Mount Sinai Externship at the Eating and Weight Disorders Program

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Last Update

November 8, 2016

Contact Information

Name of Externship: Mount Sinai Eating and Weight Disorders Program

Program Director: Dr. Thomas Hildebrandt
Director of Clinical Services: Dr. Rebecca Greif
Externship Coordinator: Dr. Robyn Sysko
Street Address:

1425 Madison Ave., Floor 6
Department of Psychiatry: Box 1230
New York, NY 10029

Telephone: (212) 659-8724

Fax: (212) 849-2561

Email: [1]

Webpage: http://www.mountsinai.org/patient-care/service-areas/psychiatry/areas-of-care/eating-and-weight-disorders-program/training-opportunities/externship

General Information

Start Date: July 1st
End Date: June 30th

Appropriate for:

Clinical, School, Counseling

Scheduling (e.g., required/optional days of week, # hrs per day, total hours per week, flexibility in scheduling):

16 hours per week, Friday is required

Required level of readiness (any prior experiences or level of training required for applicants):

The preferred criterion for this externship is that individuals have completed one previous externship, minimum.
Candidates must be in a clinical or counseling training program.

Preferred level of readiness(any prior experiences preferred for applicants):

CBT and Child/Adolescent experience preferred

Is there a stipend for externs?

No

Application Process

Do you permit applications before January 17?

No.

What materials need to be submitted?

  • Cover letter
  • CV
  • Two letters of recommendation, one that specifically speaks to the student's clinical skills

How should it be submitted?

Submissions are accepted via email. They should be addressed to Dr. Robyn Sysko and emailed to: eatingdisorders@mssm.edu

Any details of the application process (e.g., interviewing, time frame, how decisions are made):

Interviews are scheduled through mid-late February. The earliest day on which an externship offer will be made is Monday, February 27th at 9am.

Description of Externship

Description of externship setting The Eating and Weight Disorders Program (EWDP) includes a hospital-based: outpatient program, intensive outpatient program, bariatric surgery evaluation program, and research laboratory. The outpatient program provides evidence-based psychological treatment for children, adolescents, and adults with a wide range of eating and weight disorders including Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder. The intensive outpatient program provides DBT group therapy and meal support three days per week, 3 hours per day, for adolescents struggling with all forms of eating disorders and involves a strong family component. The bariatric surgery evaluation program provides assessments for adolescents and adults undergoing weight loss surgery. Ongoing research studies include a variety of topics including testing innovative eating disorder and body image interventions and better understanding neurobiological and psychological mechanisms underlying eating disorder behaviors. We are currently conducting two randomized-controlled clinical trials on: 1) the efficacy of family based treatment vs. interoceptive exposure for the treatment of adolescent anorexia nervosa and 2) the use of mirror exposure treatment to reduce body dissatisfaction.

Description of agency mission Our mission statement is to bring these gold-standard treatments out of the purely academic realm and offer them to in a way that meets the individual needs of our patients.

Description of standard externship experience The externship program offers externs the opportunity to treat clients with a range of eating disorders (adolescence through adulthood) in our outpatient clinic and to work with these clients as part of research studies as well. Externs also have the opportunity to co-lead DBT groups and provide meal support to adolescent patients at our intensive outpatient program. All externs will also complete weekly psychological assessments for individuals planning to undergo bariatric surgery. One to two hours of supervision per week is provided, and possibly more depending on whether the clients are clinic or research study clients. We provide a CBT course for externs (Clinical Application of CBT for Eating Disorders) during the summer and fall semesters of the externship, as well as a year-round research seminar that takes place weekly. Clinical experiences offered include individual CBT, family-based (Maudsley) treatment, DBT group therapy, and ACT (acceptance and commitment therapy). Training in nondirective and schema therapy is also provided depending on interest.

Clinical Training Externs will have the opportunity to provide treatment in our outpatient and intensive outpatient program. Externs will receive formal training in cognitive behavior therapy (CBT) for the treatment of eating disorders and family based treatment (FBT) for the treatment of adolescents with eating disorders. Externs will also receive DBT skills group training, which is a core component of the intensive outpatient program. Specifically, externs will attend a full day workshop on FBT and a weekly didactic course on CBT and will co-lead DBT groups with senior level clinicians. Externs will receive one hour per week of individual supervision from a senior licensed psychologist, and weekly group supervision (to discuss patients in our outpatient program and in clinical trials). Externs will be asked to compose a written case conceptualization for presentation at the end of the externship year.

Assessment Training Externs will be trained to conduct clinical diagnostic assessments for all patients treated in the outpatient program. This includes conducting an initial semi-structured intake, administering questionnaire-based assessments such as the Eating Disorder Examination-Questionnaire and Body Checking Questionnaire and integrating this information into a formal clinical report. Externs will also be trained to conduct psychological assessments for adolescents and adults who are planning to receive weight loss surgery, some of which include the use of neuropsychological tests (e.g., WAIS). Additional supervision will be provided by a licensed psychologist for all bariatric surgery assessments.

Research Experience Externs are encouraged to participate in research at the EWDP. Attendance is encouraged at a weekly research meeting where ongoing research studies and relevant journal articles are discussed as well as statistical analyses. Externs are supported to submit presentations to conferences such as the Association for Behavioral and Cognitive Therapy (ABCT) and the Academy of Eating Disorders (AED) utilizing data collected at the EWDP. There are also opportunities to collaborate on peer reviewed journal articles and federal and private grant submissions. As described above, all externs will also have the opportunity to serve as a study therapist as part of ongoing randomized clinical trials.

Populations commonly served:

Children
Adolescents
Ethnic Minorities
Outpatient
Adults

Training models offered:

CBT
DBT, FBT
Parent Training
Suicide Risk Assessment
Crisis Intervention

Intervention training experiences commonly offered:

Individual Psychotherapy
Family/couples Therapy
Research based protocols
Parent Collateral Sessions

Expected number of cases seen at any one time:

  • 5-7 individual/family treatment cases
  • 5-10 psychological testing batteries per year
  • Co-lead groups and facilitate meal support as part of intensive outpatient program

Assessment training experiences commonly offered:

Extensive assessment supervision is provided for test administration and report writing, especially bariatric surgery evaluations

Expected number of full assessment batteries completed during externship (defined as administration of a battery of standardized tests):

5-10

Expected number of assessment reports completed during externship (defined as writing reports based on a battery of standardized tests:

5-10

Supervision:

Estimated hours/week of individual supervision: 1 hour for psychotherapy cases
Estimated hours/week of group supervision: 1 hour per week
Estimated hours/week of didactics: 1 hour per week

Amichaelides 23:22, 7 Jan 2010 (EST)



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