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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 will engage in four 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; (3) Psychological testing service tailored to training goals; and (4) Participation in a weekly interprofessional team meeting.
  • 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 Clinic (UCC), 1hr/wk (6 months). Interns will see two urgent care cases a month and participate in weekly group supervision regarding these and similar cases. They will also participate in a weekly UCC treatment team meeting along with psychiatry, psychology, and social work staff.
  • 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.
  • Clinical Elective Experiences, 10 hrs/wk (6 months). Interns select one successive six-month experience with program approval. Some choices include:

    • 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).
    • 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.
    • Additional elective rotations may be offered in the future.

Research Elective

Intervention Research Rotation: Substance Use in Justice-Involved People, 8 hrs/wk for the full year
Rotation Supervisor: Marc T. Swogger, Ph.D.
This is a 12 month rotation in which 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. 

 

Didactics Unique to Our Program

  • 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.

  • Commitment to Living (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.

Other Structured Training Experiences

  • 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 Interpersonal Violence Training (6 hours in two sessions). This interdisciplinary workshop focuses on the identification, assessment, and treatment of interpersonal 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 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, 3/mo (12 months). This weekly forum features research and clinical presentations by local, regional, and national experts in selected areas of psychiatry and psychology. 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 conducted as a case presentation, consultation and discussion series.

 

Presentation

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