Overview
Seattle
Community
Program
Description
Rotation Descriptions
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Frequently
Asked Questions
Application
Instructions and Selection
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Training
Faculty
2009-2010 Internship Cohort
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This website was last updated 10/02/09
Welcome to the website for the University of Washington Psychology Internship Program! This website is designed to provide prospective applicants and others with an introduction to our training program. Please explore the web site to learn about training opportunities and application requirements. For additional information please contact Joan Romano, Ph.D., Psychology Internship Training Director at psyintrn@u.washington.edu or Mary Horton, M.Ed., Program Coordinator at 206-543-7576 or hortom2@u.washington.edu.
The University of Washington Psychology Internship program was founded in 1961 with the goal of providing excellent clinical, didactic, and research training firmly rooted in the scientist-practitioner tradition. The program has been continuously accredited by the American Psychological Association (APA) since 1965, and has built a strong national reputation as a leading medical school-based internship, providing training in general adult psychology, general child psychology, and behavioral medicine/health psychology. Our faculty includes nationally recognized researchers and clinicians with a strong interest in teaching and clinical training. Our program is strongly committed to advancing diversity in the recruitment and training of psychology residents.
The
University of Washington's
predoctoral internship program
is accredited by the American
Psychological Association
(APA). (The APA Office of
Program Consultation and
Accreditation can be reached
at 750 First Street NE, Washington,
D.C. 20002-4242 or by phone:
202-336-5979). Our internship
program provides intensive
training in psychology under
the auspices of the University's
School of Medicine. The program
involves three medical centers
(The University of Washington
Medical Center, Harborview
Medical Center, and Children's
Hospital and Regional Medical
Center) and their affiliated
programs and clinics. Administrative
oversight for the internship
program is provided by the
Department of Psychiatry
and Behavioral Sciences.
The Internship program operates
within a very active research
context which offers an especially
stimulating environment for
psychology residents who
are considering clinically
relevant academic and/or
research careers. The Internship
program has a membership
in the Academy of Psychological
Clinical Science, which is
associated with the American
Psychological Society. The
Academy of Psychological
Clinical Science is a coalition
of training programs that
share a common goal of producing
and applying scientific knowledge
to the assessment, understanding,
and amelioration of human
problems. The University
of Washington School of Medicine
ranks first among all public
universities in the amount
of federal research funds
received.
Our psychology resident selection process is weighted strongly toward applicants whose training, experience, and academic accomplishments indicate potential for both clinical and research excellence. For example, no applicants from professional school programs have been accepted to our program in the last decade. Successful applicants typically show evidence of scientific contribution, such as publications, presentations, and research activity. They also demonstrate evidence of a high degree of clinical competence and experience in assessment and therapy. We especially welcome applicants who have a combination of excellent clinical skills, strong research interests and potential, and well-developed interpersonal and communication skills that will allow them to flourish in a multidisciplinary environment. Our goal is to provide the highest quality training for residents in a supportive and stimulating academic medical center environment.
The University of Washington Psychology Internship utilizes a scientist-practitioner training model. It is a "generalist" program that permits additional emphasis in adult and child psychology and behavioral medicine. Training sites include medical and psychiatric inpatient and outpatient settings.
The
internship program offers:
Application
Requirements and Procedure
The internship program
begins on July 1. By then, applicants must have completed at least three
years of graduate study (a minimum of 1000 hours of practicum work should
be accrued at the time of application). Applicants must be in good standing
in an APA or CPA accredited, scientist-practitioner Ph.D. program in
clinical, counseling, or "combined" psychology. Because our selection
process is weighted toward applicants showing promise of future academic and/or
clinical research careers, applicants from programs that are primarily geared
toward training practitioners are less competitive. The program also prefers
applicants who have completed comprehensive examinations and who have defended,
or have made substantial progress on their dissertation by the time they begin
internship. Because of this program's diversity and its geographic dispersion,
it is best suited for individuals who are well organized, self-reliant, and
adaptable. Completed applications must be received by November 1.
An interview is not a required part of the application process. However, All
Tracks will offer appointments the afternoon of the Open House to give applicants
the opportunity to meet with Faculty. (For details see Application
Instructions).
Applicants under
consideration who wish to familiarize themselves with our program are strongly
encouraged to attend an Open House on January 5, 2010, where they can
acquaint themselves with many of our training faculty, talk to current psychology
residents, and visit training sites. Attendance at this Open House is
not required for admission to the program. Initial applicant ratings will
have been done prior to the Open House. We notify all applicants of their status
by December 15th; only applicants still under consideration are invited
to the Open House. Visits to our program may be arranged at times other than
the Open House, but they yield less exposure to our faculty and facilities than
at the Open House. Our selection process is driven primarily by the application
materials. If you have specific questions about the training program, please
e-mail the Training Director, Joan M. Romano Ph.D. psyintrn@u.washington.edu).
Or e-mail the Faculty track coordinator any questions you have about
the different tracks.
Adult Track: Debra Kaysen, Ph.D.
dkaysen@u.washington.edu.
