Pre-doctoral Neuropsychology Internship Training Program at Staten Island University Hospital

Pre-doctoral Neuropsychology Internship Training Program at Staten Island University Hospital

Welcome

The Pre-doctoral Internship Training Program in Psychology at Staten Island University Hospital provides training in clinical psychology with an emphasis on neuropsychology and rehabilitation medicine. The program is designed to enhance a trainee’s general clinical skills and provide specialized training in neuropsychological diagnosis and assessment and rehabilitation/health psychology. We are a member of the Association of Psychology Postdoctoral and Internship Centers and are working towards accreditation by the American Psychological Association. The internship program follows a Practitioner- Scholar model of clinical training that incorporates 1750 hours of supervised clinical experience and provides an experience that meets the one year of pre-doctoral supervised clinical training required for licensing as a psychologist.

Three pre-doctoral interns will participate in the 12-month training program on a full-time basis. Our full-time faculty includes five licensed psychologists who work on site full time and one postdoctoral fellow.

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Interested applicants should submit their application through the APPIC Match (site code 2237).

Questions may be addressed to Dr. Rosemarie Basile at [email protected].

Goals

The main objective of the Pre-doctoral Psychology Internship at Staten Island University Hospital, Department of Rehabilitation Medicine is to provide the opportunity for Interns to develop competency in the application of psychological and neuropsychological knowledge to the professional practice of psychology, with specific emphasis placed on clinical problems in a medical center setting. Since the setting for this internship is in the Rehabilitation Medicine Department, emphasis is on work with individuals with a range of physical, cognitive, emotional and behavioral disabilities.

Setting

Staten Island University Hospital is part of the Northwell Health System and includes 21 award-winning hospitals and nearly 400 physician practice locations throughout New York, including Long Island, Manhattan, Queens and Staten Island. Proudly serving an area of seven million people, Northwell delivers world-class services designed for every step of your health and wellness journey. Staten Island University Hospital is a 714-bed, specialized teaching hospital located in New York City's 5th and fastest-growing borough. Occupying two large campuses, plus a number of community-based health centers and labs, the hospital provides quality care to the people of Staten Island, the New York metropolitan region, and to patients from around the world.

Training Model

Interns are trained in assessment, consultation, diagnostics, individual and group therapy, cognitive remediation, and professional development, with the primary training method being experiential. Training in assessment emphasizes comprehensive evaluation of cognitive functioning of individuals with neurological and developmental disorders. Interns learn effective interviewing techniques with a broad range of neurologically-impaired patients and become proficient at test selection, administration, and scoring, as well as interpretation of results and oral and written communication of findings. Supervision emphasizes integrated conceptualization of theoretical models of adult and developmental neuropsychology, neuropsychological instruments, and data.

Clinical experiences

Each intern participates in two rotations simultaneously during the training year. Pediatric and Adult Outpatient Service, Neuropsychological Assessment Rosemarie Basile, Ph.D. - Primary Supervisor, The Outpatient Neuropsychology service treats the lifespan, from geriatric populations to infants presenting with a broad range of behavioral, developmental, learning and neurocognitive disabilities. Referrals to Outpatient Neuropsychology are received from a variety of sources including the Rehabilitation Medicine Department, Adult and Pediatric Emergency Medicine Trauma Services, Adult Neurology, Developmental Pediatrics, Pediatric Neurology, Psychiatry, Oncology, Neurosurgery, and professionals in the community.

Based on one’s training needs and specific interests, an Intern can choose to focus primarily on either adult or pediatric cases. Because of the breadth of our referrals, it is not feasible to develop expertise in all the populations we serve. Thus, cases are clustered so that the intern can develop a thorough understanding of several conditions of interest (eg. Chari malformations, Traumatic Brain Injury, subcortical dementias, Autism etc).

This rotation will primarily consist of neuropsychology evaluations. In addition to neuropsychological assessment and report writing, the provision of feedback to physicians, patients, and families will be an integral part of the supervised experience. Diagnostic exposure will include patients with traumatic brain injury, tumors, blood-borne cancer, sickle-cell disease, stroke, degenerative diseases, toxic and metabolic conditions, attention deficit/hyperactivity disorder, autism, learning disabilities, various neurologic conditions, chronic pain, psychiatric illness, and somatoform disorders. In addition to the assessment component, this rotation will also allow for training and experience in health and behavior interventions and more general psychotherapy in a time limited, problem focused setting. Interns may follow a given patient during the patient’s inpatient and outpatient course in order to view progress over several months. This provides continuity of care for the patient as well as the opportunity to achieve longer term treatment and psychotherapy goals and better understand the evolving nature of the neurological insult.

