United States Department of Veterans Affairs
United States Department of Veterans Affairs

VA Healthcare Network Upstate New York - VISN 2

Psychiatry Internship at Buffalo VAMC

Rotations

General Track Specialty Tracks
Mental Health Emphasis Health Psychology Emphasis  
Behavioral Health Clinic
Day Treatment Program
PTSD Rotation
Substance Abuse Treatment Services
Primary Care
Behavioral Medicine
Center for Integrated Healthcare
Geropsychology
Neuropsychology
Standard rotations are 6 months half-time. Geropsychology and Neuropsychology rotations are 6 months full time for specialty track interns, half-time as elective rotations.

Mental Health Rotations
Mental health rotations offer generalist training with several different populations and settings including substance abuse, PTSD, outpatient psychiatry and day treatment.

  • Behavioral Health Clinic
    Dr. Charles Weiss
    Prerequisites: None
    Settings and Tasks: This rotation offers the intern opportunity to work in a multidisciplinary, general mental health setting that provides outpatient mental health services for more than three thousand active patients in the Buffalo, NY and surrounding areas. Most patients are also linked to a primary care medical provider and assorted other medical care specialists. Patients have access to a wide array of psychological, medical, and other support services, so that the intern has the experience and responsibility of interacting within a healthcare system, seeking to address the need of the whole patient.

    Each patient in the Behavioral Health Clinic is assigned to a primary mental health provider and may have numerous other providers within the Clinic or within the larger Behavioral Health Care Line. Interns have the opportunity to provide assessment and treatment to patients, for whom they may have primary responsibility for evaluation, treatment, and consultation. Usually, this will involve outpatient intervention, but may involve short-term consultation and treatment on inpatient units, either in inpatient psychiatry or medical units. Interns may also work in MHIEU, a behavioral health component in the Emergency Room, where patients are screened and then linked to VA outpatient programs, admitted for inpatient or residential care, or referred within the community. Some of these cases will undoubtedly serve as long-term therapy cases for interns.

    There are likely to be some unique opportunities for development of learning about Posttraumatic Stress Disorder and best practice interventions. In addition to more traditional psychiatric populations, the Clinic has a wide variety of veterans with PTSD from Korea, Vietnam, Lebanon, the Persian Gulf, and now from Iraq, not to mention men and women who have experienced trauma in their earlier lives.

    Interns may be involved in psychological assessment and testing, individual therapy and group therapy, marital and family therapy and patient education activities. Cases are assigned to interns on the basis of their training value. The goal is that some of the cases will be long-term and provide learning opportunities for intense exploratory psychotherapy and the development of new or expanded skills. Ultimately interns have the flexibility to modify this rotation in a way that best meet their needs. Some interns have opted for a more in-depth training experience with relatively few cases and intensive supervision. Other interns have designed programs that include carrying a larger caseload and following a brief therapy model.

    Didactic Opportunities: Weekly conferences are held in Psychiatry. Interns are encouraged to attend clinical workshops in Buffalo, NY or in surrounding communities that are congruent with their clinical interests.

    Structure of Supervision: Supervision is seen as playing a major role in interns' development as professional psychologists. A minimum of two hours per week of individual supervision is scheduled, along with many opportunities for informal supervisory/collegial contacts with the supervisor and professionals from other disciplines. The goal of supervision is for the participants to enter a reciprocal learning enterprise, with supervisor and supervisee interacting to provide the intern opportunities for new depths of clinical understanding and for honing of skills in therapeutic intervention. Previous interns have commented that while the supervision provided on this rotation is challenging, it is also one of the most rewarding clinical experiences of their career.
  • Day Treatment Program
    Dr. Clifford Mahler
    Prerequisites: None, however, previous inpatient psychiatric experience would be beneficial.
    Setting, Tasks, and Workload: The Day Treatment Program is part of the Community/Day Programs branch of the Behavioral Healthcare Line. Other components of this division include the Mental Health Intensive Case Management Program (MHICM) and the Health Care for Homeless Veterans Program.

    The Day Treatment Program treats veterans who require greater psychological support than traditional outpatient contact can offer, but less than inpatient psychiatric treatment. Veterans can attend up to five days per week as needed. They typically are referred to the program following an episode of inpatient psychiatric hospitalization. They also are often referred for adjunctive care if periodic therapy visits to the Behavioral Health Clinic are yielding insufficient results in their recovery. Some veterans are referred following a personal crisis in order to avoid a hospitalization.