Behavioral Medicine/Neuropsychology Track: Dave Patterson, Ph.D. davepatt@u.washington.edu
Child Track: Rose Calderon, Ph.D. rose.calderon@seattlechildrens.org
You can also e-mail general questions to the Psychology Internship Program
Coordinator, Mary Horton, M.Ed. at hortom2@u.washington.edu
Information of Interest to Minority Applicants
We strive to have classes that vary in terms of geography, age, socioeconomic background, gender, and race/ethnicity. The training faculty have diverse interests, personal, and professional backgrounds. The program facilitates supportive, collegial connections between psychology residents and faculty. In the larger University and School of Medicine community, there are a number of resources and events specifically for minority students. (See Office of Multicultural Affairs - School of Medicine) (See Diversity Advancement Committee)
Based on the 2000 census, about 73% of Seattle's population was White, followed by Asian/Pacific Islander-12%; African-American-5%; Native American-1%; Other-3%; about 6% endorsed being of Hispanic ethnicity. As noted in the rotation descriptions, some rotations specifically serve minority communities; others are representative of Seattle's ethnic diversity (e.g., most Harborview sites); and others are relatively less diverse (e.g., most fee-for-service sites, such as the Outpatient Psychiatry Clinic associated with University of Washington Medical Center). Seattle is a community known to be welcoming of other forms of diversity including a large and active gay, lesbian, bisexual, and transgendered community.
Internship training faculty would be pleased to speak with applicants further about any particular resources or aspects of the Seattle community that are of interest.
|
Ethnic Diversity in Seattle, the UW Community, and of the Patients at Sample Sites |
||||||
|
African-American |
Asian/ Pacific Islander |
Caucasian |
Hispanic/ Latino |
Native American |
Comments |
|
| Seattle |
5% |
12% |
73% |
6% |
1% |
3% other minority |
| UW Students |
3% |
19% |
73% |
4% |
1% |
|
| Sample Sites: | ||||||
| Child Inpatient Psychiatry |
11% |
2% |
78% |
4% |
1% |
4% unknown |
| UW Medical Center |
6% |
6% |
67% |
3% |
1% |
17% unknown |
| HMC Mental Health Services |
24% |
5% |
66% |
3% |
2% |
|
Information of Interest to Applicants with Disabilities
Applicants with disabilities are encouraged to apply to our program. In the past, we have accommodated psychology residents with a variety of physical disabilities, including disabilities requiring manual and motorized wheelchair accessibility. The Disabled Student Services Office coordinates special services made available to residents, including a variety of university services, equipment, and publications. Special services from the Department of Rehabilitation Medicine's Assistive Technology Resource also are available. The University of Washington Medical Center's Rehabilitation Medicine and Rehabilitation Psychology Divisions are internationally known, and collaborations between students and faculty members are regarded to be mutually beneficial. The internship program offers experience in working with patients who have a variety of physical disabilities.(Disability Services Office) (Access Guide)
Stipend and Benefits
The stipend for our psychology resident cohort is $24,000 plus non-retirement eligible benefits (includes medical, dental, and life insurance). Psychology residents receive eleven days of vacation, five days of professional leave, and accrue one day of sick leave per month. Because residents are here, for one year only, they are not eligible for leave under the Family Medical Leave Act. However, personal vacation can be taken for family medical emergencies. www.washington.edu/admin/hr/.
The University of Washington reaffirms its policy of equal opportunity regardless of race, color, creed, religion, national origin, sex, sexual orientation, age, marital status, disability, or status as a disabled veteran or Vietnam era veteran in accordance with University policy and applicable federal and state statutes and regulations. Further information regarding these policies and statutes may be obtained through the University of Washington Equal Opportunity Office website at: http://www.washington.edu/provost/ap/eoaa/
The University and the Health Sciences Center
The University of Washington was founded in 1861 on a 10-acre site in what is now downtown Seattle. In 1895, it was moved to its present 660 acres on the shores of Lake Washington. It now offers instruction in more than 200 academic disciplines. Approximately 35,000 students are enrolled. The School of Medicine of the University of Washington was established by the state legislature in 1945. The Medical School is centered in the Health Sciences complex on the University campus. Clinical teaching programs are conducted at the University of Washington Medical Center and in affiliated hospitals and clinical facilities throughout the city and the Pacific Northwest.
