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Pre-doctoral Internship Pre-doctoral Internship ProgramProgram Minneapolis VA Medical Minneapolis VA Medical
CenterCenter
Wayne G. Siegel, Ph.D., Wayne G. Siegel, Ph.D., ABPPABPP
Director of Training/Psychology Director of Training/Psychology SupervisorSupervisor
Thad Strom, Ph.D.Thad Strom, Ph.D.Assistant Director of TrainingAssistant Director of Training
What to Expect Today?What to Expect Today?
Information Information Overload!Overload!
Actually, a good Actually, a good understanding of our understanding of our Internship and our dedication Internship and our dedication to excellent clinical trainingto excellent clinical training
ScheduleSchedule
8:15 - 9:45 Description of the Training Program8:15 - 9:45 Description of the Training Program 9:45 - 10:00 Break9:45 - 10:00 Break 10:00 - 10:50 Interview 110:00 - 10:50 Interview 1 11:00 - 11:50 Interview 211:00 - 11:50 Interview 2 12:00 - 1:00 Break/Lunch in the cafeteria12:00 - 1:00 Break/Lunch in the cafeteria 1:00 - 1:50 Interview 31:00 - 1:50 Interview 3 1:50 - 2:00 Break1:50 - 2:00 Break 2:00 - 2:40 Meet with current interns2:00 - 2:40 Meet with current interns 2:40 - 3:15 Tour and wrap up with TD2:40 - 3:15 Tour and wrap up with TD
Minneapolis VAMCMinneapolis VAMC
Approximately 400,000 veterans residing in our Approximately 400,000 veterans residing in our primary service area, primary service area,
Tertiary referral center for the upper VA Tertiary referral center for the upper VA Midwest Healthcare NetworkMidwest Healthcare Network
Last fiscal year:Last fiscal year: More thanMore than 430,000 outpatient visits430,000 outpatient visits 8,200 inpatient stays8,200 inpatient stays 1,000 extended care stays at this facility 1,000 extended care stays at this facility
DemographicDemographicss
Predominately Caucasian, male populationPredominately Caucasian, male population Ethnic minorities - 7% of those treatedEthnic minorities - 7% of those treated 65+ is the largest single clientele category65+ is the largest single clientele category Women Veterans Comprehensive Health CenterWomen Veterans Comprehensive Health Center
1 of 8 VAs1 of 8 VAs Over 2,500 women are seen in this medical Over 2,500 women are seen in this medical
center annuallycenter annually VA lead polytrauma centerVA lead polytrauma center
Competitively Funded Research Competitively Funded Research ProgramsPrograms
Psychologists - more than $11,000,000 in merit-Psychologists - more than $11,000,000 in merit-reviewed, multi-year research grantsreviewed, multi-year research grants
One of the largest education and training One of the largest education and training programs in the VA system programs in the VA system
Affiliations with 50 colleges, universities, and Affiliations with 50 colleges, universities, and technical schools in allied health professionstechnical schools in allied health professions
The Presence of PsychologyThe Presence of Psychology
58 doctoral psychologists many of which hold 58 doctoral psychologists many of which hold clinical faculty positions at the University of MNclinical faculty positions at the University of MN
Psychologist are assigned to one or more of the Psychologist are assigned to one or more of the specialized treatment units an have a strong specialized treatment units an have a strong presence in almost every area of the medical presence in almost every area of the medical centercenter
Many psychologists are in key leadership roles in Many psychologists are in key leadership roles in the medical center and nationally. the medical center and nationally.
