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.
This specialty involves a year on a child acute-care psychiatric inpatient unit with youth primarily ranging from ages 3-11. Children admitted to this unit receive treatment for psychiatric disorders with symptoms related to disruptive behavior, aggression, and self-harm. Children typically present with PTSD, ADHD, mood and anxiety disorders, defiant behaviors, and often live in unstable home environments. Patients represent an incredibly diverse population and come from a variety of cultural, ethnic, and socio-economic backgrounds, and are admitted regardless of immigration status.
Externs participate in numerous aspects of patient care. Beginning at admission, externs participate in intake interviews. Externs follow 2-3 individual cases at a time. This includes individual sessions 3X weekly, participation in family meetings, creating individual behavior plans (when applicable), and providing input to the multi-disciplinary team about the patient’s needs and clinical status. Externs will utilize behavior management skills and will also engage patients in the therapeutic milieu. Lastly, externs work with the treatment team to gather collateral information and collaborate with other psychiatric providers, schools, and Administration for Children’s Services.
When scheduling allows, externs will be responsible for co-leading 1-2 trauma-focused psychoeducation groups per week. Externs will also occasionally complete brief psychological assessments (e.g. cognitive, academic, and social-emotional assessments), when needed for disposition planning. Externs will have opportunities to work with medical students, residents, fellows, attending physicians, nursing, and social workers. Group and individual supervision will be provided by clinical psychologists and attending psychiatrists.
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): Douglas Brodman, 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?: 20
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): Open to graduate students enrolled in Ph.D. or Psy.D. Programs in Clinical or Clinical-School Psychology who are either (a) in their fourth training year or beyond OR (b) will be applying for their third year of externship experience. Prior experience in child and adolescent treatment is required. Attendance is required on Fridays. The rest of the hours are flexible but must be split across at least 3 days, with mornings being mandatory (e.g., 2 morning half-days and 1 full-day). Weekdays may not all be consecutive.
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: See description above.
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): 2
Estimate # of integrated assessment reports per year: 2
If offering Rorschach, which scoring systems used: Not Applicable
Estimate hours/week of individual supervision: 1
Estimated hours/week of group supervision: 2 (including morning rounds)
Estimated hour/week of didactics: 2
Estimated co-therapy hours with supervisors: 1 hour per week
Context of didactics (seminars, Grand Rounds): Seminars, Grand Rounds, Case Conferences
Estimated informal open door "curbside" supervision: This externship offers frequent opportunities for “curbside” supervision as supervisors have an open-door policy and are frequently available. This includes interdisciplinary discussions with psychiatry and social work staff. The utilization of informal supervision varies, though the average extern utilizes such supervision with their psychology supervisor for approximately 1 hour per week.
Describe direct supervision: Direct supervision is conducted principally via weekly individual supervision, though there are many opportunities for milieu management, co-therapy with supervisors in groups, as well as daily morning rounds and case discussions. Direct supervision is conducted within a cognitive-behavioral orientation, with a focus on discussing goals and problem-solving treatment barriers in individual cases. Supervision also focuses on many other issues including professional development, managing expectations within an interdisciplinary team, providing didactics on topics of interest, and development of behavior management skills.
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