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URMC / Psychiatry / Education / Psychology Internship & Fellowship / Doctoral Internship / Adult Track / Clinical and Didactic Training Endeavors
 

Clinical and Didactic Training Endeavors

Clinical Rotations

  • Outpatient, 25 hrs/wk (12 months). Interns engage in three primary activities: (1) Ongoing assessment and treatment of adult psychiatric outpatients in our general Ambulatory service; (2) Group psychotherapy training via didactic and clinical practice; and (3) Participation in a weekly interprofessional team meeting. Caseloads are tailored to personal learning goals and with an effort to ensure exposure to patients with diverse racial/ethnic/cultural backgrounds, diverse clinical presentations and needs, etc.  Interns participate in 2 hours of one-to-one supervision with faculty and community clinicians.
  • Inpatient, 20 hrs/wk (6 months). Interns participate in 1 of 2 possible inpatient experiences on the Inpatient Medicine in Psychiatry (iMIP) unit or at the Rochester Psychiatric Center (RPC).
    • Inpatient Medicine in Psychiatry (iMIP)  is a 20-bed unit that offers psychiatric treatment concurrent with treatment for serious medical illnesses.  Psychology interns function as full members of a multidisciplinary team and conduct brief motivational interventions to promote health behavior for patients with substance use or chronic medical conditions and brief counseling for depression, anxiety, and adjustment problems.
    • Rochester Psychiatric Center (RPC) is a 180 bed, state-of-the-art New York State psychiatric center.  The rotation focuses on both targeted assessment and individual and group treatment for treatment refractory patients, many who experience co-morbid variants of Dementia and major Psychiatric illness.  Interns will learn individual and group interventions appropriate for severely mentally ill patients, using rehabilitative skill modules, Dialectical Behavioral Therapy (DBT) interventions, cognitive and behavioral techniques.        
  • Urgent Care Experience.  Interns spend a half day observing the Mobile Crisis Team and an additional block of time in our Comprehensive Psychiatric Emergency Program (CPEP).
  • Psychological Testing Service (PTS). PTS provides brief, expedient, clinically useful assessments for referring clinicians. Typical referral questions relate to differential diagnosis for patients with complex psychiatric needs and assessment of cognition and adaptive functioning. Interns conduct (on average) 3-5 assessments per year. Additional opportunity for testing occurs on our inpatient services.

Elective Experiences

Interns select one elective experience with program approval.  Options vary in length of time commitment, with some being offered for the duration of the academic year and others being more intensive over a period of six months.  Current options are listed below; elective rotations are subject to change and new offerings may be made in the future.

Clinical

  • Anxiety: focuses on the development of competencies in evidence-based behavioral, cognitive-behavioral, and 3rd wave behavioral techniques integrated into a patient-centered treatment approach.
  • Deaf Wellness: focuses on the development of assessment and intervention skills with Deaf individuals. Interns must be proficient in American Sign Language (ASL). This elective is in addition to a specialized Deaf Wellness track.
  • Group: focuses on the development of group clinical skills with opportunity to facilitate an outpatient treatment group and participate in the Principles of Group Psychotherapy Seminar (a course that meets the didactic requirement for certification in group psychotherapy).
  • Primary Care: focuses on the development of collaborative skills in an inter-professional setting, and increased knowledge of the biopsychosocial model with a chronically medically ill and underserved patient population.
  • Telehealth/Geriatrics: focuses on the development of clinical intervention skills with an aging population in long-term care settings via telehealth platforms, and on capacity to serve as a content expert to a telehealth consulting team.

Research

  • Intervention Research: Substance Use in Justice-Involved People, 8 hrs/wk for the full year: Supervisor: Marc T. Swogger, Ph.D.  one intern works as a member of a research team studying a brief motivational intervention (BMI) for justice-involved substance users. Organized around a National Institute on Drug Abuse (NIDA)-funded, randomized clinical trial, the rotation involves recruiting, assessing, and intervening with people in a pretrial jail diversion program.  Clinically, the intern will learn psychopathy assessment using the Psychopathy Checklist-Revised (PCL-R), substance use assessment using a variety of measures, and a BMI for substance use.  The intern will also receive training in fundamental aspects of research laboratory management and grant-writing and will be encouraged to develop an original research project and work toward its presentation during the year.  Collaboration on manuscripts is also a possibility.  Interest in substance use treatment and/or psychopathy and experience in correctional settings is preferred.
  • Mobile App Development and Research, 8 hrs/wk for the full year: Supervisor: Wendi Cross, Ph.D.; Co-Supervisor: Michael Hasselberg, PhD, RN.  It is estimated that up to 30% of Alzheimer's Disease (AD) cases can be prevented through modifiable health and lifestyle factors.  The aim of this project is to explore the use of smartphone technology through a Primary Prevention AD Mobile App on brain health wellness for individuals in pre-clinical, mild cognitive impairment, adn early stage of AD.  Our team consists of faculty and staff with complementary expertise, experience and innovation in AD, medicine, technology, psychology, nutrition, music, and computer science.  In collaboration with other experts, we are building an app that integrates multimedia content (images, video, and music) to provide education, monitor health and health behaviors, promote behavior change, provide a means of social valorization, and serve as a mediator for clinical care and AD prevention research engagement.  One intern works as a member of a team contributing psychological content to the app based on the literative as well as to the design ("look and feel")  and interface of potential users with the app. In addition, the intern will be involved in usability testing.  Collaboration on manuscripts is a possibility. Interest in technology and/or AD and ability to work on a creative tem is pre