Staff hold a diversity of interests, expertise, Staff hold a diversity of interests, expertise, theories, and techniques theories, and techniques
Training Model & Philosophy Training Model & Philosophy
Accredited by the Commission on Accreditation of Accredited by the Commission on Accreditation of the APA the APA
Member of APPIC and abides by its guidelinesMember of APPIC and abides by its guidelines Scientist Practitioner Model Scientist Practitioner Model
Scientific data and scholarly work are Scientific data and scholarly work are incorporated into all training experiences incorporated into all training experiences
Significant opportunity to be involved in Significant opportunity to be involved in research through the internship yearresearch through the internship year
Training is DevelopmentalTraining is Developmental
Close supervision, mentorship, and intensive Close supervision, mentorship, and intensive instruction to relatively autonomous functioning instruction to relatively autonomous functioning over the course of the yearover the course of the year
Interns take an active role in developing their Interns take an active role in developing their training plan training plan
Graduating interns develop the competencies and Graduating interns develop the competencies and a sense of professional identity needed for entry-a sense of professional identity needed for entry-level positions or post docs level positions or post docs
Goal 1:Goal 1: Psychological Evaluation and Psychological Evaluation and Assessment Assessment
Diagnostic interviewing Diagnostic interviewing Administration and scoring of psychometrically-Administration and scoring of psychometrically-
validated instruments assessing personality (e.g., validated instruments assessing personality (e.g., MMPI-2) and cognitive functioning (e.g., WAIS-III)MMPI-2) and cognitive functioning (e.g., WAIS-III)
Goal 2:Goal 2: Psychological Interventions Psychological Interventions
Exposed to a range of therapeutic orientations, Exposed to a range of therapeutic orientations, techniques, and approaches including empirically techniques, and approaches including empirically supported interventionssupported interventions
Goal 3:Goal 3: Providing Consultation & Providing Consultation & Supervision Supervision
Provide colleagues and trainees with feedback Provide colleagues and trainees with feedback and guidanceand guidance
Translate psychological principles and findings to Translate psychological principles and findings to professionals from different disciplinesprofessionals from different disciplines
Goal 4:Goal 4: Professional EthicsProfessional Ethics
Interns will have a mature understanding of Interns will have a mature understanding of professional ethics as well as issues of ethnic, professional ethics as well as issues of ethnic, cultural, gender, and sexual diversitycultural, gender, and sexual diversity
Goal 5:Goal 5: Maturing professional Maturing professional
identitiesidentities Have a sense of themselves as “Psychologists ” Have a sense of themselves as “Psychologists ” Awareness of their continuing developmental Awareness of their continuing developmental
professional goals and areas needing further professional goals and areas needing further developmentdevelopment
Goal 6: Goal 6: Interface Between Science and Interface Between Science and
PracticePractice Being educated consumers of empirical researchBeing educated consumers of empirical research Competence in one or more empirically-Competence in one or more empirically-
supported methods supported methods Critical thinkingCritical thinking Evaluate the findings of researchEvaluate the findings of research Opportunities to be involved in researchOpportunities to be involved in research
Training Tracks Training Tracks
2 tracks with 2 separate Match numbers2 tracks with 2 separate Match numbers Think of them as separate internshipsThink of them as separate internships
6 General Clinical/Counseling positions 6 General Clinical/Counseling positions 2 Neuropsychology positions2 Neuropsychology positions
Emphasis on neuropsych training meeting APA Division Emphasis on neuropsych training meeting APA Division 40 and Houston Guidelines (at least 50%)40 and Houston Guidelines (at least 50%)
Training is still broad and general in clinical psychologyTraining is still broad and general in clinical psychology
The Neuropsychology TrackThe Neuropsychology Track
Neuropsychology and neuropsychological Neuropsychology and neuropsychological assessment assessment
Meets the Houston Conference and APA Division 40 Meets the Houston Conference and APA Division 40 specialty training guidelines specialty training guidelines
Approximately 50% of his or her time to Approximately 50% of his or her time to neuropsychology neuropsychology
2 rotations 17 week-long rotation in neuropsychology 2 rotations 17 week-long rotation in neuropsychology and rehabilitation psychology as well as providing and rehabilitation psychology as well as providing assessment and intervention services in our GRECC.assessment and intervention services in our GRECC.
3rd rotation areas outside of neuropsychology, 3rd rotation areas outside of neuropsychology, usually dealing with severe mental illness usually dealing with severe mental illness
Weekly neuropsychology case conference, neurology Weekly neuropsychology case conference, neurology rounds, and PM&R team roundsrounds, and PM&R team rounds
Supervisors: Drs. Nelson, Clason, Lundgren, Cohen, Supervisors: Drs. Nelson, Clason, Lundgren, Cohen, Sim, and Bares. Sim, and Bares.
