University of Washington
Psychology Internship Program
- Behavioral Medicine/Neuropsychology. (APPIC/NMS program code =161914)
- University of Washington Medical Center
- Inpatient Consultations and Outpatient Rehabilitation
- Inpatient Rehabilitation
- Outpatient Rehabilitation Clinic
- Outpatient Nneuropsychology and Rehabilitation Psychology
- Harborview Medical Center
- Seattle Children's Hospital
Track Coordinator: Chuck Bombardier, Ph.D., ABPP - firstname.lastname@example.org
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.
- BEHAVIORAL MEDICINE/NEUROPSYCHOLOGY TRACK
(APPIC/NMS program code = 161914)
Current Behavioral Medicine/Neuropsychology Residents
- University of Washington Medical Center Department of Rehabilitation Medicine
Training faculty: Jeanne Hoffman, PhD, ABPP-RP (inpatient consultations and outpatient rehabilitation), Ivan Molton, PhD, (inpatient rehabilitation), Lauren Schwartz, PhD, (outpatient rehabilitation clinic), Kevin Alschuler, PhD (outpatient rehabilitation), Naomi Chaytor, PhD, ABPP-CN (outpatient neuropsychology and rehabilitation psychology), and Myron (Moe) Goldberg, PhD, ABPP-CN, (Director, Neuro Rehabilitation Program & Neuropsychology Service)
The Rehabilitation Medicine rotation provides an array of clinical experiences to train clinical psychologists within a multidisciplinary team framework in a medical setting. Psychology residents will have opportunities to work collaboratively with physicians, nurses, speech pathologists, physical therapists, occupational therapists, vocational counselors, therapeutic recreation therapists, and social workers, from within the medical center as well as from the community in developing and implementing treatment plans. Psychology is an integral part of the medical team. The patients reflect a wide range of medical problems, ethnic backgrounds, and ages. Psychology residents will have an opportunity to see patients with a variety of presenting problems including: spinal cord injury; brain injury due to trauma, stroke, tumor, aneurysm, hemorrhage, hypoxia, etc.; multiple sclerosis; muscular dystrophy; post-polio syndrome; amyotrophic lateral sclerosis; cancer; and chronic obstructive pulmonary disease. The rotation provides a mix of inpatient and outpatient, assessment and treatment opportunities, including opportunities to utilize neuropsychological test data to formulate disposition and treatment plans. Residents who desire more in depth neuropsychological training will have the opportunity to participate in more intensive outpatient evaluation experiences, including interviewing, test selection, administration, scoring, and interpretation, results integration, differential diagnosis, report writing, and feedback to patients, family, and referral sources.
The training model emphasizes empirically supported scientist-practitioner approach to assessment and treatment. The rotation offers psychology residents a good introduction to medical psychology and rehabilitation neuropsychology. Prior experience in a medical rehabilitation setting or with neuropsychology is helpful but not necessary to have a rewarding training experience. Psychology residents learn to function as an integral member of an interdisciplinary rehabilitation team. Psychology residents respond to consultations and referrals primarily from the acute inpatient rehabilitation unit, and outpatient rehabilitation clinics, and, to a lesser extent, the inpatient consultation-liaison service. Typical patient referrals involve assessment of psychological and/or neuropsychological functioning, identification of patient and family concerns, development and implementation of appropriate treatment programs, and mobilization of resources to integrate the patient into the community. Psychology residents are involved in a range of clinical activities, including psychological and neuropsychological assessment; utilization of neuropsychological test results in treatment planning; development of behavioral programs; consultation to team members and community agencies; case management of patients; and provision of individual and family therapy. Participation in weekly rounds and team/family conferences is an important part of the psychology residents' experience. There is also the opportunity to observe or participate in outpatient treatment groups. Psychology residents who are involved in the behavioral medicine/neuropsychology rotation participate in a monthly rehabilitation psychology journal club. Psychology residents also have opportunities to attend the Department of Rehabilitation Medicine's Grand Rounds which occurs twice per month and covers various rehabilitation topics, many of which are of interest to residents.
Expectations of Psychology Residents
Psychology residents participate in all aspects of the training experiences listed above. Psychology residents follow a variable number of patients depending on the needs of the psychology service and the residents' experience. Psychology residents can typically expect to follow 4 to 6 inpatient cases, and 4 to 6 outpatient cases, in addition to 2 to 4 psychological evaluations per month. For those desiring in more intensive neuropsychological experiences, expect to be involved in at least a one outpatient case per week.