    The focus of treatment is to promote recovery by maximizing an individual's social, work, or asymptomatic level of functioning through a supportive, cognitive therapy-social-learning therapeutic environment. Diagnoses cover the full range of DSM IV-R disorders, with about one-half of the population diagnosed within the schizophrenia spectrum. Also, between a third to a half of the veterans attending suffer from alcohol and/or polysubstance abuse, along with their principal mental illness.

    A “recovery model” is the primary treatment paradigm used in the program with both traditional clinical efforts (individual and group therapy) used in combination with veteran empowerment and healing activities (peer led groups, anti-stigma activities, personal goal-setting climate, etc.).

    About 150 veterans are enrolled in the program at any given time with about 60 attending each weekday. A variety of formal group therapies, activity therapies, and community-based therapies is offered. There is an established therapeutic milieu fostered by a robust veteran government structure.

    The Day Treatment Program is located two miles from the Medical Center and is readily accessible by public transportation. It is in a modern, pleasantly designed, large one-story building with good facilities for veteran activities, and staff and intern office areas. An occupational therapy clinic, computer room, and fitness room are onsite and available for veteran participant use.

    This rotation requires attendance over at least 3 separate days during the week and can be split with another rotation.

    An initial "needs assessment" is conducted with the intern to target potential areas for clinical professional growth while in this rotation. A typical set of intern clinical duties would include the following: a weekly psychological screening report of a new patient, individual treatment coordinatorship of up to three patients, a psychotherapy caseload of two patients, and co-leadership (then possibly primary leadership) of a psychotherapy group. As the intern’s talents, interests, and program needs emerge, he or she is guided toward the development of a specialized treatment group of their own design. Examples of such intern-designed groups include: anger management, specialized stress management/resilience building, emotional perception and expression, communication skills, memory enhancement groups, etc.

    Trainees from counseling psychology, social work, nursing, and occupational therapy also rotate through the setting.

    Didactic Opportunities: Day Treatment Program staff in-service programs are open to interns. Attendance at the psychology intern seminar series and intern supervision group at the medical center is required.

    Research Opportunities: The site has served staff and students alike in their research interest areas. Examples of completed research include the use of the microcomputer as a therapeutic aid, the clinical efficacy of quality improvement activity, quality of life and well-being in the seriously mentally ill, schizophrenia and schizotypy, etc.

    Structure of Supervision: Supervision is ongoing and takes place in daily morning patient review meetings and treatment plan reviews. However, aside from group therapy or other intervention pre-planning and debriefings with the psychologist or co-leader, at least one full hour is set aside weekly for therapy/assessment/diagnostic case supervision.

    Supervisees have consistently found this rotation to provide a richly rewarding training experience. This is due to the variety of patients served, the multitude of therapeutic activities and opportunities, the positive nature of the recovery model, and the prevailing positive and cooperative therapeutic atmosphere.
  • Post Traumatic Stress Disorder Treatment Rotation - Batavia
    Dr. Terri Julian
    Prerequisites: None
    Settings, Tasks, and Workload: The Jack H. Wisby, Jr. PTSD Treatment Center provides comprehensive treatment of veterans diagnosed with war-zone related PTSD. The PTSD Center is located in our own building (Building 5) at the Batavia VA Medical Center. The quiet spacious grounds help veterans feel safe and enhance focus on recovery from trauma. The Batavia VA is a 30-45 minute commute from the Buffalo VA. Shuttle transportation is provided. This supportive setting helps individuals and families share how PTSD has affected them. The Treatment Program consists of a 30-bed residential unit (PRRTP), and outpatient care (PCT). The PRRTP is composed of short-term stabilization, evaluation, and crisis beds and a structured 26-day cohort intensive therapy program. Both residential and outpatient treatment consists of group, family, and individual therapy.

    A typical set of clinical duties for an intern would include the following: Thorough psychological assessment including personality testing, diagnostic interviewing, review of records; an individual psychotherapy caseload of 1-2 outpatients and 2-3 residents; and co-facilitation of psychotherapy groups and psychoeducational modules. Opportunities for training in Exposure Therapy and observation of EMDR are included. In addition, focus on the elucidation of a psychologist's role in a multidisciplinary team, administrative and research endeavors are also integrated into the rotation. Of course, specific duties are determined by intern's interests, skills, and talents and the needs of the program. The PTSD Treatment Team is open to innovative ideas and the development of new specialized program components offered by our interns.

    Didactic Opportunities: Regular attendance at in-house training and other PTSD-related workshops is encouraged. Interns are provided with a reading list and supervision includes review of literature and application to treatment population.

