Neuropsychology Externship

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Neuropsychology Externship

  1. 1. Postdoctoral Residency in Pediatric Neuropsychology Division of Pediatric Neuropsychology Children’s National Medical Center George Washington University Medical School Washington, DC and Rockville, MD For the 2009-2011 training period, the Division of Pediatric Neuropsychology at Children’s National Medical Center offers three, two-year postdoctoral training positions in pediatric neuropsychology. Following the scientist-practitioner model, the resident participates in clinical, didactic, and research activities in a large tertiary care children’s hospital. The training program is a member of the Association of Postdoctoral Programs in Clinical Neuropsychology (APPCN) and is designed to conform to guidelines set forth by the INS-APA Division 40 Task Force and the Houston Conference on Specialty Education and Training in Clinical Neuropsychology. Children's National Medical Center has consistently been listed as one of the nation’s best pediatric hospitals, and is the only Washington, DC regional hospital dedicated exclusively to the care of infants, children, adolescents and young adults. What started as a small urban hospital more than 130 years ago has grown into a network providing outstanding pediatric care at the main hospital in the District of Columbia and at regional satellites throughout the DC area. The Division of Pediatric Neuropsychology serves children at both the main hospital and at a regional outpatient center in Rockville, Maryland. The patient population at Children’s is racially and ethnically diverse, providing residents with the opportunity to work with families from a variety of backgrounds. Residents evaluate children with a wide range of complex developmental and acquired neurological disorders. Frequently served populations include, but are not limited to, autism spectrum disorders, ADHD, learning disabilities, epilepsy (including pre-surgical patients), traumatic brain injury (with a particular focus on mild injuries/ concussion), hematology/oncology (leukemia, brain tumor, sickle cell disease), neurofibromatosis, genetic conditions and structural anomalies, and history of neurological insult associated with prematurity, infectious disease, or stroke. Referral questions most often relate to the child’s profile of cognitive strengths and weaknesses, diagnostic concerns, and educational and therapeutic program planning. Our program has close referral and consultative relationships with the Neurology, Neurosurgery, Rehabilitation, Emergency Medicine, Sports Medicine, Hematology/ Oncology, Genetics, Psychiatry, and Developmental Pediatrics departments at Children’s. Furthermore, program faculty members actively collaborate with other institutions in our area, including the National Rehabilitation Hospital. Faculty within the Division of Pediatric Neuropsychology are involved in neuroimaging research studies at both Georgetown University and the National Institutes of Health (NIH), with opportunities for residents to become involved in studies at both of these settings. The Division of Pediatric Neuropsychology reflects the hospital’s mission to CARE for children by striving for excellence in Clinical work, Advocacy, Research, and Education.
  2. 2. Postdoctoral Fellowship in Pediatric Neuropsychology 2 Children’s National Medical Center Training Tracks For the 2009-2011 training period, we anticipate openings in three training tracks: Track 1: Pediatric Neuropsychology / General (Match Number 8803) – One opening This track provides general training in pediatric neuropsychology service to children and adolescents. The resident receives exposure to a wide range of pediatric populations with developmental and acquired neurological disorders. Our patients are typically school-aged through late adolescence, with opportunities to see more preschool-aged patients according to the resident’s interests. Residents will primarily work in the Regional Outpatient Center in Rockville, Maryland during their first year, and will spend some time at the main hospital in the second year. Clinical experiences provide opportunities to develop facility with: battery selection and administration; focused history taking and process-driven behavioral observations; case formulation; provision of feedback; report writing; work with multidisciplinary teams; and consultation with schools. In this track, residents are expected to complete approximately two comprehensive evaluations per week. Approximately half of patients will come from the General Outpatient Service and half from specific rotation-related populations (see Clinical Experiences, below, for a description). The fellow will also participate in research and will be funded 20% time for this. Track 2: Pediatric Neuropsychology/ Concussion and Mild Traumatic Brain Injury (Match Number TBA) – One opening This position provides intensive experience working with children who have sustained mild traumatic brain injuries (mTBI)/ concussion. Clinical experience focuses on providing evaluation, consultation and treatment through the Safe Concussion Outcome, Recovery, and Education (SCORE) Program. The residents will also have the opportunity to work with a variety of medical professionals (e.g., emergency dept., sports medicine, neurology, athletic trainers) regarding evaluation and treatment of mTBI. With faculty members, the resident will be involved in providing brain injury education to schools, parents, and athletic programs. In this track, approximately half of the resident’s clinical activities (i.e., one day per week) are through the SCORE clinic. The other half will be a mix of General Outpatient Service and other rotations (such as EF Clinic or