are generally 40-50, depending on case load, special interests, and consultation coverage.
Sample Weekly Schedule
Pediatric Psychology/Neuropsychology Track Faculty
Even though faculty are listed below in categories, it should be noted that all faculty take part in each intern’s training to different degrees, including clinical supervision, mentoring, and/or didactic training.
Completion of at least 1-2 formal courses in neuropsychology
Research experience in neuropsychology
Experience working in a medical or hospital setting
Neuropsychological evaluation experience with child medical populations
Experience with pediatric psychology interventions focusing on coping, adjustment, and adherence in children or adolescents with acute or chronic medical conditions
A minimum of 200-300 intervention hours
A minimum of 200-300 neuropsychological assessment hours
A minimum of 15 child integrated psychological evaluation reports