    Research Opportunities: The PTSD Treatment Center is involved in ongoing research endeavors. There are opportunities for interns to initiate or join research projects. Current areas of interest include positive psychology conceptualizations and treatment intervention with this population.

    Structure of Supervision: Supervision is provided on an ongoing and as needed basis. Formal supervision of therapy/evaluation case supervision is scheduled with the supervising psychologist for a minimum of one full hour per week with more supervision made available based on the needs of the intern. Interns will also participate in therapist case conferences, weekly treatment plan reviews, and daily review of psychotherapy group disposition.
  • Substance Abuse Treatment Services
    Dr. Michelle McClellan
    Prerequisites: A basic foundation in addictive disorders and their treatment is preferred though not necessary.
    Setting, Tasks, and Workload: Substance Abuse Services are composed of the Substance Abuse Residential Rehabilitation Treatment Program (SARRTP), and an outpatient clinic. Together these provide two overlapping levels of care. The psychologist functions within an interdisciplinary treatment team providing psychological consultation on complex cases, as well as treatment and management of individuals with co-occurring disorders. The psychologist is expected to provide education, clinical coordination and program development initiatives to the Substance Abuse program.

    The intern's experience will be tailored to meet her or his professional goals and objectives. In general, however, the intern will conduct psychological evaluations and gain familiarity with the process of basic substance abuse intake assessment. The intern will work with patients on the SARRTP as a treatment coordinator providing individual psychological treatment. The intern will also be providing psychological consultation to the substance abuse treatment staff on complex cases. The intern will have the opportunity to be involved in group treatment as a co-facilitator or primary facilitator of residential and/or outpatient groups.

    Didactic Opportunities: The intern is encouraged to attend substance abuse treatment presentations offered through the Research Institute on Alcoholism and UB Department of Psychiatry.

    Research Opportunities: Opportunities for clinical research investigations are possible; however, there is no current program of research operating in this area.

    Structure of Supervision: Supervision is on-going and occurs as needed. At the least, the intern will meet with Dr. McClellan at least one hour each week, individually. Additionally, the intern will be expected to attend patient review meetings with the treatment team to discuss ongoing patient care and to give and receive feedback on clinical cases.
Health Psychology Rotations
Health Psychology rotations involve a range of health prevention and behavioral medicine activities, in addition to assessment and treatment of psychopathology, delivered within the medical setting, often within a multidisciplinary medical team. Emphasis is placed on acculturation to the medical environment, consultation skills, functioning within multidisciplinary teams, prevention and health behavior change, and forming a knowledge base in specific medical disease paradigms. It is expected that graduates will be able to offer leadership in a wide range of health care settings as practicing psychologists.
  • Primary Care
    Dr. Erica Sargent
    Prerequisites: Familiarity with medical settings and multi-disciplinary teamwork, diagnostic interviewing, and principles of behavior change are very helpful but not required.
    Setting, Tasks, and Workload:
    1. Primary Care: As part of the multidisciplinary Primary Care Group, the intern will work with patients on a wide range of issues from coping with serious illnesses and losses to relaxation and stress management. Diagnostic interviewing and treatment recommendations are regularly requested. Integrated primary care skills include the ability to facilitate rapid, problem-focused, behaviorally oriented assessments and treatment plans, work in a non-traditional structure (i.e. 30’ sessions) with a focus on holistic health as the target for intervention. Primary care providers are considered primary “customers” in this model. Referrals include issues of traditional psychiatric concern (PTSD, anxiety, depression etc.) as well as behavioral medicine issues such as sleep and pain problems. Short-term, targeted counseling, motivational interviewing, and care management are frequent avenues of intervention. Consultation with medical providers on ways of improving adherence to medical recommendations and facilitating behavior change, as well as understanding behavior patterns will be included.
    2. MOVE! Weight Management program: This evidence-based, multi-disciplinary program is a multi-level intervention that starts with the primary care staff identifying the issue, and includes computerized assessment with individually tailored reports for patients and staff. Behavioral health staff work closely with dietary staff to provide individual treatment planning as well as group interventions for patients interested in this level of participation. Additional treatment levels include telephone counseling, medications, and possibly referral for bariatric surgery.
    3. Finally, psychoeducational or psychotherapeutic groups are developed based on both intern interest and patient need. Group offerings have included Weight Management, Stress Management, Insomnia Treatment and Bereavement. Additional topics are possible and could include, Coping with PTSD, Depression Management, Irritable Bowel Syndrome treatment and non-medical Hypertension management. Interns are expected to co-lead at least one group.

