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Specializations
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Psychiatry and Behavioral Sciences

Specializations

The goal of Psychology Internship Training Program at Montefiore Medical Center is to prepare interns for the independent practice of professional psychology that is scientifically-informed. We realize, however, that there is no “cookie-cutter” method for achieving this goal, as interns arrive at Montefiore Medical Center with vastly different backgrounds, interests, and plans for the future. Therefore, the Psychology Internship Training Program offers candidates a choice between three different specializations, so that interns can pursue their specific training needs: an Adult Specialization (4 openings), a Child and Adolescent Specialization (2 openings), and a new Combined Specialization (2 openings).

While each of the specializations has its own goals, and objectives (see below), they all share the same overarching philosophy: that the internship should provide interns with a broad set of high quality clinical experiences that are sequential, cumulative, of graded complexity, and customized to fit the individual goals of each intern.

While applicants must choose and apply to only one specialization during the application process, interns in each of the three specializations have access to the same elective rotations and clinical faculty, and share meetings and curriculum seminars throughout the year. This allows our interns to increase their competency in areas that are important to them while still being able to form a cohesive bond with the interns in the other specializations. As a result, our interns graduate with a strong knowledge of evidence-based approaches, a high confidence in their knowledge, skills, and ability to function as independently as a professional psychologist, and with an already-established professional network of peers and colleagues.

Below you will find descriptions of the basic philosophy, goals, and objectives for each specialization, as well as a listing of the core "template" for each. It is important to note, however, that these are simply templates, and we pride ourselves in being able to offer our interns tremendous flexibility in and around the core rotations in all three Specializations. As such, all candidates matching with us are able to customize their internship experience by adding one or more elective rotations in order to consolidate and/or expand upon their knowledge, skills, and abilities and meet their individual training needs and goals.

Adult Specialization Template (Moses Campus)

The goal of the Adult Specialization is to prepare interns to work primarily with adult patients in many different kinds of clinical settings. Therefore, the objective of the Adult Specialization is to increase the intern’s competency in assessing, diagnosing, formulating, and treating adult patients, individually and in groups, using a variety of evidence-based approaches and techniques, while in a number of different roles and settings.

In order to do achieve this goal, interns in the Adult Specialization are provided with opportunities to work with patients presenting with the full range of psychiatric disorders, in outpatient, inpatient, emergency room, and consultation liaison settings. In addition, many of the patients are from ethnic minority groups, economically challenged, and may have comorbid medical, substance-related and/or addictive disorders.

Interns in the Adult Specialization move through the following four core rotations sequentially throughout the year (please note that the order of these rotations will be different for each intern):

  • 6-month rotation in the Adult Outpatient Psychiatry Department (AOPD)
  • Primary therapist for 12-16 patients, co-lead a group, conduct intakes and neuropsychological assessments as needed, and participate on a multidisciplinary treatment team. Interns can also choose to carry 2 or 3 adult outpatients for the entire year in order to do longer-term psychotherapy.
  • 4-month rotation on the Adult Psychiatric Inpatient Unit
  • Primary therapist for 3-4 inpatients, co-lead groups, conduct diagnostic evaluations and neuropsychological assessments as needed for patients on the unit, and participate on a multidisciplinary treatment team. Interns can also choose to be primary therapist for 2-3 adult outpatients during this rotation.  
  • 1-month rotation in the Psychiatric Observation Suite (POS; our Psychiatric ER)
  • Diagnose and triage 20-25 patients. Interns can also choose to be primary therapist for 2-3 adult outpatients during this rotation.
  • 1-month rotation in the Addiction Psychiatry Consultation Service in Psychosomatic Medicine
  • Screen, differentially diagnose, and generate written consultation reports for 15-20 medically complex patients admitted to the general hospital with comorbid substance-related and/or addictive disorders and conduct 2-3 follow-up visits with each patient during the hospital stay. Interns can also choose to be primary therapist for 2-3 adult outpatients during this rotation.  

In addition, as mentioned above, interns in the Adult Specialization are able to customize this template by adding one or more of our elective rotations (most often by reducing their caseload during the 6-month AOPD rotation) to their schedule in order to pursue special interests and/or consolidate their knowledge, skills, and abilities, and meet their individual training needs and goals.

