Major rotations include training in adult inpatient and outpatient psychiatric populations, outpatient child and some inpatient child psychiatric populations, and hospital and outpatient-based behavioral medicine. 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 team as well as on psychology consultations in the medical hospital. Interns may have opportunities during their rotations to experience also work with transplant teams, a burn unit, and bariatric assessment. Elective time is allotted to choices including neurorehabilitation and psycho-oncology (full rotations), as well as neuropsychological assessment, rural telemedicine, behavioral pediatrics, developmental disorders, family medicine, and substance abuse (partial rotations). Approximately half of the time is devoted to hospital-based services and the other half to outpatient services.
There are two tracks in the program. One is the comprehensive track and the other is the underserved populations track. The clinical experiences in the two tracks are similar, but there is more emphasis on treating underserved populations in the underserved track. For instance, these interns receive specific training in utilizing rural telemedicine technology, and will have a greater emphasis on treating individuals who have cultural, economic or geographic barriers to access health care. The internship year is divided into four quarters. The intern will spend at least one quarter doing a primary required rotation in adult psychiatry and one quarter devoted to child/adolescent psychology. The remainder of the quarters may include elective rotations. The intern may elect to gain additional experience on an inpatient adult or child psychiatry unit, or may choose one or more of the other rotations noted below.
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 Inpatient Psychiatry Unit. The Child Inpatient Psychiatry Unit is housed at the Marillac Center, an off-site facility. Marillac Center is 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. 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.)
Primary Care. Interns work in the Family Practice clinic using an integrated model. The intern generally rounds with a team including physicians, pharmacology students, and other students. They provide, often immediate, behavioral health interventions, and may follow up with patients.
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.
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.
Osawatomie State Hospital. This site in a nearby rural community serves seriously mentally ill patients in a variety of programs for forensic evaluations, aggression, sexual inappropriateness, mood disorders, and thought disorders.
Other sites. Training is offered in several other areas at the medical center including the Ryan White HIV/AIDS program, and several grant programs treating, researching, or educating individuals with health conditions in underserved areas. Experiences in a developmental disorders clinic and behavioral pediatrics are also possible.
Our Advisory Consortium Group may recommend additional medical center or community-based settings for supplemental training.
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.