Add/Delete TracksAdd/Delete Tracks
You can still change the tracks you are applying You can still change the tracks you are applying toto
Just notify the Training Directors before you leave Just notify the Training Directors before you leave
todaytoday
Rotations Rotations
Assigned by interest and training needsAssigned by interest and training needs Orientation week Orientation week
Learn about different rotationsLearn about different rotations Work with TD to choose and sequence Work with TD to choose and sequence
rotations so that intern training goals and rotations so that intern training goals and program competency standards are met program competency standards are met
Track activities are guaranteed, rotations are notTrack activities are guaranteed, rotations are not Schedules can be adjusted as needed later in the Schedules can be adjusted as needed later in the
year year
Addictive DisordersAddictive Disorders
Supervisors: Drs. Silversmith, Siegel, and DeloyskiSupervisors: Drs. Silversmith, Siegel, and Deloyski Flexible and individual treatment by matching Flexible and individual treatment by matching
patient needs with interventions patient needs with interventions Assessment and intervention services to patients Assessment and intervention services to patients
with primary SUDs and those dually diagnosed with primary SUDs and those dually diagnosed Individual and group therapies (process-oriented Individual and group therapies (process-oriented
and structured skill-building), behavior and case and structured skill-building), behavior and case management, and patient education management, and patient education
Diagnostic interviewing, objective and projective Diagnostic interviewing, objective and projective testing, and neuropsychological screening testing, and neuropsychological screening
Provide consultation in the context of a multi-Provide consultation in the context of a multi-disciplinary teamdisciplinary team
Admissions/Crisis/Consultation Team Admissions/Crisis/Consultation Team (ACC)(ACC)
Supervisor: Drs. Arbisi and KodlSupervisor: Drs. Arbisi and Kodl Main intake and evaluation center Main intake and evaluation center Work closely with the Medical Center ER Work closely with the Medical Center ER Diagnostic interviewing, psychological and Diagnostic interviewing, psychological and
neuropsychological screenings and assessments, neuropsychological screenings and assessments, brief therapy, crisis managementbrief therapy, crisis management
The Mood Disorders and General The Mood Disorders and General Psychiatry TeamPsychiatry Team
Supervisors: Drs. Perry, Walden and Koets Supervisors: Drs. Perry, Walden and Koets Specializes in mood disorders and general psych Specializes in mood disorders and general psych
patients patients Diverse theoretical perspectives Diverse theoretical perspectives Emphasizes diagnostic interviewing, psychological Emphasizes diagnostic interviewing, psychological
assessment, and psychological intervention assessment, and psychological intervention Intake evaluations, outpatient personality Intake evaluations, outpatient personality
assessment, and neuropsychological screening assessment, and neuropsychological screening evaluations, individual and group psychotherapy evaluations, individual and group psychotherapy
Neuropsychology (rotation)Neuropsychology (rotation)
Supervisor: Drs. Nelson, Clason, Lundgren, Supervisor: Drs. Nelson, Clason, Lundgren, Cohen, Sim, and Bares. Cohen, Sim, and Bares.
Ok for specialization as well as those wanting just Ok for specialization as well as those wanting just experience experience
Eclectic test battery Eclectic test battery Competence in consultation skills - TBI Team, Competence in consultation skills - TBI Team,
Neuropsychology Case Conferences, and MS Neuropsychology Case Conferences, and MS Team Team
Variety of patients – dementia, strokes, TBI, Variety of patients – dementia, strokes, TBI, tumors, seizures, and MS, etc. tumors, seizures, and MS, etc.
Psychiatric Partial Hospitalization Psychiatric Partial Hospitalization (PPH) (PPH)
Supervisor: Dr. Barrs, Peterson, Isenhart, Schumacher, Supervisor: Dr. Barrs, Peterson, Isenhart, Schumacher, and Brodenand Broden
Not a tx team - cost-effective and clinically viable Not a tx team - cost-effective and clinically viable alternative to full hospitalization alternative to full hospitalization
Intensive treatment while avoiding some of the Intensive treatment while avoiding some of the malignant regressive temptations often associated with malignant regressive temptations often associated with inpatient care inpatient care
Organized within a therapeutic community or milieu Organized within a therapeutic community or milieu setting, the broad range of treatments include: setting, the broad range of treatments include:
Case management, educational therapy, group Case management, educational therapy, group therapy, occupational therapy, recreational therapy, therapy, occupational therapy, recreational therapy, and medication management and medication management
Competence in diagnostic testing, including the MMPI-Competence in diagnostic testing, including the MMPI-2, Rorschach and other projective techniques, process-2, Rorschach and other projective techniques, process-oriented group therapy and consultation oriented group therapy and consultation
Post-Traumatic Stress Post-Traumatic Stress Recovery (PTSR) ProgramRecovery (PTSR) Program
Supervisors: Drs. Erbes, Polusny, Kattar, Strom, Supervisors: Drs. Erbes, Polusny, Kattar, Strom, Kodl, Bemis, and Wagner-MickleKodl, Bemis, and Wagner-Mickle
Training in the assessment and treatment of Training in the assessment and treatment of patients with acute and chronic trauma-related patients with acute and chronic trauma-related disorders disorders
Assessment – diagnostic interviewing, objective, Assessment – diagnostic interviewing, objective, projective, and neuropsychological instruments projective, and neuropsychological instruments
Individual, family, and group psychotherapyIndividual, family, and group psychotherapy EST – CPT, PE, MI and Seeking SafetyEST – CPT, PE, MI and Seeking Safety Consultation to the multidisciplinary teamConsultation to the multidisciplinary team Psychoeducational activities Psychoeducational activities Ongoing researchOngoing research Female veterans, OIF/OEF service membersFemale veterans, OIF/OEF service members Variety of traumas.Variety of traumas.