Further information about the University can be found at http://www.washington.edu
|
The Puget Sound region, which includes Seattle, is a region of impressive natural beauty with its snowcapped mountain ranges, lakes, rivers, and lush evergreen forests. Seattle and the surrounding areas enjoy a relatively mild climate throughout the year. Average high temperature through November and February is 47 degrees, with an average temperature of 72 degrees between the months of June through August. The average annual rainfall is 36 inches, which is lower than several cities across the U.S. (e.g., Washington DC, New York, Boston, Chicago). SPAN:
Seattle Public Access
Network Washington
Trails Association
|
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Natural recreational attractions vary widely, with an abundance of national, state, and city parks. The city of Seattle is the multicultural center of the Pacific Northwest, richly preserved in the architecture, art, and cuisine of the area. Seattle has many nationally recognized performing arts (ballet, opera, symphony, museums and theatre), and attractions (Space Needle, Pike Place Market, The Experience Music Project, Seattle Art Museum, Seattle Asian Art Museum) that contribute to its unique cultural identify. A range of professional (Mariners, Super Sonics, Seahawks, the Storm) and college (University of Washington Huskies) sporting events are active throughout the year. Seattle's educational facilities, both public and private, are excellent. In higher education, the metropolitan area supports six community colleges and five four-year colleges and universities. |
For more information about the city of Seattle and the surrounding community, please refer to the following links:
www.seattleinsider.com/partners/seeseattle, www.seattlechamber.com,
http://www2.cityofseattle.net/GIS_Map/sub.asp?topic='Recreation'
http://www.ci.seattle.wa.us/html/VISITOR/festival.htm,
http://www.ci.seattle.wa.us/html/visitor/arts.htm
Orientation and Rotation Selection
Psychology residents
are oriented to the training program during the first two days of the internship.
Then, in consultation with the training track coordinators, residents indicate
their preferred rotation sequences. Depending on the track, rotations can range
in length from three to six months. When possible, residents are assigned to
rotations so they have a planned, graduated experience across rotations. For
example, a resident's first rotation may be in a more familiar setting; rotations
in less familiar settings may occur later in the year.
Not all rotations will
necessarily be offered every
year. Psychology residents
are assigned to those rotations
that have space and funding
available. Access to rotations
that do not provide support
is occasionally possible.
Organization of the Training Track System
The
internship training program
is a generalist program but
offers three emphasis tracks:
1. General Adult Psychology
2. General Child Psychology
3. Behavioral Medicine/Neuropsychology
Rotations are primarily located at the University of Washington Medical Center (UWMC), Harborview Medical Center (HMC), and Seattle Children's Hospital (SCH).
Detailed descriptions of each rotation are included in the section below entitled Rotation Descriptions.
Outline of the Training Tracks:
1. General Adult Psychology. (APPIC/NMS program code = 161913)
Track Coordinator: Debra Kaysen, Ph.D. - dkaysen@u.washington.edu
A. University of Washington Medical Center
1. Inpatient Psychiatry
2. Outpatient Psychiatry Center
B. Harborview Medical Center
1. Consultation-Liaison Service
This track is designed to allow residents to experience broad-based psychological work with adults including assessment and intervention with medical and psychiatric patients on both an inpatient and outpatient basis. The three four-month long clinical rotations and sites are listed above.
2. General Child Psychology. (APPIC/NMS program code = 161912)
Track Coordinator: Rose Calderon, Ph.D. - rose.calderon@seattlechildrens.org
A. Seattle Children's Hospital (SCH)
1. Inpatient Psychiatry
2. Consultation/Liaison
3. Neuropsychological Consultation Service
4. Child and Adolescent Outpatient Psychiatry Program
The child track placements are at Seattle Children's Hospital (formerly Children's Hospital and Regional Medical Center). The overall goal of this track is to provide a resident with experiences of broad-based psychological work with children and families including assessment and intervention, short and longer term intervention, work with inpatients and outpatients, medical and psychiatric patients. Attention is paid to the integration of science and practice. Each resident will participate in the four core rotations; Inpatient Psychiatry (IPU), Consultation/Liaison (C/L), Neuropsychological Consultation Service (NP), and Child and Adolescent Outpatient Psychiatry.
3. Behavioral
Medicine/Neuropsychology.
(APPIC/NMS program code =161914)
Track Coordinator: David Patterson, Ph.D. - davepatt@u.washington.edu
A. University of Washington Medical Center
1. Inpatient and Outpatient Spinal Cord Injury Rehabilitation
2. Inpatient and Outpatient Neurologically Impaired Rehabilitation
3. Outpatient Chronic Medical Conditions Rehabilitation
4. Neuropsychological Assessment and ConsultationB. Harborview Medical Center
1. Rehabilitation Psychology
a. Burn Unit and Rehabilitation Psychology Consultation Liaison
b. HMC Inpatient/Outpatient Rehabilitation Rotation
Psychology
residents in this track receive
training in rehabilitation
psychology, neuropsychology
and health psychology. The
University of Washington
Medical School is internationally
known for its contributions
in the area of rehabilitation
medicine. Psychology residents
trained in this rotation
have been competitive for
positions in applied behavioral
medicine settings.
Program Evaluation and Supervision
At the beginning of each rotation, the psychology resident completes a self-assessment of his/her experience relative to the rotation learning objectives to focus the resident and the supervisor on the resident's needs. The self-assessment helps the supervisor try to tailor the residents experience on each rotation to be planned and graduated to fit the residents training needs. Progress will be monitored throughout the rotation. At the end of each rotation, the supervisor fills out an evaluation on the resident similar to the resident's self-assessment form. The psychology resident completes an evaluation of each supervisor and an evaluation of their experience at each rotation site. All evaluations are sent to the internship office. Copies of the resident evaluations are sent to the resident and their mentor. Copies of the resident evaluations of the supervisors are sent to the supervisor. Copies of the rotation evaluations are sent to the rotation coordinator and the track coordinator. All evaluations are reviewed by the director of the internship program before copies are sent out. The resident evaluations are summarized at the end of the year in a letter by the resident's mentor, to their graduate training program, to communicate our assessment of the residents progress during the year.
