Interns will have approximately 14-18 clinical contact hours per week.
The pediatric psychology track emphasizes working with hospitalized patients, their families, and treatment teams. Patients that are frequently seen on this service include those with acute or chronic pain, severe problems in adjustments to a medical condition, and/or significant non-adherence. Other consults involve pre- and post-solid organ transplant or problems after motor vehicle accident or other traumatic brain injury. 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. Interns in this track are also required to conduct outpatient therapy (with individuals, families, and groups) and psychological evaluations (usually regarding possible ADHD and/or LDs).
The pediatric neuropsychology track includes a major rotation in outpatient neuropsychological assessment and a minor rotation in inpatient neuropsychological assessment. The neuropsychology track is designed to meet Houston Conference guidelines. Thus, interns in this track will spend 50% of their time in neuropsychology training working with a diverse population. Patient diagnoses range from those with tumor resections and concussions/TBIs to the obscure cases “that you only read about in textbooks” (tuberous sclerosis and velo-cardio-facial syndrome). Patients range in age from one to emerging adults. Assessments also occur in the hospital, and interns may evaluate patients prior to bone marrow transplant or neurosurgery. Interns will learn the full array of tests used in neuropsychological evaluation. Outstanding didactic training is available from the options listed below. Interns in this track are also required to participate in the consultation/liaison service and to conduct outpatient therapy and group programs.
Outpatient therapy opportunities include working with the clinics such as cystic fibrosis, Chronic pain management, transplant, dermatology, skeletal dysplasia, 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. We hope to add a program to help prevent depression in patients. Interns can also participate in the DBT skills group.
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