Download presentation
Presentation is loading. Please wait.
Published byJadon Thornsbury Modified over 9 years ago
1
Pre-doctoral Internship Program Minneapolis VA Medical Center Wayne G. Siegel, Ph.D., ABPP Director of Training/Psychology Supervisor Thad Strom, Ph.D. Assistant Director of Training
2
What to Expect Today? Information Overload! Actually, a good understanding of our Internship and our dedication to excellent clinical training
3
Schedule 8:15 - 9:45 Description of the Training Program 9:45 - 10:00 Break 10:00 - 10:50 Interview 1 11:00 - 11:50 Interview 2 12:00 - 1:00 Break/Lunch in the cafeteria 1:00 - 1:50 Interview 3 1:50 - 2:00 Break 2:00 - 2:40 Meet with current interns 2:40 - 3:15 Tour and wrap up with TD
4
Minneapolis VAMC Approximately 400,000 veterans residing in our primary service area, Tertiary referral center for the upper VA Midwest Healthcare Network Last fiscal year: More than 430,000 outpatient visits 8,200 inpatient stays 1,000 extended care stays at this facility
5
Demographic s Predominately Caucasian, male population Ethnic minorities - 7% of those treated 65+ is the largest single clientele category Women Veterans Comprehensive Health Center 1 of 8 VAs Over 2,500 women are seen in this medical center annually VA lead polytrauma center
6
Competitively Funded Research Programs Psychologists - more than $11,000,000 in merit- reviewed, multi-year research grants One of the largest education and training programs in the VA system Affiliations with 50 colleges, universities, and technical schools in allied health professions
7
The Presence of Psychology 58 doctoral psychologists many of which hold clinical faculty positions at the University of MN Psychologist are assigned to one or more of the specialized treatment units an have a strong presence in almost every area of the medical center Many psychologists are in key leadership roles in the medical center and nationally. Staff hold a diversity of interests, expertise, theories, and techniques
8
Training Model & Philosophy Training Model & Philosophy Accredited by the Commission on Accreditation of the APA Member of APPIC and abides by its guidelines Scientist Practitioner Model Scientific data and scholarly work are incorporated into all training experiences Significant opportunity to be involved in research through the internship year
9
Training is Developmental Close supervision, mentorship, and intensive instruction to relatively autonomous functioning over the course of the year Interns take an active role in developing their training plan Graduating interns develop the competencies and a sense of professional identity needed for entry-level positions or post docs
10
Goal 1: Psychological Evaluation and Assessment Goal 1: Psychological Evaluation and Assessment Diagnostic interviewing Administration and scoring of psychometrically- validated instruments assessing personality (e.g., MMPI-2) and cognitive functioning (e.g., WAIS-III)
11
Goal 2: Psychological Interventions Goal 2: Psychological Interventions Exposed to a range of therapeutic orientations, techniques, and approaches including empirically supported interventions
12
Goal 3: Providing Consultation & Supervision Goal 3: Providing Consultation & Supervision Provide colleagues and trainees with feedback and guidance Translate psychological principles and findings to professionals from different disciplines
13
Goal 4: Professional Ethics Interns will have a mature understanding of professional ethics as well as issues of ethnic, cultural, gender, and sexual diversity
14
Goal 5: Maturing professional identities Have a sense of themselves as “Psychologists ” Have a sense of themselves as “Psychologists ” Awareness of their continuing developmental professional goals and areas needing further development
15
Goal 6: Interface Between Science and Practice Being educated consumers of empirical research Competence in one or more empirically-supported methods Competence in one or more empirically-supported methods Critical thinking Evaluate the findings of research Opportunities to be involved in research
16
Mental Health Services in the VAMC
17
Training Tracks 2 tracks with 2 separate Match numbers Think of them as separate internships 6 General Clinical/Counseling positions 2 Neuropsychology positions Emphasis on neuropsych training meeting APA Division 40 and Houston Guidelines (at least 50%) Training is still broad and general in clinical psychology
18
The Neuropsychology Track Neuropsychology and neuropsychological assessment Meets the Houston Conference and APA Division 40 specialty training guidelines Approximately 50% of his or her time to neuropsychology 2 rotations 17 week-long rotation in neuropsychology and rehabilitation psychology as well as providing assessment and intervention services in our GRECC. 3rd rotation areas outside of neuropsychology, usually dealing with severe mental illness Weekly neuropsychology case conference, neurology rounds, and PM&R team rounds Supervisors: Drs. Nelson, Clason, Lundgren, Cohen, Sim, and Bares.