Didactics / Structured Training Experiences

  • Leadership Projects, 1-2 hrs/wk (12 months). Each intern, in conjunction with a faculty mentor, completes a leadership project focused on developing tailored approaches for education, intervention, prevention and evaluation initiatives in Psychology. Past projects have included: “Developing a brief curriculum on trauma, caregiver stress, and resilience of kinship caregivers,” and “Identifying an adaptation framework for a diabetes prevention program for individuals with severe mental illness”.
  • Advanced Topics in Psychology Series, 1 hr/wk (12 months). The overall goals of this seminar are to enhance clinical fund of knowledge and general therapy skills, highlight interventions and population specific issues, and build competency in delivering select empirically based treatment for adults.
  • Professional Development Seminar, (1 hr, 2x month, some meetings combined with fellows). This seminar features a wide range of topics pertaining to both professional and academic development presented by selected psychology faculty, including community-based psychologists. Topics include Psychologists in Medical Centers, Diverse Career Paths of Psychologists, Fellowship and Job Search Strategies, and Psychologists as Administrators.
  • "SafeSide"(Suicide Prevention) Seminar (3 hours) and Standardized Patient Practice Session (1 hour). The overall goal is to prepare trainees with the knowledge and skills needed to conduct person-centered, standard-of-care interviews, risk assessments, safety planning, documentation, and decisions with suicidal patients. Each trainee practices these skills in a 1:1 behavioral rehearsal experience with trained standardized patients.
  • Dialectical Behavior Therapy (DBT), 1hr/wk (10 months). This interdisciplinary seminar includes eight hours of didactic lectures followed by weekly group supervision that allows trainees to discuss cases from a DBT framework.
  • Screening, Brief Interventions, and Referral to Treatment (SBIRT), 1 hr/wk (6 weeks). This interdisciplinary seminar includes 6 hours of didactic lectures and experiential learning exercises designed to enhance participants' knowledge, confidence, and skills in the detection and treatment of co-occurring substance use and behavioral health disorders.
  • Multicultural Experiential Learning Seminar (monthly, 1 hour). The overall goal of this seminar is to increase cultural awareness and sensitivity of psychology interns and fellows through experiential learning activities.  This seminar helps trainees become more aware of  their own cultural identities, recognize their own personal biases, better meet the needs of a diverse patient population, and increase awareness of how culture impacts clinical work, research and teaching.
  • Assessment and Treatment of Eating Disorders (4 meetings, 12 hours). This elective opportunity is an interdisciplinary didactic series focusing on evaluation and evidence-based treatment of eating disorders, with a particular emphasis on interdisciplinary treatment team functioning and planning.
  • Identification and Response to Intimate Partner Violence Training (3 hours). This interdisciplinary workshop focuses on the identification, assessment, and treatment of intimate partner violence (IPV). Teaching/learning methods include PowerPoint presentations, film clips, experiential exercises, discussion, and distribution of resource cards and reference materials.
  • Testing Seminar (monthly, 1 hour). This is an integrated seminar for interns on both the child/adolescent and adult tracks to become familiar with evidence-based practices across the domains of diagnosis and assessment, professional/ethical conduct in psychological assessment services, and cultural competence. Adult and Child/Adolescent interns work in pairs to research and present information regarding best practices for one topic in psychological testing/assessment across the lifespan. Topics include mood disorders, psychotic disorders, OCD, and trauma.
  • Department of Psychiatry Grand Rounds, (weekly 1-2 hours; 9 months). This weekly forum features research and clinical presentations by local, regional, and national experts in selected areas of psychiatry and psychology. Twice a month the Grand Rounds speaker holds a discussion hour with trainees from a variety of training programs in the department.  Interns may also choose to attend other Grand Rounds relevant to their training goals (i.e., Primary Care, and Public Health Sciences).
  • Ethics and Psychological Practice (5 hours). The overall goal of this seminar is to assist psychology interns and fellows in the development of advanced practice competencies in critical thinking about ethical issues that psychologists encounter as clinicians, educator/teachers, researchers, and in professional relationships. The seminar is facilitated by faculty and is conducted as a case or topic presentation, peer consultation and discussion series.

 

Presentation

Interns present their Leadership Projects at the Department’s Interdisciplinary Education Poster Day.