Each resident receives at least four hours of supervision each week, at least half of which is individual supervision. Many rotations also offer additional structured learning opportunities such as case conferences, interdisciplinary conferences, opportunities to observe faculty interviews or ongoing treatment with patients, and so forth.
Lectures and Seminars
Every psychology resident participates in a required weekly didactic lecture-seminar series. This series is comprised of modules such as professional and ethical issues, diversity issues, diagnosis and assessment, supervision, consultation-liaison, empirically supported therapies, and psychopharmacology. The content of didactics varies with the changing needs and interests of the residents and faculty. Subjects have included interviewing and diagnostic skills, community psychology, therapeutic methods, neuropsychology, treatment of populations with diverse cultural and personal values, and interprofessional relationships. In addition, journal clubs in each track meet once a month: general adult psychology, general child psychology, behavioral medicine/neuropsychology, as well as, the diversity journal club. Psychology residents are expected to attend ten journal clubs during the course of the year; they can of course attend as many as interest them. The journal clubs meet at various times, as arranged by the coordinator of each journal club.
Psychology residents may attend one or more elective seminars such as: Hypnosis and Psychotherapy, (Joseph Barber, Ph.D.)or Dialectical Behavior Therapy for Borderline Personality Disorder (Kate Comtois, Ph.D.) or residents may also join the psychiatry residents in seminars on Interpersonal Psychotherapy or Cognitive-Behavioral Therapy taught by various members of the regular and clinical faculty on a rotating basis. Residents are encouraged to attend lectures in the University of Washington community, including the Department of Psychiatry and Behavioral Sciences Grand Rounds (Department of Psychiatry and Behavioral Sciences).
Theoretical Orientation
Overall, the faculty psychologists use empirically supported assessment and treatment, with most frequently a cognitive-behavioral orientation. Most of our psychiatrists who provide adjunct supervision on many inpatient and C/L rotations have a more biological orientation. Interpersonal and psychodynamically oriented supervision also is available.
Additional Internship Opportunities
(1) Research
Psychology residents may apply to participate in a year long program and seminar on research skills and grantsmanship training. Participation in this activity includes the provision of 6 hours per week of release time from clinical rotations to participate in a seminar devoted to teaching skills needed for developing and writing grants, and to pursue development of a grant proposal or research project under the mentorship of an internship faculty member. Participation in the program is most appropriate for those residents who have either completed or are in the latter stages of their dissertation research, are interested in research areas that can be mentored by faculty members of the internship and are looking towards career choices in which grant writing skills will be needed. Residents are not required to participate in the seminar program.
Psychology residents not participating in the grantsmanship seminar program may apply for one half-day (4 hours) of release time, per week for research (including dissertation research) with an internship training faculty supervisor.
(2) Committee Membership
Several committees are actively involved in the planning and organization of the internship training program. Psychology residents typically volunteer for these committees, or are elected by their fellow residents at the beginning of the year. Listed below are current committees available for resident participation.
(a) Didactic
Planning Committee (Co-Chair Jeanne
Hoffman, Ph.D. and Kelly Schloredt,
Ph.D.)
Functions: To review, revise, organize and plan didactic modules
for the following internship class.
Resident Participation: Two to four residents serve on
the committee which meets in the Spring. Residents work
with various faculty members and obtain feedback from fellow residents in the
planning and scheduling of prospective didactic modules with specific didactic
presentations.
(b)Diversity Advancement Committee (Chair:
Steven Vannoy, Ph.D., MPH)
Functions: To provide training of residents and faculty on issues
of individual and cultural diversity as these relate to theories and methods
of assessment, diagnosis, and effective intervention; consultation, supervision,
and evaluation, and research methods/design. (This diversity training includes:
ethnic minorities, gender/sexual orientation, physical disabilities, SES,age,
and others). To serve as a resource "hub" of information (clinical
and social service resources, research, lectures, and expertise at the University
of Washington and surrounding community) on diversity issues for everyone involved
in the internship. To recruit and retain diverse residents, fellows,
faculty, and speakers as well as those interested in diversity issues.
Resident Participation: All interested residents are encouraged
to participate on the committee which remains active throughout the internship
year. Residents work with regular and allied faculty members, as well as representatives
from the local community.
(c) Professional Development Committee (Chair: Dawn Ehde, Ph.D.)
Functions: To provide guidance, information, and support
to the residents during the internship year. Example activities that this committee
sponsors include a Career Fair, Post-Doctoral Fellowship Fair, Mentoring, and
opportunities to practice job talks.
Resident Participation: At least two residents serve on the committee
each year who provide a crucial link to the resident class. The resident representatives
play an active role in shaping the focus of the committees work in that
particular year.
(d) Steering Committee(Chair: Joan Romano, Ph.D.)