By the end of the rotation, psychology residents are expected to: a) have an understanding of a psychologist's role on an interdisciplinary rehabilitation team; b) demonstrate an increased awareness of and ability to assess the emotional, behavioral, and cognitive sequelae of various traumatic and chronic medical conditions; c) have a fundamental understanding of the functional implications of neuropsychological test results; d) recommend and implement basic therapeutic interventions with patients and their families; e) apply ethical and legal principles to practice; f) develop the knowledge and skills necessary for basic competence in the neuropsychological evaluation of patients with known or suspected organic brain dysfunction (if applicable); and g) have an awareness of personal strengths and limitations as they relate to providing psychological services to this population.
Psychology residents will have an orientation session with tours of the facility. Residents will then have an opportunity to accompany and observe the supervising psychologist(s) performing clinical work. Residents will then have opportunities to see patients with direct observation and supervision provided. The eventual goal is for psychology residents to work fairly independently with patients and to move towards a co-treatment model. Psychology residents are provided with examples of psychological /neuropsychological evaluation reports, progress notes, and other written communications as models. Residents have access to a training manual and numerous articles and books to supplement their learning experiences. Psychology residents participate in scheduled individual and group supervision each week. They have additional opportunities for contact and supervision with the supervisors during weekly rounds and conferences. Residents are encouraged to drop by or page the supervisors with day-to-day questions concerning patients. Supervision is provided by the four attending psychologists, and at times by a post-doctoral fellow.
Evaluation of Psychology Residents
Supervisors provide frequent, ongoing feedback on the psychology resident's performance throughout the rotation. Residents and supervisors discuss the resident's progress and training needs at the mid-rotation point. 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.
- Harborview Medical Center Department of Rehabilitation Medicine
(Charles Bombardier , PhD) Training Faculty: Jeffrey Sherman, PhD, (Consults) Shelley Wiechman, PhD (Burns, Pediatrics), Josh Dyer, PhD (Inpatient rehabilitation), Dawn Ehde, PhD (CORP neuropsychology), Gina Formea, PhD, ABPP-CN (CORP neuropsychology), Myron (Moe) Goldberg, PhD, ABPP-CN (Inpatient rehabilitation neuropsychology), Christina Graham, PhD (Madison Clinic), Eric Strachan, PhD (Madison Clinic), Charles Bombardier, PhD, ABPP-RP (CORP).
General Rotation Description & Patient Demographics
Behavioral Medicine/Neuropsychology rotations provide training in medical psychology and neuropsychology and operate within several areas of the medical center and related clinics: Inpatient Rehabilitation (Dyer), Comprehensive Outpatient Rehabilitation Program (Formea, Ehde and multiple faculty), Inpatient Consultation Service (Sherman), Burn Unit (Wiechman), Pediatric and Burn Clinics (Wiechman) and Madison Clinic (Graham, Strachan). 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:
- Inpatient Consultation Liaison Service, Burn Unit and Pediatrics Service.
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.
- HMC Inpatient Rehabilitation
For the inpatient rehabilitation aspect of the rotation 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. Residents will also learn to interpret and report on results from a brief neuropsychological testing battery supervised by the consulting neuropsychologist, Dr. Goldberg.
- 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 neuropsychological test results in treatment planning. Interested residents also have the opportunity to receive training in comprehensive outpatient neuropsychological assessment. Resident receive education and training in neuropsychological aspects typical rehabilitation populations (see above), interviewing skills, test selection, test interpretation, report writing, conducting testing feedback sessions and using neuropsychological test results and knowledge about brain-behavior relationships to inform multidisciplinary rehabilitation programming.
- The Madison Clinic
The Madison Clinic is an outpatient clinic located near Harborview Medical Center that provides medical care and social services for persons living with HIV/AIDS regardless of sexual orientation, race, or ability to pay. Each patient has a primary care provider who organizes services required. Care at the Madison Clinic is interdisciplinary. Mental health services are provided by psychologists and psychiatrists. Other providers include nurses, pharmacists, nutritionists, social workers and other specialists. Psychology residents will function as part of this interdisciplinary team to provide assessment and treatment for a broad range of disorders found in patients living with HIV/AIDS such as depression, anxiety, and PTSD and issues related to adjustment to chronic illness and adherence to medical recommendations.
- HMC Outpatient Burn Clinic
Patients who are discharged from our inpatient burn unit continue to get care from our outpatient burn clinic often for at least two years after discharge. Much like the inpatient burn unit, it serves the surrounding five state region as the only verified burn center in the region. The clinic also accepts referrals for patients not treated on the inpatient burn unit. The Outpatient burn clinic served 2457 patients (both adults and children) this past fiscal year. Given the multitude of issues that burn survivors face, including ongoing pain, high rates of depression, PTSD and body image concerns, the psychologist is a valued member of the multidisciplinary team. The psychologist screens every patient during their clinic appointment, in conjunction with the medical team. Longer interventions are conducted on those patients who screen positive for psychological issues. Training opportunities include the opportunity to conduct brief screens and consult with the larger medical team, as well as providing evidence-based interventions targeted at managing distress (PTSD, depression, sleep disturbance) and adjustment to injury. Finally, trainees get to see the full spectrum of recovery from a serious injury when they can follow a patient from the ICU, to the acute floor, and on to the outpatient burn unit.
