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Doctoral Internship in Clinical Psychology

July 1, 2015 - June 30, 2016

Lenox Hill Hospital - North Shore-LIJ Health System

Division of Psychology
(212) 434-2961

Jerome H. Kogan, Psy .D.
Director of Psychology Training
Director of Psychological Services

The Lenox Hill Hospital Doctoral Internship in Clinical Psychology, accredited by the American Psychological Association, prepares doctoral candidates for careers as psychologists in a variety of clinical and academic settings. The Program aims to facilitate a smooth transition from doctoral study to professional functioning, teaching advanced clinical skills that integrate theory and practice. Interns carry caseloads of adults, adolescents, children, groups and families. The clinical population served is diverse, including individuals from an array of cultures, ethnicities, religions, sexual orientations and socio-economic levels.Psychology interns obtain advanced training in assessment, diagnosis, and numerous intervention and treatment modalities. The Program is dedicated to upholding the highest standards of ethical and professional conduct. Interns have opportunities to gain expertise in areas including childhood development, adolescent behavior, individual adult psychotherapy, neuropsychology, consultation liaison psychology, inpatient and outpatient assessment and treatment, as well as family and group psychotherapy.

On behalf of the entire faculty, I invite you to learn more about us in the pages that follow. Please do not hesitate to contact me with any questions.

THE PROFESSIONAL SETTING

North Shore - LIJ Health System (NSLIJ-HS)

Lenox Hill Hospital and Manhattan Eye, Ear, and Throat Hospital are part of the North Shore-LIJ Health System. The nation's third largest, non-profit, secular healthcare system, the North Shore-LIJ Health System cares for people of all ages throughout Long Island, Queens, Manhattan and Staten Island a service area encompassing more than seven million people.

The winner of the National Quality Forum's 2010 National Quality Healthcare Award, the North Shore-LIJ Health System consists of 15 hospitals, 17 long-term care facilities, The Feinstein Institute for Medical Research, three trauma centers, five home health agencies, a hospice network and dozens of outpatient centers. North Shore-LIJ's facilities house about 5,600 beds, employ more than 10,000 nurses and have affiliations with more than 9,000 physicians. Its workforce of about 42,000 is the largest on Long Island and the ninth largest in New York City. Please review the Health System Mission Statement at: http://www.northshorelij.com/hospitals/about-us/about-us-mission-statement

Lenox Hill Hospital

Lenox Hill Hospital, established in 1857, is a 652-bed, acute care hospital located on Manhattan's Upper East Side. The hospital has earned a national reputation for outstanding patient care and treatment and is a recognized leader in public health education and community outreach.
Approximately 45% of Lenox Hill Hospital's patients are from Manhattan. The remaining 55% come from Brooklyn, Bronx, Queens, Long Island, the Tri-State area and around the world. Lenox Hill Hospital is committed to providing a high standard of patient care to a socio-economically and ethnically diverse patient population.

Manhattan Eye, Ear, and Throat Hospital

Established in 1869, Manhattan Eye, Ear & Throat Hospital is internationally recognized for its accomplishments. MEETH provides thousands of patients a year with the highest quality and most advanced treatments available in its state-of-the-art ambulatory surgery facilities. MEETH also offers numerous specialty clinics for adults and children, including the Outpatient Center for Mental Health.

Psychology at Lenox Hill Hospital and Manhattan Eye, Ear, and Throat Hospital

Psychology is a division within the department of Psychiatry. There are some 70 staff and attending psychiatrists, and 24 staff and affiliated psychologists. The department has specialists in adult, child, and adolescent treatment, neuropsychology, psychological testing, inpatient treatment, geriatrics, group, family systems, and psychodynamic and cognitive behavioral therapies. Most of the staff has worked together for many years, and the Department has a warm, collegial, and informal quality to it. This has made for an unusually personal and attentive atmosphere for our psychology trainees.