Functions: To assist in the administration, planning, organizing,
and functioning of the overall internship training program.
Resident Participation: Each of three residents serves on the
committee for four months. The committee meets once every two months. Residents
work with other residents, track coordinators, various faculty members, and
psychologists in the local community in overseeing the administrative functioning
of the internship training program.
(3) Post-Internship Opportunities
A number of post-doctoral positions at the University of Washington are available every year. Psychology residents who become productively involved with research and who exhibit superior clinical performance may compete successfully for these positions. UW-affiliated post-doctoral fellowships in psychology are typically available through the Departments of Psychiatry and Behavioral Sciences, Rehabilitation Medicine, Anesthesiology, Psychology, School of Nursing, School of Social Work, and School of Dentistry. The Psychology Internship DOES NOT administer these post-doctoral fellowships. Prospective psychology residents who would like to discuss post-doctoral training possibilities should contact Joan Romano, Ph.D. (psyintrn@u.washington.edu). Alternatively, some residents opt to pursue postdoctoral positions at other Universities, entry-level faculty positions, or other positions, such as Research Scientists. Listed in the following Table is a summary of positions held by recent graduates of the internship training program.
|
INTERNSHIP CLASS |
||
| POST-INTERNSHIP POSITION |
2007-2008 |
2008-2009 |
| Post-Doctoral Fellowship Affiliated with UW System |
3 |
6
|
| Post-Doctoral Fellowship Outside UW System |
5 |
4 |
| Faculty / Research Scientist |
1 |
1 |
| Other (Private Practice, Consulting Business) |
1 |
0 |
| Public Agency Mental Health Services |
0 |
0 |
| Returned to Complete Dissertation |
1 |
0 |
This section provides a more detailed description of the training emphasis tracks, and available rotations by institution. Not all rotations will necessarily be offered every year. These descriptions are organized according to the three emphasis tracks in the internship training program. For additional information about a particular rotation, please contact the person whose last name appears in parentheses.
I. GENERAL
ADULT PSYCHOLOGY TRACK)(APPIC/NMS
program code = 161913)
Current General Adult Track Psychology Residents
Rotation Description & Patient DemographicsA. University of Washington Medical Center
1. Inpatient Psychiatry (Steven Vannoy , PhD, MPH)
2. Outpatient Psychiatry Center (Debra Kaysen, PhD)
Rotation
Description & Patient Demographics
The University of Washington Psychiatry Outpatient Center (UPOC) is an outpatient
psychiatry clinic staffed by faculty and residents in psychology and psychiatry.
It serves a predominantly middle and lower middle class population. Patients
come from diverse ethnic and cultural backgrounds and sexual orientations. Patients
present with a broad range of clinical problems, including mood, anxiety, adjustment
and personality disorders.
The UPOC is located approximately five blocks west of the main campus of the
University of Washington and approximately 10 blocks from the main School of
Medicine complex. The clinic has a large waiting room, faculty offices, several
examination and blood draw rooms, and therapy rooms assigned to psychology residents.
Three rooms are equipped with videotape capability; portable audiotape equipment,
and mobile VCRs/monitors are available for faculty and resident use. Computers
are available in each clinic room, providing access to the scheduling and computerized
medical chart systems, e-mail and the Internet.
Training Experiences
& Treatment Modalities
The educational model of the UPOC emphasizes an empirically supported scientist-practitioner
approach to psychological assessment and treatment. The psychology faculty have
specialized training in evidence based cognitive-behavioral therapy, interpersonal
therapy for depression, and dialectical
behavior therapy for borderline personality disorder.
Resident Expectations
& Supervision
The UWPOC rotation will be conducted on a full time basis for a period of four
months. The training objectives of the UPOC are designed to foster the acquisition
of a broad generalist experience from among the following activities:
Rotation Description & Patient Demographicsa. Treatment: Individual psychotherapy comprises the majority of the clinical caseload, although periodically, couple and group therapy experiences are available. In coordination with the UPOC Triage Team, attempts are made to match residents' preferences for particular training experiences. For example, residents may elect to have the majority of their caseload devoted to anxiety related disorders. Considerations of differential diagnosis, case conceptualization, and treatment planning continuously evolve over the course of care. UPOC supervisors are generally, but not exclusively, cognitive-behaviorally oriented. Training books, manuals, video and audio tapes, and validated measures of therapist adherence and competence in specific treatments may be used to facilitate feedback and learning by the psychology resident. A typical caseload for each day will involve approximately four to five hours of direct clinical contact.
b. Assessment: Psychology residents can administer a range of self-report indices in the outpatient clinic or refer/consult with the UWMC for more comprehensive assessment batteries (e.g., neuro-psychological assessment). The decision to obtain testing and, if so, which tests, is made in consultation with the supervisor on a case-by-case basis. In this way, residents learn the indications for testing and the clinical utility of testing results in treatment planning. Psychology residents with specific assessment or treatment interests can obtain specialized supervision by qualified members of our clinical faculty.
c. Research: Participation in specialty clinical treatment and research programs involving anxiety and mood disorders, behavioral medicine, couples therapy, substance abuse, and sexual dysfunction are available. Psychology residents are encouraged to consult with their supervisors regarding ways to facilitate research interests during their internship year.