19
Add/Delete Tracks You can still change the tracks you are applying to Just notify the Training Directors before you leave today
20
Rotations Assigned by interest and training needs Orientation week Learn about different rotations Work with TD to choose and sequence rotations so that intern training goals and program competency standards are met Work with TD to choose and sequence rotations so that intern training goals and program competency standards are met Track activities are guaranteed, rotations are not Schedules can be adjusted as needed later in the year Schedules can be adjusted as needed later in the year
21
Addictive Disorders Supervisors: Drs. Silversmith, Siegel, and Deloyski Flexible and individual treatment by matching patient needs with interventions Flexible and individual treatment by matching patient needs with interventions Assessment and intervention services to patients with primary SUDs and those dually diagnosed Individual and group therapies (process-oriented and structured skill-building), behavior and case management, and patient education Individual and group therapies (process-oriented and structured skill-building), behavior and case management, and patient education Diagnostic interviewing, objective and projective testing, and neuropsychological screening Diagnostic interviewing, objective and projective testing, and neuropsychological screening Provide consultation in the context of a multi- disciplinary team
22
Admissions/Crisis/Consultation Team (ACC) Supervisor: Drs. Arbisi and Kodl Main intake and evaluation center Work closely with the Medical Center ER Diagnostic interviewing, psychological and neuropsychological screenings and assessments, brief therapy, crisis management
23
The Mood Disorders and General Psychiatry Team Supervisors: Drs. Perry, Walden and Koets Supervisors: Drs. Perry, Walden and Koets Specializes in mood disorders and general psych patients Specializes in mood disorders and general psych patients Diverse theoretical perspectives Diverse theoretical perspectives Emphasizes diagnostic interviewing, psychological assessment, and psychological intervention Emphasizes diagnostic interviewing, psychological assessment, and psychological intervention Intake evaluations, outpatient personality assessment, and neuropsychological screening evaluations, individual and group psychotherapy Intake evaluations, outpatient personality assessment, and neuropsychological screening evaluations, individual and group psychotherapy
24
Neuropsychology (rotation) Supervisor: Drs. Nelson, Clason, Lundgren, Cohen, Sim, and Bares. Ok for specialization as well as those wanting just experience Eclectic test battery Competence in consultation skills - TBI Team, Neuropsychology Case Conferences, and MS Team Competence in consultation skills - TBI Team, Neuropsychology Case Conferences, and MS Team Variety of patients – dementia, strokes, TBI, tumors, seizures, and MS, etc.
25
Psychiatric Partial Hospitalization (PPH) Psychiatric Partial Hospitalization (PPH) Supervisor: Dr. Barrs, Peterson, Isenhart, Schumacher, and Broden Not a tx team - cost-effective and clinically viable alternative to full hospitalization Not a tx team - cost-effective and clinically viable alternative to full hospitalization Intensive treatment while avoiding some of the malignant regressive temptations often associated with inpatient care Intensive treatment while avoiding some of the malignant regressive temptations often associated with inpatient care Organized within a therapeutic community or milieu setting, the broad range of treatments include: Case management, educational therapy, group therapy, occupational therapy, recreational therapy, and medication management Competence in diagnostic testing, including the MMPI-2, Rorschach and other projective techniques, process-oriented group therapy and consultation Competence in diagnostic testing, including the MMPI-2, Rorschach and other projective techniques, process-oriented group therapy and consultation
26
Post-Traumatic Stress Recovery (PTSR) Program Supervisors: Drs. Erbes, Polusny, Kattar, Strom, Kodl, Bemis, and Wagner-Mickle Training in the assessment and treatment of patients with acute and chronic trauma-related disorders Training in the assessment and treatment of patients with acute and chronic trauma-related disorders Assessment – diagnostic interviewing, objective, projective, and neuropsychological instruments Individual, family, and group psychotherapy EST – CPT, PE, MI and Seeking Safety Consultation to the multidisciplinary team Psychoeducational activities Ongoing research Female veterans, OIF/OEF service members Variety of traumas.
27
Geropsychology Supervisors: Drs. Bares and Rodman Settings: the Extended Care Center (a transitional nursing home care unit), the Geropsychiatry Outpatient Clinic, and the GRECC Memory Loss Clinic. Skills emphasized on this rotation are: a) developing an understanding of normal functioning in aging, age-related changes in cognitive and physical functioning and common developmental issues/tasks associated with aging; Personality, intellectual, neuropsychological, and behavioral assessment techniques with older adults Interventions with adults: (e.g., time-limited dynamic and cognitive-behavioral therapy) as well as approaches tailored more specifically to the needs of older adults (e.g., life review, reminiscence therapy, chronic pain management, treatment of sleep disorders); d) time-limited, psychoeducationally-oriented group therapy (e.g., CBT for affective disorders, grief, caregiving); Functioning as members of inter-disciplinary teams and consultants to a variety of services within the hospital.
