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.
The Program philosophy begins with the understanding that the clinical psychological needs of patients can be 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. Empirical knowledge can also inform the clinician of appropriate approaches to use in developing and implementing a formulation and treatment plan for the identified clinical problems in the individual patient. 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. This understanding of the meaning of practicing clinical psychology is the basis for our approach to training the interns.
CULTURAL AND INDIVIDUAL DIVERSITY
The Clinical Psychology Internship Program is strongly committed to supporting cultural and individual diversity and 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, faculty or staff. We welcome and encourage well-qualified individuals with a committment to diversity to apply for positions in our program. 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. Its didactic training includes specific topics relevant to understanding and fostering diversity. We will continue to develop and maintain an environment that makes cultural competency/proficiency for all interns, students, faculty, and staff attainable. The patient population with which the interns work is quite diverse, as are the students, residents and staff at the Medical Center. The Program supports and adheres to the very specific nondiscrimination policies which are summarized at: http://www.kumc.edu/an-eoaatitle-ix-institution.html. 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. The Univeristy has a diversity initiative; more information can be found at: http://www2.kumc.edu/hr/diversity/diversity.html.
The clinical psychology intern will establish and maintain positive, constructive, and effective working relationships with patients.
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-TR disorders.
The clinical psychology intern will apply appropriate psychological interventions for all of the major DSM-IV-TR disorders.
The clinical psychology intern will be able to work effectively with other pr4oesionals, consulting appropriately, and appreciating the unique and relevant contributions of others to the patient’s needs.
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.
SUMMARY OF CLINICAL EXPERIENCES
The internship year is divided into four quarters, with one major rotation per quarter. Interns also carry outpatients throughout the year, which will include children and adults. Major rotations include experiences on an inpatient unit, neurorehabilitation unit, consultation/liaison teams in the main hospital, and psycho-oncology in an NCI-designated cancer center. Interns will have exposure to many kinds of behavioral medicine assessments and interventions for individuals with many types of medical conditions on the psychiatry consultation/liaison teams as well as on psychology consultations in the medical hospital. Interns may have opportunities during their rotations to experience work with transplant teams, a burn unit, rural telemedicine, and bariatric assessment. A small amount of time is allotted to up to two choices of clinical exposure in several electives including behavioral pediatrics, developmental disorders, family medicine, methadone clinic, complementary medicine, and others. Approximately half of the time is devoted to hospital-based services and the other half to outpatient services.
Two new internship positions are available this year which will constitute an underserved populations track. These positions will emphasize training with underserved individuals. Intern rotations in the underserved populations track will overlap with the interns in the comprehensive track, but there will be a stronger emphasis on such experiences as rural telemedicine and serving those with health disparities. An advisory consortium group, consisting of the internship faculty and distinguished community leaders experienced in working with underserved and disenfranchised populations, will direct efforts to training interns to attend to the special needs of such groups. The entire didactic and clinical experiential aspects of the program for all interns will be enhanced by these efforts. (View HRSA Grant Project Narrative for these two positions). Please note that the Comprehensive Track stipend is $25,200 and the Underserved Populations track stipend is $30,000.
SERVICE DELIVERY AREAS
Adult Outpatient Psychiatry Service. The Adult Outpatient Psychiatry Service includes: The Medical Office Building 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. Patients are of diverse cultural backgrounds and are diagnosed most commonly with disorders such as Major Depression, Bipolar Disorder, Anxiety Disorders, Psychotic Disorders, and Developmental Disorders.
Adult Inpatient Psychiatry Unit. The Adult Inpatient Psychiatry Unit is a 20 bed inpatient psychiatric unit for acutely ill psychiatric patients. The Unit offers a comprehensive multidisciplinary team experience for the psychology intern. The intern also works with trainees in a variety of disciplines which may include psychiatry, social work, nursing, and occupational therapy.
Child Outpatient Psychiatry Service. The Child Outpatient Psychiatry Service includes the Medical Office Building 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. Patients come from a diversity of cultural and individual backgrounds and common diagnoses include Attention Deficit/Hyperactivity Disorder, Bipolar Disorder, Major Depression, Developmental Disorders, and Anxiety Disorders.
