Clinical and Didactic Training Activities
“Through my internship, I experienced salient growth in competence and feel that it improved my breadth of treatment experience. It also increased my confidence in becoming an independent clinician.” – Doctoral Intern
- Outpatient Rotation, 25 hrs/wk (12 months). Interns have approximately 10-12 hours of direct outpatient contacts per week, involving both assessment and individual and group treatment of children, (ages birth-18) with a wide range of psychopathology. Interns will regularly conduct diagnostic evaluations and collateral contacts with parents/families, schools and medical professionals in order to develop family-centered treatment plans. Interns also have the opportunity to spend 2 months on the Crisis Intervention Team, a unique outpatient service, providing both evaluation and intervention to families in crisis. As a part of their outpatient time, interns also participate in weekly clinic-wide multidisciplinary treatment team meetings where they can elicit or provide recommendations regarding patient care.
- Inpatient Rotation, 6 months (20-25 hrs/wk). The Child and Adolescent Psychiatric Inpatient Unit provides assessment and crisis stabilization for approximately 22 children and adolescents who are admitted for a variety of reasons, including risk of harm to themselves or others, behavioral instability, deterioration in functioning, and psychosis. Throughout this rotation, the intern works closely with the inpatient psychologist and other members of the inter-professional team to provide psychological assessment, consultation, and individual, narrative therapy, family therapy and group treatment. Groups are both structured / skill based (e.g. Mindfulness) and process-oriented (Teen Expressions Group). Interns facilitate approximately four- six groups per week.
- Pediatric Behavioral Health Rotations, 6 months (4-8 hrs/wk). During the 6-month block opposite the Inpatient Rotation, interns spend 4 hours/week as members of the integrated Pediatric Behavioral Health Service within the General Pediatric Practice of Golisano Children's Hospital. As part of the care team for the largest pediatric practice in Rochester, interns deliver direct clinical service to underserved youth and families; provide consultation to other members of the interdisciplinary health care team; and participate in medical team teaching and didactics. In addition, interns participate in shadowing experiences 2 half-days per month in order to gain additional exposure to integrated pediatric specialty clinics including: Adolescent Medicine, Craniofacial, Endocrinology/Diabetes, Feeding Disorders, Gastroenterology, Inpatient Consultation/Liaison Service, Neurology/Headache, Pulmonary, and Sleep Medicine.
- Autism Spectrum Disorder Mini Elective Rotation, 6 months (2 half-days/month). The purpose of this rotation is to allow psychology interns to acquire more specialized training in the assessment, diagnosis, and treatment of Autism Spectrum Disorder (ASD) in school-aged children. There is an emphasis on comprehensive behavioral/psychological evaluations, differential diagnosis, and case conceptualization, as well as translating evaluation findings into meaningful recommendations for education and treatment. The intern will be trained in clinical assessment methods, including appropriate psychometric measures, unstructured and structured interviews, and semi-structured assessments (e.g., Autism Diagnostic Observation Schedule-2). The intern will be responsible for conducting evaluations, report writing, and delivering feedback. This rotation will also offer opportunities for the intern to serve as a consultant with staff clinicians less familiar with ASD presentations and participate in some clinical and training experiences at Developmental and Behavioral Pediatrics.
- Psychological Testing, 12-months. Interns perform psychological evaluations throughout the training year, though often the majority of evaluations take place during the six-month Inpatient Rotation. Other referral sources include the Adolescent Partial Hospital Service, Child & Adolescent Outpatient Services, and Pediatrics. Test batteries are constructed based on the individual referral questions. Commonly used instruments include: objective measures (e.g., MMPI-A-RF, MACI/M-PACI, CDI/BDI, R-CMAS), projective measures (e.g., Rorschach - Exner System, Roberts Apperception Test, Incomplete Sentences) and parent report measures (e.g., BASC, Conners). When cognitive assessments are needed, commonly used instruments include the WISC-V (administered via iPads), WASI-2, and WAIS.
Core Didactic/Experiential Learning
- Diagnostic Clinic (2.5 hours/week). Diagnostic Clinic in the Child and Adolescent Outpatient Service is designed to provide live supervision of diagnostic work involving children and parents in a collaborative and supportive environment. The interns participate on a "diagnostic team" and are observed by the supervising faculty and other members of the team through one-way viewing facilities. Interns often continue to provide treatment to patients seen in Diagnostic Clinic if appropriate. When acting as observing participants on the team, interns contribute to all discussions about the case, assist with obtaining collateral information from outside sources, and share their observations about the clinical interactions. Previous interns have shared that diagnostic clinic is a great opportunity to get feedback on their own clinical work, as well as expand their clinical repertoire by observing their fellow trainees.
- Psychotherapy Seminar (1.5 hours/week, Aug-June). The goal of this seminar is to enhance general therapy skills and build competency in the delivery of select empirically based treatments for children and adolescents (CBT, ACT, parent consultation). Each section of the seminar includes a didactic component and a supervision component, which utilizes videotaped recordings of therapy sessions.
- 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. Some past projects have centered on development and evaluation of new clinical initiatives in outpatient and inpatient settings, development and evaluation of education programs for community sites (e.g. schools, pediatric practices), and evaluating the impact of existing programs (e.g. group therapy, Head Start consultation, inpatient narrative therapy). Trainees present their leadership projects in June at the Department’s Interdisciplinary Education Poster Day.
- 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 (5 hours). This evidence-based suicide prevention learning activity involves a 3-hour workshop followed by a recorded standardized patient practice opportunity with follow-up, including guided self-assessment and clinical supervision.
- 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.
- 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 will 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 (1 hr., 3x/mo). 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).
- 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). 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.
Interns present their Leadership Projects at the Department’s Interdisciplinary Education Poster Day.