    Didactic Opportunities: The majority of didactic training comes from 1:1 supervision time with Dr. Sargent,, and is supplemented by psychology seminars.

    Research Opportunities: There is a growing data base for MOVE! weight loss patients, with opportunities for creative investigation with an existing data base. Additional opportunities are possible involving primary care mental health screening. Interns interested in doing research in these areas are encouraged to contact Dr. Sargent early in the training year to explore this possibility.

    Structure of Supervision: Formal supervision takes place in two one hour individual meetings per week. Additional time is available as needed.
  • Behavioral Medicine
    Dr. Karl Frohm
    Prerequisites: Familiarity with medical settings, relaxation training, and cognitive therapy is desirable but not required. Translating from treating psychopathology to treating medical problems in support of allied clinicians is often a challenging but rewarding shift for interns without strong prior experience in behavioral medicine.

    Settings, Tasks, and Workload: The Behavioral Medicine Rotation is characterized by significant ambiguity and intern autonomy, in-depth supervision, support of medical (vs conventional psychotherapeutic) objectives and development of intern competence in functioning within the culture of medicine. Our referral base is variable in terms of volume and content of cases, particularly outside the Chronic Pain Clinic. Principal settings and activities:
    1. Chronic Pain Clinic (50-80% of time) Immersion in an interactive, highly-developed interdisciplinary chronic pain team, including extensive experience in pain treatment approaches and clinical issues (e.g., opioid abuse). Intern activities include interview assessment and triage, problem-focused cognitive-behavioral intervention, relaxation training, case management, consultation to medical providers and interpretation of written psychosocial screening assessment data. The pain team offers interns unique opportunities to observe medical examinations, acupuncture and other pain management procedures. Current group activities include Orientation Class, Awareness in Movement class.
    2. Diabetes clinic liaison--Individual treatment for health behavior change and coping with diabetes, to improve diabetic management and quality of life, as well as brief group intervention for stress inoculation and risk reduction among diabetic patients, as part of an American Diabetes Association accredited education program.
    3. General behavioral medicine consultation
      Outpatient (some inpatient) referrals from all hospital clinical services and programs. Referral concerns include anxiety and depression associated with medical conditions, insomnia, problems in treatment adherence, adaptation to chronic illness, death and dying, coping with stressful medical procedures, psychophysiological and somatoform syndromes.

    Behavioral medicine combines diverse foundation psychological clinical skills and concepts in resolving symptoms of or enhancing adaptation to medical problems. Our activity is patient centered, holistic, and often highly attentive to systemic issues. Co-morbid psychiatric problems (e.g., PTSD) are often a necessary focus of intervention in addressing behavioral medicine issues. Staff behavior and systemic issues are often important targets of intervention, and eventual comfort and competence in communicating with physicians and allied professionals is a priority. For interns with substantial prior relevant clinical experience, the Behavioral Medicine rotation is an opportunity to develop independent practice skills in medical consultation and liaison, sound expertise in one or more specific medical disease paradigms, and advanced understanding of chronic pain issues and treatment strategies, in particular.

    On this rotation, past interns have valued
    • Unique opportunity to function at the center of a highly-integrated medical team
    • Opportunities to shadow medical evaluations and procedures
    • Depth and accessibility of supervision
    • Opportunity to sample complex chronic pain cases and issues in depth
    • Well-developed clinic model for addressing opioid adherence and other problem illness behaviors
    • Growth in process-oriented models for addressing therapeutic partnership, axis II and nonadherence issues
    • Introduction to schema-based model for conceptualizing adaptation to illness and life change
    • Opportunities for introduction to biofeedback and Ericksonian hypnotic techniques

    On this rotation, past interns have been challenged by
    • Translation of prior training to treating essentially medical problems (vs psychopathology)
    • Holistic and patient-centered context for cognitive-behavioral and empirically-based therapies
    • Acculturation to procedures, worldview and interactive style of medical clinics and units
    • Need for rapid, concise, problem-focused, practical professional communications Ambiguity, autonomy and diversity of clinical problems

    Didactic Opportunities: Half of didactic instruction comes via scheduled supervision, the rest from Psychology seminars (recently including units on acculturation to the medical environment, pain, psychosomatic processes, relaxation training, insomnia), pain team conferences and other medical-surgical conferences. Collaboration with and opportunities to learn from allied health providers are essential to the rotation.