28
Women’s Clinic Supervisor: Dr. Van Egeren - cognitive-behavioral Multidisciplinary team approach - primary care Knowledge/ sensitivity to gender-specific issues Male or female intern Health Psychology Focus (Health Psych Rotation) Assessment and intervention skills relevant to health issues (e.g., chronic pain, sleep disorders, premenstrual dysphoria, weight loss, infertility). Mental Health Focus Psychological evaluation and psychotherapy for common psychiatric disorders, such as major depression, and for psychological issues that occur more frequently in women than men, such as sexual trauma and domestic violence Psychological evaluation and psychotherapy for common psychiatric disorders, such as major depression, and for psychological issues that occur more frequently in women than men, such as sexual trauma and domestic violence Consultative skills are emphasized
29
Primary Care Psychology/ Health Psychology Supervisors: Drs. Billig, Meyers, Olson, and Skroch Integration of mental health with primary care Co-located working collaboratively with PC staff Rapid access and tx for acute psychiatric disorders Innovative models of co-managing care for patients with chronic medical and mental health conditions. Innovative models of co-managing care for patients with chronic medical and mental health conditions. Interns will have the opportunity to learn innovative models and skills for managing mental health conditions within an integrated primary care clinic setting. Training in the assessment, treatment and consultation of medical patients. Training in the assessment, treatment and consultation of medical patients. Orientation - Integrative, emphasizing contemporary behavioral approaches. Orientation - Integrative, emphasizing contemporary behavioral approaches.
30
Rehabilitation Psychology Rehabilitation Psychology Supervisors: Drs. Engdahl, Clason, Helbock, Lundgren, Grace, Bares Training in rehabilitation assessment and interventions to help patients reach their maximum potential Training in rehabilitation assessment and interventions to help patients reach their maximum potential Depending on training goals, Conduct psychological, neuropsychological, chronic pain, and/or vocational assessments Conduct psychological, neuropsychological, chronic pain, and/or vocational assessments Provide adjustment counseling, family counseling, and behavioral interventions in a rehabilitation setting Provide adjustment counseling, family counseling, and behavioral interventions in a rehabilitation setting Serve as member of multidisciplinary teams Inpatient - interventions tend to be brief
31
Rehab Psych – TBI Program Rehab Psych – TBI Program Training in rehabilitation and Neuropsychology Recognized as a center of excellence 1 of 4 such programs in the country Provides a full range of intensive inpatient treatment to brain injured veterans and active duty patients, many in their late teens and early 20's Provides a full range of intensive inpatient treatment to brain injured veterans and active duty patients, many in their late teens and early 20's Psychotherapeutic and behavioral interventions Neuropsychological evaluations Bed rounds Neurological and psychiatric examinations
32
SPMI (Serious and Persistent Mental Illness) Team Supervisors: Dr. Hegeman, Hoffman-Konn, Barrs, and Nienow Assessment and treatment of patients with psychotic disorders including bipolar disorders Patients vary in their level of functioning and persistence of psychopathology Competence in the conceptualization and assessment of psychosis and other psychiatric symptoms as well as in the assessment of cognitive and social functioning in outpatients and inpatients Individual therapy, group therapy, and couples or family interventions New Programs – CBSST, Family Program, recovery Oriented
33
Adjunctive Training Experiences Interns select 3-4 Adjunctive Training Experiences: Family Therapy Training Clinic (FTTC) Dialect Behavior Therapy (DBT) Anxiety Intervention Clinic (AIC) Time-Limited Dynamic Psychotherapy (TLDP) Motivational Interviewing (MI) CBSST Cognitive Processing Therapy (CPT) Prolonged Exposure (PE) Psychodynamic Psychotherapy Contemporary Behavior Therapy Assessment Clinic Administration Research
34
