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 Medical Psychology provides training opportunities in the areas of traumatic brain injury & general rehabilitation medicine. Externs must be available to attend this externship for two full days a week. These days can either be Mondays and Fridays or Tuesdays and Fridays. The extern will train on two acute rehabilitation units.
The General Rehabilitation Unit (6 South) is a 22-bed adult inpatient medical rehabilitation unit that serves a wide range of diagnoses, including stroke, spinal cord injury, tumor resection, limb amputation, and polytrauma among others. Here, the extern will develop an understanding of the diagnostic criteria and treatment of some of the major types of psychopathology from which medically hospitalized Bellevue patients suffer, clinical interviewing and assessment skills within an inpatient medical setting, the ability to set psychological treatment goals within an inpatient medical setting in which psychological issues are conceptualized both independently and in the context of their impact on medical/physical treatment interventions, and general skills for working within an interdisciplinary inpatient medical setting.
The Traumatic Brain Injury (TBI) Unit (6 West) is a 22-bed adult inpatient unit that admits patients who have suffered some form of acquired brain injury that resulted in severe cognitive impairment. Although the most common admitting diagnosis is TBI, other forms of brain injury are also frequently treated, such as anoxia, stroke, aneurysm rupture, neurodegenerative conditions, and brain tumor resections, among others. While working in the TBI Unit, the extern will have the opportunity to acquire experience performing basic bedside screening and/or flexible battery brief neuropsychological assessments, conduct capacity evaluations, provide counseling and psycho-education to patients and families, develop behavioral management plans for agitated patients, and develop skills in crisis intervention to facilitate the adaptation to a new life while mourning the multiple losses associated with brain injury.
Responsibilities common to both units include the provision of short-term psychological treatment focusing on reactive mood symptoms as well as psychological adjustment to disability, hospitalization, and physical rehabilitation treatment and behavioral and psychological recovery processes. Pre-morbid psychopathology is primarily addressed for its role in limiting a patient from participating more fully in the treatment program.
Under supervision, the extern will acquire experience in the delivery of psychological services in nontraditional settings, often in the presence of and together with other health-care providers. The extern will work in consultation with other members of a patient’s treatment team, including occupational therapists, physical therapists, speech pathologists, art therapists, social workers, consulting psychiatrists, and physical medicine residents and attending physicians. Externs will also attend interdisciplinary case conferences and family meetings, interacting with the treatment team, and providing input on the findings (cognitive as well as psychological) of assessments and their implications for therapy. At times, additional psychological service recommendations are made including linkages to substance abuse treatment programs as well as outpatient psychotherapy and psychiatry services. Occasionally, linkages are made to the in-patient psychiatry service.
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): Beatrice Caan, 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: 1
Minimum level of readiness (any prior experiences or level of training required for applicants): The Bellevue Psychology Externship Training Program is open to graduate students enrolled in Ph.D., Psy.D., or Ed.D. programs in Clinical, Clinical-School, Counseling, or Health Psychology.
Preferences: Preference will be given to graduate students enrolled in Ph.D. or Psy.D. program in Clinical, Clinical-Health, Clinical-School, or Counseling Psychology who will be in their fourth year or beyond during the time of the externship. Students should demonstrate prior interest, experience, and coursework in Health Psychology or Neuropsychology, and preferably have some past experience with medical patients. Bilingual candidates are highly 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: Since work is on medical units, caseload varies depending on census and medical diagnosis and changes frequently. Average 3-5 patients per week over course of year, no groups but co-treatments as needed with PT/OT/Sp. Individual supportive psychotherapy, substance abuse referrals, participation in behavior management plans.
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): None, only brief bedside neurocognitive assessments as needed.
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: 0
Estimated hour/week of didactics: 2
Estimated co-therapy hours with supervisors: 1-2/week
Context of didactics (seminars, Grand Rounds): Seminars, Grand Rounds, Case Conferences
Estimated informal open door "curbside" supervision: 45 minutes per day in hospital
Describe direct supervision: Discussion of cases and clarification of goals of evaluation, periodic observation of session, review of session, progress notes, debriefing as needed after treatment.
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"?: As the extern selected for this externship will be interacting on a weekly basis with other externs at Bellevue, this question is 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