GeropsychologyGeropsychology Supervisors: Drs. Bares and RodmanSupervisors: Drs. Bares and Rodman Settings: the Extended Care Center (a transitional nursing Settings: the Extended Care Center (a transitional nursing
home care unit), the Geropsychiatry Outpatient Clinic, and the home care unit), the Geropsychiatry Outpatient Clinic, and the GRECC Memory Loss Clinic. GRECC Memory Loss Clinic.
Skills emphasized on this rotation are: Skills emphasized on this rotation are: a) developing an understanding of normal functioning in a) developing an understanding of normal functioning in
aging, age-related changes in cognitive and physical aging, age-related changes in cognitive and physical functioning and common developmental issues/tasks functioning and common developmental issues/tasks associated with aging; associated with aging;
Personality, intellectual, neuropsychological, and Personality, intellectual, neuropsychological, and behavioral assessment techniques with older adultsbehavioral assessment techniques with older adults
Interventions with adults: (e.g., time-limited dynamic and Interventions with adults: (e.g., time-limited dynamic and cognitive-behavioral therapy) as well as approaches cognitive-behavioral therapy) as well as approaches tailored more specifically to the needs of older adults (e.g., tailored more specifically to the needs of older adults (e.g., life review, reminiscence therapy, chronic pain life review, reminiscence therapy, chronic pain management, treatment of sleep disorders); d) time-management, treatment of sleep disorders); d) time-limited, psychoeducationally-oriented group therapy (e.g., limited, psychoeducationally-oriented group therapy (e.g., CBT for affective disorders, grief, caregiving); CBT for affective disorders, grief, caregiving);
Functioning as members of inter-disciplinary teams and Functioning as members of inter-disciplinary teams and consultants to a variety of services within the hospital.consultants to a variety of services within the hospital.
Women’s ClinicWomen’s Clinic Supervisor: Dr. Van Egeren - cognitive-behavioralSupervisor: Dr. Van Egeren - cognitive-behavioral Multidisciplinary team approach - primary care Multidisciplinary team approach - primary care Knowledge/ sensitivity to gender-specific issuesKnowledge/ sensitivity to gender-specific issues Male or female internMale or female intern
Health Psychology FocusHealth Psychology Focus (Health Psych Rotation) (Health Psych Rotation) Assessment and intervention skills relevant to health Assessment and intervention skills relevant to health
issues (e.g., chronic pain, sleep disorders, premenstrual issues (e.g., chronic pain, sleep disorders, premenstrual dysphoria, weight loss, infertility). dysphoria, weight loss, infertility).
Mental Health FocusMental Health Focus Psychological evaluation and psychotherapy for Psychological evaluation and psychotherapy for
common psychiatric disorders, such as major common psychiatric disorders, such as major depression, and for psychological issues that occur depression, and for psychological issues that occur more frequently in women than men, such as sexual more frequently in women than men, such as sexual trauma and domestic violence trauma and domestic violence
Consultative skills are emphasizedConsultative skills are emphasized
Primary Care Psychology/ Health Primary Care Psychology/ Health PsychologyPsychology
Supervisors: Drs. Billig, Meyers, Olson, and SkrochSupervisors: Drs. Billig, Meyers, Olson, and Skroch Integration of mental health with primary careIntegration of mental health with primary care
Co-located working collaboratively with PC staff Co-located working collaboratively with PC staff Rapid access and tx for acute psychiatric disordersRapid access and tx for acute psychiatric disorders Innovative models of co-managing care for patients Innovative models of co-managing care for patients
with chronic medical and mental health conditions. with chronic medical and mental health conditions.