B. Harborview Medical Center
d. Supervision: Psychology residents will receive individual supervision with one of the attending psychologists. They will also participate in a 1 hour per week combined psychology and psychiatry resident clinical case conference, moderated by the UPOC training faculty. The case conference is a combination of didactic presentations, readings and faculty/peer consultations.1. Consultation-Liaison (C/L) Service (Barbara McCann, PhD)
Training
Experiences & Treatment Modalities
This service is a very active
service with many new consults
per day. Individuals on the
team will have the opportunity
to assess and develop brief
treatment plans for patients
who are medically ill, need
suicide assessment, are delirious
or need evaluation for decisional
capacity. Treatment plans
are often also directed,
toward how the service requesting
the consultation may be better
able to manage the patient.
Unique cases are often seen,
including varying types of
somatization disorders (e.g.,factitious
disorder). In addition, there
is a high rate of traumatic
injury and substance abuse
seen in patients at HMC and
residents receive training
in brief, motivational interventions.
Psychology residents will
also have the opportunity
to see approximately 3 to
4 outpatients per week through
the Behavioral Medicine Clinic.
The Behavioral Medicine Clinic
receives referrals from the
various primary and specialty
care services affiliated
with the hospital.
Resident Expectations
& Supervision
The team on this rotation includes psychiatry and psychology faculty, two or
three psychiatry residents, one psychology resident, and often medical students.
The HMC C/L faculty specialize in areas ranging from PTSD and HIV to Borderline
Personality Disorder. Residents receive two hours per week of individual supervision
on the C/L service, and an additional 1 hour per week of individual supervision
for their Behavioral Medicine Clinic patients. Residents also receive on-going
group supervision with the C/L team.
II. GENERAL CHILD PSYCHOLOGY TRACK (APPIC/NMS program code = 161912)
A. Seattle Children's Hospital (Formerly Children's Hospital and Regional Medical Center (CHRMC))Seattle Children's Hospital (SCH) is a private, nonprofit, University-affiliated, 205-bed hospital with numerous outpatient clinics. It is the primary pediatric training site for the University of Washington School of Medicine and is the major regional children's medical center. SCH is also the major training site for the Department of Psychiatry and Behavioral Sciences' Division of Child and Adolescent Psychiatry. The Division of Child and Adolescent Psychiatry at SCH provides a variety of services for children with acute and chronic medical problems that are associated with developmental and psychological consequences as well as for children with primary psychiatric disorders. The psychology resident has an excellent opportunity to engage in a wide range of clinical activities and to become skillful with a variety of assessment methods and treatment modalities. Along with patient contacts and consultation to multidisciplinary teams, residents are expected to become familiar with the literature pertinent to their clinical activities and to attend didactic sessions and conferences on the services assigned. Psychology residents have opportunities to participate in research projects during their rotations at SCH. In the following section, a brief overview of each service is given.
Department of Psychiatry and Behavioral Sciences-Division of Child and Adolescent Psychiatry
Rotation Description & Patient Demographics1. Inpatient Psychiatry (Rose Calderon, PhD)
2. Neuropsychological Consultation Service (David Breiger, PhD)
Rotation Description
& Patient Demographics
The Neuropsychological Consultation
Service provides evaluations
to most clinics in the hospital,
including Psychiatry, Neuro-oncology,
Neurodevelopmental, and Neurology.
Neurodevelopmental disorders
frequently seen include autism,
ADHD, learning disabilities,
and mental retardation. In
addition, children are seen
before neurosurgical intervention
and during treatment and
follow-up of brain tumors.
Training Experiences
& Treatment Modalities
Psychology residents are
primarily affiliated with
the Neuropsychological Consultation
Service. In addition, residents
participate in the Learning
Disorders Clinic which provides
an interdisciplinary evaluation
of children and adolescents
with learning problems. The
resident is involved in the
neuropsychological assessment
of a wide age range of children,
and becomes familiar with
a number of commonly used
neuropsychological assessment
instruments. The psychology
resident will become competent
in using a structured interview
to gather developmental and
diagnostic information from
parents. The resident is
involved in consultation
with schools and in reporting
results to parents, referral
sources, and treatment teams.
Resident Expectations
& Supervision
Interdisciplinary consultation,
information gathering from
a variety of sources, and
integration of psychosocial,
medical, neuropsychological
data requires that the psychology
resident be well-organized
and adaptable. Through supervision
and directed readings, the
resident is exposed to different
theoretical approaches to
pediatric neuropsychology.
Evaluation of Psychology
Residents
Psychology residents participate
in standard evaluation practices
that are part of the overall
internship which includes
self-evaluation, evaluations
by their supervisors, resident
evaluation of their supervisors
and resident evaluation of
the rotation site.
Rotation Description & Patient Demographics3. Consultation/Liaison (C/L) (Elizabeth McCauley, PhD)
Rotation Description & Patient Demographics4. Child and Adolescent Outpatient Psychiatry Program (Matthew Speltz, PhD)
III.