    Research Opportunities: Opportunities for clinical research or collaboration are possible, particularly in the area of pain assessment. Interns interested in research participation are encouraged to contact Dr. Frohm as early as possible to specify the form and feasibility of such projects.

    Structure of Supervision: Scheduled supervision is 2-3 hours per week, supplemented by team meetings and additional supervision as needed. Dr. Frohm primarily embraces cognitive, interpersonal, and client-centered theoretical orientations. Interns eventually function with a high degree of autonomy, but with readily accessible and intensive supervision, as needed.
  • Center for Integrated Healthcare
    Dr. Laura Wray & Dr. Mary Schohn
    Prerequisites: Prior experience in Primary Care is helpful but not mandatory. Willingness to participate in a broad array of activities related to start-up of a new research, education, and clinical center. Interns who are interested this rotation should be aware that it requires a significant level of self direction.
    Setting, Tasks, and Workload: The Center for Integrated Healthcare (CIH) is a research, education, and clinical center devoted to improving the health of veterans by enhancing primary care treatment through increasing the integration of behavioral health prevention and treatment services. This rotation is focused on program implementation, evaluation, research, and education. Interns are encouraged to participate in this rotation concurrently with a rotation in primary care.

    Tasks will include activities related to CIH research projects, educational program development, and program implementation and/or evaluation. Interns will have ample opportunity to practice a broad array of professional writing. Participation in activities that will lead to publication in a professional journal are strongly encouraged.

    Didactic Opportunities: The intern is expected to complete and discuss selected readings on integrated healthcare. The intern will attend videoconference offerings on integrated primary care. He or she will attend local and regional conferences and VA broadcast offerings as appropriate.

    Research Opportunities: The CIH is currently engaged in a research project designed to evaluate Primary Care Provider perception of model and of their use clinical practice guidelines. The project will also measure the extent to which the model is in place in Primary Care across the VISN. Interns are expected to collaborate on this project.

    Dr. Wray is active in research regarding early identification of patients with dementia, health services research for patients with mild cognitive impairment and early dementia, psychological management of patients with dementia and dementia caregiver attributions. Interns are welcome to participate in her studies or work on independent research approved prior to the internship. Dr. Wray welcomes intern collaboration on professional presentations and publications.

    Other research collaboration opportunities may be available and interested interns should discuss these with Drs. Schohn and Wray.

    Structure of Supervision: Formal supervision takes place in two, one-hour individual meetings per week. Interns are required to attend a weekly CIH staff meeting. Additional supervision is available as needed by the intern.

Specialty Rotations
  • Geropsychology
    Dr. Barbara Nelson
    Prerequisites: Interest in late life issues and some experience with psychological testing.
    Setting, Tasks, and Workload: Interns will provide geropsychology assessment and services to patients from the Adult Day Health Care (ADHC) Program and/or the Buffalo Community Living Center.

    ADHC is an interdisciplinary program of services provided to adults with significant physical or mental impairments in a non-residential setting. The day care services are designed to improve the quality of the veteran's life by improving functioning, preventive health maintenance, and by forestalling placement in institutional settings. The setting is designed to serve 35 patients per day. The NHCU in Buffalo is a sub-acute setting that provides residential care to patients who are too ill or frail to return home but do not meet the criteria for acute medical inpatient status.

    A large percentage of these elderly patients have dementia with behavioral symptoms. Interns on this rotation will learn how to apply the findings of behavioral assessments, and psychological testing to psychological treatment and consultation in the care of elderly veterans. This rotation will provide behavioral, psychological testing, psychiatric assessment, and consultation to health care teams and family caregivers aimed at reducing behavioral symptoms and maintaining patients in community settings. Consultation questions also frequently include the assessment of the patient's capacity to make medical or financial decisions. Education and support of caregivers of patients with dementia will also be central to the rotation.

    The intern will attend team meetings on ADHC and the NHCU, perform behavioral assessments and psychological testing, provide team and family caregiver consultation and at least one staff educational program during the course of the rotation. Individual therapy opportunities are also available, along with family and couples work. The intern participates in team meetings, performs psychological assessments (1 to 2 per week) and may lead a therapy group. Interns also work with caregivers of patients with dementia and are able to provide behavior management input, and focused therapy to the caregivers of veterans with dementia. All cases are selected based on their educational value and the intern's interests.

    Didactic Opportunities: Interns on this rotation may attend didactic offerings described under the Neuropsychology Rotation. In addition, many continuing education opportunities are offered via the department of Psychiatry, the division of Geriatric Medicine at the VA. Less formal didactic experience takes the form of readings assigned by and discussed with the supervisor throughout the rotation.