Epilepsy; see below) depending on the resident’s interests and availability. The fellow in this track will participate in ongoing research on the effects of mild TBI in children and the development of new assessment techniques and will be funded 20% time for research. Track 3: Pediatric Neuropsychology/ Autism (Match Number TBA) – One opening This position will provide focused experience in the evaluation and treatment of children with high- functioning autism spectrum disorders through the Center for Autism Spectrum Disorders, which has just received a multi-year federal grant for autism specific training within the CNMC Leadership Education in Neurodevelopmental Disabilities (LEND) program. Applicants for this position should have previous experience working with children with autism. Through this track, the resident will provide neuropsychological evaluations within the context of several multi-disciplinary teams (which include psychiatry, speech/language therapy, and developmental psychology) evaluating children from one year of age through young adulthood. The resident will also have the opportunity to participate in providing both individual and group treatment to children with high-functioning autism and Asperger’s Disorder. Clinical activities will also include training in gold standard diagnostic measures (the ADI and ADOS). This position includes a wide variety of weekly didactic experiences, including individual and group supervision, team case discussion, and team didactics, which include lectures, journal/book club, and practice discussions.
  3. 3. Postdoctoral Fellowship in Pediatric Neuropsychology 3 Children’s National Medical Center In addition to autism-related training, the fellow will have broader training opportunities in general neuropsychological assessment and consultation through the General Outpatient Service and rotations (described below). The resident is expected to complete approximately one autism-focused neuropsychological evaluation per week and two general neuropsychological evaluations per month, although the resident may choose to replace some of this assessment time with treatment-related activities (e.g., group therapy). The fellow will participate in ongoing research projects through the Center for Autism Spectrum Disorders, including neuroimaging studies examining executive function and social cognition, and will be funded for approximately 30% time in research. Clinical Experiences For fellows in all three training tracks, approximately 55-65% of time is devoted to clinical work, which consists of a combination of general outpatient services and rotational or track-specific activities. The resident receives approximately two hours of individual supervision per week, plus group supervision, to support planning assessments, analyzing data and providing oral and written feedback. Residents receive some psychometrist assistance (help with administering tests and scoring) to support clinical work. General Outpatient Service: Throughout their fellowship, all residents spend a portion of their clinical time seeing general outpatients. The proportion of general outpatients is higher in the General track (approximately half of clinical service) and lower (approximately a quarter) for residents in the Concussion and Autism tracks. General outpatients come to us from a wide range of referral sources, including physicians and professionals in the community and within CNMC, schools, and family members. The fellow provides consultation and neuropsychological evaluations with children and adolescents presenting with a variety of developmental or acquired neurocognitive difficulties. Rotations: Residents will typically complete most or all of these rotations over a two-year period, taking into account the training track/ area of focus, the number of residents at any given time, as well as the particular interests of individuals. Generally, the rotations are organized such that the first year provides an in-depth experience with neurodevelopmental disorders (e.g., autism spectrum disorders, LD, ADHD), and the second year provides more experiences with medical populations (e.g., epilepsy, hem/onc). Residents in the Concussion track will spend more time in the SCORE clinic rotation. Residents in the Autism track will spend more time in autism-related rotations. Each rotation typically offers both didactic experiences (e.g., attending rounds) and experience with a given patient population. Center for Autism Spectrum Disorders – This rotation provides experience in evaluating primarily high- functioning children for autism spectrum disorders. The resident will function as part of a multi- disciplinary team, which includes developmental psychology, psychiatry and speech and language pathology, as well as conducting independent neuropsychological evaluations. Residents receive individual and group supervision as well as participating in weekly multidisciplinary team meetings, including case presentation and didactic experiences. Residents have the opportunity to provide school and parent consultation. Residents (particularly those in the Autism track) can also provide group, individual, and family therapy to patients through the Center for Autism Spectrum Disorders. Comprehensive Pediatric Epilepsy Program – The resident participates in the multidisciplinary epilepsy team conference in the Neurology department, and provides consultation and evaluation for children and adolescents diagnosed with seizure disorders. The resident will also follow surgery candidates through baseline assessment, possible Wada evaluation of language and memory functions, cortical mapping, and/ or functional imaging, and post-surgical evaluation. The resident serves as liaison between neuropsychology and the epilepsy program.