The role of psychology and the expansion of training opportunities for psychologists have paralleled the growth of mental health services. Psychologists chair quality of care committees, direct programs, provide patient care, supervise, teach, consult in a variety of settings, and are involved in community benefit programs and outreach. In addition to our internship, we have a psychology externship program and a post-doctoral fellowship in neuropsychology offered by our Center for Attention and Learning

OUR VALUES REGARDING CULTURAL AND INDIVIDUAL DIVERSITY

Lenox Hill Hospital and Manhattan Eye, Ear, and Throat Hospital provide services to a diverse clientele that mirrors the cultural richness of the New York City metropolitan area. Hospital clientele are diverse with respect to race, ethnicity, religious faith, sexual orientation, age, disability status, and life experience. We believe that diversity is a rich resource for personal and professional development. We value the diversity of our staff and trainees and believe that their many backgrounds strengthen our Medical Center. The North Shore-LIJ Health System is ranked among the top 10 hospital systems by DiversityInc, recognized for its increasing commitment to effective diversity management and culturally competent care.

The Psychology Internship Program is strongly committed to supporting cultural and individual diversity, promotes equal opportunity and non-discrimination and welcomes applications from all qualified students regardless of race, ethnicity, religious faith, sexual orientation, age, or disability status as defined by applicable law. Qualified members of minority groups that have historically been under-represented are especially encouraged to apply and are welcome to indicate minority status in their application materials. We aim to foster an attractive and nurturing atmosphere of learning where diverse interns, faculty, staff, and patients can understand, accept, and appreciate one another. The internship's didactic and experiential training are aimed at fostering an understanding of diversity as it relates to professional psychology. The program supports the mission of the Health System's Office of Diversity, Inclusion and Health Literacy. More information can be found at: https://nslijhp.northshorelij.com/NSLIJ/departments/HealthLiteracy/Documents/ODIHL%202011%20Annual%20Report.pdf

THE DOCTORAL TRAINING PROGRAM

The doctoral Internship Program in Clinical Psychology at Lenox Hill Hospital is based on the generalist-practitioner model. The Internship operates from two campuses of a major medical center that is part of a larger health care system and which provides both medical and psychiatric services to patients across the life span. This professional environment affords a unique opportunity to build competencies in clinical psychology through training in many different clinical settings with various treatment and assessment modalities. The training program facilitates professional development in a collegial and multidisciplinary environment that values the diversity of backgrounds of our staff, trainees, patients, and the larger community.

The Internship program began in 1990 and has been accredited by the American Psychological Association since 1994. In 2015-2016 we expect the program to consist of a class of four full-time interns. The program provides a core of clinical and didactic experiences emphasizing the skills and knowledge base relevant to all clinical psychologists. The breadth and depth of experiences is a particular strength of the Internship. The internship complements clinical rotations with intensive supervision and seminars. The aim of the Lenox Hill Hospital Psychology Internship Program is threefold: training clinicians to perform a broad variety of services in a hospital setting; providing training experiences in both traditional and developing areas of clinical service; and providing the highest quality supervision of therapy and testing activity. The training model for the program is generalist-practitioner, consistent with the mission of the hospital, which embraces and integrates every specialty area of practice into a comprehensive treatment facility. We believe students must have a thorough grounding in the concepts of psychopathology, diagnosis, psychological testing, and the varieties of therapeutic interventions before applying to internship. Our internship aims to expand on and add to all these dimensions of competence. We offer students exposure to a wide range of treatment activities, testing instruments, and clinical populations, including all age ranges, inpatients, outpatients, and medical patients. As staffing or programs may change unexpectedly, not all clinical experiences and seminars listed below may be available. We make every effort to publicize any substantive changes that occur after the posting of this brochure.

The program is committed to upholding the principle that training activities are of prime importance during the internship year. Although the time commitment varies throughout the training year, interns work about 40-50 hours per week. The structure, time demand, and nature of rotations vary, but in general interns spend 75% of their time providing clinical services. Direct patient care includes individual, group, and family psychotherapy, assessment and diagnostic services, and consultation. Daily travel between our two campuses is necessary. Some evening time is required. Seminars constitute about 5 hours per week. Documentation is completed by hand as we do not yet have an electronic medical record (EMR). Finally, interns spend an average of 10 hours per week receiving face-to-face supervision, at least 6 of which is individually based and with additional supervision on an ad hoc basis.

