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Psychiatry and Behavioral Sciences

Clinical Psychology Pre-Doctoral Internship Program

MISSION

The mission of the Internship in Clinical Psychology, Division of Psychology, Department of Psychiatry and Behavioral Sciences, at the University of Kansas Medical Center is to provide the opportunity for the interns to develop competence in the practical application of the knowledge base of clinical psychology to clinical problems in a medical center setting. Our approach is intended to develop interns who will emerge from this experience in route to becoming clinical psychologists, independent professionals possessing the ability to assess and treat the clinical psychological aspects of patients with the major DSM-IV-TR disorders. The successful intern will achieve the ability to utilize psychological principles to develop and carry out essential plans of clinical psychological treatment.

PHILOSOPHY

The Program philosophy is practical and evidence based. Clinical psychological needs are determined by appropriate individualized assessment, based on the body of scientific knowledge in psychology, and on the basis of a positive, supportive clinician-patient relationship. Empirically supported intervention techniques are considered and selected from in developing and implementing an appropriate formulation and treatment plan for the identified clinical problems. The goal of intervention in all cases is to alleviate psychological and/or physical suffering or distress, and/or to alter problematic or unhealthy behavioral patterns, which may contribute to distress or to disease.

CULTURAL AND INDIVIDUAL DIVERSITY

The Clinical Psychology Internship Program is strongly committed to supporting cultural and individual diversity a nd does not discriminate on the basis of race/ethnicity, color, religion, sex, including marital status, national origin, ancestry, age, sexual orientation, disability, or veteran status in its recruitment, retention, or development of interns. Its didactic and experiential training are aimed at fostering an understanding of cultural and individual diversity as they relate to professional psychology. The Program supports and adheres to the very specific nondiscrimination policies which are summarized at: http://www.kumc.edu/eoo/policies. The Program also supports the mission of The Office of Cultural Enhancement and Diversity at KUMC, whose goals and policies are found at: http://www2.kumc.edu/oced. Furthermore, its didactic training includes specific topics relevant to understanding and fostering cultural and individual diversity. In addition, the patient population with which the interns work is quite culturally and individually diverse, as are the students, residents and staff at the Medical Center.

EDUCATIONAL GOALS AND OBJECTIVES

Goal 1:   The clinical psychology intern will establish and maintain positive, constructive, and effective working relationships with patients.

Objectives

  • Demonstrate capacity to empathize with patient experiences, including recognizing and responding appropriately to suffering and distress, reflecting and summarizing patient experiences accurately, and conveying understandings of problems in ways that contribute toward improvement in patient functioning.
  • Maintain appropriate professional boundaries.
  • Interact with patients in a flexible and respectful manner even when the patient is very disturbed or uncooperative.
  • Use supervision to discuss the difficulties that arise in working relationships with patients.
  • Recognize the effect of one’s personal behavior on the patients’ experiences.

Goal 2:  The clinical psychology intern will know how to accurately assess, formulate, and track the clinical psychological functioning in patients with any of the major DSM-IV disorders.

Objectives

  • Conduct thorough clinical psychological interviews including: establishing rapport, assessing presenting problems, assessing personal, social, occupational, and other life role functioning, assessing the mental status, assessing problems with mood, reality testing, anxiety, personality, substance abuse, stress response and gross neuropsychological impairment, accurately diagnosing disorders, including common disorders in childhood and adolescence, evaluating the development, history, and context of problems identified, gathering basic medical history and assessing previous treatment and response to treatment.
  • Appropriately use the DSM-IV multi-axial diagnostic system.
  • Appropriately assess risk factors for suicidal and aggressive behaviors.
  • Accurately assess according to appropriate age considerations, cultural, disability and special circumstances.
  • Utilize information from all relevant sources in evaluating difficulties, such as the family, the school system, and other systems involved with the patient.
  • Accurately administer score and interpret psychological and cognitive tests, as well as using the information derived from these instruments appropriately, including the Wechsler Adult Intelligence Scale-III, the Wechsler Intelligence Scale for Children-III, the Psychiatric Diagnostic Interview-IV, the Minnesota Multiphasic Personality Inventory-2, the Symptom Checklist 90 Revised, the Sach’s Sentence Completion Test, the Wechsler Memory Scale-III, and the Wide Range Achievement Test-3 (or tests assessing similar neuropsychological functions).
  • Formulate problems in ways that lend themselves toward empirically supported intervention approaches.

Goal 3:  The clinical psychology intern will apply appropriate psychological interventions for all of the major DSM-IV disorders.

Objectives

  • Appropriately apply a reasonable range of intervention approaches to particular clinical problems and diagnostic conditions.
  • Administer interventions in a flexible, individually formulated approach, considering all pertinent personal, social, medical and other issues including age, culture and disability issues.
  • Appropriately apply at least one clinical psychological intervention approach with children.
  • Appropriately use systemic interventions such as working with family members, coordinating with the school system, and working with other systems and professionals involved with the patient.

Goal 4:  The clinical psychology intern will be able to work effectively with other professionals, consulting appropriately, and appreciating the unique and relevant contributions of others to the patient’s needs.

Objectives

  • Relate positively and constructively with other professionals.
  • Consider the possibility of co-morbid medical or neurological illness and make appropriate referrals.
  • Recognize clinical psychological manifestations likely to be due to an underlying medical condition.
  • Recognize the need for neuropsychiatric referral.

Goal 5:  The Clinical Psychology intern will conduct himself or herself at all times according to the Ethical Principles and Practice Guidelines of the American Psychological Association.

