Integrated Primary Care (IPC) Track

APPIC Program Match Number: 150911

Number of Internship Positions: 1

Integrated Primary Care Clinic

A core component of the IPC internship is learning how to integrate into a medical team. During the course of the year, the intern will provide consultations to patients and families presenting for primary care appointments, offering same-day services for a wide variety of presenting concerns, including procedural distress, ADHD, sleep concerns, feeding concerns, family conflict, depression, anxiety, developmental concerns, and weight management. The primary care team at Nationwide Children's Hospital serves families from different backgrounds and provides care for individuals aged 0-21 years.

Outpatient Therapy

The IPC intern will take a caseload of patients referred for co-located primary care psychology services. The intern will provide targeted behavioral health care for children and adolescents with a wide variety of presenting concerns, including disruptive behavior, depression, anxiety, adjustment, and elimination disorders. Treatment experiences include brief individual, child and parent, and family consultations and interventions, as well as brief outpatient interventions, group facilitation, and community support programs unique to our primary care network.

Psychological Assessment

The intern will complete psychoeducational evaluations throughout the year for children and youth ages 6-18 years referred for a psychoeducational evaluation to provide diagnostic clarification and/or rule out intellectual disabilities, learning disabilities, ADHD, and other psychiatric diagnoses that may be impacting the patient’s functioning. Interns will administer, score, and interpret cognitive assessments, achievement assessments, broad-based rating scales, and symptom-specific rating scales. The intern will write reports summarizing results, diagnoses, and recommendations. The intern will also provide feedback to patients and caregivers regarding diagnoses and recommendations.

The intern will also complete targeted ADHD evaluations throughout the year for children and youth aged 4-20 years referred by their primary care provider due to concerns for complex ADHD. The intern will administer, score, and interpret broad-based and symptom-specific rating scales to provide diagnostic clarification and support. The intern will write brief reports summarizing results, diagnosis, and recommendations. The intern will also provide feedback to patients and families and collaborate with the primary care team and families to determine treatment plan.

Supervision

The intern will participate in both individual and group supervision with psychology faculty members specific to their activities. Supervision is a source of pride for our hospital and an area of continued dedication to education and growth for our clinical faculty. The IPC intern receives supervision from a variety of faculty, allowing for exposure to different styles, approaches, and specializations. Supervision is provided from a developmental perspective, focusing on building confidence, self-assessment and reflection, individual competencies, professional identity, independence, and professional development. Group supervision experiences include monthly case conferences with the primary care psychology team. Individual supervision for integrated consult services is structured and scheduled, as well as on-the-fly.

Research

Due to the clinical focus of the internship, research experiences are not a core part of the training experience. However, for interns who have defended their dissertation, research opportunities are available. There are several Quality Improvement / Process Improvements projects ongoing. These projects are aimed at increasing equitable access to behavioral health care and contribute to the broader scholarship in integrated primary care. Interns are also expected to consult the relevant literature to inform their clinical work and share research knowledge with colleagues.

Didactics

Didactic experiences in the IPC Psychology track are both formal and informal. The IPC intern will engage in didactic opportunities with the primary care psychology team, psychology interns on other tracks, and/or medical faculty and trainees. Examples of didactic experiences are outlined below.

  • Nationwide Children's Hospital Internship Seminar with all Nationwide Children's Predoctoral Psychology interns – 90 minutes/week
  • Clinical Service Hour with pediatric psychology interns – (attend as relevant)
  • Didactic seminars with child clinical interns – (attend as relevant)
  • Pediatric Specialty Seminar with pediatric psychology interns – (attend as relevant)
  • Journal Club with integrated primary care team – 1 hour/month
  • Program Development/Community Engagement with integrated primary care team – 1.5 hour/month
  • Pediatric Grand Rounds (1 hour per week)

Many additional educational opportunities exist within our hospital setting including Behavioral Health Education Days, Tumor Board, Clinical Research Seminars, Schwartz Center rounds, and the Multicultural Brown Bag Lunch Series. The intern will also join these didactic experiences as relevant to their training in integrated primary care.

Hours

Integrated primary care interns work five days per week. There is no “on-call” coverage, and interns typically work 40-50 hours per week.

Integrated Primary Care Track
Sample Weekly Schedule

Activity

Hours

Integrated Primary Care Clinic

11-16

Elective Rotations

4-6

Psychological Evaluations

3-4

Group Supervision

1-2

Individual Supervision

3-5

Educational Seminars

3-4

Report Writing, Clinical Notes, Phone Calls

10

Administrative/Staff Meetings

2

Hours Weekly

40-50

Integrated Primary Care 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.

IPC Faculty