ROTATIONS

The Internship experience is comprised of three intensive rotations and a simultaneous, year-round outpatient assignment. Intensive rotations are Inpatient Psychiatry, Consultation/Liaison Psychiatry, and Neuropsychological Assessment. These placements generally occupy morning hours with afternoons and some early evenings spent seeing individuals, families, and groups at the outpatient clinic, attending didactic seminars and meeting with supervisors.

Adult Inpatient Psychiatry

The inpatient psychiatric unit has 28 beds and serves patients representing a cross-section of cultural and socio-economic groups and a wide spectrum of psychiatric disorders. During this 19.5-week rotation, psychology interns join the multi-disciplinary treatment team and participate actively in the therapeutic milieu. The intern participates in daily multidisciplinary clinical rounds (where issues of program planning and development, as well as assessment and treatment of functioning of patients are addressed), community meetings, staff meetings, and case conferences. The intern also participates in diagnostic interviewing sessions and functions as the primary clinician, providing short-term individual psychotherapy for a select patient caseload. Interns also provide psychological evaluations for diagnostic clarification and placement decisions as needed. Interns serve as co-leaders in thrice-weekly group therapy that is empirically-based and/or has a modified process approach adapted to the setting and population. There may be opportunities to assess patients prior to admission through consultation to the Emergency Department staff.

Consultation/Liaison Psychiatry

This service provides treatment to medical and surgical units throughout the hospital. This 19.5-week rotation affords psychology interns the opportunity to interface with physicians, nurses, and other health care staff. Interns join the treatment team and participate actively in consultation to medical staff as well as evaluation and treatment of patients with a wide range of medical problems with concomitant psychiatric and psychological sequelae. This collaboration with other disciplines and service providers takes place on medical floors including the NICU. Interventions include facilitating psychological adaptation to chronic conditions, managing pain and symptoms, enhancing adherence to selected prescribed treatments, and implementing different psychotherapeutic modalities. Type of therapy may be one of several modalities depending on the presenting problem: cognitive behavioral therapy, supportive psychotherapy, crisis intervention, family, and combinations of these.

Neuropsychological Testing

The goal of the 13-week neuropsychological testing rotation is to provide an opportunity for psychology interns to learn about brain-behavior relationships, the field of neuropsychology, various methods of assessment, and the functioning of a neuropsychology service within an outpatient mental health setting. The service provides diagnostic assessment and recommendations for interventions, treatment, and accommodations. Typical cases involve students at the college or graduate school level with various learning disabilities, attention deficits, and psychiatric conditions (depression, anxiety, and adjustment disorders) and their impact on cognitive functioning. Medical illnesses and injuries include traumatic or mild brain injury, dementias, multiple sclerosis, cerebrovascular diseases, epilepsy, normal aging memory complaints, and pseudodementia. Because changes in mood and personality may occur in certain neurological conditions, personality assessment may also play an important role in a neuropsychological assessment. Since patients may also have co-morbid medical conditions, interns have the opportunity to learn about the impact of non-neurological conditions and medications on cognitive functioning.

Lenox Hill Hospital Outpatient Center for Mental Health

The Outpatient Center for Mental Health is an OMH-licensed outpatient clinic that has been in operation since the 1930s. Our multi-disciplinary team provides a full range of behavioral health services to children, adolescents, and adults: comprehensive assessments, medication management, short-term and long-term psychotherapy, concrete social services, and psychological testing. Our staff includes a collaborative team of psychologists, psychiatrists, social workers, and clinical nurse specialists. Patients seen in this clinic have varied cultural and ethnic backgrounds and a wide range of diagnoses and symptoms. Patients with chronic but stable, severe disorders are seen here as are higher functioning individuals with more acute but manageable symptom episodes. Treatment modalities may include psychodynamic, cognitive-behavioral, supportive, and interpersonal approaches, and DBT skills training.