Interns will have the opportunity to learn innovative Interns will have the opportunity to learn innovative models and skills for managing mental health models and skills for managing mental health conditions within an integrated primary care clinic conditions within an integrated primary care clinic setting. setting.
Training in the assessment, treatment and Training in the assessment, treatment and consultation of medical patients. consultation of medical patients.
Orientation - Integrative, emphasizing contemporary Orientation - Integrative, emphasizing contemporary behavioral approaches. behavioral approaches.
Rehabilitation Psychology Rehabilitation Psychology
Supervisors: Drs. Engdahl, Clason, Helbock, Supervisors: Drs. Engdahl, Clason, Helbock, Lundgren, Grace, BaresLundgren, Grace, Bares
Training in rehabilitation assessment Training in rehabilitation assessment and interventions to help patients reach their and interventions to help patients reach their maximum potential maximum potential
Depending on training goalsDepending on training goals, , Conduct psychological, neuropsychological, Conduct psychological, neuropsychological,
chronic pain, and/or vocational assessments chronic pain, and/or vocational assessments Provide adjustment counseling, family Provide adjustment counseling, family
counseling, and behavioral interventions in a counseling, and behavioral interventions in a rehabilitation setting rehabilitation setting
Serve as member of multidisciplinary teamsServe as member of multidisciplinary teams Inpatient - interventions tend to be briefInpatient - interventions tend to be brief
Rehab Psych – TBI ProgramRehab Psych – TBI Program
Training in rehabilitation and NeuropsychologyTraining in rehabilitation and Neuropsychology Recognized as a center of excellence Recognized as a center of excellence 1 of 4 such programs in the country 1 of 4 such programs in the country Provides a full range of intensive inpatient Provides a full range of intensive inpatient
treatment to brain injured veterans and active treatment to brain injured veterans and active duty patients, many in their late teens and early duty patients, many in their late teens and early 20's 20's
Psychotherapeutic and behavioral interventionsPsychotherapeutic and behavioral interventions Neuropsychological evaluationsNeuropsychological evaluations Bed roundsBed rounds Neurological and psychiatric examinationsNeurological and psychiatric examinations
SPMI (Serious and Persistent Mental SPMI (Serious and Persistent Mental Illness) TeamIllness) Team
Supervisors: Dr. Hegeman, Hoffman-Konn, Barrs, Supervisors: Dr. Hegeman, Hoffman-Konn, Barrs, and Nienow and Nienow
Assessment and treatment of patients with Assessment and treatment of patients with psychotic disorders including bipolar disorderspsychotic disorders including bipolar disorders
Patients vary in their level of functioning and Patients vary in their level of functioning and persistence of psychopathologypersistence of psychopathology
Competence in the conceptualization and Competence in the conceptualization and assessment of psychosis and other psychiatric assessment of psychosis and other psychiatric symptoms as well as in the assessment of symptoms as well as in the assessment of cognitive and social functioning in outpatients cognitive and social functioning in outpatients and inpatientsand inpatients
Individual therapy, group therapy, and couples or Individual therapy, group therapy, and couples or family interventionsfamily interventions
New Programs – CBSST, Family Program, recovery New Programs – CBSST, Family Program, recovery OrientedOriented
Adjunctive Training ExperiencesAdjunctive Training Experiences Interns select 3-4 Adjunctive Training Experiences:Interns select 3-4 Adjunctive Training Experiences:
Family Therapy Training Clinic (FTTC)Family Therapy Training Clinic (FTTC) Dialect Behavior Therapy (DBT) Dialect Behavior Therapy (DBT) Anxiety Intervention Clinic (AIC)Anxiety Intervention Clinic (AIC) Time-Limited Dynamic Psychotherapy (TLDP)Time-Limited Dynamic Psychotherapy (TLDP) Motivational Interviewing (MI)Motivational Interviewing (MI) CBSSTCBSST Cognitive Processing Therapy (CPT)Cognitive Processing Therapy (CPT) Prolonged Exposure (PE)Prolonged Exposure (PE) Psychodynamic PsychotherapyPsychodynamic Psychotherapy Contemporary Behavior TherapyContemporary Behavior Therapy Assessment ClinicAssessment Clinic AdministrationAdministration ResearchResearch
