Provide description of Externship:
This externship is located in Children's Hospital of New York-Presbyterian Hospital, Pediatric Outpatient Psychiatry Service. The Pediatric Outpatient Clinic primarily serves children ages 4 to 18, although children 0 to 3 and patients up to 21 can be seen as well. The externship provides clinical training in psychiatric interviewing, diagnosis, and treatment planning for various presenting problems, conducting short- and long-term evidence-based treatments for anxiety and depressive disorders, as well as externalizing disorders, and experience designing and running short-term parenting and/or social skills groups.
All externs will see patients in the Disruptive Behavior Disorders (DBD) Clinic, working with patients with externalizing disorders such as ADHD and ODD, and serving as Incredible Years group leaders. Externs will participate for at least 6 months in the Diagnostic Intake Service as part of a diagnostic team, where they will interview and diagnose pediatric outpatients and make treatment recommendations.
Externs may have the of engaging in an additional elective rotation, which includes the following opportunities:
Seeing patients in the Child Anxiety and Depression Clinic, thereby gaining
experience with affective/internalizing disorders and treatments
- Conducting initial emergency/crisis evaluations and treatment through the Pediatric Emergency Department and Immediate Treatment Clinic
- Treating a family therapy case and gaining experience with family therapy interventions
- Gaining experience in the Toddler Infant Parent Program (TIPP), a program for pregnant women (under the age 21), as well as children ages 0-5 and their caregivers. Trainees would be provided supervision within a Child Parent Psychotherapy (CPP) framework. CPP is an evidence-based relationship-based intervention aimed to support and strengthen the relationship between child and caregiver to improve the child's cognitive, behavioral, social, and affective functioning.
Supervision, Seminars and Meetings
Externs participate in weekly clinic case conferences and learn case presentation format and interviewing techniques from senior clinic members. Externs also attend weekly grand rounds. Didactic instruction is provided on a variety of issues in psychiatry and psychology including DSM diagnoses, ethics, confidentiality, crisis intervention, psychopharmacology, educational advocacy, current research issues, charting and maintenance of psychiatric records. Didactics are provided as part of the clinic meetings and in once to twice monthly trainee didactic seminars. Externs will carry a weekly caseload of at least six individual psychotherapy patients, one diagnostic patient, one group and a minimum total of 8 hours per week of ect patient care. Supervision is provided ectly by licensed psychologists and indirectly by the ectors of the Clinics, Diagnostic Intake Service team leaders and the Director of Training. Externs are provided with two hours of supervision for treatment cases and one hour for group per week, in addition to supervision for diagnostic cases and other activities.
This is a one-year externship from July to July (a later start date is not possible), which abides by the minimally acceptable standard for 16 hours/week across two days. Wednesday is a required day throughout the year, without exception. For at least one half of the year, the other day will need to be a Tuesday or Thursday, depending upon elective rotations. Applicants must be currently enrolled in at least their second year in an APA-accredited doctoral program in clinical/school-clinical psychology, however given the number of hours required for this externship, it is strongly preferred that students are in their third or fourth year at the time they begin their externship. Moreover, a student's specific hours of participation will be determined by the graduate year they are enrolled in at the beginning of externship. A prior hospital-based externship is preferable but not necessary, as are bilingual skills (English/Spanish). There will be two externship positions available in the 2019-2020 academic year.
General information about externship site:
Director of Externship Program: Shayne Ragbeer, Ph.D.
Length of externship (in months): 12 months
Start Date: July 1, 2019
End Date: June 26, 2020
How many hours a week are expected of extern?: Minimally acceptable standard of 16 hours/week
Specialty tracks: Disruptive Behavior Disorders (all externs); Anxiety & Depression, Family Therapy, Acute Care, Toddler-Infant-Parent Program
# of externs to be accepted for 2019-20: 2
Minimum level of readiness (any prior experiences or level of training required for applicants: Prior experience working with children and adolescents
Preferences: Advanced training (3rd or 4th year extern) recommended. Bilingual (English/Spanish) fluency and prior hospital experience are preferred but not required.
Do you provide a stipend? If so how much?: Volunteer office provides small stipend for lunches.
When do you expect to begin interviews? (Applications can be submitted no earlier than Jan 22): Interviews expected to begin end of January 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?: Interviews are typically 1.5-2 hours in duration. Interviews are conducted individually, and include a case presentation.
What application materials are required (i.e., cv, transcript, how many reference letters, case summary, test report, other?: Please submit CV, cover letter, 2 letters of reference, case summary, transcript or letter of eligibility
Intervention and Assessment:
Intervention training experiences offered: Estimate average number of individual patients that students will carry; estimate number of groups and other types of interventions. Offer description: Approx. 6 individual treatment patients, 1 diagnostic patient, 1 group
Assessment training experiences commonly offered. Describe: Opportunities for assessment can be considered based on interest and experience of extern
Expected number of full assessment batteries completed during externship (defined as administration of a battery of standardized tests): TBD
Estimate # of integrated assessment reports per year: TBD
If offering Rorschach, which scoring systems used: n/a
Estimate hours/week of individual supervision: 2
Estimated hours/week of group supervision: 2
Estimated hour/week of didactics: 1-2
Estimated co-therapy hours with supervisors: 1
Context of didactics (seminars, Grand Rounds): Weekly case seminars, 1-2x/month trainee didactic seminars, Weekly grand rounds
Estimated informal open door "curbside" supervision: Frequent
Describe direct supervision: At least 2 hours of individual supervision for treatment cases, plus 1 hour group supervision for groups, in addition to conducting diagnostic interviews with supervisor present, co-leading group with supervisor, and ongoing "curbside" supervision
Specify if observation occurs during intervention, assessment, consultation (audio, video, live in person (in treatment room, one-way mirror, live video stream): Intervention, diagnostic interviewing, in addition to use of audio/video and one-way mirror may be used
If you have only one extern, would you be to have the extern participate in a peer support consortium with other sites- live or "SKYPE"?: n/a
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