Goal: prepare interns for entry-level work as pediatric psychologist or post-doctoral fellowships in pediatric psychology or pediatric neuropsychology.
Internship has two training tracks with many similarities but different emphases. Track 1 is focused on Pediatric Psychology; Track 2 is focused on Pediatric Neuropsychology. Each of the interns begins the training year immersed in their primary areas of interest in order to provide extensive exposure and training which will enhance their preparation for post-doctoral position applications.
Interns complete two 6-month rotations:
Clinics Rotation: Pediatric Psychology (Track 1) interns start here. For six months, interns participate in the Clinics Rotation where they gain experience providing behavioral health services within multidisciplinary clinics for three half days per week. This experience addresses the following two Program Specific competencies of our internship 1. Develop skills in working with multidisciplinary teams and 2. Develop understanding and treatment skills for the treatment and prevention of chronic illness in children and adolescents.
Most of the clinics served are chronic illness clinics where interns become familiar with the unique medical and psychological aspects of a specific chronic illness, as well as empirically-based assessment and treatment of that disease. Together with the supervisor, the intern learns to conduct psychosocial screenings with the patients and families in each clinic, including assessing mental health functioning, coping with illness, regimen adherence, school functioning and developmental status, peer functioning, and family functioning. Brief interventions and/or referrals are provided as needed, and information is shared with team members. Clinics served by the interns may include Pain Management, Oncology, Diabetes, Disorders of Sexual Development, Urology, Hematology/Oncology, Sickle Cell, Pediatric and Youth HIV, Myelomeningocele, and/or Developmental Assessment.
Neurocognitive Rotation: Pediatric Neuropsychology (Track 2) interns starts here. The Neurocognitive Rotation includes six months of participation in Pediatric Neuropsychology, Neurodevelopmental clinic, and Concussion Clinic.
In their work with Pediatric Neuropsychology, interns learn, administer, and interpret neuropsychological test batteries for children with various neurologic disorders. They will receive guided instruction in all the professional aspects of neuropsychological evaluation including test interpretation and report writing, and providing feedback to families. Interns have the opportunity to observe intracarotid amobarbital procedures, language and motor electrical stimulation mapping, fMRI studies, and to participate in multi-disciplinary team evaluations of children undergoing epilepsy surgery.
Interns devote a full day to Neurodevelopmental Clinic where interns participate in comprehensive assessments of children suspected of having autism spectrum disorders and/or developmental disabilities.
Interns also participate in the Concussion Clinic which is a multidisciplinary clinics co-staffed by neurologists, physiatrists, and nurses. In the concussion clinic, interns will learn to evaluate and manage the cognitive and emotional symptoms of concussion. Patients are typically first seen when facing acute symptoms and then are followed in the clinic as their symptoms resolve and they return to full contact sports, school, and social participation.
Twelve-month Activities: Interns provide up to 2 inpatient consultation liaison services in response to requests from hospital physicians that may include adjustment to chronic illness, adherence difficulties, depression/anxiety, behavioral issues, suicide attempts, pain management, somatoform/ conversion disorders. Interns participate in Rehabilitation Services all year, including weekly Rehab Team rounds, and consultation to Rehab Unit. Interns devote 3-6 hrs/ week to therapy cases-individual, family, and pediatric psychology therapy cases. Weekly seminars include Pediatric Psychology and Neuropsychology and interns have Therapy group supervision meetings. Interns learn supervision skills working with practicum students.
Children’s Hospital of Michigan has received a Health Resources and Services Administration (HRSA) Graduate Psychology Education (GPE) grant (#D40HP33377) which started date of September 1, 2019. This 3-year grant will support intern stipends and provide enhanced education and training to interns and faculty in trauma, pain management, and opioid/substance use disorders within an interdisciplinary setting. Trainings will include collaborations with Pharmacy, Child Life, and other experts.
Due to the rigorous nature of the internship, the time commitment involved in training and clinical services, and the focus of the year, employment outside the internship during the training year is highly discouraged.