The Psychology Externship Program in Primary Care, sponsored by the Residency Program in Family and Social Medicine at Montefiore Medical Center/Albert Einstein College of Medicine (Bronx, NY), offers a unique experience for advanced psychology externs to train alongside Family Medicine Residents and Postdoctoral Psychology Fellows in one of the nation's oldest and most successful primary care training programs.
The Program in Social Medicine is dedicated to preparing physicians to practice in underserved communities, working from the perspective that health is a state of physical, social, economic, psychological, and political well-being. As such, promoting social justice and empowerment among patients, families and communities in the Bronx is central to our mission. Externs in the program conduct clinical and diagnostic interviews, individual psychotherapy and family therapy sessions with a multi-cultural primary care patient population. Externs can expect to serve patients spanning young adult through geriatrics, although limited opportunities may be available to work with families. Therapy cases will be both mostly short-term with some long-term work focused on common mental health concerns seen in primary care (e.g., depression, anxiety, grief) as well as behavioral health intervention (e.g., chronic disease management, health promotion). Externs will also work within the integrative behavioral health model, side-by-side with medical residents, consulting on and co-managing cases with medical and mental health issues. Caseloads vary and build over time, but externs can expect to be working with patients and/or providers for most of the time they are present on site. Primary care psychology externs will conduct numerous intake assessments and short-term, problem-focused interventions based on physician referrals; trainees should have an interest in developing their skills in timely assessment and documentation, case conceptualization, and written and oral skills related to physician consultation.
We provide a minimum of 2 hours of weekly individual supervision with a focus on a family systems and a sociocultural perspective. Live observation and feedback is an important part of this externship, offering significant opportunities for clinical growth. Clinical interventions vary according to cases and /or supervisor and include short-term as well as year-long psychotherapy, CBT, psychodynamic, family systems and integrated approaches. In addition, externs receive monthly supervision in family systems based theory and interventions. Externs also have opportunities for involvement in a group, assisting patients with self-management of diabetes.
General information about externship site:
Director of the Program: Tanya White-Davis, PsyD firstname.lastname@example.org
Training Coordinator, (degree): Sabrina Esbitt, PhD email@example.com
Length of externship (in months): 12
Start Date: 08/01/2019
End Date: 07/31/2020
Hours: We require approximately 16 hours per week. Schedules are typically as follows:
- Williamsbridge Family Medicine Clinic: Wednesdays and Fridays: 9am-5pm.
- Family Health Center: Thursdays and Fridays: 9am-5pm.
Students are also required to attend a monthly case conference the 3rd Tuesday of the month from 12:30pm to 2:00pm and are recommended (but not required) to stay for the psychosocial seminar presented by our family medicine residents immediately following this meeting (until 4pm).
Minimum level of readiness: This externship is for advanced students; 4th year Clinical, Health, or Counseling graduate students or advanced 3rd years with significant prior intake assessment and therapy experience and/or particular interest and match for the program (e.g., specialized primary care, health, social justice focus).
Preferences: Prior adult intake assessment and psychotherapy experience required. Preference for interest and experience with diverse patient populations, service to underserved patients and social justice in medicine, health psychology/work with medical patients and settings, integration of family and sociocultural perspectives. Successful externs will have an interest in and ability to function well in a fast-paced interdisciplinary environment, as well as solid skills in assessment, conceptualization, and diagnosis. Spanish speaking students and minority candidates are strongly encouraged to apply.
Specialty tracks: N/a
# of externs to be accepted for 2019-20: 2
Specialty tracks: N/a.
# of externs to be accepted for 2019-2020: 2
Do you provide a stipend?: None.
When do you expect to begin interviews? (Applications can be submitted no earlier than Jan 22): Interviews are offered on a rolling basis.
Interview process: Interviews will be heald on an ongoing basis. Individual interviews are offered, and applicants may be interviewed by one or two faculty members during the same interview. A case presentation, as well as prior experience, and specific interest in/fit with our program are common interview topics. Fit with the program (prior experience, social justice orientation; goodness-of-fit with the primary care setting) and availability/scheduling guide the decision-making process.
Application materials required: Cover Letter; CV (please include at the top of your CV the days and times your are available to attend externship, as well as the name of your DCT and their contact information); two letters of recommendation, preferably from past clinical supervisors; Letter of readiness.
Training in Intervention and Assessment:
Intervention training experiences offered: Externs in the program conduct clinical and diagnostic interviews, individual psychotherapy and family therapy sessions with an adult multicultural primary care patient population. Therapy cases will be both mostly short-term with some long-term work focused on common mental health concerns seen in primary care (e.g., depression, anxiety, grief) as well as behavioral health intervention (e.g., chronic disease management, health promotion). While caseloads can vary, weekly, 8-11 therapy cases, consultations and intakes can be expected. Externs will also work within the integrative behavioral health model, side-by-side with medical residents, consulting on and co-managing cases with medical and mental health issues. Opportunities to learn specific interventions for behavioral health issues, (e.g., CBT-I) may be available, depending on patient need. Caseloads vary and build over time, but externs can expect to be working with patients and/or providers for most of the time they are present on site. Externs also have opportunities for involvement in a group, assisting patients with self-management of diabetes.
Assessment training experiences commonly offered: No testing at this externship. Clinical interview, brief behavioral health assessment, and team-based assessment are essential components of this externship.
Expected number of full assessment batteries completed during externship (defined as administration of a battery of standardized tests): 0
Estimate # of integrated assessment reports per year: 0
If offering Rorschach, which scoring systems used: N/a
Estimate hours/week of individual supervision: 2 hours per week of supervision for individual cases, live supervision during intakes, "curbside" supervision in the clinic precepting (resident supervision) room. Externs will have the opportunities to receive supervision from our Postdoctoral Fellows further on in the training year.
Estimated hours/week of group supervision: 1.5 x month
Estimated hour/week of didactics: 3 x month
Estimated co-therapy hours with supervisors: varies depending on number of intakes
Describe direct supervision: Direct observation of primary care consultation, intake interviews, and interdisciplinary case consultation.
Context of didactics: Students are required to attend a monthly case conference the 3rd Tuesday of the month from 12:30pm to 2:00pm, attended by the Behavioral Science faculty, externs, and postdoctoral fellows, and are recommended to stay for the psychosocial seminar presented by our family medicine residents immediately following this meeting (until 4pm). Social Medicine Grand Rounds often follow the resident seminar, and externs are also welcome to attend. Estimated informal open door "curbside" supervision: As this is a primary care psychology externship, "curbside" supervision is available from both psychology and medical supervisors continuously.
We have two externs, who co-train with medical residents and postdoctoral fellows, and also meet with the full Behavioral Science team, including our postdoctoral fellows, at our monthly didactics/case conference.
Is the agency readily accessible through public transportation?: yes.
Wheelchair accessible: the sites themselves are, but nearby public transit may not be.
Are home visits required as part of the trainee's duties?: No.
Is a transportation stipend provided?: No.