Internship in Psychology at Lenox Hill Hospital
The Lenox Hill Hospital Doctoral Internship in Clinical Psychology, accredited by the American Psychological Association, prepares doctoral candidates for careers as psychologists in a variety of clinical and academic settings. The Program aims to facilitate a smooth transition from doctoral study to professional functioning, teaching advanced clinical skills that integrate theory and practice and providing opportunities for interdisciplinary collaboration, peer consultation and mentoring/supervising junior clinicians. Interns work across several departments in the hospital and carry a broad outpatient caseload of adults, adolescents, children, groups and families. The clinical population served reflects the diversity of New York City, including individuals from an array of cultures, ethnicities, religions, sexual orientations, gender identities and socio-economic levels. Advanced training in assessment, diagnosis, and numerous intervention and treatment modalities builds on interns’ previous interests and expertise while providing ample opportunities for mastering new skills.. The Program is dedicated to upholding the highest standards of ethical and professional conduct with a particular emphasis on cultural competence and integrative care.
Interns have opportunities to gain expertise in areas including childhood development, adolescent behavior, individual child and adult psychotherapy, perinatal psychology, neuropsychology, consultation-liaison psychology, inpatient and outpatient assessment and treatment and consultation, as well as family and group psychotherapy and occasionally dyadic work. As elaborated below, a combination of supervising staff psychologists and a specialized voluntary faculty provide a broad range of didactic opportunities that span all aspects of the work of the clinical psychologist. Interns have the opportunity to develop and participate in department-wide lectures and trainings according to their interests.
Lenox Hill Hospital and Manhattan Eye, Ear, and Throat Hospital are part of Northwell Health. The nation's third largest, non-profit, secular healthcare system, Northwell Health cares for people of all ages throughout Long Island, Queens, Manhattan, Staten Island and Westchester, a service area encompassing more than seven million people.
Lenox Hill Hospital
Lenox Hill Hospital, established in 1857, is a 652-bed, acute care hospital located on Manhattan's Upper East Side. The hospital has earned a national reputation for outstanding patient care and treatment and is a recognized leader in public health education and community outreach. It includes a 28-bed inpatient psychiatry service, an ECT service, and relies on a consultation-liaison service to provide mental health services to hospital-based medical and
Approximately 45 percent of Lenox Hill Hospital's patients are from Manhattan. The remaining 55 percent come from Brooklyn, Bronx, Queens, Long Island, the Tri-State area and around the world. Lenox Hill Hospital is committed to providing a high standard of patient care to a socio-economically and ethnically diverse patient population.
Manhattan Eye, Ear, and Throat Hospital
Established in 1869, Manhattan Eye, Ear & Throat Hospital is internationally recognized for its accomplishments. MEETH provides thousands of patients a year with the highest quality and most advanced treatments available in its state-of-the-art ambulatory surgery facilities. MEETH also offers numerous specialty clinics for adults and children, including the Outpatient Center for Mental Health.
Psychology at Lenox Hill Hospital and Manhattan Eye, Ear, and Throat Hospital
Psychology is a division within the department of Psychiatry. There are some 70 staff and attending psychiatrists, and 30 staff and affiliated psychologists. The department has specialists in adult, child, and adolescent treatment, neuropsychology, psychological testing, inpatient treatment, geriatrics, group, family systems, and psychodynamic and cognitive behavioral therapies. More specifically, our international psychology staff and voluntary staff tend to be specialized in one or more treatment modalities, including CBT, CBT for Psychosis, DBT, IPT, TFP and Relational, Interpersonal, Ego-Psychological, Attachment-Based and Mindfulness-Based psychodynamic orientations. Interns are matched with supervisors according to interest and expertise. Often interns who have proficiency in other languages have the opportunity to work in that language either clinically or in supervision. Most of the staff has worked together for many years, and the Department has a warm, collegial, and informal quality to it. Many voluntary staff are former trainees. This helps to create has made for an unusually personal and attentive atmosphere for our psychology trainees.