Family Therapy Training Clinic Supervisor: Drs. Leskela and Erbes Training in the assessment and treatment of couples and family-related concerns Staff, postdoctoral fellows, and interns participate Didactic presentations Clinical experience using structural, strategic, solution-focused, and narrative techniques Group supervision Group supervision
35
Anxiety Intervention Clinic Supervisor: Dr. Olson Utilizes empirically-supported approaches to treat Anxiety disorders Critical thinking and professional development are emphasized Critical thinking and professional development are emphasized Interdisciplinary training setting Peer consultation/supervision model
36
Cognitive Processing Therapy Clinic Supervisor: Drs. Kattar and Bemis Utilizes empirically-supported time-limited approach to treat trauma-related disorders such as PTSD Readings and discussions of didactic material, review of video and audio tapes of interactions with patients, and role-playing Readings and discussions of didactic material, review of video and audio tapes of interactions with patients, and role-playing Interdisciplinary training setting Peer consultation/supervision model Opportunity to serve as individual therapist and co- leader for group Ongoing clinical outcome assessment
37
Time-Limited Dynamic Psychotherapy (TLDP) Time-Limited Dynamic Psychotherapy (TLDP) Supervisor: Dr. Wagner-Mickle Empirically-based treatment model: Strupp and Binder (Psychotherapy in a New Key: A Guide to Time Limited Dynamic Psychotherapy Training in a group/peer supervision/consultation format
38
Motivational Interviewing (MI) Supervision: Dr. Isenhart Empirically supported directive, client-centered therapeutic style for eliciting behavioral change Help clients explore and resolve ambivalence about making changes Applicable to SUDs and other psychological disorders Applicable to SUDs and other psychological disorders Will learn basic MI goals and principles Will learn basic MI goals and principles Readings and discussions of didactic material, review of video and audio tapes of interactions with patients, and role-playing Readings and discussions of didactic material, review of video and audio tapes of interactions with patients, and role-playing
39
Acceptance & Commitment Therapy: ACT A functional contextual therapy that views psychological problems dominantly as problems of psychological inflexibility. A functional contextual therapy that views psychological problems dominantly as problems of psychological inflexibility. Uses acceptance and mindfulness processes, and commitment and behavior change processes, to produce greater psychological flexibility. Uses acceptance and mindfulness processes, and commitment and behavior change processes, to produce greater psychological flexibility. Six months for the later part of the year
40
Dialectical Behavioral Therapy (DBT) Supervisors: Dr. Meyers, and Deadra Dahl, CNS Empirically-supported, manualized treatment approach developed by Linehan, 1993) Used to treat male and female patients who share key features with those diagnosed with Borderline Personality Disorder, particularly emotion dysregulation Didactic, group supervision, consultation group Individual and/or group interventions
41
Psychoanalytic Therapy Supervisors: Dr. Peterson Built on the contributions of Sigmund Freud and will focus on the technique of psychoanalytic psychotherapy Opportunity to observe a course of psychoanalytic psychotherapy conducted by Dr. Peterson
42
Assessment Training Clinic Supervisors: Drs. Arbisi and Peterson Supervisors: Drs. Arbisi and Peterson Ensures that all interns get good training in psychodiagnosis Diagnostic interviewing Intellectual assessment Objective instruments Projective instruments Meets weekly for entire year Cases are assigned on a rotating basis Interns provide consultation and peer supervision Interns can expect to become familiar with the relevant assessment related literature
43
Research/Scholarly Experiences Research: Consistent with our Scientist Practitioner Model, interns may participate in a research or other scholarly project for six or 12 months of the training year Averaging four hours of release time per week. Working on one’s dissertation, working on papers in progress for publication, or collaborating with staff who have ongoing research.
44
Administrative Experiences Interns may elect to obtain administrative experience with psychologists who are actively involved in clinical administration. This experience will involve some didactic, readings, shadowing staff and completion of a project or two.
