Rotation Descriptions

This section provides a more detailed description of 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

A. University of Washington Medical Center

1. Inpatient Psychiatry (Steven Vannoy , PhD, MPH)

Rotation Description & Patient Demographics
This 14 bed unit is located at the University of Washington Medical Center. The patients on this unit are generally voluntarily admitted for short-term psychiatric treatment. Patients reflect a wide range of ages, ethnic backgrounds, and problems. On average, about 25% of the patients are geriatric patients with co-morbid medical and psychiatric problems; 25% are psychotic; and the remainder have mood and/or anxiety disorders, often with co-morbid Axis II pathology.

Training Experiences & Treatment Modalities
Each psychology resident will work with primary treatment team on this unit. The resident has primary responsibility for overseeing the care of several patients, serves as a team consultant on cognitive-behavioral interventions and behavior management plans, and conducts group therapy. On rounds, residents learn about descriptive psychopathology, interviewing, differential diagnosis, psycho-pharmacology, and biological psychiatry.

Resident Expectations & Supervision
Rapid patient turnover makes it imperative that residents on this rotation be highly adaptable and mature. Many disciplines interact, and boundaries among disciplines are not sharply defined. Much needs to be accomplished quickly, efficiently, and effectively. Initiative, appropriate assertiveness, and good interpersonal sensitivities are very important qualities on this service. The faculty psychologists provide at least two hours per week of individual supervision, two hours of group supervision, co-lead groups with the psychology residents, and are available on an as-needed basis (ongoing informal supervision is provided by the attending psychiatrists who lead the treatment teams).

2. Outpatient Psychiatry Center (Debra Kaysen, Ph.D.)
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. Six psychologists and several psychiatrists comprise the primary training faculty at the UPOC. 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 UPOC 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:

a. 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.

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.

B. Harborview Medical Center

1. Consultation-Liaison (CL) Service (Barbara McCann. Ph.D.)
Rotation Description & Patient Demographics
The C/L Psychiatry Rotation at Harborview Medical Center is one of the sites where psychology residents have the opportunity to learn and improve their consultation skills for medically hospitalized patients. Harborview Medical Center is a large medical center and a regional, level 1 trauma center; often times providing medical care for minority and under served populations. The majority of patients present with complex medical and psychiatric conditions.

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)

Current General Child Track Psychology Residents

A. Seattle Children's Hospital
Department of Psychiatry and Behavioral Sciences-Division of Child and Adolescent Psychiatry
Seattle Childrn'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.
1. Inpatient Psychiatry (Rose Calderon, Ph.D.)
Rotation Description & Patient Demographics
The IPU is a 20-bed unit that provides multidisciplinary assessments, crisis intervention, stabilization, and long-term treatment planning for children and adolescents. The children seen on this unit present with a variety of severe psychological/psychiatric problems such as psychosis, OCD, disruptive disorders; depression; the consequences of child abuse, trauma or developmental disabilities; as well as chronic medical problems with concomitant behavioral difficulties. The IPU also has a specialized Eating Disorders Program to treat anorexia and bulimia.

Training Experiences & Treatment Modalities
The unit's assessment program includes complete medical, psychological, psychiatric, and educational evaluations with consultations to primary care mental health professionals and schools. The IPU nursing staff provides systematic parent education and strategies to understanding and intervening with problematic behaviors to all families with children admitted to the unit.

Resident Expectations & Supervision
The psychology resident serves as a primary case manager and clinician. Thus, the resident serves as the principal person responsible for coordinating the evaluation, individual and/or family intervention, and the consultation and treatment planning for a number of children during a rotation on the unit. The resident also can become involved in small-group work with the children as well as consultative work with the unit's nursing staff regarding patient care programming. Psychology residents receive supervision from a psychologist and a psychiatrist.

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.

2. Neuropsychological Consultation Service (David Breiger, Ph.D.)

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.

3. Consultation/Liaison (C/L) (Elizabeth McCauley,Ph.D)

Rotation Description & Patient Demographics
The Consultation/Liaison Service provides clinical consultations to the inpatient pediatric units, emergency room, and outpatient clinics at SCH as well as to community care providers. Primary consultations include chronically ill children presenting with behavioral management of pain, somatoform symptoms, psychological distress related to medical conditions, and disruptive or non-adherent behavior.

Training Experiences & Treatment Modalities
The psychology resident will learn how to conduct consultations with patients in tertiary and primary care settings. Opportunities for limited-term interventions are available. The C/L conferences are open to all C/L team members including Nursing, Social Work, Psychiatry, Psychology, and students.

Resident Expectations & Supervision
All consultations are supervised by the attending psychiatrist and attending psychologist on service (Kathleen Myers, M.D., Bryan King, M.D., Hilda Campbell, Ph.D., and Kelly Schloredt, Ph.D.). A weekly teaching conference is held to conduct case discussions or didactic presentations on topics relevant to C/L services. The resident will receive weekly individual supervision in addition to the supervision provided during "rounds" conducted on each new patient.

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.

4. Child and Adolescent Outpatient Psychiatry Program (Matthew Speltz, Ph.D.)

Rotation Description & Patient Demographics
This rotation provides a mix of assessment and treatment opportunities, within a clinic team that consists of psychologists, child psychiatrists, nurses, and case managers. New and ongoing cases are discussed during twice weekly team meetings. Psychology residents will work with a variety of presenting problems including ADHD, disruptive behavior disorders, anxiety disorders, and depression, as well as less common psychiatry conditions (OCD, suspected early onset bipolar disorder, autistic spectrum, eating disorders) and rare medical disorders with associated psychopathology (e.g., craniofacial disorders and other genetic syndromes). The rotation includes opportunities to work with younger children (i.e., from infancy to the early elementary school years) as well as adolescents.

Training Experiences & Treatment Modalities
The psychology resident learns to work collaboratively with other disciplines; e.g., some cases are treated by a combination of medication and psychological interventions. Assessments of children typically include observation and videotaping of parent-child or family interaction. School visits and developmental testing of the child are often done. Primary treatment strategies include parent-child interaction training, brief family therapy, school consultations, and cognitive-behavioral treatment for the child. Interventions are formulated within the context of a developmental model. There are opportunities for training in psychopharmacology, Dialectical Behavioral Therapy (DBT) and cognitive-behavioral treatments for OCD. Research opportunities include existing large data sets on early-onset disruptive behavior disorders, attachment, and craniofacial disorder as well as several developing projects (e.g., assessment and treatment of OCD; outcomes of DBT groups for adolescent girls).

Resident Expectations & Supervision
Supervision consists of direct observation, review of videotapes, case conferences, and weekly individual supervision.

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.

III. BEHAVIORAL MEDICINE/NEUROPSYCHOLOGY TRACK

(APPIC/NMS program code = 161914)

Current Behavioral Medicine/Neuropsychology Residents

A. University of Washington Medical Center Department of Rehabilitation Medicine
(Kristy Brewer Sherman PhD, Jeanne Hoffman PhD, Mary Pepping PhD, ABPP-CN, and Myron (Moe) Goldberg PhD)
Rotation Description
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, 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. Psychology residents may also have an opportunity to have more in-depth neuropsychological training with an emphasis on differential diagnosis, test interpretation, and neuropsychological report writing.

Training Experiences
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 medical 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.

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.

Training Methods
Psychology residents will have an orientation session with tours of the facility by the supervising psychologist(s). 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 also 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 also 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. The psychology resident also completes a description of their training experience and evaluation of their supervisors.

B. Harborview Medical Center Department of Rehabilitation Medicine (David Patterson, Ph.D.)

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
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.

2. HMC Inpatient Rehabilitation
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.