The role of psychology and the expansion of training opportunities for psychologists have paralleled the growth of mental health services. Psychologists chair quality of care committees, direct programs, provide patient care, supervise, teach, consult in a variety of settings, and are involved in community benefit programs and outreach. In addition to our internship, we have a psychology externship program and a post-doctoral fellowship in neuropsychology offered by our Center for Attention and Learning.
The Doctoral Internship Program in Clinical Psychology at Lenox Hill Hospital is based on the generalist-practitioner model. The internship operates from two campuses of a major medical center that is part of a larger health care system and which provides both medical and psychiatric services to patients across the life span. This professional environment affords a unique opportunity to build competencies in clinical psychology through training in many different clinical settings with various treatment and assessment modalities. The training program facilitates professional development in a collegial and multidisciplinary environment that values the diversity of backgrounds of our staff, trainees, patients, and the larger community.
The internship program began in 1990 and has been accredited by the American Psychological Association since 1994. In 2018-2019 we expect the program to consist of a class of four full-time interns. The program provides a core of clinical and didactic experiences emphasizing the skills and knowledge base relevant to all clinical psychologists. The breadth and depth of experiences is a strength of the Internship. The internship complements clinical rotations with intensive supervision and seminars. The aim of the Lenox Hill Hospital Psychology Internship Program is threefold: training clinicians to perform a broad variety of services in a hospital setting; providing training experiences in both traditional and developing areas of clinical service; and providing the highest quality supervision of therapy and testing activity. The training model for the program is generalist-practitioner, consistent with the mission of the hospital, which embraces and integrates every specialty area of practice into a comprehensive treatment facility. We believe students must have a thorough grounding in the concepts of psychopathology, diagnosis, psychological testing, and the varieties of therapeutic interventions before applying to internship. Our internship aims to expand on and add to all these dimensions of competence. We offer students exposure to a wide range of treatment activities, testing instruments, and clinical populations, including all age ranges, inpatients, outpatients, and medical patients. As staffing or programs may change unexpectedly, not all clinical experiences and seminars listed below may be available. We make every effort to publicize any substantive changes that occur after the posting of this brochure.
The program is committed to upholding the principle that training activities are of prime importance during the internship year. Although the time commitment varies throughout the training year, interns work about 40-50 hours per week. The structure, time demand, and nature of rotations vary, but in general interns spend 75% of their time providing clinical services. Direct patient care includes individual, group, and family psychotherapy, assessment and diagnostic services, and consultation. Daily travel between our two campuses is necessary. Some evening time is required. Seminars constitute about five hours per week. Documentation is completed by hand as we do not yet have an electronic medical record (EMR). Finally, interns spend an average of 10 hours per week receiving face-to-face supervision, at least 6 of which is individually based and with additional supervision on an ad hoc basis.
The internship experience is comprised of two intensive rotations and a simultaneous, year-round outpatient assignment. Intensive rotations are Inpatient Psychiatry and Consultation/Liaison Psychiatry. These placements generally occupy morning hours with afternoons and some early evenings spent seeing individuals, families, and groups at the outpatient clinic, attending didactic seminars and meeting with supervisors.
Adult inpatient psychiatry
The inpatient psychiatric unit has 28 beds and serves patients representing a cross-section of cultural and socio-economic groups and a wide spectrum of psychiatric disorders. During this six-month rotation, psychology interns join the multi- disciplinary treatment team and participate actively in the therapeutic milieu. The intern participates in daily multidisciplinary clinical rounds when issues of assessment and treatment of patients are addressed as a team, community meetings, staff meetings, and biweekly case conferences. The intern also participates in diagnostic interviewing sessions and functions as the primary clinician, providing short-term individual psychotherapy for a select patient caseload. Interns often serve as consultants to provide psychological evaluations for diagnostic clarification and placement decisions as needed. Recent initiatives to provide evidence-based assessment and intervention specifically for suicidality and emotion dysregulation provide opportunities for learning cutting-edge modalities for acute issues. Interns serve as co-leaders in twice-weekly group therapy that is empirically-based and/or has a modified process approach adapted to the setting and population. Interns have the opportunity to provide guidance and supervision to more junior trainees around diagnosis, intervention and assessment. There may be opportunities to assess patients prior to admission through consultation to the Emergency Department team.
