Provide description of Externship:
Externship Standard Experience
The Eating and Weight Disorders Program (EWDP) is a specialty hospital-based outpatient program. The program provides evidence-based psychological treatment for children, adolescents, and adults with a wide range of eating, feeding, and weight disorders (e.g., Anorexia Nervosa, Avoidant/Restrictive Food Intake Disorder, Bulimia Nervosa, and Binge Eating Disorder). Treatment may be provided through our clinical service (e.g., weekly psychotherapy, intensive program), and for younger patients, involves a strong family component. Externs are also involved in the assessment and treatment of adolescents and adults pre- and post-weight loss surgery. A significant proportion of our patients receive treatment via ongoing research studies, including those testing innovative eating disorder and image interventions and better understanding neurobiological and psychological mechanisms underlying eating disorder behaviors. Two of our randomized-controlled clinical trials include: 1) a test of the efficacy of family based treatment vs interoceptive exposure for the treatment of adolescent anorexia nervosa and 2) the use of mirror exposure treatment in combination with different forms of cognitive-behavior therapy.
Externs provide treatment for individuals struggling with eating and weight disorders in our outpatient program. Opportunities to co-lead groups and provide meal support to patients are also available. Externs receive extensive training in CBT for eating disorders and a specific form of family based treatment (FBT) for the treatment of adolescents with eating disorders through workshops and weekly didactic courses. Externs receive at least one hour per week of individual supervision from a senior licensed psychologist, and weekly group supervision, with many opportunities for informal supervision with other clinicians in the program. Externs will be asked to compose a written case conceptualization for presentation at the end of the externship year.
Externs will be trained to conduct clinical diagnostic assessments for all patients treated in the outpatient program. This includes conducting an initial semi-structured intake, administering questionnaire-based assessments such as the Eating Disorder Examination-Questionnaire and integrating this information into a clinical reports. Externs will also be trained to conduct psychological assessments for adolescents and adults who are planning to receive weight loss surgery, some of which include the use of neuropsychological tests (e.g., WASI). Additional supervision is provided by a licensed psychologist for all bariatric surgery assessments.
As described above, all externs will also have the opportunity to serve as a study therapist as part of randomized clinical trials. In addition, externs are encouraged to participate in research through other means at the EWDP. Attendance is encouraged at research meetings where ongoing research studies and relevant journal articles are discussed as well as statistical analyses. Externs are supported to submit presentations to conferences , and there are also opportunities to collaborate on peer reviewed journal articles and federal and private grant submissions.
Requirements: 16 hours per week, Friday is required.
Required materials to apply: (1) Cover Letter, (2) CV, (3) 2 letters of recommendation, and (4) Eligibility letter. If you have letter writers who would rather not show you their recommendation, they can email email@example.com with your name and indicate that a LOR is being submitted for you.
General information about externship site:
Director of the Program: Tom Hildebrandt, Psy.D.
Training Director: Robyn Sysko, Ph.D.
URL for Externship Brochure: https://www.mountsinai.org/patient-care/service-areas/psychiatry/areas-of-care/eating-and-weight-disorders-program/training-opportunities/externship
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: N/A
# of externs to be accepted for 2019-20: 3
Minimum level of readiness (any prior experiences or level of training required for applicants: The preferred criterion for this externship is that individuals have completed one previous externship, minimum.
Preferences: Candidates must be in a clinical or counseling training program, CBT and child/adolescent experience preferred.
Do you provide a stipend? If so how much?: No.
When do you expect to begin interviews? (Applications can be submitted no earlier than Jan 22): Early-mid February 2019.
Interview process (provide information about interview process- time frame, how decisions are made). Invitations to interview are extended within ~2 weeks of receipt of application materials.
Also, do you conduct individual and/or group interviews; case presentation, other information?: Interviews include a group presentation describing the program and the externship experience, which is followed by ~2 individual interviews with program staff. Current externs are typically available to answer questions in between interviews.
What application materials are required (i.e., cv, transcript, how many reference letters, case summary, test report, other?: No additional materials are needed for interviews--only those submitted with the application (see above).
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: 5-7 individual/family treatment cases, 5-10 psychological testing batteries per year (optional), co-lead a group if available
Assessment training experiences commonly offered. Describe: Extensive assessment supervision is provided for test administration and report writing, especially bariatric surgery evaluations.
Expected number of full assessment batteries completed during externship (defined as administration of a battery of standardized tests): Up to 10.
Estimate # of integrated assessment reports per year: Most standard clinical evaluations for the program would not qualify as integrated reports; however, interested externs can be involved with research evaluations or consult with a supervisor to obtain this experience.
If offering Rorschach, which scoring systems used: N/A.
Estimate hours/week of individual supervision: 1 hour
Estimated hours/week of group supervision: 1 hour
Estimated hour/week of didactics: 1-2 hours
Estimated co-therapy hours with supervisors: 1 hour/case
Context of didactics (seminars, Grand Rounds): Year long didactics focused on training in CBT and family-based therapy, additional specific trainings for bariatric surgery evaluations, research treatments (e.g., mirror exposure), medical consequences of eating disorders, etc. There are also grand rounds and numerous didactic opportunities available within the Mount Sinai Health System.
Estimated informal open door "curbside" supervision: ~1 hour per week with other program staff and medical director
Describe direct supervision: Individual supervision focuses on psychotherapy cases, additional group supervision focuses on review of difficult cases and implementation of research 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 during assessment (live), as part of co-therapy (live), and in review of tapes.
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, the Q and 6 trains, cross town bus @96th.
Wheelchair accessible: Current office space for externs is not wheelchair accessible.
Are home visits required as part of the trainee's duties?: No.
Is a transportation stipend provided?: No.
After an extern accepts an offer from our program, and before starting the externship, Mount Sinai requires that an onboarding process is completed. In past years, externs have been required to complete a health screening/TB test, background check, drug testing, and an Affiliation Agreement with your program is needed.