Intern assignments in the Outpatient Center include:

-Comprehensive diagnostic intake interviews
-Individual psychotherapy with adults, children, and adolescents
-Family therapy
-Group therapy

SUPERVISION

Students will be closely supervised on all aspects of their work. Interns receive six or more hours per week of supervision, with additional supervision available as needed. Members of the psychology training faculty supervise psychological testing and psychotherapy conducted by psychology interns. Supervision bearing on medical issues or psychopharmacological intervention may be provided by a senior psychiatrist. A key part of all psychologist's work at Lenox Hill is supervising psychology interns, serving as mentors as they develop into successful practitioners. Supervisory staff are supportive, collaborative, and collegial with students.

Whenever possible, interns are involved in learning to provide supervision. This sometimes takes the form of for group or individual therapy conducted by a more junior trainee (e.g., psychology extern, physician assistant student, or medical student) as well as didactic sequences devoted to theories and principles of supervision.

THE DIDACTIC PROGRAM

The didactic program covers a variety of general and specific topics related to clinical psychology. Seminars are supplemented by Department of Psychiatry and Department of Neurology Grand Rounds which feature presentations by prominent speakers.

Seminars are described below. Some of the courses are year-long while others are presented in a mini-course format.

Core Issues- This weekly meeting with the Training Director provides a regular forum for ongoing discussion of professional and administrative issues.

Professional Issues Colloquium- On an ad hoc basis, issues bearing on the practice of psychology are discussed by internship and affiliated faculty. Examples of topics include: balancing career and family; obtaining a postdoctoral fellowship; managing a successful independent practice; reimbursement issues; new practice opportunities for psychologists.

Case Formulation Colloquium- This series offers interns an advanced approach to case formulation from several theoretical perspectives including psychodynamic, cognitive behavioral therapy, and dialectical behavior therapy.

Diversity and Inclusion Case Conference On a monthly basis, this case conference focuses on issues related to cultural competence. Interns take turns presenting active cases and discussants with relevant expertise provide feedback on cases presented by other interns. This provides a forum for practicing organized and thoughtful presentation of clinical information as well as an opportunity for peer review and second opinions.

Legal and Ethical Issues- A variety of ethical and legal issues in the delivery of psychological services are discussed by a psychologist who is also the Chief of Clinical Ethics at the hospital and remains available for consultation as needed throughout the year. The seminar is designed to familiarize interns with the APA ethical code and to encourage sensitivity to and a thoughtful and inquisitive attitude towards ethical considerations.

Group Psychotherapy- This weekly seminar focuses on central issues in conducting group psychotherapy. Interns present case material from groups they are co-leading in the Outpatient Center for Mental Health. In conjunction with this seminar interns also take part in a group process experience with other interns, facilitated by a member of our voluntary faculty.

Family Therapy- This weekly seminar focuses on the acquisition of practical family therapy skills through the introduction of the fundamentals of theory and practice. Interns are supervised in performing on-going assessment, refining hypotheses, and developing treatment plans and tailoring interventions based on these systemic hypotheses. The therapeutic use of self and multi- generational approaches will also be highlighted.

Advanced Topics in Neuropsychology- This weekly seminar, offered by our Center for Attention and Learning presents topics relevant to neuropsychological consultation in neurological, psychiatric, and pediatric services.

Special Topics in Psychology- This seminar series includes mini courses in psychopharmacology, geriatric psychology, parenting, clinical hypnosis, dream analysis, and issues in supervision.

EDUCATIONAL GOALS AND EVALUATIONS

The primary goals of the Internship program focus on further development of the trainee's competencies in:

-Professional conduct, ethics and legal matter
-Individual and cultural diversity
-Theories and methods of psychological diagnosis and assessment
-Theories and methods of effective psychotherapeutic intervention
-Scholarly inquiry and application current scientific knowledge to practice
-Professional consultation
-Theories of supervision
-Theories of program evaluation

The development of each of these competencies is evaluated throughout the training year and discussed in monthly supervisory meetings. In addition, formal written evaluations are conducted at two time points during the year (midyear and after the midpoint of the second six-month period) and a written summary of performance is provided to the interns graduate training director at those times.