Biweekly case conferences invite senior clinicians to interview patients live in front of the team, according to their interests and expertise, to provide specialized consultation to help patients and their treatment teams clarify diagnoses and treatment goals. Interns are often very involved in this process, and administer assessments as part of this process. One case conference a month is dedicated to the use of the Rorschach Inkblot Test to engage patients in better understanding their own experiences. The case conference is considered to be a meaningful clinical intervention.
This service provides assessment and treatment to medical and surgical units throughout the hospital. This six-month rotation affords psychology interns the opportunity to interface with physicians, nurses, and other health care staff. Interns join the treatment team and participate actively in consultation to medical staff as well as evaluation and treatment of patients with a wide range of medical problems with concomitant psychiatric and psychological sequelae. This collaboration with other disciplines and service providers takes place on medical floors including the NICU. Interventions include facilitating psychological adaptation to chronic conditions, managing pain and symptoms, enhancing adherence to selected prescribed treatments, and implementing different psychotherapeutic modalities. Type of therapy may be one of several modalities depending on the presenting problem: cognitive behavioral therapy, supportive psychotherapy, crisis intervention, family, and combinations of these.
Psychological and neuropsychological testing
Interns have a number of opportunities to conduct psychological and neuropsychological testing and to learn about brain-behavior relationships, various methods of assessment, and the field of neuropsychology. Across various services, interns learn about neuropsychological sequelae of medical illnesses and injuries include traumatic or mild brain injury, dementias, multiple sclerosis, cerebrovascular diseases, epilepsy, normal aging memorycomplaints, and pseudo dementia. Because changes in mood and personality may occur in certain neurological conditions, personality assessment may also play an important role in a neuropsychological assessment.
Our Center for Attention and Learning conducts comprehensive pediatric neuropsychological assessments for children and assists with advocacy and placement. Under the supervision of second-year postdoctoral fellows, interns conduct several of these assessments during the year.
Outpatient behavioral health
The Outpatient Center for Mental Health is a New York State Office of Mental Health licensed outpatient clinic that has been in operation since the 1930s. Our multi-disciplinary team provides a full range of behavioral health services to children, adolescents, and adults, and new parents with their infants: comprehensive assessments, medication management, short-term and long-term psychotherapy, concrete social services, and psychological testing. Our staff includes a collaborative team of psychologists, psychiatrists, social workers, and clinical nurse specialists. Patients seen in this clinic have varied cultural and ethnic backgrounds and a wide range of diagnoses and symptoms. Patients with chronic but stable, severe disorders are seen here as are higher functioning individuals with more acute but manageable symptom episodes.
Individuals seeking services at the Outpatient Center or who are referred for psychotherapy by other treating clinicians are assigned to various therapeutic modalities by the Psychotherapy Team, a group of interdisciplinary staff and trainees who meet weekly to consider the needs and preferences of each individual. Interns are encouraged to be active participants in this process, which is enhanced by the wide range of click services and orientations offered at the OCMH. Treatment modalities may include psychodynamic, cognitive-behavioral, supportive, and interpersonal approaches, and DBT skills training.
Intern assignments in the Outpatient Center include:
- Comprehensive diagnostic intake interviews
- Individual psychotherapy with adults, children, and adolescents
- Family therapy
- Group therapy
- Dyadic therapy
Students will be closely supervised on all aspects of their work. Interns receive six or more hours per week of supervision, with additional supervision available as needed. Members of the psychology training faculty supervise psychological testing and psychotherapy conducted by psychology interns. Supervision bearing on medical issues or psychopharmacological intervention may be provided by a senior psychiatrist. A key part of all psychologists' work at Lenox Hill is supervising psychology interns, serving as mentors as interns develop into successful practitioners. Supervisory staff are supportive, collaborative, and collegial with students.