Family Therapy Training ClinicFamily Therapy Training Clinic
Supervisor: Drs. Leskela and ErbesSupervisor: Drs. Leskela and Erbes Training in the assessment and treatment of Training in the assessment and treatment of
couples and family-related concerns couples and family-related concerns Staff, postdoctoral fellows, and interns participate Staff, postdoctoral fellows, and interns participate Didactic presentations Didactic presentations Clinical experience using structural, strategic, Clinical experience using structural, strategic,
solution-focused, and narrative techniques solution-focused, and narrative techniques Group supervision Group supervision
Anxiety Intervention ClinicAnxiety Intervention Clinic
Supervisor: Dr. OlsonSupervisor: Dr. Olson Utilizes empirically-supported approaches to treat Utilizes empirically-supported approaches to treat
Anxiety disordersAnxiety disorders Critical thinking and professional development Critical thinking and professional development
are emphasized are emphasized Interdisciplinary training setting Interdisciplinary training setting Peer consultation/supervision model Peer consultation/supervision model
Cognitive Processing Therapy ClinicCognitive Processing Therapy Clinic
Supervisor: Drs. Kattar and BemisSupervisor: Drs. Kattar and Bemis Utilizes empirically-supported time-limited Utilizes empirically-supported time-limited
approach to treat trauma-related disorders such approach to treat trauma-related disorders such as PTSDas PTSD
Readings and discussions of didactic material, Readings and discussions of didactic material, review of video and audio tapes of interactions review of video and audio tapes of interactions with patients, and role-playing with patients, and role-playing
Interdisciplinary training setting Interdisciplinary training setting Peer consultation/supervision model Peer consultation/supervision model Opportunity to serve as individual therapist and Opportunity to serve as individual therapist and
co-leader for groupco-leader for group Ongoing clinical outcome assessmentOngoing clinical outcome assessment
Time-Limited Dynamic Psychotherapy Time-Limited Dynamic Psychotherapy (TLDP) (TLDP)
Supervisor: Dr. Wagner-MickleSupervisor: Dr. Wagner-Mickle Empirically-based treatment model:Empirically-based treatment model:
Strupp and Binder (Strupp and Binder (Psychotherapy in a New Psychotherapy in a New Key: A Guide to Time Limited Dynamic Key: A Guide to Time Limited Dynamic PsychotherapyPsychotherapy
Training in a group/peer supervision/consultation Training in a group/peer supervision/consultation
formatformat
Motivational Interviewing (MI)Motivational Interviewing (MI)
Supervision: Dr. Isenhart Supervision: Dr. Isenhart Empirically supported directive, client-centered Empirically supported directive, client-centered
therapeutic style for eliciting behavioral change therapeutic style for eliciting behavioral change Help clients explore and resolve ambivalence Help clients explore and resolve ambivalence
about making changes about making changes Applicable to SUDs and other psychological Applicable to SUDs and other psychological
disorders disorders Will learn basic MI goals and principles Will learn basic MI goals and principles Readings and discussions of didactic material, Readings and discussions of didactic material,
review of video and audio tapes of interactions review of video and audio tapes of interactions with patients, and role-playing with patients, and role-playing
Acceptance & Commitment Acceptance & Commitment Therapy:Therapy: ACTACT
A functional contextual therapy that views A functional contextual therapy that views psychological problems dominantly as problems of psychological problems dominantly as problems of psychological inflexibility. psychological inflexibility.
Uses acceptance and mindfulness processes, and Uses acceptance and mindfulness processes, and commitment and behavior change processes, to commitment and behavior change processes, to produce greater psychological flexibility. produce greater psychological flexibility.
