Provide description of Externship:
ATTENTION: EXTERNSHIP APPLICANTS MAY ONLY APPLY TO ONE SPECIALTY AREA AT BELLEVUE – NEW YORK CITY HEALTH + HOSPITALS. If you apply to more than one specialty area, then you will not be considered for any.
The Externship in Adult Inpatient Psychology aims to provide a unique opportunity to refine the extern’s understanding of psychopathology in its most acute form through exposure to psychiatrically-hospitalized patients within two of Bellevue’s inpatient units. Externs will gain experience and increased understanding of the role of psychological assessment and intervention in the treatment of severely and persistently mentally ill individuals. Externs will also have the opportunity to function as part of a multidisciplinary treatment team and gain a comprehension of the role of an inpatient psychologist in relation to psychiatry, social work, activity therapy and nursing.
Externs are expected to participate in community meeting and team rounds, lead or co-lead groups focusing on awareness of illness, symptom management and relapse prevention, provide individual psychotherapy as well as family therapy, conduct psychological assessments and participate in the therapeutic milieu.
This placement is designed to give students the broadest possible exposure to patients who present with a variety of presenting problems and diagnoses. A number of inpatient psychiatric units are available for assignment, including the Asian unit and the Latino unit. The wide range of socioeconomic, language and cultural factors that characterize the inpatient population of Bellevue provides a unique opportunity to work within a specialized milieu where externs will be exposed to individuals whose mental illnesses are further complicated by social inequities, acculturation problems and a lack of access to adequate health care. Through participation in the activities of multiple units, students will learn about the unique impact of the multitude of social and cultural factors on diagnosis, symptom presentation, and treatment. They will become more comfortable with working with individuals evincing severe psychiatric problems not usually evident in community settings.
General information about externship site:
Bellevue is a part of New York City Health and Hospitals (NYC H+H), and is affiliated with the New York University School of Medicine. Founded in 1736, Bellevue is the oldest public hospital in the nation. It is an acute-care municipal inpatient and outpatient facility whose mission includes the provision of comprehensive health services in an atmosphere of humane care, dignity, and respect, regardless of ability to pay. Bellevue has been a pioneer in defining standards of practice in treating psychiatric and medical illness, and is widely recognized for the excellence of its health care and its distinguished staff. A very diverse patient population is served by Bellevue, including patients from the Hispanic, African American, Asian, South Asian and West African communities, among others.
Director of the Program: Kathryn M. Rhindress, Ph.D.
Training Director, (degree): K. S. Douglas Low, Ph.D.
URL for Externship Brochure: https://med.nyu.edu/bellevue_externships/home
Length of externship (in months): 12
Start Date: July 1, 2019
End Date: June 30, 2020
How many hours a week are expected of extern?: 16
Specialty tracks: Not Applicable
# of externs to be accepted for 2019-20: 3
Minimum level of readiness (any prior experiences or level of training required for applicants): Open to graduate students enrolled in Ph.D. or Psy.D. programs in Clinical, Clinical-School, or Counseling Psychology who are in their third year or beyond.
Preferences: Due to opportunities to work in with monolingual patients, students with fluency in a second language, especially Spanish or Mandarin Chinese (or another Chinese dialect) are encouraged to apply.
Do you provide a stipend? If so how much?: A stipend is not provided.
Applications will be accepted from 9 AM on Tuesday 1/22/19 through 9 AM on Thursday 1/24/19.
Accepting an externship at Bellevue has no impact on one's chances of later attending Bellevue's internship program.
Staff are willing to consider the applications of externship candidates who are concurrently applying for Bellevue's internship program.
When do you expect to begin interviews? (Applications can be submitted no earlier than Jan 22): January 30, 2019
Interview process (provide information about interview process- time frame, how decisions are made) Also, do you conduct individual and/or group interviews; case presentation, other information?: Applications are reviewed by Bellevue staff to determine whether or not an interview should be offered. Interviews are expected to take place until mid-February. Interviewees will attend a group orientation to Bellevue’s externship program before meeting individually with the supervisor or supervisors of their selected specialty areas.
What application materials are required (i.e., cv, transcript, how many reference letters, case summary, test report, other?: Please see the Bellevue Psychology Externship website (https://med.nyu.edu/bellevue_externships/home) for general application instructions and a list of the materials that need to be submitted. Use the website's link to a description of this specialty area in order to see if any additional application materials are required.
Intervention and Assessment:
Intervention training experiences offered: See description above.
Estimate average number of individual patients that students will carry; estimate number of groups and other types of interventions. Offer description: Each extern can expect to carry between 2-4 patients while running at least one group. Since the presenting psychopathology differs widely in a Bellevue inpatient psychiatric unit, the interventions are varied as well and are tailored to suit not just the symptoms of presenting psychopathology but the wide-ranging demographics and cultural considerations of the patient population. Students will be embedded within a multi-disciplinary treatment team and will have the benefit of exposure to opinions and knowledge of practitioners in medicine, social work, nursing and activity therapy; they will have opportunities to be part of the team that conducts the initial interview, as well as influence the aftercare of these patients.
Assessment training experiences commonly offered. Describe: See description above.
Expected number of full assessment batteries completed during externship (defined as administration of a battery of standardized tests): Externs should NOT expect to have opportunities for full assessments since batteries are administered by the Neuro-psychological Testing Service (available as a separate externship). However, common instruments will be discussed in context of an inpatient milieu.
Estimate # of integrated assessment reports per year: 0
If offering Rorschach, which scoring systems used: Not Applicable
Estimate hours/week of individual supervision: 2
Estimated hours/week of group supervision: 1
Estimated hour/week of didactics: 2
Estimated co-therapy hours with supervisors: 2-3 hours per week
Context of didactics (seminars, Grand Rounds): Seminars, Grand Rounds, Case Conferences
Estimated informal open door "curbside" supervision: 2 hours per week
Describe direct supervision: Supervisory styles are dependent on individual assigned supervisors but the externship is dedicated to the professional and personal growth of students while exposing them to the roles and responsibilities of psychology in an inpatient milieu. Supervisors range widely in treatment orientations including cognitive behavioral and psychodynamic modalities. Students, however, should expect to be challenged beyond their usual comfort zones but at the same time, demonstrate some reasonable measure of independence.
Specify if observation occurs during intervention, assessment, consultation [audio, video, live in person (in treatment room, one-way mirror, live video stream)]: Observation occurs live in person, with the supervisor joining the extern in the treatment room.
If you have only one extern, would you be willing to have the extern participate in a peer support consortium with other sites- live or "SKYPE"?: Not Applicable
Is the agency readily accessible through public transportation?: Yes
Wheelchair accessible: Yes
Are home visits required as part of the trainee's duties?: No
Is a transportation stipend provided?: No