Whenever possible, interns are involved in learning to provide supervision. This sometimes takes the form of supervision for group or individual therapy conducted by a junior trainee (e.g., psychology extern, physician assistant student, or medical student) as well as didactic sequences devoted to theories and principles of supervision.
The didactic program covers a variety of general and specific topics related to clinical psychology. Seminars are supplemented by Department of Psychiatry and Department of Neurology Grand Rounds which feature presentations by prominent speakers.
Seminars are described below. Some of the courses are year-long while others are presented in a mini-course format.
- Issues for Early Career Psychologists – This weekly meeting with the Training Director provides a regular forum for ongoing discussion of professional and administrative issues.
- Professional Issues Colloquium – On an ad hoc basis, issues bearing on the practice of psychology are discussed by internship and affiliated faculty. Examples of topics include: balancing career and family; obtaining a postdoctoral fellowship; managing a successful independent practice; reimbursement issues; new practice opportunities for psychologists.
- Case Formulation Colloquium – This series offers interns an advanced approach to case formulation from several theoretical perspectives including psychodynamic, cognitive behavioral therapy, and dialectical behavior therapy.
- Diversity and Inclusion Case Conference – This case conference focuses on issues related to cultural competence. Interns take turns presenting active cases and discussants with relevant expertise provide feedback on cases presented by other interns. This provides a forum for practicing organized and thoughtful presentation of clinical information as well as an opportunity for peer review and second opinions. The interns are also actively engaged in organizing our annual Diversity and Inclusion in Literature Panel Discussion.
- Legal and Ethical Issues – A variety of ethical and legal issues in the delivery of psychological services are discussed by a psychologist who is also the Chief of Clinical Ethics at the hospital and remains available for consultation as needed throughout the year. The seminar is designed to familiarize interns with the APA ethical code and to encourage sensitivity to and a thoughtful and inquisitive attitude towards ethical considerations.
- Group Psychotherapy – This weekly seminar focuses on central issues in conducting group psychotherapy. Interns present case material from groups they are co-leading in the Outpatient Center for Mental Health. In conjunction with this seminar interns also take part in a group process experience with other interns, facilitated by a member of our voluntary faculty.
- Family Therapy – This weekly seminar focuses on the acquisition of practical family therapy skills through the introduction of the fundamentals of theory and practice. Interns are supervised in performing on-going assessment, refining hypotheses, and developing treatment plans and tailoring interventions based on these systemic hypotheses. The therapeutic use of self and multi- generational approaches will also be highlighted.
- Perinatal Mood and Anxiety Disorders – This monthly seminar focuses on assessment and intervention of mood and anxiety disorders during the perinatal period. Interns will learn about various approaches to working with individuals and families during the transition to parenthood, from attachment, psychoanalytic and cognitive perspectives, including exposure to current research on pregnancy, early infancy, and child development.
- Advanced Topics in Neuropsychology – This weekly seminar, offered by our Center for Attention and Learning presents topics relevant to neuropsychological consultation in neurological, psychiatric, and pediatric services.
- Special Topics in Psychology – This seminar series includes mini courses in psychopharmacology, geriatric psychology, parenting, attachment theory, clinical hypnosis, dream analysis, and issues in supervision.
Educational goals and evaluations
The primary goals of the Internship program focus on further development of the trainees' competencies in:
- Professional conduct, ethics and legal matters
- Individual and cultural diversity
- Theories and methods of psychological diagnosis and assessment
- Theories and methods of effective psychotherapeutic intervention
- Scholarly inquiry and application of current scientific knowledge to practice
- Professional consultation
- Theories of supervision
The development of each of these competencies is evaluated throughout the training year and discussed in monthly supervisory meetings. In addition, formal written evaluations are conducted at two points during the year (midyear and after the midpoint of the second six-month period) and a written summary of performance is provided to the intern's graduate training director at those times.