Six months for the later part of the yearSix months for the later part of the year
Dialectical Behavioral Therapy (DBT)Dialectical Behavioral Therapy (DBT)
Supervisors: Dr. Meyers, and Deadra Dahl, CNSSupervisors: Dr. Meyers, and Deadra Dahl, CNS Empirically-supported, manualized treatment Empirically-supported, manualized treatment
approach developed by Linehan, 1993)approach developed by Linehan, 1993) Used to treat male and female patients who share Used to treat male and female patients who share
key features with those diagnosed with Borderline key features with those diagnosed with Borderline Personality Disorder, particularly emotion Personality Disorder, particularly emotion dysregulationdysregulation
Didactic, group supervision, consultation groupDidactic, group supervision, consultation group Individual and/or group interventionsIndividual and/or group interventions
Psychoanalytic TherapyPsychoanalytic Therapy
Supervisors: Dr. PetersonSupervisors: Dr. Peterson Built on the contributions of Sigmund Freud and Built on the contributions of Sigmund Freud and
will focus on the technique of psychoanalytic will focus on the technique of psychoanalytic psychotherapy psychotherapy
Opportunity to observe a course of Opportunity to observe a course of psychoanalytic psychotherapy conducted by Dr. psychoanalytic psychotherapy conducted by Dr. PetersonPeterson
Assessment Training ClinicAssessment Training Clinic
Supervisors: Drs. Arbisi and Peterson Supervisors: Drs. Arbisi and Peterson Ensures that all interns get good training in Ensures that all interns get good training in
psychodiagnosispsychodiagnosis Diagnostic interviewingDiagnostic interviewing Intellectual assessmentIntellectual assessment Objective instrumentsObjective instruments Projective instrumentsProjective instruments
Meets weekly for entire yearMeets weekly for entire year Cases are assigned on a rotating basisCases are assigned on a rotating basis Interns provide consultation and peer supervisionInterns provide consultation and peer supervision Interns can expect to become familiar with the Interns can expect to become familiar with the
relevant assessment related literaturerelevant assessment related literature
Research/Scholarly ExperiencesResearch/Scholarly Experiences
Research: Consistent with our Scientist Research: Consistent with our Scientist Practitioner Model, interns may participate in a Practitioner Model, interns may participate in a research or other scholarly project for six or 12 research or other scholarly project for six or 12 months of the training year months of the training year
Averaging four hours of release time per Averaging four hours of release time per week. week.
Working on one’s dissertation, working on Working on one’s dissertation, working on papers in progress for publication, or papers in progress for publication, or collaborating with staff who have ongoing collaborating with staff who have ongoing research.research.
Administrative ExperiencesAdministrative Experiences
Interns may elect to obtain administrative experience with Interns may elect to obtain administrative experience with psychologists who are actively involved in clinical psychologists who are actively involved in clinical administration. administration.
This experience will involve some didactic, readings, This experience will involve some didactic, readings, shadowing staff and completion of a project or two.shadowing staff and completion of a project or two.
SeminarsSeminars
Seminars: weekly Psychology Training Seminar Seminars: weekly Psychology Training Seminar Didactic focus (interns help choose)Didactic focus (interns help choose)
Assessment and therapy case presentationsAssessment and therapy case presentations Include an integration of relevant literatureInclude an integration of relevant literature
Adjunctive experiences often have didactic Adjunctive experiences often have didactic componentscomponents
We are trying to foster development of We are trying to foster development of competency, critical thinking abilities, knowledge, competency, critical thinking abilities, knowledge, and professional identityand professional identity
One of the presentations occurs in One of the presentations occurs in Mental Health Mental Health Grand RoundsGrand Rounds (formal and multidisciplinary in (formal and multidisciplinary in nature) nature)
Optional DidacticsOptional Didactics
Neuropsychology Case ConferenceNeuropsychology Case Conference Year-long conference involves didactics and Year-long conference involves didactics and
case presentations case presentations Opportunity to improve their competence in Opportunity to improve their competence in
interpretation of neuropsychological tests, interpretation of neuropsychological tests, consultation and peer supervisionconsultation and peer supervision
Other educational seminars and case conferences Other educational seminars and case conferences throughout the hospital and communitythroughout the hospital and community
Main Rotations 22.5 hours per week
Standard interns
Rotation 1 Rotation 2 Rotation 3
Neuropsych Rotation 1Neuropsych Rehab or PolyT
GRECC Memory Clinic/ Caregivers Group
NeuropsychRehab or PolyT Neuropsych
Rotation 3GRECC 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
Time CommitmentTime Commitment
A one-year, full-time training commitment - A one-year, full-time training commitment - averaging 45 to 50 hours a week on site averaging 45 to 50 hours a week on site Expected that some work will occur off site as Expected that some work will occur off site as
wellwell
Balance of work and learningBalance of work and learning
