Columbia University Medical Center Adult Outpatient Externship

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Last Update

March 3, 2015

COLUMBIA UNIVERSITY MEDICAL CENTER, ADULT OUTPATIENT PSYCHIATRY CLINICS

Externship in Community Psychiatry

The Community Psychiatry Externship Program is geared towards advanced pre-internship doctoral students who already have had a minimum of 1 year supervised practicum experience. Experience with moderate to severe mental illness in diverse populations is beneficial but not a requirement. The clinic is located in a federally designated poverty area in northern Manhattan serving an inner-city population of lower socioeconomic status, who are predominately Latino, African American and White minorities. The patients that attend the Adult Outpatient Psychiatry program represent a broad range of psychopathology including severe and persistent mood disorders, schizophrenia spectrum disorders and personality disorders.


The externship provides opportunities to work with a range of patients, including both Spanish and English speakers from the community, at risk women, LGBTQ individuals, persons living with AIDS or HIV, and those who suffer from addictions. All training includes initial psychological evaluations and individual, and group psychotherapy for acute and long-term patients. Opportunities may arise for couples, family and dyadic work. The program provides extensive individual and group supervision by licensed psychologists, social workers, and psychiatrists. The clinical and didactic training components are equivalent for all externship tracks. Each track has a separate team meeting and supervisors. Please note that the supervision for individual psychotherapy cases, group psychotherapy and psychological evaluations will be determined after acceptance into the externship. The specific date and time for the psychotherapy group that the extern will lead will also be determined after acceptance.

All externs carry a caseload that includes the following: -A total of 5 cases comprised of both individual acute and long term patients -Co-lead a psychotherapy group -Conduct psychological evaluations


Description of the training tracks:

1) The Rafael Tavares Treatment Team The Tavares track allows trainees who are fluent in English and Spanish to provide treatment to and perform psychological evaluations for patients who are monolingual Spanish speakers. The externs in the Tavares track receive supervision in Spanish and attend the respective team meetings which are conducted primarily in Spanish.

Tavares track trainees will also be a part of the Intensive Treatment Team which offers speciality training in comprehensive assessment and treatment of high risk patients within the community. This multi-disciplinary team uses a psychodynamic approach in the treatment of acute psychopathology, especially Axis II and dual diagnosis disorders. Adult patients are treated on a short-term basis and include individuals referred post inpatient psychiatric hospitalization and from the emergency room. Externs assume primary clinical responsibilities within the context of a multi-disciplinary team and meet weekly with the team to discuss new and ongoing cases. Additionally, each extern receives weekly individual supervision. Didactic training focuses on integrating psychodynamic clinical theory and practice in a time-limited acute setting.

The following meetings are required for the Tavares Track, however please note that assignment to a psychological evaluation team, a psychotherapy group and supervision will be determined once you are accepted to the externship and may occur throughout the week: -Monday 11:00-12:00 Individual psychotherapy seminar -Monday 12:00-1:00 Tavares Team Meeting -Monday 1:00-2:00 Externship Seminar -Tuesday 7:45-8:25 Group Psychotherapy Seminar -Wednesday 8:15-9:00 ITT Seminar -Wednesday 9:00-10:00 ITT Meeting

  • Psychological Evaluation Team to be scheduled on either Monday or Thursday.

2) Community Treatment Services Team (CTST) The CTST track allows trainees to provide treatment to and perform psychological evaluations for monolingual English - Speaking and bilingual patients. The externs in the CTST track receive supervision and attend team meetings.

CTST track trainees will also be a part of the Intensive Treatment Team which offers speciality training in comprehensive assessment and treatment of high risk patients within the community. This multi-disciplinary team uses a psychodynamic approach in the treatment of acute psychopathology, especially Axis II and dual diagnosis disorders. Adult patients are treated on a short-term basis and include individuals referred post inpatient psychiatric hospitalization and from the emergency room. Externs assume primary clinical responsibilities within the context of a multi-disciplinary team and meet weekly with the team to discuss new and ongoing cases. Additionally, each extern receives weekly individual supervision. Didactic training focuses on integrating psychodynamic clinical theory and practice in a time-limited acute setting.

The following meetings are required for the CTST Track, however please note that assignment to a psychological evaluation team, a psychotherapy group and supervision will be determined once you are accepted to the externship and may occur throughout the week:

-Monday 11:00-12:00 Individual psychotherapy seminar -Monday 1:00-2:00 Externship Seminar -Tuesday 7:45-8:25 Group Psychotherapy Seminar -Tuesday 9:25-10:25 CTST Team Meeting -Wednesday 8:15-9:00 ITT Seminar -Wednesday 9:00-10:00 ITT Meeting

  • Psychological Evaluation Team to be scheduled on either Monday or Thursday.


3) The Women's Program The Women's Program is a multidisciplinary speciality team treating high risk perinatal and postpartum women. Externs will be trained in performing comprehensive evaluations, making diagnostic assessments, and formulating appropriate dispositions of patients as part of the Women's Program evaluation team. Patients from the Women's Program are treated in group, individual, and family therapy formats using a variety of therapeutic techniques including psychodynamic psychotherapy, DBT, CBT, and supportive therapy. Externs will have the opportunity to work with both short-term and long-term patients managing a range of psychiatric conditions including adjustment disorder, comorbid substance abuse, mood disorders, characterologic psychopathology, and grief associated with perinatal loss. Incorporated into the training are management techniques for dealing with patient family issues, financial problems, ACS involvement, and coordinating care with community parenting programs. Externs will participate in weekly team meetings, didactics and clinical rounds with leading experts in the field where new and ongoing cases are discussed and current research is reviewed. Each extern will receive weekly individual supervision as well as group supervision emphasizing the use of theory and technique to best affect therapeutic change. Externs in this will also be a part of the Intensive Treatment Team which offers speciality training in comprehensive assessment and treatment of high risk patients within the community.