Inpartient Clinical Rotation, Traumatic Brain Injury/Neurorehabilitation

Rashmi Rastoi, Ph.D. - Primary Supervisor

During this rotation, Interns will evaluate inpatients admitted with brain injury or other neurologic injury requiring comprehensive multidisciplinary inpatient rehabilitation. Diagnostic exposure will include traumatic brain injury (TBI), stroke, tumors, dementia, and related neurologic disorders with cognitive sequelae. Interns will learn to perform a patient’s initial neurobehavioral assessment, including evaluation of neurocognitive abilities as well as personal adjustment and emotional status. Assessment will include clinical interviewing, mood assessment, and measures of coma, orientation, agitated behavior, and neurocognitive abilities including memory, verbal and nonverbal reasoning, and executive function. Interns will gain experience in test administration, scoring, interpretation, and feedback reporting. Interns will also learn the consultant role played by a rehabilitation neuropsychologist on a multidisciplinary team. They will learn to work in a close, ongoing relationship with physical medicine and rehabilitation physicians, rehabilitation nurses, social workers, case managers, and physical, occupational, recreational, and speech therapists along with other allied health providers.

In addition to assessment and consultation, Interns will learn neurocognitive, health/behavioral, and psychotherapy interventions appropriate for neurologically injured patients and their families. As well as individual therapy interventions, Interns will learn to lead group interventions, including structured orientation groups, support groups, psychoeducational groups, and problem-focused groups designed for patients and families beginning the process of neurocognitive rehabilitation.

Training supervisors

Each intern will have a primary training supervisor on the Inpatient unit and in the Outpatient clinic. Based on the learning needs and specialty of staff, interns may change supervisors midyear to enhance their learning. Interns typically receive 3-4 hours of supervision weekly.

Didactics

Didactic experiences in the Neuropsychology track are both formal and informal. The intern will be expected to complete readings in clinical neuropsychology, especially as they pertain to clinical cases. Readings will be chosen in consultation with clinical supervisors. The Neuropsychology interns will participate in weekly Neuropsychology Didactics, Psychiatry Rounds, Journal Club and Neuroradiology Rounds. Neuropsychology Didactics cover topics in neuroanatomy, cognitive neuroscience, neurological disorders and professional and ethical topics. Neuroradiology Rounds are led by a neuroradiologist where clinical aspects and neuroradiology findings of cases are discussed.

Many additional educational opportunities exist including Medical Grand Rounds, Pediatric Grand Rounds, Clinical Research Seminars, Neurology Rounds, and several Brown Bag Lunch Series.

Research

The Neuropsychology intern will be expected to collaborate on research or quality improvement projects during their training year.

Internship hours

Sample Schedule of Weekly Activities Activity

Activity Hours
Neuropsychological evaluation 10
Inpatient consultation 8-10
Outpatient psychotherapy 4
Research 2
Supervision 3-5
Didactic seminars 3-5
Paperwork and report writing 10-12
Weekly hours 40-42

Internship: The internship will start on July 1, 2017, and end on June 30, 2018. Selection Process: By mid-December, the program will contact selected applicants and arrange for interviews in January.

Application and screening: Intern applications are typically due by December 30th, although some variability may occur from year to year. Please contact the Director of Training for the current deadline date. All applications are reviewed by training staff and interns are evaluated in terms of "fit" for our program.Please access the standard APPIC Internship Application (AAPI) from the APPIC website and include a redacted neuropsychological report. Our site code is (2237). Questions can be directed to Dr. Rosemarie Basile, Director of Clinical Training, at [email protected].

Interviews: Interview will be held in January. In late December, early January, we will contact candidates who represent the strongest fit and arrange for in-person interviews.

Stipends: Interns receive a stipend of approximately $29,250 for the one-year internship.

Insurance: Interns may elect to participate in the hospital subsidized health and dental plans and are covered by the hospital’s group life insurance plan.

Time off: You are eligible for PTO after three months of employment. PTO may be used as vacation pay, personal time off, and holiday pay. PTO accrues based on regular hours worked. All interns receive 6 hospital holidays; this includes Labor Day, Thanksgiving, Christmas Day, New Years Day, Memorial Day, and Independence Day.