Provide description of Externship: Inpatient Neuropsychology at NewYork-Presbyterian Hospital/Weill Cornell offers advanced training in neuropsychological assessment of inpatients in two settings: (1) an acute inpatient medical rehabilitation unit and (2) an inpatient psychiatric unit. The trainee's core experience will be learning about brain-behavior functioning of neurologic and psychiatric patients through the use of neuropsychological evaluations.
In the rehabilitation setting, the trainee will have the opportunity to evaluate patients suffering from acute neurologic and medical conditions including stroke, brain tumor, traumatic brain injury, and post-operative cognitive dysfunction. Neuropsychological evaluations are brief screening assessments that emphasize the rapid integration and communication of test data to an interdisciplinary team in order to guide patients' rehabilitation treatment and discharge planning. The trainee will have the opportunity to interface with a diverse range of rehabilitation professionals including attending physicians, occupational therapists, physical therapists, speech therapists, and nurses.
In the inpatient psychiatric setting, the patient population presents with a wide variety of functional impairments secondary to psychiatric difficulties (depression, bipolar disorder, schizophrenia, substance use disorder) and comorbid conditions (ADHD, head trauma, dementia). In the psychiatric setting, neuropsychological and psychological evaluations are primarily targeted towards assisting the psychiatric team in differential diagnosis and informing treatment planning. Neuropsychological testing is conducted using a fixed-flexible approach that is targeted towards patients' presenting concerns and referral questions. The trainee will receive two hours of individual supervision weekly. The trainee is expected to attend the biweekly neuropsychology didactic series, which will allow him/her to interact with clinical neuropsychologists and trainees throughout the NYPH system (Manhattan and Westchester). Additionally, trainees are encouraged to attend monthly neuropsychology case conferences, weekly Department of Psychiatry Grand Rounds, and monthly Department of Rehabilitation Medicine Grand Rounds.
General information about externship site:
Director of the Program: Chaya Fridman, Ph.D. ABPP-CN
Training Director, (degree): Abhishek Jaywant, Ph.D.
URL for Externship Brochure: N/A
Length of externship (in months): 12 months
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: 1
Minimum level of readiness (any prior experiences or level of training required for applicants: This externship is most appropriate for advanced neuropsychology trainees, who have conducted at least one prior full-year externship in clinical neuropsychology. Prior coursework in functional neuroanatomy is highly recommended. Familiarity with common neuropsychological tests used with adults is recommended, including WAIS and WMS subtests, Trail Making Test, Stroop Test, Verbal Fluency, Boston Naming Test, and California Verbal Learning Test.
Do you provide a stipend? If so how much?: There is no stipend
When do you expect to begin interviews? (Applications can be submitted no earlier than Jan 22): We will accept applications between January 22nd and February 5th, 2019. Interviews will take place in mid-February
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?: A 30-minute in-person interview is required. Decisions are made based on a trainee's background, interests, goals, and fit with the externship site.
What application materials are required (i.e., cv, transcript, how many reference letters, case summary, test report, other?: Cover Letter, CV, Two reference letters. If your mentors prefer to submit their letters separately, please request that they indicate your name and the track to which you are applying in their email subject line and send the letters to Abhishek Jaywant at email@example.com
Students who extern at New York Presbyterian’s Cornell sites (either at the Westchester Division or Weill Cornell Medicine Manhattan site) must complete a health screening (including two PPDs) on the Westchester Campus prior to beginning the externship. The health screening includes drug testing. Externs will need to pass a background check before starting the externship. New York Presbyterian requires a completed Affiliation Agreement with each student’s program. Many of the local NYC metro area schools have an existing agreement with New York Presbyterian. If there is not an existing agreement, we will work with your program to create one.
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: This externship is primarily focused on assessment. Time permitting, there is an option to assist Dr. Jaywant in co-leading a CBT group in the rehabilitation unit.
Assessment training experiences commonly offered. Describe: Neuropsychological assessment, psychological assessment (e.g., using the Minnesota Multiphasic Personality Inventory)
Expected number of full assessment batteries completed during externship (defined as administration of a battery of standardized tests): Minimum of 30, but varies based on experience
Estimate # of integrated assessment reports per year: Minimum of 30, but varies based on experience
If offering Rorschach, which scoring systems used: N/A
Estimate hours/week of individual supervision: 2
Estimated hours/week of group supervision: 1
Estimated hour/week of didactics: 2
Estimated co-therapy hours with supervisors: N/A
Context of didactics (seminars, Grand Rounds): Neuropsychology Didactic Series, Neuropsychology Case Conference, Psychiatry Grand Rounds, Rehabilitation Medicine Grand Rounds
Estimated informal open door "curbside" supervision: Multiple times daily, including prior to and after seeing a patient, and after scoring test data to assist the trainee in case conceptualization
Describe direct supervision: In-person supervision with Dr. Jaywant.
Specify if observation occurs during intervention, assessment, consultation (audio, video, live in person (in treatment room, one-way mirror, live video stream): Dr. Jaywant will be present for observation during clinical interviews. He will be present for observation of test administration at the beginning of the extern year until the trainee is comfortable administering tests independently.
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"?: Yes, this will be available via videoconference (Zoom)
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