Interns will have approximately 14-18 clinical contact hours per week.
The pediatric psychology track emphasizes working with medically hospitalized patients, their families, and treatment teams. Interns in the pediatric psychology track have a year-long experience with the consultation/liaison service. The service works with teams across the hospital. Patients that are frequently seen on this service include those with acute or chronic pain or illness, severe problems in adjustment to a medical condition, and/or significant non-adherence. Other consults involve pre- and post-solid organ transplant, problems after serious accident or traumatic brain injury, and/or end-of-life concerns. Interventions with these patients often involve training in skills for coping with complex medical conditions, pain management strategies, and the brief assessment and treatment of anxiety and/or depression. Interns attend care conferences in which psychosocial impressions are presented and treatment recommendations are made. Therefore, there is an emphasis in training within multidisciplinary teams. Interns in this track are also required to conduct outpatient therapy (with individuals, families, and groups; see below) and psychological evaluations (usually regarding possible ADHD and/or LDs).
The Pediatric Neuropsychology Track provides clinical training in the practice of clinical psychology, with emphasis in neuropsychology, through supervised evidence-based patient care within the hospital setting supplemented by a didactic curriculum. This track affords training in concert with the criteria set forth by the Houston Conference on Specialty Education and Training in Clinical Neuropsychology. Clinical activities include a major rotation involving outpatient neuropsychological evaluation of pediatric patients ranging in age from 3-21 years old who present with acquired brain injuries and medical conditions that affect central nervous system functioning including pediatric cancers, brain tumors, traumatic brain injuries, stroke, genetic disorders, movement disorders, and congenital CNS disorders. The intern will also participate in a minor inpatient neuropsychology rotation involving inpatient neuropsychological assessment with referrals from the neurorehabilitation unit, pediatric epilepsy monitoring unit, biobehavioral unit, as well as hospital-wide neuropsychological consultation. Interns also have opportunities to work with staff neuropsychologists to provide supervision and training to pre-doctoral practicum students. Outstanding didactic training is available from the options listed below. Interns in this track are also required to participate in the consultation/liaison service for hospitalized patients and to conduct outpatient individual and group therapy programs with medically complex patients.
Outpatient therapy opportunities include working with the clinics such as cystic fibrosis, chronic pain management, transplant, Type II diabetes, dermatology, palliative care, and providing outpatient follow-up to patients discharged from the hospital. Patients from the dialysis or LGBTQI clinics can be followed long-term. Other patients are seen for a variety of behavioral health issues, such as conduct problems, anxiety, or depression. Interns lead psychoeducational group programs for parents and/or teens. These programs are usually provided for parents of children with ADHD and teens with chronic pain and their parents. Other training experiences:
- Monthly one-hour case seminar discussion/presentation *
- Weekly one-hour Intern Training Seminars with staff and outside professionals on clinical/ethical/assessment/medical/professional issues *
- Weekly one-hour Grand Rounds presentations for all medical staff
- Weekly one-hour Pediatric Neuroscience Grand Rounds
- Weekly Epilepsy Conference
- Monthly meetings with the Training Director *
- Monthly Diversity Seminar *
- Monthly Trauma Rounds
- Continuing education seminars and conferences held by/for PCH staff and residents throughout the year
- Additional Didactic Training specific to tracks *
- Monthly assessment case conference *
* attendance is expected