SupervisionSupervision
2 to 4 hours of individual supervision per week2 to 4 hours of individual supervision per week 2 to 4 hours of group 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-Videotapes, audiotapes, observation, role-plays, process notes, and co-therapy are plays, process notes, and co-therapy are among the tools used to aid in supervision among the tools used to aid in supervision
Expect to be assigned readings and literature Expect to be assigned readings and literature searches as part of supervision searches as part of supervision
Typically very consultative in natureTypically very consultative in nature
MentorsMentors
Each intern will choose a mentorEach intern will choose a mentor A non-evaluative but not absolutely confidential A non-evaluative but not absolutely confidential
relationship relationship
RoleRole:: Help the intern negotiate the internship Help the intern negotiate the internship
programprogram Integrate feedback from various supervisorsIntegrate feedback from various supervisors Plan for post-internship goalsPlan for post-internship goals
The Application ProcessThe Application Process
We seek applicants who haveWe seek applicants who have::
1.1. A sound clinical and scientific knowledge baseA sound clinical and scientific knowledge base
2.2. Strong basic skills in standard assessment, Strong basic skills in standard assessment, intervention, and research techniquesintervention, and research techniques
3.3. Personal characteristics necessary to function Personal characteristics necessary to function well in our internship settingwell in our internship setting Open to supervision, thirst for learning, strong Open to supervision, thirst for learning, strong
initiativeinitiative
Selection criteria are based on a "goodness–of–Selection criteria are based on a "goodness–of–fit" with our scientist-practitioner modelfit" with our scientist-practitioner model
Training TermTraining Term
Full-time for one year beginning on about the 3Full-time for one year beginning on about the 3rdrd week of Augustweek of August One year at full-time equals 2080 hoursOne year at full-time equals 2080 hours
LeaveLeave:: 10 federal holidays 10 federal holidays Sick leave and annual leave (4 hours of each per Sick leave and annual leave (4 hours of each per
two-week pay period (a total of 13 days of each)two-week pay period (a total of 13 days of each) 5 days of authorized leave for conferences, or to 5 days of authorized leave for conferences, or to
complete activities required by your university complete activities required by your university
Stipend and BenefitsStipend and Benefits
$23.873 per year$23.873 per year Interns are not covered by Civil Service Interns are not covered by Civil Service
retirement retirement The United States Government covers interns for The United States Government covers interns for
malpractice under the malpractice under the Federal Tort Claims ActFederal Tort Claims Act
Match Policies Match Policies
We participate in the APPIC Matching ProgramWe participate in the APPIC Matching Program
2 match numbers2 match numbers General Clinical and Counseling: 3832 General Clinical and Counseling: 3832 Neuropsychology: 3835Neuropsychology: 3835
Our Strength is Our WeaknessOur Strength is Our Weakness
Opportunity and Choice!Opportunity and Choice! Many training options Many training options Can be overwhelming!Can be overwhelming!
Cannot pick them allCannot pick them all Need to try and prioritizeNeed to try and prioritize Many ways to get training goals metMany ways to get training goals met
Several rotations/options can meet goalsSeveral rotations/options can meet goals
Other StrengthsOther Strengths
Highly skilled supervisory staff dedicated to trainingHighly skilled supervisory staff dedicated to training
No pressure to produce billable hoursNo pressure to produce billable hours Focus in on TRAININGFocus in on TRAINING Want about 15 clinical contact hours per week by mid year Want about 15 clinical contact hours per week by mid year Balance learning with productivityBalance learning with productivity Goal: prepare you for postdoc or jobGoal: prepare you for postdoc or job
Assessment and testing is the clinician’s decisionAssessment and testing is the clinician’s decision Very few sites that don’t limit testing especially personality Very few sites that don’t limit testing especially personality
assessmentassessment
Affiliated Medical Center – academically productiveAffiliated Medical Center – academically productive
Access to female patientsAccess to female patients
Other Strengths - continuedOther Strengths - continued
Highly desirable metropolitan areaHighly desirable metropolitan area Affordable, educated, cultureAffordable, educated, culture
Experience with a computerized record systemExperience with a computerized record system
ScheduleSchedule
8:15 - 9:45 Description of the Training Program8:15 - 9:45 Description of the Training Program 9:45 - 10:00 Break9:45 - 10:00 Break 10:00 - 10:50 Interview 110:00 - 10:50 Interview 1 11:00 - 11:50 Interview 211:00 - 11:50 Interview 2 12:00 - 1:00 Break/Lunch in the cafeteria12:00 - 1:00 Break/Lunch in the cafeteria 1:00 - 1:50 Interview 31:00 - 1:50 Interview 3 1:50 - 2:00 Break1:50 - 2:00 Break 2:00 - 2:40 Meet with current interns2:00 - 2:40 Meet with current interns 2:40 - 3:15 Tour and wrap up with TD2:40 - 3:15 Tour and wrap up with TD
Interviewers will meet you in this roomInterviewers will meet you in this room 22ndnd interview will include a clinical vignette interview will include a clinical vignette Please take valuables with youPlease take valuables with you