- HMC Outpatient Pediatrics Clinic
The Pediatric Clinic provides primary care services to children and teenagers, with a mission of serving patients from underserved populations. Approximately 3200 children receive care from this clinic as their medical home. Most patients ( >90%) are not Caucasian. Recent immigrants are prevalent: 68% of the parents of children seen in the clinic were born outside the U.S. Fewer than 30% of the families speak English at home. These families rely on the clinic'â€™s accessibility, interpreter services and outreach to specific ethnic and linguistic communities. The clinic is staffed by pediatric residents, attending physicians and mid-level practitioners. A broad range of consultants are housed in this clinic and include psychiatrists, adolescent specialists, social workers, psychologist, lactation consultants, and nutritionists. Psychology residents on this rotation get experience working with medical staff in a pediatric primary care setting. Common referral questions include assessment, treatment, and recommendations for a broad range of childhood internalizing and externalizing disorders such as ADHD/ADD, anxiety, depression, learning problems, eating disorders, eneuresis/encopresis, and disorders along the autism spectrum. Additionally, residents receive training in delivering interventions for behavior change and treatment adherence with common medical problems (obesity, substance abuse, asthma, and diabetes). Treatment planning for children and adolescents with behavior problems such as oppositional defiant disorder and conduct disorder, as well as culturally sensitive parent training strategies, are also common referral questions.
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 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 required. The neuropsychology faculty holds a weekly neuropsych seminar for interested residents.
- Inpatient Consultation Liaison Service, Burn Unit and Pediatrics Service.
- Seattle Children's Hospital - Department of Rehabilitation Medicine
Training Faculty: Sharon Ashman, Ph.D., ABPP (Inpatient and Outpatient Rehabilitation), Christine Clancy, Ph.D., ABPP (Outpatient Rehabilitation).
General Rotation Description & Patient Demographics
Seattle Children's Hospital (SCH) is a 254-bed facility located in Seattle, WA in King County. SCH is the pediatric referral center for the WAMI (Washington, Alaska, Montana, Idaho) region and is the pediatric teaching hospital for the UWSOM. Fifty-four percent of patients seen at SCH are from the WAMI region and Washington State locations outside of King County. The hospital specializes in meeting the unique physical, emotional and developmental needs of children from infancy through young adulthood regardless of their family's ability to pay. In fiscal year 2011, SCH provided uncompensated care to nearly 124,000 patients at a total cost of $103,391,000. Forty-six percent of patients are on Medicaid. More than 70% of patients have a chronic, lifelong condition or illness.
The Rehabilitation Medicine rotation provides an array of clinical experiences to train clinical psychologists within a multidisciplinary team framework in a medical setting. Interdisciplinary care is provided by a team of professionals, including rehabilitation medicine physicians, rehabilitation nurses, physical therapists, occupational therapists, speech-language pathologists, rehabilitation psychologists, social workers, therapeutic recreation specialists, nutritionists, and education specialists. Training opportunities will include assessment of psychological factors affecting recovery, brief psychotherapy, neuropsychological assessment, behavioral management, patient and family education, and consultation with team members, schools, and community providers. Trainees will also participate in weekly treatment team meetings and family team meetings. The rotation provides a mix of inpatient and outpatient, assessment and treatment opportunities, including opportunities to utilize neuropsychological test data to formulate disposition and treatment plans. Residents who desire more in depth neuropsychological training may have the opportunity to participate in more intensive outpatient evaluation experiences, including interviewing, test selection, administration, scoring, and interpretation, results integration, differential diagnosis, report writing, and feedback to patients, family, and referral sources.
