Provide description of Externship:
The Center of Prevention and Evaluation
is one of a small number of worldwide research clinics specializing in the
study and treatment of young people, ages 14-30, at clinical high risk for
Schizophrenia and other psychoses. All COPE participants meet criteria for the
Attenuated Psychosis Syndrome (APS) recently proposed in the fifth edition of
theDiagnostic and Statistical Manual of
Mental Disorders(DSM-5). Externs at our clinic are trained in both the evaluation
and treatment of individuals in this unique population, and will accrue
clinical experiences across all stages of psychotic illness, as approximately
30 percent of COPE participants progress to first episode illness. Moreover, while
the clinic is focused upon individuals meeting APS criteria, externs will be
exposed to a wide range of psychiatric and medical conditions, which are either
comorbid with subthreshold psychosis or which must be distinguished from it by
way of careful differential diagnosis.
Specific responsibilities of the extern
include: Didactic training on the signs and symptoms of attenuated psychosis,
and how to distinguish it from other diagnostic categories; conducting initial clinical
evaluations and psychotherapy at the COPE outpatient clinic; establishment of
comprehensive treatment plans and case consulations; clinical documentation;
weekly supervision; and attendance at weekly COPE team meetings.
General information about externship site:
Director of COPE: Ragy Girgis, M.D.
Assistant Director of COPE / Director of Externship Training: Gary Brucato, Ph.D.
Length of Externship (in months): 12
Start Date: 7/1/2019
End Date: 6/30/2020
Hours per week expected of the extern: 16
Number of externs to be accepted for 2019-20: 1
Minimum level of readiness (any prior experiences or level of training required for applicants: Applicants should be entering their third year or above in an APA-accredited clinical psychology Ph.D. or Psy.D. program.
Do you provide a stipend? No
If so how much? N/A
When do you expect to begin interviews? Late 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? Candidates are seen for two interviews with Drs. Brucato and Girgis, and then have the option of meeting with the current extern to ask whatever questions might arise regarding his or her experience of the training program. At the meeting with Dr. Brucato, candidates should expect to provide a brief case presentation. We do not conduct group interviews. This process generally lasts approximately 45 minutes to one hour.
What application materials are required (i.e., cv, transcript, how many reference letters, case summary, test report, other? The applicant should send a cover letter, curriculum vitae, letter of readiness for externship from his or her clinical training program, and two letters of recommendation to Dr. Brucato at Gary.Brucato@nyspi.columbia.edu. The heading of the e-mail should read, "Application for 2019-2019 Psychology Externship."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: The extern will carry a caseload of 6 individual psychotherapy patients, all of whom will meet criteria for the Attenuated Psychosis Syndrome proposed in the DSM-5 as a condition warranting further research. Patients will generally have one or more comorbid diagnoses, such as Major Depressive Disorder, Obsessive-Compulsive Disorder or Generalized Anxiety Disorder. Cognitive, neuropsychological and personality testing are not provided as part of the externship. The extern will be thoroughly trained in the assessment of attenuated versus threshold psychotic symptoms, and how to distinguish psychotic illness from various other conditions which can mimic it.
Expected number of full assessment batteries completed during externship (defined as administration of a battery of standardized tests): None
Estimate # of integrated assessment reports per year: None
If offering Rorschach, which scoring systems used: N/A
Estimate hours/week of individual supervision: 2
Estimated hours/week of group supervision: 2 (with other COPE clinical staff)
Estimated hour/week of didactics: 1
Estimated co-therapy hours with supervisors: As needed
Context of didactics (seminars, Grand Rounds): Grand Rounds are weekly on Wednesdays, if the extern selects this day of the week to attend the externship. Seminars with other clinicians are offered wherever possible.
Estimated informal open door "curbside" supervision: 1
Describe direct supervision: 1x each semester
Specify if observation occurs during intervention, assessment, consultation (audio, video, live in person (in treatment room, one-way mirror, live video stream): In-person
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, live, in the Children's Day Unit (which works with both child and adolescent patients) at NYSPI/CUMC, where COPE is also situated.
Is the agency readily accessible through public transportation?: Yes, via the A, C and 1 train to 168th Street.
Wheelchair accessible: Yes.
Are home visits required as part of the trainee's duties?: No.
Is a transportation stipend provided?: No.