45
Seminars Seminars: weekly Psychology Training Seminar Didactic focus (interns help choose) Assessment and therapy case presentations Include an integration of relevant literature Adjunctive experiences often have didactic components We are trying to foster development of competency, critical thinking abilities, knowledge, and professional identity One of the presentations occurs in Mental Health Grand Rounds (formal and multidisciplinary in nature) One of the presentations occurs in Mental Health Grand Rounds (formal and multidisciplinary in nature)
46
Optional Didactics Neuropsychology Case Conference Year-long conference involves didactics and case presentations Opportunity to improve their competence in interpretation of neuropsychological tests, consultation and peer supervision Other educational seminars and case conferences throughout the hospital and community
47
Main Rotations22.5 hours per week Standard interns Rotation 1Rotation 2Rotation 3 NeuropsychRotation 1 NeuropsychRehab or PolyT GRECC Memory Clinic/ Caregivers Group Neuropsych Rehab or PolyTNeuropsych Rotation 3 GRECC Memory Clinic/ Caregivers Group Adjunctive Experiences DBT, Family Therapy, TLDP, MI, CPT, Admin., ACT, Extended Psychodynamic Therapy Clinic, Research, AIC (17.5 hrs per week) Adjunctive Exp. -------------------------------4 hours per week --------------------- Adjunctive Exp. -------------------------------4 hours per week --------------------- Adjunctive Exp. -------------------------------4 hours per week --------------------- Assmt. Clinic------------------------------1.5 Hrs. per week---------------------- Reading/misc. --------------------------------2 Hrs per week---------------------- Seminars--------------------------------2 Hrs per week---------------------- This chart is intended to serve as a planning guide and should not be rigidly interpreted. Time estimates are based on a 40 hour work week. Interns should expect to work 40 to 50 hours per week in order to complete training activities. Some weeks may exce
49
Time Commitment A one-year, full-time training commitment - averaging 45 to 50 hours a week on site Expected that some work will occur off site as well Balance of work and learning
50
Supervision 2 to 4 hours of individual supervision per week 2 to 4 hours of group supervision per week Style and modes of supervision vary Style and modes of supervision vary Videotapes, audiotapes, observation, role-plays, process notes, and co-therapy are among the tools used to aid in supervision Videotapes, audiotapes, observation, role-plays, process notes, and co-therapy are among the tools used to aid in supervision Expect to be assigned readings and literature searches as part of supervision Typically very consultative in nature
51
Mentors Each intern will choose a mentor A non-evaluative but not absolutely confidential relationship Role: Help the intern negotiate the internship program Integrate feedback from various supervisors Plan for post-internship goals
52
The Application Process The Application Process We seek applicants who have: 1.A sound clinical and scientific knowledge base 2.Strong basic skills in standard assessment, intervention, and research techniques 3.Personal characteristics necessary to function well in our internship setting Open to supervision, thirst for learning, strong initiative Open to supervision, thirst for learning, strong initiative Selection criteria are based on a "goodness–of–fit" with our scientist-practitioner model
53
Training Term Full-time for one year beginning on about the 3 rd week of August One year at full-time equals 2080 hours Leave: 10 federal holidays Sick leave and annual leave (4 hours of each per two-week pay period (a total of 13 days of each) 5 days of authorized leave for conferences, or to complete activities required by your university 5 days of authorized leave for conferences, or to complete activities required by your university
54
Stipend and Benefits $23.873 per year Interns are not covered by Civil Service retirement The United States Government covers interns for malpractice under the Federal Tort Claims Act The United States Government covers interns for malpractice under the Federal Tort Claims Act
55
Match Policies Match Policies We participate in the APPIC Matching Program 2 match numbers General Clinical and Counseling: 3832 General Clinical and Counseling: 3832 Neuropsychology: 3835 Neuropsychology: 3835
56
Our Strength is Our Weakness Opportunity and Choice! Many training options Can be overwhelming! Cannot pick them all Need to try and prioritize Many ways to get training goals met Several rotations/options can meet goals
57
Other Strengths Highly skilled supervisory staff dedicated to training No pressure to produce billable hours Focus in on TRAINING Want about 15 clinical contact hours per week by mid year Balance learning with productivity Goal: prepare you for postdoc or job Assessment and testing is the clinician’s decision Very few sites that don’t limit testing especially personality assessment Affiliated Medical Center – academically productive Access to female patients
58
Other Strengths - continued Highly desirable metropolitan area Affordable, educated, culture Experience with a computerized record system
59
What most people think of MN!
60
St. Paul Skyline
61
Lake Harriet Winter
62
Minn. Creek Winter
63
Cross Country Skiing
64
Lake Harriet Band Shell
65
Lake Harriet
66
Lake Calhoun
69
Lake Harriet
71
Ducks at sunset
72
Elf Tree
73
East Harriet Park
74
Mall of America
76
Lake Milacs
77
Twin Cities Marathon
79
Milk Carton Race
80
Art Fair
81
State Fair
82
Renaissance Festival
83
The Weisman Museum
84
Orchestra Hall
85
ScienceMuseum
86
Walker Sculpture Garden
87
Schedule 8:15 - 9:45 Description of the Training Program 9:45 - 10:00 Break 10:00 - 10:50 Interview 1 11:00 - 11:50 Interview 2 12:00 - 1:00 Break/Lunch in the cafeteria 1:00 - 1:50 Interview 3 1:50 - 2:00 Break 2:00 - 2:40 Meet with current interns 2:40 - 3:15 Tour and wrap up with TD Interviewers will meet you in this room 2 nd interview will include a clinical vignette Please take valuables with you
Similar presentations
© 2024 SlidePlayer.com Inc.
All rights reserved.