    Research Opportunities: Opportunities for clinical research or collaboration are possible, particularly in relation to issues of aging. Interns interested in research participation are encouraged to contact Dr. Nelson as early as possible to specify the form and feasibility of such projects.

    Structure of Supervision: Formal supervision takes place in two, one-hour individual meetings per week. Additional supervision is available as needed by the intern.
  • Neuropsychology
    As above, please note that Neuropsychology will NOT be offered as a specialty track or as an elective training rotation during the 2008-2009 internship year.

    Dr. Kerry Donnelly, Board Certified in Clinical Neuropsychology, ABPP

    The Neuropsychology Specialty Track Internship meets or exceeds all INS/Division 40 training criteria.

    Prerequisites: As this is considered to be an advanced assessment training experience, interns selecting this rotation as an elective are expected to have a good working knowledge of intellectual and personality assessment and some experience with integrative report writing. Neuropsychology Specialty Interns are expected to have significant prior experience in neuropsychological assessment.

    Setting, Tasks, and Workload: The neuropsychologist and intern provide consultation to all areas of the Medical Center, in both inpatient and outpatient settings. Outpatient referrals reflect the full spectrum of neuropathology, including dementia and other degenerative disorders, stroke, head injury, neoplastic disease, substance abuse, psychiatric disturbances, and metabolic and systemic illnesses. Inpatient consultation focuses on capacity evaluations (medical decision making, independent living).

    Principle duties involve developing or increasing familiarity with a flexible battery, process-oriented approach to neuropsychological assessment, in addition to expanding awareness of neuropathology. The rotation is both didactic and clinical. An assigned text and directed readings augment the focus on test selection and administration, history taking, data integration, and report writing. Interns are required to find and read the current literature for each pathological condition they encounter, to enhance understanding of the condition and its implications.

    Referrals are generally assigned at a rate of one or two per week. That said, the rate of production is primarily based on intern motivation and ability.

    For Neuropsychology Specialty Interns, priority is focused on facilitating the intern’s readiness and marketability for the post-doctoral residency in Clinical Neuropsychology, as well as on providing the foundation training necessary for eventual board certification. Our Specialty Interns have had an excellent track record for obtaining quality post-doctoral training in settings such as Brown University, University of Michigan, University of Rochester, National Rehabilitation Hospital, University at Buffalo and other institutions. Many of our former interns have either completed, or are in the process of, board certification.

    The Neuropsychology Specialty Intern completes the first six months of the internship in the specialty. Part-time, off-site placements can be arranged for Specialty Interns with interests beyond the offerings at our facility.

    For Generalist Interns, the primary goal of the rotation is to teach neuropsychology and neuropathology toward the goal of developing sound cognitive screening skills and the tools needed to be a successful consumer of neuropsychological reports. While the clinical work for Specialty Interns and Generalists is similar, the didactic portion of the rotation usually differs. The intensity of the Generalist’s experience is based on the interest and ability of the intern. Generalist and Geropsychology interns interested in the rotation complete a half-time experience.

    Didactic Opportunities: The Neuropsychology rotation requires a considerable amount of didactic participation, including weekly Reading Review, Neurology Grand Rounds, Neurophenomenology, Neuroscience Seminars (optional), and other offerings. Additionally, a seminar series in Neuropsychology is given to all interns in the spring of the training year. Required texts are assigned based on the intern's level of knowledge and experience. Additional readings are assigned as are relevant to the clinical cases.

    Research Opportunities: Participation in on-going research or development of an original project is strongly encouraged, but not required, of the Neuropsychology Specialty Intern. For interns who have completed their dissertations and would like to complete an original study, consultation is available in the summer prior to the internship to facilitate IRB requirements and afford the intern maximum time for completion.

    Current and recent studies in progress in the Neuropsychology Clinic focus on Cognitive Screening in Primary Care, Cognitive Sequelae of Blast Injuries in OIF/OEF Veterans, Traumatic Brain Injury and Quality of Life, and the Clock Drawing Test in Differential Diagnosis.

    Two neuropsychology clinical databases are also available to the intern for investigation.

    Structure of Supervision: Supervision is scheduled two to five hours per week, depending on the needs of the intern. Informal supervision and consultation are encouraged on a daily basis. See Rotation Goals and Objectives for more information.

This web site is intended for psychology interns who are considering the VA for internships. Veterans can find VA health care information at the VISN 2 website.

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