BEHAVIORAL MEDICINE/NEUROPSYCHOLOGY
TRACK
(APPIC/NMS program code = 161914)
Current Behavioral Medicine/Neuropsychology Residents
A. University of Washington Medical Center Department of Rehabilitation MedicineRotation Description
(Kristy Brewer Sherman, PhD, Jeanne Hoffman, PhD, Mary Pepping, PhD, ABPP-CN and Myron (Moe) Goldberg, PhD, ABPP-CN)
B. Harborview Medical Center Department of Rehabilitation Medicine (David Patterson, PhD)
General
Rotation Description & Patient
Demographics
Behavioral Medicine/Neuropsychology
rotations provide training
in medical psychology and
are comprised of three areas:
Inpatient Rehabilitation
(Bombardier),
Outpatient Rehabilitation
(Ehde),
and Rehabilitation Consultation
and Burn Unit (Patterson
and Wiechman-Askay).
These rotations are described
in greater detail below,
after the rotations have
been described more generally.
An important aspect of these
rotations is understanding
the role of clinical psychologists
within an interdisciplinary
team framework and within
a health care delivery system.
Psychology residents work
with multidisciplinary teams
that include physicians,
nurses, speech pathologists,
physical therapists, occupational
therapists, social workers,
and vocational counselors.
This rotation provides abundant
opportunities to apply psychological
principles in a medical setting
with patients experiencing
a variety of medical conditions.
Patients are commonly admitted
to HMC due to trauma or acute
illness. Psychology residents
typically work with patients
who have sustained traumatic
brain injury, cerebral vascular
accidents, spinal cord injuries,
severe burn injuries, and
multiple traumas. Patients
come from diverse backgrounds
in terms of ethnicity, socioeconomic
status, and geographical
location. The Burn Unit provides
residents with extensive
experience in pediatric consultation
and liaison. Psychology residents
have access to IBM computers
for report-writing, and dictation
experience is offered. A
shared, on-site office space
is provided.
Training Experiences &
Treatment Modalities
The mission of the psychologists
at the Harborview Medical
Center (HMC) rotation is
to provide primary psychological
care for inpatients on the
Rehabilitation Medicine and
Burn Units as well as patients
followed by the Outpatient
Rehabilitation Medicine Service.
Also, consultations are provided
for inpatients on Neurosurgery,
Orthopedic Surgery, Neurology,
General Medicine, Intensive
Care Units, and occasionally
on the Psychiatric units.
Psychology residents on the
HMC rehabilitation psychology
rotation therefore are exposed
to a wide variety of consultation
and liaison experiences and
learn to work on interdisciplinary
medical teams in both inpatient
and outpatient settings.
Harborview Medical Center
is a Regional Level I Trauma
Center serving five states
with a highly diverse patient
mix. Psychologists play a
prominent role in the care
of these patients. This rotation
provides a unique opportunity
to work with a multiethnic
patient population and to
obtain training from psychologists
who regularly integrate clinical
and research activities.
It also gives the experience
of providing psychological
services in a fast-paced,
intense, but extremely collegial
environment.
Psychology residents work
closely with a variety of
medical and adjunctive medical
disciplines such as physical
therapy, occupational therapy,
speech pathology, nursing,
social work, rehabilitation
counseling, and therapeutic
recreation. Surgery and rehabilitation
medicine physicians are our
two most prominent medical
colleagues. HMC rehabilitation
psychologists must rely on
treatment modalities that
fit well into the trauma
setting. As such, there is
a heavy emphasis on consultation/liaison,
brief psychotherapy, and
focused assessment. Behavioral
and cognitive-behavioral
frameworks are used frequently.
More traditional psychotherapy
is practiced through the
outpatient rehabilitation
and burn clinics as well.
Training in hypnosis for
pain control and motivational
enhancement therapy for substance
abuse is available. The psychologists
often rely on a systems approach
in which the patient is evaluated
and treated within the context
of the interdisciplinary
health care team and family.
Assessing and treating team
behaviors is often essential
to assisting the patient.
Psychology residents at HMC
rehabilitation first undergo
a group orientation session
with tours of the facility.
Residents then accompany
and observe an attending
psychologist doing clinical
work. Based on the residents'
level of comfort they are
then provided with the opportunity
to see patients under visual
supervision. As the comfort
level of residents' further
progresses, supervision increasingly
takes the form of CO-treatment
or face-to-face review of
cases. Group supervision
meetings are held on a weekly
basis as well as individual
sessions with each of the
psychologist supervisors.
Generally there is a minimum
of two hours of individual
supervision a week, although
psychology residents are
encouraged to page the supervisors
with day-to-day questions
about the patients. A psychology
resident handbook is provided
that contains extensive reading
materials pertaining to the
patient populations served
and resident clinical responsibilities.
Model reports, structured
evaluation formats and practical
clinical care guidelines
are also included. Psychology
residents typically attend
multidisciplinary Rehabilitation
and Burn Unit rounds, thereby
becoming familiar with the
work of other professionals.