The following meetings are required for the Women's Program Track, however please note that assignment to a psychological evaluation team, a psychotherapy group and supervision will be determined once you are accepted to the externship and may occur throughout the week:

-Monday 11:00-12:00 Individual psychotherapy seminar -Monday 1:00-2:00 Externship Seminar -Monday 2:00-2:30 Women's Program Meeting -Monday 2:30-4:30 Women's Program Psychological Evaluation Team -Tuesday 7:45-8:25 Group Psychotherapy Seminar -Wednesday 8:15-9:00 ITT Seminar -Wednesday 9:00-10:00 ITT Meeting -Wednesday 12:45-1:45 Women's Program Clinical Rounds


4) The Lucy A. Wicks/MICA (Mental Illness Chemical Addiction)track (The LAW/MICA team) The LAW/MICA team is a specialty program which treats patients affected by HIV and AIDS and also patients who are experiencing substance use disorders. Additionally, the team works with members of the LGBTQ community who are seeking mental health services. Externs should have a strong interest in working with an LGBTQ population, issues in health psychology, affirmative therapy, advocacy and substance use. Externs will be actively involved in the evaluation of patients from the LGBTQ community and those who are experiencing HIV and AIDS-related health problems, and those who experience a substance use disorder. Extern case loads will include patients who are experiencing acute stressors as well as patients who seek long term psychotherapy. Supervision will be provided by the Lucy Wicks/MICA team. As the patients treated in the LAW/MICA team can be English speaking or Spanish speaking, bilingual students are encouraged to apply. Externs in this will also be a part of the Intensive Treatment Team which offers speciality training in comprehensive assessment and treatment of high risk patients within the community.

The following meetings are required for the Lucy Wicks/MICA Track, however please note that assignment to a psychological evaluation team, a psychotherapy group and supervision will be determined once you are accepted to the externship and may occur throughout the week:

-Monday 11:00-12:00 Individual psychotherapy seminar -Monday 1:00-2:00 Externship Seminar -Tuesday 7:45-8:25 Group Psychotherapy Seminar -Wednesday 8:15-9:00 ITT Seminar -Wednesday 9:00-10:00 ITT Meeting -Thursday 11:00-12:00 LAW/MICA Team Meeting -Thursday 9:00-11:00 LAW/MICA Psychological Evaluation Team

  • Group Psychotherapy to be determined on either Tuesday 11:30-12:30 for Spanish speaking externs or Monday 12:00-1:00 for English Speaking externs.

Didactic and Experiential Training Includes the following:

Psychological Evaluation: conducting initial intake evaluations with emphasis on general principles in case formulation, differential diagnoses and treatment disposition.

Crisis Intervention and Short Term Psychotherapy: addresses issues of crisis work and brief treatment interventions.

Long Term Psychotherapy: conducting individual psychotherapy with patients requiring more extensive treatment interventions.

Group Psychotherapy: co-facilitating weekly group psychotherapy using a range of treatment models.

Multidisciplinary Teamwork: diagnosing with the use of the DSM-IV-R in the context of evaluating and treating patients within a multidisciplinary team environment.

Treatment Planning: formulating appropriate treatments and dispositions for patients.

Supervision: comprehensive individual and group supervision in a broad range of treatment modalities

Externship Seminar and Program meetings: attendance is required at these meetings, which pertain to direct clinical experiences, services and case presentations.

Psychopharmacology: introduction to use of psychiatric medications.

Clinical Documentation: demonstrating competence in the documentation of all aspects of patient care including training in the use of electronic record keeping.

Who Should Apply?

Applicants must be currently enrolled in an APA - accredited doctoral program in counseling or clinical psychology and must have completed a minimum of a 1-year practicum in clinical training. Applicants should be interested in working with diverse clinical populations. In addition, training opportunities are available through the different tracks for applicants interested in working with Spanish speaking patients.

Time Commitments--Length of Externship

Required team meetings and seminars are on Monday afternoons, and Tuesday and Wednesday mornings. All externs must be able to attend these for the entire year. No exceptions.

Externs are involved in the planning, implementation and presentation of The Annual Multicultural Externship Symposium in Behavioral Medicine, which complies with JCAHO standards for multicultural competency training. Externs both organize and present at the symposium.

Applicants that are accepted for training will be expected to commit to a minimum of 16-20 hours per week for a 1-year period from July 1 to June 30.

Deadline

No applications will be accepted before January 17th. Applicants will be notified by email of their status starting on February 28th at 9:00am. We adhere to the PSYDNYS-NYNJADOT externship guidelines for 2017 - 2018.

To apply, Please mail a hard copy of the following materials to the Director of Externship:


• Cover letter (Please note that you can only apply to one track and clearly state in your cover letter which track you are applying to)

• Curriculum Vitae

• Two Letters of Recommendation (one academic and one clinical)

• Current graduate transcript (does not need to be an official transcript)

• Letter of good standing from your Director of Training which includes verification that you have been given permission to go on externship for 16-20 hours per week

• Clinical Case Summary (Please do not provide testing report in lieu of clinical case summary).

For More Information Email:

Diana Puñales Morejon, PhD: dlp17@cumc.columbia.edu


Interviews will be conducted between January 23th - February 21st, 2017

We would appreciate it if candidates refrain from sending thank you letters or emails.


Location:

Diana Puñales, PhD

Adult Outpatient Psychiatry

Department of Psychiatry

Columbia University Medical Center/New York Presbyterian Hospital

635 West 165th Street, 6th Floor room 630

New York, NY 10032