Neuropsychology Internship Training Program - Clinical Experiences
Each intern participates in two rotations simultaneously during the training year.
Pediatric and Adult Outpatient Service, Neuropsychological Assessment
Rosemarie Basile, PhD. - Primary Surpervisor
The Outpatient Neuropsychology service treats the lifespan, from geriatric
populations to infants presenting with a broad range of behavioral, developmental,
learning and neurocognitive disabilities. Referrals to Outpatient Neuropsychology
are received from a variety of sources including: the Rehabilitation Medicine
Department, Adult and Pediatric Emergency Medicine Trauma Services, Adult
Neurology, Developmental Pediatrics, Pediatric Neurology, Psychiatry,
Oncology, Neurosurgery, and professionals in the community.
Based on one’s training needs and specific interests, an Intern can
choose to focus primarily on either adult or pediatric cases. Because
of the breadth of our referrals, it is not feasible to develop expertise
in all the populations we serve. Thus, cases are clustered so that the
intern can develop a thorough understanding of several conditions of interest
[eg. Chari malformations, Traumatic Brain Injury, subcortical dementias,
This rotation will primarily consist of neuropsychology evaluations. In
addition to neuropsychological assessment and report writing, the provision
of feedback to physicians, patients, and families will be an integral
part of the supervised experience. Diagnostic exposure will include patients
with traumatic brain injury, tumors, blood borne cancer, sickle-cell disease,
stroke, degenerative diseases, toxic and metabolic conditions, attention
deficit/hyperactivity disorder, autism, learning disabilities, various
neurologic conditions, chronic pain, psychiatric illness, and somatoform
In addition to the assessment component, this rotation will also allow
for training and experience in health and behavior interventions and more
general psychotherapy in a time limited, problem focused setting. Interns
may follow a given patient during the patient’s inpatient and outpatient
course in order to view progress over several months. This provides continuity
of care for the patient as well as the opportunity to achieve longer term
treatment and psychotherapy goals and better understand the evolving nature
of neurological insult.
Inpartient Clinical Rotation, Traumatic Brain Injury/Neurorehabilitation
Rashmi Rastoi, PhD. - Primary Supervisor
During this rotation, Interns will evaluate inpatients admitted with brain
injury or other neurologic injury requiring comprehensive multidisciplinary
inpatient rehabilitation. Diagnostic exposure will include traumatic brain
injury (TBI), stroke, tumors, dementia, and related neurologic disorders
with cognitive sequelae. Interns will learn to perform a patient’s
initial neurobehavioral assessment, including evaluation of neurocognitive
abilities as well as personal adjustment and emotional status. Assessment
will include clinical interviewing, mood assessment, and measures of coma,
orientation, agitated behavior, and neurocognitive abilities including
memory, verbal and nonverbal reasoning, and executive function.
Interns will gain experience in test administration, scoring, interpretation,
and feedback reporting. Interns will also learn the consultant role played
by a rehabilitation neuropsychologist on a multidisciplinary team. They
will learn to work in a close, ongoing relationship with physical medicine
and rehabilitation physicians, rehabilitation nurses, social workers,
case managers, and physical, occupational, recreational, and speech therapists
along with other allied health providers.
In addition to assessment and consultation, Interns will learn neurocognitive,
health/behavioral, and psychotherapy interventions appropriate for neurologically
injured patients and their families. As well as individual therapy interventions,
Interns will learn to lead group interventions, including structured orientation
groups, support groups, psychoeducational groups, and problem-focused
groups designed for patients and families beginning the process of neurocognitive
Each intern will have a primary training supervisor on the Inpatient unit
and in the Outpatient clinic. Based on the learning needs and specialty
of staff, interns may change supervisors mid-year to enhance their learning.
Interns typically receuve 3-4 hours of supervision weekly.
Didactic experiences in the Neuropsychology track are both formal and informal.
The intern will be expected to complete readings in clinical neuropsychology,
especially as they pertain to clinical cases. Readings will be chosen
in consultation with clinical supervisors. The Neuropsychology interns
will participate in weekly Neuropsychology Didactics, Psychiatry Rounds,
Journal Club and Neuroradiology Rounds. Neuropsychology Didactics cover
topics in neuroanatomy, cognitive neuroscience, neurological disorders
and professional and ethical topics. Neuroradiology Rounds are led by
a neuroradiologist where clinical aspects and neuroradiology findings
of cases are discussed.
Many additional educational opportunities exist including Medical Grand
Rounds, Pediatric Grand Rounds, Clinical Research Seminars, Neurology
Rounds, and several Brown Bag Lunch Series.
The Neuropsychology intern will be expected to collaborate on research
or quality improvement projects during their training year.