Provide description of Externship:
Psycho-Oncology Externship Training Program at
Dubin Breast Center of the Tisch Cancer Center Institute at Mount Sinai
Hospital offers clinical training opportunities including bio-psychosocial assessment
and treatment of women diagnosed with breast cancer including their
partners and family, the provision of psycho-educational workshops to patients,
couples and families with weekly supervision and didactic.
Externs will have the opportunity to assess patients presenting:
· difficulty coping with a new breast cancer diagnosis, transition to survivorship, recurrence or living with incurable breast cancer,
· psychological distress, such as depression and anxiety,
· body image concerns,
· concerns and/or complaints involving children, spouse/partner, and/or family,
· difficulty making medical decisions,
· questionable decision making capacity;
· problems with adherence to medical recommendations, and
· difficulty managing treatment side effects, such as fatigue, nausea, pain, hot flashes and pain.
Externs will have the opportunity to conduct:
- Individual supportive psychotherapy with women and men to address their individual needs to promote adaptive coping and adjustment to breast cancer and its treatment, survivorship, illness recurrence and living with an incurable illness.
- Couples therapy to address relationship issues affected by breast cancer, such as communication, intimacy and sexual functioning.
- Family therapy to address family coping and adjustment as well as dynamics that influence patient's decision making, adherence to medical recommendations, and quality of life. Family therapy also addresses parenting skills in context of illness and communication with children and vulnerable family members about illness, as well as strategies to assist them cope and adjust.
Externs will also have the opportunity to learn about the collaborative model of patient care as they may participate in multidisciplinary meetings and collaborate with medical oncology, surgical oncology and radiation oncology as well as psychiatry, social work and chaplaincy.
General information about externship site:
Director of the Program: Marilia G. Neves, Psy.D.
Training Director, (degree): Doctorate in Clinical Psychology
URL for Externship Brochure: Not available.
Length of externship (in months): 12
Start Date: July 8, 2019
End Date: June 5, 2020
How many hours a week are expected of extern?: 16
Specialty tracks: Psycho-Oncology
# of externs to be accepted for 2019-20: 2
Applicant Qualifications: Graduate fourth-year and fifth-year students enrolled in Ph.D. and Psy.D. program in Health, Clinical or Counseling Psychology as well as previous clinical diagnostic interviewing and psychotherapy skills.
Preferences: Spanish speaking and previous clinical experience with adult medical patients.
No stipend is provided.
Applications will only be accepted from January 22, 2019 at 9 AM to February 5, 2019 at 9 AM.
Interviews are expected to begin on February 11, 2019.
Selection of applicants to be interviewed is based on:
- application submission within time frame of application acceptance,
- applicant's qualifications, whether the applicant is bilingual and/or has previous clinical experience with adult medical patients,
- letters of recommendation, and
- case summary.
Selected applicants will interview individually with Dr. Neves, Psycho-Oncology Psychology Externship Training Director, and Dr. Montgomery, Center for Behavioral Oncology Director, for thirty minutes each on the same day.
Required application materials:
- 1-2 page cover letter
- letter of eligibility from Director of Clinical Training
- two letters of recommendation from clinical supervisors (letters of recommendation from professors and research/lab supervisors will not be accepted)
- case summary
Intervention and Assessment:
The biopsychosocial assessment integrates all variables pertaining to the individual, the family, larger social systems as well as illness and its treatment leading to a biopsychosocial case formulation, diagnostic impressions and treatment recommendations in context of breast cancer treatment or survivorship.
Externs are expected to conduct from one to two biopsychosocial assessments per week of patients referred by medical oncology, surgical oncology, radiation oncology, nursing, psychiatry and social work.
Individual supportive psychotherapy includes CBT, psychodynamic, humanistic and existential approaches.
Family therapy follows the model of Medical Family Therapy developed by Susan Mc.Daniel et al.
Couple therapy involves communication and problem solving skills building as well as relationship and sexual functioning enhancement strategies.
Externs are expected to carry the most of six cases throughout the externship training year. Cases may be individual, family and/or couple.
No assessment batteries are provided.
Estimate hours/week of individual supervision: 1
Estimated hours/week of group supervision: 1
Estimated hour/week of didactics: 1
Estimated co-therapy hours with supervisors: 6 throughout the externship training year
Context of didactics (seminars, Grand Rounds): Seminars, Grand Rounds and Journal Club
Estimated informal open door "curbside" supervision: 1 hour per month
Describe direct supervision:
- At least one hour of face to face supervision and another hour of group supervision is provided per week.
- Live observation of at least one biopsychosocial assessment and/or psychotherapy session during each semester.
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"?: 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.