The clinical experiences are intended to provide exposure to a wide range of mental health disorders including those manifesting in psychiatric populations as well as mental health problems in patients with a variety of medical illnesses. Interns are involved in four major rotations during their internship year, each for one quarter of the year. A major rotation involves approximately 60% of their time during that quarter. All interns have two required rotations (inpatient adult and inpatient child and adolescent psychiatry) and two elective rotations (choices between primary care, neurorehabilitation, and cancer). Over the course of the year, they also carry a caseload of between eight and twelve outpatients within eight hours of outpatient time, and conduct consultations throughout the main hospital and clinics including specialty programs such as bariatric evaluations. All four of the positions have this basic structure and core of activities/roles. However, there are two tracks, a Comprehensive Track and an Underserved Populations Track. The Comprehensive Track features the required and elective rotations described below. The Underserved Populations Track receives several supplemental activities to the basic core, these are required underserved elective rotations described below. For instance, some of their outpatients may be seen via telemedicine. The Underserved Track interns will also carry a greater load of patients who are underserved.
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, Personality Disorders and Developmental Disorders. Required Rotation.
Adult Inpatient Psychiatry Unit. The Adult Inpatient Psychiatry Unit is an 18 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. Required Rotation.
Child Inpatient Psychiatry Unit. The Child Inpatient Psychiatry Unit is housed at the Marillac Center, an off-site facility. Marillac Center is the training setting for University of Kansas Medical Center Psychiatry and Behavioral Sciences and is staffed by our 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. There is a strong emphasis on psychological assessment. The intern also works with trainees in a variety of disciplines which may include psychiatry, social work, nursing, and expressive therapies. Required Rotation.
Neurorehabilitation. The inpatient unit serves a population with rehabilitation needs such as traumatic brain injury, spinal cord injury and stroke. Interns receive training in neurocognitive 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.) Elective Rotation.
Primary Care. Interns work in the Family Medicine clinic using an integrated model. The intern generally rounds with a team including physicians, pharmacology students, medical students and other students. They provide, often immediate, behavioral health interventions, and may follow up with patients. Elective Rotation.
Consultation and Liaison. Psychologists are also consulted throughout the Hospital for many behavioral medicine issues, and interns participate in evaluations and interventions with these patients. Required Rotation.
The Cancer Center. The cancer center is a comprehensive multidisciplinary outpatient facility which includes psychological services (psycho-oncology) for the patient population served. Elective Rotation.
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. Open only to and required for Underserved Track.
Other Activities. Training is offered in several other areas through the medical center including the Ryan White HIV/AIDS program, the Osawatomie State Hospital, and grant programs treating, researching, or educating individuals with health conditions in underserved areas or to underserved individuals. These other activities are all elective, but the intern chooses among them. The grant program opportunities are subject to grant funding and availability. All of these other activities are open only to the underserved track interns. In addition, underserved track interns participate in activities including touring of underserved community facilities such as a federally-qualified health center and mental health center, participating in mentoring a high school student from a disadvantaged background, and presenting an educational offering to an underserved community. Our Advisory Consortium Group may recommend additional elective supplemental training for interns in the underserved populations track.
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.
Detailed Description of Rotations and Activities (Projected for 2015 - 2016)