Training Experiences & Treatment Modalities
The rotations at SCH are as follows:
- Seattle Children's Hospital Pediatric Inpatient Rehabilitation Program:
The inpatient rehabilitation unit is certified as a Pediatric Family-Centered Program by the Commission on Accreditation of Rehabilitation Facilities (CARF) and has been named a Level 1 Pediatric Trauma Rehabilitation Center by the Washington State Department of Health. The unit provides care to an ethnically diverse population. In the fiscal year 2011, there were 109 admissions to the inpatient rehabilitation unit. Forty percent (40%) of those served were Caucasian, 19% Black, 10% Hispanic, and 31% were from other ethnic groups (e.g., Native American, Alaska Native, Asian). The Inpatient Rehabilitation Unit at SCH is a 12-bed unit that serves children with physical and/or developmental disabilities arising from congenital defects, illness, or trauma. The Inpatient Rehabilitation rotation involves delivery of care to children and adolescents with traumatic brain injury, brain tumor, spinal cord injuries, stroke, burns, white matter diseases (e.g. multiple sclerosis, ADEM), and other acute and chronic medical conditions. Interdisciplinary care is provided by a team of professionals, including rehabilitation medicine physicians, rehabilitation nurses, physical therapists, occupational therapists, speech-language pathologists, rehabilitation psychologists, social workers, therapeutic recreation specialists, nutritionists, and education specialists. Other hospital services are available as needed. Training opportunities will include assessment of psychological factors affecting recovery, brief psychotherapy, neuropsychological assessment, behavioral management, patient and family education, and consultation with team members, schools, and community providers. Trainees will also participate in weekly treatment team meetings and family team meetings. Supervision is provided by two psychologists who hold Board Certification in Clinical Neuropsychology, Sharon Ashman, Ph.D., ABPP and Christine Clancy, Ph.D., ABPP.
- Seattle Children's Hospital Outpatient Rehabilitation Clinics:
The Department of Rehabilitation Medicine at SCH offers several outpatient clinics, including the Inpatient Rehabilitation Follow-up Clinic and Mild - Moderate Traumatic Brain Injury Clinic, as well as clinics for children with neurodevelopmental disorders and neuromuscular disorders. As with the inpatient rehabilitation unit, outpatient clinics are interdisciplinary and serve children and adolescents with neurological conditions (TBI, stroke, SCI), neuromuscular disorders, and other congenital and/or acquired conditions. A large portion of the population served is underserved, including ethnic minorities, non-English proficient patients and families, economically disadvantaged families, and rural populations from the four state WAMI region. Trainees will provide a range of psychological services, including psychological assessment, consultation, psychoeducation, and short-term, problem-focused psychotherapy. Trainees will work with patients and their families, consult with team members, schools, and community agencies, and utilize neuropsychological assessment results in formulating treatment plans and recommendations. Residents also have the opportunity for training experiences in conducting comprehensive outpatient neuropsychological evaluations.
General Resident Expectations & Supervision
SCH 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 for residents completing this rotation is for them to be comfortable in a pediatric medical setting. General skills that are taught during this rotation include knowledge of child development and the impact of hospitalization on the developmental trajectory, clinical assessment of children and youth with disabilities, DSM IV diagnosis, behavioral management, pain management, brief interventions for psychological distress related to medical conditions/grief, and supportive counseling for families of patients who have experienced trauma or disability.
On the inpatient unit, psychology residents are responsible for the provision of services to patients and their families. Residents provide an initial comprehensive psychological intake interview with each of their rehabilitation patients/families. Clinical responsibilities with such patients include seeing the patients individually or in co-treatments with other multidisciplinary team members and participating in weekly family/team meetings. Psychology residents are also expected to attend the Monday morning team meeting (Huddles). When clinically indicated, residents will provide psychological/neuropsychological assessment services and assist with transition planning to home, school and community. On a less frequent basis, residents may also provide consultation to patients on other services who have rehabilitation needs.
In the outpatient Rehab Medicine TBI clinic, residents are expected to conduct an intake interview with patients and their family members, write a clinic note, and provide case management and provide consultation to the rehabilitation medicine physician or ARNP, outpatient providers and school personnel. For patients who are seen for outpatient neuropsychological assessment, residents may have the opportunity to conduct interviews, administer tests, provide feedback, and generate reports.
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 attending psychologists (faculty within the Department of Rehabilitation Medicine. 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 required. The neuropsychology faculty holds a bimonthly journal club and monthly case consultation for interested residents. Rehabilitation Medicine also offers monthly inservice trainings for staff.
- Seattle Children's Hospital Pediatric Inpatient Rehabilitation Program:
- University of Washington Medical Center Department of Rehabilitation Medicine Training faculty: Jeanne Hoffman, PhD, ABPP-RP (inpatient consultations and outpatient rehabilitation), Ivan Molton, PhD, (inpatient rehabilitation), Lauren Schwartz, PhD, (outpatient rehabilitation clinic), Kevin Alschuler, PhD (outpatient rehabilitation), Naomi Chaytor, PhD, ABPP-CN (outpatient neuropsychology and rehabilitation psychology), and Myron (Moe) Goldberg, PhD, ABPP-CN, (Director, Neuro Rehabilitation Program & Neuropsychology Service)