They continue to attend the
regular internship didactics
through this rotation as
well as specialized seminars
for rehabilitation.
The rotations at Harborview
are as follows:
1. Burn Unit and Rehabilitation Psychology
2. HMC Inpatient Rehabilitation
Consultation Liaison Residents on this service are actively involved in a thriving psychology consultation service that provides treatment for the majority of the services in a regional, level 1 trauma center. The main focus of this rotation is the Burn Unit, which is world famous and provides interdisciplinary care on an inpatient and outpatient basis. Frequent clinical issues include facilitating adjustment to burn injuries, managing acute pain, assessing for reactions to trauma, and behavioral management. One third of the patient population on the Burn Unit is pediatric and residents are given the opportunity to work with children. Training with hypnosis is available and often emphasized on this service.
Residents on this rotation spend roughly half their time on the Burn Unit and the other half doing consultation on most units of the hospital. Patients are commonly seen on the Neurosurgery, Neurology, Orthopedics, Medicine, and Surgery units. Clinical work with such patients often involves assessment and treatment after multiple traumas. This service differs from Psychiatry Consultation/Liaison in that the emphasis is on adjustment to physical trauma and brief psychotherapy as opposed to Psychiatry's emphasis on suicide assessment, treatment of psychosis, and pharmacologic treatments. The services differ enough so that residents can rotate through both and receive different types of training.
For the inpatient rehabilitation aspect of the rotation (Dr. Bombardier) residents are the first line consultants to the medical, nursing and therapy team members regarding the assessment and treatment of psychiatric disorders, substance abuse disorders, adherence to treatment issues, and overall adjustment to injury or disease. Residents learn about common cognitive, behavioral, and psychological conditions associated with traumatic injuries such as brain injury and spinal cord injury as well as neurological conditions such as stroke and aneurysms. They learn how to help patients, their loved ones, and rehabilitation team members cope more effectively with the rehabilitation process. The rotation emphasizes brief assessment and treatment skills, behavior management, motivational interviewing, basic psychopharmacology, and consultation skills. Interested residents may also learn to interpret and report on results from a brief cognitive assessment battery
3. HMC Comprehensive Outpatient Rehabilitation Program (CORP)
On the outpatient side of the rotation, residents will similarly function as an integral member of an interdisciplinary outpatient rehabilitation medical team that serves outpatients with neurological conditions (brain injury, stroke, spinal cord injury), chronic pain, and other medical/surgical conditions such as amputations. Residents provide a range of psychological services including psychological assessment, consultation, and psychotherapy. Psychotherapy is typically short-term (4-12 sessions) and problem-focused. Residents work with the family as well as the patient, consult to team members and community agencies, and utilize neuropsych test results in treatment planning. Residents will also have the opportunity to observe and Co-lead group interventions (stress management, pain management).
General Resident Expectations & Supervision
HMC rehabilitation psychologists seek to train residents in a scientist/practitioner model. In addition, psychology residents learn to provide assessments and treatment within a primarily medical context. Thus our objective is that residents completing this rotation are comfortable in medical settings in general, as well as rehabilitation and burn unit placements specifically. General skills that are taught during this rotation include clinical assessment of people with disabilities, DSM IV diagnosis, behavioral management, hypnosis for pain control, brief interventions for psychological distress related to medical conditions/grief, brief interventions for substance abuse problems, working with adult and pediatric patients with burns, and working with families of people who have had trauma or disability.
What follows are some general expectations. The activities described below are dependent on what HMC Rehabilitation rotation the resident chooses. Psychology residents are generally expected to be responsible for eight inpatient beds on the rehabilitation medicine unit. Residents provide an initial comprehensive psychological evaluation on each of their rehabilitation patients. Clinical responsibilities with such patients include seeing the patients once a week and combining their input with those of a multidisciplinary team during weekly rounds. Psychology residents are also expected to attend the burn unit psychosocial rounds each Monday morning and to respond to whatever consults are generated during those rounds. After evaluating patients with burns, residents then report to the general medical team rounds held once or twice weekly on the burn unit. Psychology residents also provide consults on several different floors throughout the hospital. Residents generally follow two to three outpatient therapy cases throughout the rotation. Outpatient residents are expected to carry a caseload of 8-12 patients, attend outpatient team rounds, collaborate with multidisciplinary team and participate in groups. Psychology residents participate in standard evaluation practices that are part of the overall internship which includes self-evaluation, evaluations by their supervisors, resident evaluation of their supervisors and resident evaluation of the rotation site. Residents and supervisors exchange verbal feedback at the mid-rotation point. Written and verbal feedback is exchanged at the end of the rotation. In addition, residents are provided with feedback throughout the rotation based on observations of treatment, as well as participation in multidisciplinary team rounds. Training is provided by four attending psychologists (faculty within the Department of Rehabilitation Medicine) and, frequently, one or two postdoctoral fellows. At least two hours of individual supervision per week is provided by psychology faculty, with additional supervision offered on an as-needed basis. One hour per week of group supervision is provided.