The interns evaluation of the Internship Program is actively sought. The Core Issues seminar provides an opportunity to discuss ongoing administrative and professional problems that may arise. The Director of Psychology Training meets with each intern at midyear to review progress and satisfaction and to discuss any concerns. After each rotation and at the midpoint of the year, interns are asked to provide written evaluation of their experience. Prior to leaving, interns also meet with the Director of Psychological Services and the Administrator for the Department of Psychiatry to discuss their internship placements, supervisors and seminars. Finally, interns are surveyed at least one year after completing the internship to assess the way in which the internship impacted on their career and professional activities.

STIPEND AND BENEFITS

The stipend is $25,000 annually. Benefits include 20 days of paid time off and 8 paid legal holidays. In addition, sick days may be used for illness. New hires in the North Shore-LIJ Health System are not permitted to use paid time off during their first three months of work. Also, unused time off will ordinarily not be paid out at the end of the internship. The Health System provides a partially subsidized benefit program which offers the opportunity to select health, life, and disability coverage to meet personal needs. Interns and their eligible dependents are eligible for health care benefits as of the first day of the internship. The above information represents the policy as of September 1, 2014 and is subject to change. We will attempt to disseminate any substantive changes that occur.

APPLICATION REQUIREMENTS

The Internship begins on July 1, 2015 and continues for the period of one year (i.e., through June 30, 2016). Eligibility requirements for the program are as follows:

The primary goals of the Internship program focus on further development of the trainee's competencies in:

-Applicant must be a candidate for the Ph.D or Psy.D in an APA-accredited doctoral training program. Acceptable program types are:

-Clinical Psychology or formal re-specialization program
-School Psychology only if there is evidence of intensive experience (great than 1 year in duration) in a non-school clinical settings

-All coursework toward the doctoral degree must be completed by the end of the academic year prior to the start of internship
Certification of internship readiness by the applicant's academic program
At least two externship placements that include face-to-face delivery of professional services
-Minimum of 600 intervention hours including significant experience (approximately 25%) with children or adolescents
-Minimum of 200 assessment hours
-Minimum of 10 integrated diagnostic batteries with some exposure to neuropsychological assessment instruments
-Minimum of 250 total supervision hours

ACCREDITATION

The internship program is accredited by:
Office of Program Consultation and Accreditation
American Psychological Association
750 First Street, N.E., Washington, D.C. 20002-4242
Tel: 202-336-5979

APPLICATION PROCEDURES

National Matching Services Program Code Number: 1471

The internship program is a member of the Association of Psychology Postdoctoral and Internship Centers (APPIC). Applications will only be accepted through the APPIC Application for Psychology Internships (AAPI) online at www.appic.org. Three letters of recommendation are required.

The application deadline for the 2015-16 internship year is November 15, 2014 (i.e., applications must be submitted by the 5pm EST of that date).

SUPPLEMENTAL MATERIALS

In addition to the standard elements of the APPI online, the following supplemental materials are required (via scanned upload as per AAPI online instructions):

-Psycho-diagnostic test report (including cognitive and personality measures) and
-
Summary of a clinical treatment case

Please be sure to comply with HIPAA requirements in ensuring the de-identification of submitted work samples.

INTERNSHIP SELECTION PROCEDURES

This program is a member-subscriber of the Association of Psychology Postdoctoral and Internship Centers (APPIC) and strictly observes the guidelines of this organization and its match procedures (which can be found at http://www.natmatch.com/psychint/). The Lenox Hill Hospital Internship Program requires on-site interviews. Due to the large number of applications received, we are not able to offer interviews to all applicants. Every effort will be made to notify applicants of their interview status by December 15, 2014.

Applicants invited for interviews will have the opportunity to meet with current interns and faculty and learn more about the internship program.

Applicants matched to the internship should understand that prior to commencing the internship they will need to pass a Health System required medical examination, a review of their credentials and a screening by the New York State Child Abuse Registry. These procedures and a pre- employment interview must be completed in advance of commencing the internship and necessitate availability in June. Applicants should also note that some evening hours are required.

This internship site agrees to abide by the APPIC policy that no persons at this training facility will solicit, accept or use any ranking-related information from any intern applicants.

INFORMATION

Requests for further information should be directed to:

Jerome H. Kogan, Psy.D. Director of Psychology Training
Acting Director of Psychological Services
jkogan@nshs.edu
212-434-2961