Child Inpatient Psychiatry Unit. The Child Inpatient Psychiatry Unit is housed at the Marillac Center, an off-site facility, Marillac Center, staffed by the University of Kansas Medical Center Psychiatry and Behavioral Sciences faculty including psychology. This inpatient psychiatry unit provides the intern with exposure to acutely ill psychiatric patients who are children or adolescents. The Unit offers a short stay in a dynamic multidisciplinary team treatment setting. The intern also works with trainees in a variety of disciplines which may include psychiatry, social work, nursing, and expressive therapies.
Neurorehabilitation. This is an inpatient specialty unit, consultation service and some outpatient services. The inpatient unit serves a population with rehabilitation needs such as traumatic brain injury, spinal cord injury and stroke. Interns receive training in neurocongitive assessment in addition to treatment, and may receive some training in neuropsychological assessment in this setting. The intern works with a multidisciplinary team including trainees from other fields (e.g. medicine, occupational therapy), and may conduct neurobehavioral exams and neuropsychological testing as well as psychological interventions.
Consultation and Liaison. A psychiatry team consults to the inpatient teams in KU Hospital. The intern participates on this team, which is consulted on cases with psychiatric issues in patients on the medical units. The intern rounds with the team, and sees patients for psychological assessment and intervention. Psychologists are also consulted throughout the Hospital for many behavioral medicine issues such as help in pain management, and for many other psychological problems.
The Cancer Center. The cancer center is a comprehensive multidisciplinary outpatient facility which includes psychological services (psycho-oncology) for the patient population served.
Telemedicine and Telehealth. The KU Center for Telemedicine and Telehealth offers telemedicine services utilizing interactive televideo for consultations between healthcare providers and patients. The Kansas telehealth network has access to over 100 sites throughout the state.
Methadone Clinic. This outpatient program treats a wide range of types of substance abuse using behavioral and pharmacological interventions. Many patients are dually diagnosed (substance abuse/psychiatric). The intern can see individual therapy cases, and has the opportunity to work with patients who frequently have multiple and complex psychosocial problems. Interns also work with a variety of dually diagnosed patients on many of their rotations.
Other potential exposures may be possible in Behavioral Pediatrics, Integrative Medicine, Telemedicine, Family Medicine, and Center for Child Health and Development.
Service delivery expectations are as follows: All interns must devote at a minimum of 1800 hours (usually 2000 hours) to the internship activities during the year of training. A minimum of 900 hours of direct service is required. Direct service includes clinical psychological assessment, clinical psychological testing, clinical psychological intervention, consulting, test scoring and interpreting, report writing, and documentation.
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.
Clinical Psychology Internship Training Supervisors
(click on link above)
Clinical Psychology Internship Affiliated Supervisors and Contributors
(click on link above)
Throughout their training, interns participate in a variety of weekly seminars and lectures as follows:
Psychotherapy Lecture Series – Tuesday – September through May – 11:00am – 12:00pm
Clinical psychology interns along with advanced psychiatry residents. Presentations by psychologists and psychiatrists on the topics of cognitive-behavior therapy, psychodynamic psychotherapy, supportive psychotherapy, brief and crisis psychotherapy, and integrative psychotherapy, motivational interviewing, group therapy, family therapy, and interpersonal therapy. Required. Child Psychiatry Conference Room – Sudler
Intern Didactic Series – Friday – 9:00am – 10:00am
Clinical psychology interns. A series of presentations which include psychological assessment and treatment of a variety of disorders including pain, mood, anxiety, substance abuse, brain injury, and psychosis, as well as presentations on neuropsychology, consultation, supervision, program evaluation, ethics and professional issues, disability, multiculturalism, and other timely topics. Weekly throughout the internship year. Attendance required. An intern may not miss more than 10% of these presentations during the internship year. 1020 Olathe Pavilion
Psychiatry and Behavioral Sciences Grand Rounds – Friday – September through June – 11:00am – 12:30pm
A series of guest speakers present on timely topics in mental health. Attendance is optional, but should be attended whenever possible if not engaged in other duties. 3015 Sudler Auditorium
Psychology Division Chair - Elizabeth C. Penick, PhD, ABPP, MAC
Director of Training - Edward E. Hunter, III, PhD, ABPP
Psychology Training Program Coordinator - Lesley Leive