Objectives

  • Practice according to the ethical principles of Beneficence and Nonmaleficence, Fidelity and Responsibility, Integrity, Justice, and Respect for People’s Rights and Dignity.

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SUMMARY OF CLINICAL ROTATIONS

3 months: inpatient/outpatient adult psychiatry (60% time)

3 months: inpatient/outpatient child psychiatry (60% time)

12 months: continuity clinic (outpatients) (10% time)

2 months: substance abuse-methadone (20% time)

3 months: Elective emphases to include Rehabilitation Medicine and

Neuropsychology, Behavioral Medicine with emphasis on Psychosocial Approaches to Pain Management, Psychiatry Consultation and Liaison Service. Child and Adolescence Psychology, Neuropsychological Assessment in Neurology.

 

SERVICE DELIVERY AREAS

Adult Outpatient Psychiatry Services.  The Adult Outpatient Psychiatry Services includes: The Adult Outpatient Psychiatry Clinic and other patient care areas in the Department of Psychiatry and Behavioral Sciences in which faculty and trainees including clinical psychology Interns see patients to provide clinical services.

Adult Inpatient Psychiatry Unit.  The Adult Inpatient Psychiatry Unit is a 20 bed inpatient psychiatric unit for acutely ill psychiatric patients.

Child Outpatient Psychiatry Services.  The Child Outpatient Psychiatry Services includes the Child Outpatient Psychiatry Clinic and other patient care areas in the Department of Psychiatry and Behavioral Sciences in which faculty and trainees including clinical psychology Interns see patients to provide clinical services.

Child Inpatient Psychiatry Unit.  The Child Inpatient Psychiatry Unit is a 22 bed inpatient psychiatry unit for acutely ill psychiatric patients who are children or adolescents.

Rehabilitation Medicine. Inpatient specialty unit and outpatient facilities in the KU Hospital.

Psychiatry Consultation and Liaison. Inpatient KU Hospital.

Pain Management: Outpatient specialty clinic and inpatient KU Hospital

Substance Abuse/Methadone Clinic: Outpatient program treats a wide range of types of substance abuse using behavioral and pharmacological interventions. Many patients are dual diagnoses (substance abuse/psychiatric).

Service delivery expectations are as follows: All Interns must devote at a minimum 1800 hours to the internship activities during the year of training. A minimum of 900 hours of direct service is required. Normally; approximately a half to two thirds of time will be devoted to clinical service or related activities involved in that service. Direct service includes clinical psychological assessment, clinical psychological testing, clinical psychological intervention, consulting, test scoring and interpreting, report writing, and documentation.

SUPERVISION

Each intern must have at least four hours of individual supervision weekly, and at least two hours of general training supervision. Typically, interns will receive more individual supervision than this, depending upon supervisors and settings. Interns receive much clinical teaching; they often participate in clinical and consulting activities with their supervisors and with other clinical teachers. . Each intern is assigned a rotation supervisor in that area where they are working, who provides at least one hour of supervision per week. Interns also meet weekly with the Director of Training. In addition to the major rotations, when the intern is following long term cases beyond that rotation, or if a intern elects (with the consent of the supervisors involved) to have a specific supervisor for a specific case or cases), the intern must meet with the supervisor for at least one hour for each two hours of patient contact time. Each case has a supervisor. Interns must let their supervisor know of any cases that they take on.

Each clinical psychology intern keeps a log of all patients seen. This log will be used to both identify which cases and kinds of patients are being seen and that the intern has seen, and can also serve as a vehicle for discussion during supervision. Interns should make the logbook available to their supervisor for each visit, and supervisors generally keep a copy of the information on their patients. The minimum amount of information for the log includes the following: age, gender, ethnicity, disability status, service location (e.g. outpatient adult), supervisor, dates of contact, diagnoses, formulation (by the fifth visit), treatment modalities (including medication, psychotherapeutic approaches), progress and method of assessment of progress. The patients are not to be identified. A copy of the logbook will be made at the end of your internship to have on file for documentation purposes. In addition, interns keep a log of their actual contact time/professional activity, which is verified by the supervisor, and becomes part of the intern’s file for documentation purposes. The supervisor on each case is the primary contact person for supervision. The intern should go to that individual for supervision on that case. In the event that the supervisor cannot be reached in an urgent situation, any of the licensed psychologist on staff of the Division should be contacted for assistance. Supervisors notify the interns of coverage during scheduled absences. Coverage of interns while on leave is with another intern.

DIDACTICS

Throughout their training, interns participate in a variety of weekly seminars and lectures as follows:

Weekly Lectures

Psychotherapy Lecture Series:  Clinical Psychology Interns along with advanced psychiatry interns
Child Psychiatry Conference Room – 1030 Sudler
11:00am to 12:00am each Tuesday

Topical Lecture Series:  Clinical Psychology Interns only
9:00am to 10:00am each Friday

Psychiatry Grand Rounds:  Features locally and nationally recognized speakers invited to share their expertise on a number of topics
Sudler Auditorium
10:30am to 12:00pm each Friday

 


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CLINICAL PSYCHOLOGY PRE-DOCTORAL INTERNSHIP PROGRAM

913-588-6401
Psychology Division Chair -  Elizabeth C. Penick, PhD, ABPP, MAC
Director of Training - Edward E. Hunter, III, PhD, ABPP
Training Coordinator - Lesley Leive
lleive@kumc.edu

> Clinical Psychology Post-Doctoral Fellowship Program