The interns’ evaluation of the Internship Program is actively sought. Regular meetings with senior staff provide an opportunity to discuss any administrative, programmatic and professional problems that may arise. The Director of Psychology Training meets with each intern at midyear to review progress and satisfaction and to discuss any concerns. After each rotation and at the midpoint of the year, interns are asked to provide written evaluation of their experience. Prior to leaving, interns also meet with the Director of Psychological Services and the Administrator for the Department of Psychiatry to discuss their internship placements, supervisors and seminars. Finally, interns are surveyed at least one year after completing the internship to assess ways in which the internship affected their careers and professional activities.
National Matching Services Program Code Number: 1471
The internship program is a member of the Association of Psychology Postdoctoral and Internship Centers (APPIC). Applications will only be accepted through APPIC.
Application for Psychology Internships
(AAPI) online at www.appic.org. Three letters of recommendation are required. The application deadline for the 2018-19 internship year is November 15, 2017 (i.e., applications must be submitted by the 5pm EST of that date).
In addition to the standard elements of the APPI online, the following supplemental materials are required (via scanned upload as per AAPI online instructions):
- Psycho-diagnostic test report (including cognitive and personality measures) and
- Summary of a clinical treatment case
Please be sure to comply with HIPAA requirements in ensuring the de-identification of submitted work samples.
This program is a member-subscriber of the Association of Psychology Postdoctoral and Internship Centers (APPIC) and strictly observes the guidelines of this organization and its match procedures (which can be found at http://www.natmatch.com/psychint/). The Lenox Hill Hospital Internship Program requires on-site interviews. Due to the large number of applications received, we are not able to offer interviews to all applicants. Every effort will be made to notify applicants of their interview status by December 15, 2017.
Applicants invited for interviews will have the opportunity to meet with current interns and faculty and learn more about the internship program. Applicants matched to the internship should understand that prior to commencing the internship they will need to pass a Northwell Health required medical examination, a review of their credentials and a screening by the New York State Child Abuse Registry. These procedures and a pre- employment interview must be completed in advance of commencing the internship and necessitate availability in June. Applicants should also note that some evening hours are required.
This internship site agrees to abide by the APPIC policy that no persons at this training facility will solicit, accept or use any ranking-related information from any intern applicants.
Requests for further information should be directed to:
Jerome H. Kogan, Psy.D.
Director of Psychology Training
Chief of Psychological Services
Lenox Hill Hospital and Manhattan Eye, Ear, and Throat Hospital provide services to a diverse clientele that mirrors the cultural richness of the New York City metropolitan area. Hospital clientele are diverse with respect to race, ethnicity, religious faith, sexual orientation, age, disability status, and life experience. We believe that diversity is a rich resource for personal and professional development. We value the diversity of our staff and trainees and believe that their many backgrounds strengthen our Medical Center. Northwell Health is ranked among the top 10 hospital systems by DiversityInc, recognized for its increasing commitment to effective diversity management and culturally competent care.
The Psychology Internship Program is strongly committed to supporting cultural and individual diversity, promotes equal opportunity and non-discrimination and welcomes applications from all qualified students regardless of race, ethnicity, religious faith, sexual orientation, age, or disability status as defined by applicable law. Qualified members of minority groups that have historically been under-represented are especially encouraged to apply and are welcome to indicate minority status in their application materials. We aim to foster an attractive and nurturing atmosphere of learning where diverse interns, faculty, staff, and patients can understand, accept, and appreciate one another. The internship's didactic and experiential training are aimed at fostering an understanding of diversity as it relates to professional psychology. The program supports the mission of Northwell Health's Office of Diversity, Inclusion and Health Literacy. More information can be found on the Diversity, inclusion & health website.