Click Here to View a Weekly Schedule of One of Our 2012-13 Adult Track Interns

Child and Adolescent Specialization Template (Moses Campus)

The goal of the Child and Adolescent Specialization is to prepare interns to work primarily with children and adolescents and their families in an outpatient setting, including being competent to use Dialectical Behavior Therapy (DBT) with depressed and/or suicidal adolescents (and their families). Therefore, the objective of the Child and Adolescent Specialization is to increase the intern’s competency in assessing, diagnosing, formulating, and treating children and adolescents (ages 4-17) and their families, individually and in groups, using a variety of evidence-based short- and long-term psychotherapies, while also learning how to liaison with schools, foster care agencies, the Committee on Special Education, and other relevant organizations in the area.

In order to do achieve this goal, interns in the Child and Adolescent Specialization are provided with opportunities to work with patients presenting with the full range of psychiatric disorders, many of whom are from ethnic minority groups, economically challenged, and may have comorbid medical, substance-related and/or addictive disorders.

Interns in the Child and Adolescent Specialization complete the following three core rotations simultaneously throughout the year (i.e., during the week interns provide services to all three programs, which are housed in the same location):

  • 12-month rotation in the Child Outpatient Psychiatry Department (COPD)
  • Primary therapist for 2 child patients, 1 family therapy case, co-lead a group for disruptive behavior disorders, and participate on a multidisciplinary treatment team.
  • 12-month rotation in the Adolescent Depression and Suicide Program (ADSP)
  • Primary therapist for 6 adolescent patients, co-lead 2 groups (DBT Multifamily Skills Training Group and DBT Graduate Group), and participate on a weekly DBT Consultation team and multidisciplinary treatment team.
  • 12-month rotation in the Child and Adolescent Assessment Service
  • Conduct 3 comprehensive neuropsychological evaluations and 6-8 comprehensive diagnostic evaluations, and receive training in the Kiddie-Schedule for Affective Disorders and Schizophrenia (K-SADS) and other assessment instruments.

In addition, as mentioned above, interns in the Child and Adolescent Specialization are able to customize this template by adding one or more of our elective rotations (most often by spending one day per week on an elective rotation) to their schedule in order to pursue special interests and/or consolidate their knowledge, skills, and abilities, and meet their individual training needs and goals.

 Click Here to View a Weekly Schedule of One of Our 2012-13 Child and Adolescent Track Interns

*New* Combined Specialization Template (Wakefield Campus)

The goal of the Combined Specialization is to prepare interns for clinical practice in an outpatient clinical setting who don’t want to limit their clinical work to a particular age range. Therefore, the objective of the Combined Specialization is to increase the intern’s competency in assessing, diagnosing, formulating, and treating outpatients across the entire age spectrum, individually and in groups, using a variety of evidence-based approaches and techniques, while also learning how to liaison with schools, foster care agencies, the Committee on Special Education, and other relevant organizations in the area as part of their work with the child and adolescent cases.

In order to do achieve this goal, interns in the Combined Specialization are provided with opportunities to focus intensely on outpatient psychotherapy throughout the year with children and adolescents (as well as their families), and adults presenting with the full range of psychiatric disorders, many of whom are from ethnic minority groups, economically challenged, and may have comorbid medical, substance-related and/or addictive disorders.

Interns in the Combined Specialization complete the following two core rotations simultaneously throughout the year (i.e., during the week interns provide services to both programs, which are housed in the same location):

  • 12-month rotation in the Adult Outpatient Psychiatry Department (AOPD)
  • Primary therapist for 6-8 patients, co-lead a group, conduct intakes, perform neuropsychological assessments on patients in the AOPD and inpatient unit (as needed), and participate on a multidisciplinary treatment team.
  • 12-month rotation in the Child Outpatient Psychiatry Department (COPD)
  • Primary therapist for 4-6 patients, co-lead a group, conduct intakes, perform neuropsychological assessments on patients in the COPD (as needed), and participate on a multidisciplinary treatment team.

In addition, as mentioned above, interns in the Combined Specialization are able to customize this template by adding one or more of our elective rotations (most often by spending one day per week on an elective rotation) to their schedule in order to pursue special interests and/or consolidate their knowledge, skills, and abilities, and meet their individual training needs and goals.