  4. 4. Postdoctoral Fellowship in Pediatric Neuropsychology 4 Children’s National Medical Center Developmental Neuropsychological Evaluation – For residents interested in very young children, opportunities are available to rotate through the Developmental Team, which offers multi-disciplinary evaluations of preschool-aged or lower-functioning children, mostly referred through the Center for Autism Spectrum Disorders. Executive Function Clinic – Our program is known for expertise in the area of executive function. This rotation provides experience completing rapid, focused evaluations of children with suspected attentional and executive function problems within our Executive Function Clinic. This rotation includes group supervision and particular training in executive function profiles in ADHD and other neuropsychological disorders. Hematology/Oncology Program- The resident participates in clinical and neuroradiology rounds weekly through the Hematology/Oncology and Neurology departments and learns about the cognitive sequelae of these disorders and their treatments. As part of the rotation, the resident will provide consultations and evaluations to patients referred through the Hematology/Oncology and Neurology departments (Brain Tumor Institute). In addition, the resident will also get clinical experience evaluating children with Neurofibromatosis, and will provide consultation within the NF Institute. Safe Concussion Outcome, Recovery, and Education (SCORE) Program– This unique “primary care neuropsychology” clinic, situated within the Division of Pediatric Neuropsychology, conducts serial, focused neuropsychological evaluations with children who have sustained mTBI/ concussions. Active treatment is also provided. The resident will also provide consultation to physicians, teachers, and athletic trainers regarding school and return to play issues. Research Approximately 20% (30% for Autism track) of the resident’s time will be involved in clinical research. Residents are matched to an area of research depending on track, funding availability, and interest. Current research interests of faculty include sports concussion/ mild TBI, autism/ pervasive developmental disorders, executive function, ADHD, Neurofibromatosis Type 1, epilepsy, fMRI, and neuro-oncology. The resident is expected to be a productive member of his or her research team. For example, residents are expected to present at professional conferences, submit a review paper or chapter, or submit a grant application by the end of the residency. Didactic and Professional Development Experiences Approximately 15% of the resident’s time is devoted to didactics and professional development activities. Seminars: The weekly neuropsychology seminar series is designed to prepare fellows for board- certification in neuropsychology. It includes review of major topics in functional neuroanatomy and neuropsychological disorders, as well as legal and ethical issues and fact-finding case seminars. One week per month, seminar consists of group supervision with the Consulting Training Director. Additional monthly didactic meetings include Director’s Seminars (with Dr. Gioia), journal club, and meetings with the training director related to professional development topics. A seminar series within the Center for Autism Spectrum Disorders is also open to all fellows, and particularly complements the experience of fellows as they rotate through the Center for Autism Spectrum Disorders. Additional opportunities through the larger medical center include hospital Grand Rounds, Behavioral Medicine Grand Rounds, Neuroscience Seminar, LEND program didactics, Inpatient Rounds on the neurology floor, shadowing a neurologist, etc.
  5. 5. Postdoctoral Fellowship in Pediatric Neuropsychology 5 Children’s National Medical Center Teaching and Supervision Opportunities: The resident will have the opportunity to develop teaching and supervisory skills to prepare him or her for independent practice as a pediatric neuropsychologist within clinical and academic medical settings. Residents will be given supervision and experience in developing their own supervisory skills with psychology externs and psychometrists. Residents will also present topics in the neuropsychology seminar series, and may be asked to present in the Core Seminar Series for psychiatry trainees, and/or Psychology Intern Seminar. Additional presentation opportunities are available at NRH and in the community. Salary/Benefits $34,500 first year resident $36,500 second year resident Children’s National Medical Center offers an excellent benefits package. Postdoctoral residents accrue two weeks of annual leave (vacation). We also allow one week professional/ conference leave and a professional expense budget of $1000/ year. There are nine paid federal holidays and one “floating” holiday (employee can choose). The hospital provides health insurance, optional dental and vision coverage, flexible spending accounts, employee assistance program, back-up child care assistance, optional life and disability insurance. How to Apply Qualifications of Applicants: We will consider applicants who have completed APA/CPA-approved doctoral programs in Clinical, School, or Counseling Psychology and an APA/CPA-accredited predoctoral internship. Applicants should have prior training in neuropsychological assessment, and an established focus (in graduate coursework, training, and career goals) on working with children and adolescents. Our postdoctoral fellows are expected to be actively involved in research, and as such, preferred candidates will have completed an empirical dissertation and formal coursework in statistics and research methodology as part of their graduate program. Application Procedure: Deadline for receipt of materials is January 16, 2009. CNMC is a member of the Association of Postdoctoral Programs in Clinical Neuropsychology and participates in the matching program administered by the National Matching Service. All applicants must register with the National Matching Service. Information can be obtained from APPCN (www.appcn.org) or NMS (www.natmatch.com/appcnmat or 416-977-3431). This residency site agrees to abide by the APPCN policy that no person at this facility will solicit, accept or use any ranking-related information from any residency applicant Interviews will be conducted at the INS meeting in Atlanta in February 2009. Note that the traditional “Interview Day” for postdoctoral positions is the day before the conference formerly begins, which is Tuesday, February 10, 2009. We will conduct most of our interviews that day, but a small number of slots will be available later in the week. For applicants not attending the INS meeting, interviews can instead be arranged at Children’s. Candidates who have interviewed with us at INS and who then wish to visit our site may do so, but this is entirely optional and has no bearing on our selection process or rankings. The following application materials are required: Cover letter indicating clinical and research interests and highlighting the applicant’s relevant experiences and qualifications, curriculum vitae, three letters of recommendation, graduate transcripts, and two de-identified assessment reports written by the applicant. The application packet should also include the Doctoral Training Verification Form available from the APPCN (http://www.appcn.org/training.html).
  6. 6. Postdoctoral Fellowship in Pediatric Neuropsychology 6 Children’s National Medical Center Please direct applications and inquiries to: Laura Kenealy, Ph.D. c/o Randy Consla, Staff Assistant Children’s National Medical Center Division of Pediatric Neuropsychology 14801 Physician’s Lane, Suite 173 Rockville, MD 20850 Email: npsypdoc@cnmc.org phone: 301-765-5430 fax: 301-765-5497 Faculty in the Division of Pediatric Neuropsychology and the Center for Autism Spectrum Disorders Gerard Gioia, Ph.D., Chief, Division of Pediatric Neuropsychology, Associate Professor of Psychiatry and Behavioral Sciences and of Pediatrics, The George Washington University Medical Center Lauren Kenworthy, Ph.D., Director, Center for Autism Spectrum Disorders, Assistant Professor of Psychiatry and Behavioral Sciences and of Pediatrics, The George Washington University Medical Center Laura Kenealy, Ph.D., Associate Training Director, Assistant Professor of Psychiatry and Behavioral Sciences and Pediatrics, The George Washington University Medical Center Jack Spector, Ph.D., ABPP, Consulting Training Director Laura Anthony, Ph.D., Clinical Psychologist, Assistant Professor of Psychiatry and Behavioral Sciences and of Pediatrics, Center for Autism Spectrum Disorders Kathleen Atmore, Ph.D., Developmental Neuropsychologist, Research Instructor, Department of Pediatrics, The George Washington University School of Medicine and Health Sciences Madison Berl, Ph.D., Pediatric Neuropsychologist, Assistant Professor of Psychiatry and Behavioral Sciences and of Pediatrics, The George Washington University Medical Center Angela Bollich, Ph.D., Pediatric Neuropsychologist, Assistant Professor of Psychiatry and Behavioral Sciences and of Pediatrics, The George Washington University Medical Center Joette James, Ph.D., Pediatric Neuropsychologist, Assistant Professor of Psychiatry and Behavioral Sciences and of Pediatrics, The George Washington University Medical Center; Additional appointment at the HSC Pediatric Center Lauren Krivitzky, Ph.D., Pediatric Neuropsychologist, Assistant Professor of Psychiatry and Behavioral Sciences and of Pediatrics, The George Washington University Medical Center; Additional appointment at the National Rehabilitation Hospital Karin Walsh, Psy.D., Pediatric Neuropsychologist, Assistant Professor of Psychiatry and Behavioral Sciences and of Pediatrics, The George Washington University Medical Center

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