Interview Day PowerPoint Minneapolis VA Internship

Report
Pre-doctoral Internship Program
Minneapolis VA Medical Center
Wayne G. Siegel, Ph.D., ABPP
Director of Training
Thad Strom, Ph.D.
Assistant Director of Training
What to Expect Today?
Information
Overload!
 Actually, a good understanding
of our Internship and our
dedication to excellent clinical
training
Schedule
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8:00 - 9:00 Intros. Brief Program Description
9:00 – 9:30 Overview of Research Opportunities
9:30 - 10:20 Interview block
10:30 - 11:20 Interview block
11:30 - 1:30 Lunch/ Rotation/Adjunctive
Supervisors (2nd Floor Atrium – see map)
1:30 - 2:30 Interview block
2:30 - 3:15 Meet with current interns
3:15 - 3:45 Tour by Postdoctoral Residents
345 – 4:14 Wrap up with TDs
 Each applicant will have 2 interviews of approximately 45 minutes.
Two interviews in three blocks.
 The second interview will include a clinical vignette.
Minneapolis VAMC
 Approximately 500,000 veterans residing in our
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primary service area,
Tertiary referral center for VSIN 23
Ethnic minorities - 7% of those treated
65+ is the largest single clientele category but a
growing mid 20’s cohort
Women Veterans Comprehensive Health Center
VA Lead Polytrauma Center
State of the art Spinal Cord Injury center (SCI )
Telemedicine / CBOC Opportunities
Will host VISN Tertiary Chronic Pain Tx Center
Competitively Funded Research Programs
 Psychologists - more than $11,000,000 in merit-
reviewed, multi-year research grants
 One of the largest education and training programs in
the VA system
 Affiliations with 50 colleges, universities, and
technical schools in allied health professions
The Presence of Psychology
 70 doctoral psychologists many of which hold clinical
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faculty positions at the University of MN
Psychologist are assigned to one or more of the
specialized treatment units an have a strong presence
in almost every area of the medical center
Many psychologists are in key leadership roles in the
medical center and nationally.
Staff hold a diversity of interests, expertise, theories,
and techniques
The discipline of Psychology is highly valued in the
Medical Center
Training Model & Philosophy
 Accredited by the Commission on Accreditation of the
APA
 Member of APPIC and abides by its guidelines
 Member of APCS
 Scientist Practitioner Model
 Scientific data and scholarly work are incorporated
into all training experiences
 Significant opportunity to be involved in research
through the internship year
Training is Developmental
 Close supervision, mentorship, and intensive
instruction to relatively autonomous functioning over
the course of the year
 Interns take an active role in developing their training
plan
 Graduating interns develop the competencies and a
sense of professional identity needed for entry-level
positions or post docs
Broad Training Goals
 Goal 1: Psychological Evaluation and
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Assessment Diagnostic interviewing
Goal 2: Psychological Interventions
Goal 3: Providing Consultation & Supervision
Goal 4: Ethics & Diversity
Goal 5: Maturing Professional Identity
Goal 6: Interface Between Science and Practice
Training Tracks
 2 tracks with 2 separate Match numbers
 Think of them as separate internships
 6 General Clinical/Counseling positions
 2 Neuropsychology positions
 Emphasis on neuropsych training meeting APA Division 40
and Houston Guidelines (at least 50%)
 Training is still broad and general in clinical psychology
The Neuropsychology Track
 Neuropsychology and neuropsychological assessment
 Meets the Houston Conference and APA Division 40
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specialty training guidelines
Approximately 50% of his or her time to
neuropsychology
2 rotations 17 week-long rotation in neuropsychology
and rehabilitation psychology as well as providing
assessment and intervention services in our GRECC.
3rd rotation areas outside of neuropsychology, usually
dealing with severe mental illness
Weekly neuropsychology case conference, neurology
rounds, and PM&R team rounds
Supervisors: Drs. Carter, Clason, Eidson, Lamberty,
Lundgren, and Sim.
Rotations
 Assigned by interest and training needs
 Orientation week
 Learn about different rotations
 Work with TDs to choose and sequence rotations so
that intern training goals and program competency
standards are met
 Track activities are guaranteed, rotations are not
 Schedules can be adjusted as needed later in the year
Addictive Disorders
 Supervisors: Drs. Deloyski, Silversmith, and Siegel
 Flexible and individual treatment by matching patient
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needs with interventions
Assessment and intervention services to patients with
primary SUDs and those dually diagnosed
Individual and group therapies (process-oriented and
structured skill-building), behavior and case
management, and patient education
Diagnostic interviewing, objective and projective
testing, and neuropsychological screening
Provide consultation in the context of a multidisciplinary team
Admissions/Crisis/Consultation Team
(ACC)
Supervisor: Drs. Arbisi
 Main intake and evaluation center
 Work closely with the Medical Center ER
 Diagnostic interviewing, psychological and
neuropsychological screenings and assessments, brief
therapy, crisis management
The Mood Disorders and General
Psychiatry Team
 Supervisors: Drs. Hess, Perry, and Walden
 Specializes in mood disorders and general psych
patients
 Diverse theoretical perspectives
 Emphasizes diagnostic interviewing, psychological
assessment, and psychological intervention
 Intake evaluations, outpatient personality
assessment, and neuropsychological screening
evaluations, individual and group psychotherapy
Neuropsychology (rotation)
 Supervisor: Drs., Carter, Clason, Eidson, Lamberty,
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Lundgren, and Sim.
Ok for specialization as well as those wanting just
experience
Eclectic test battery
Competence in consultation skills - TBI Team,
Neuropsychology Case Conferences, and MS Team
Variety of patients – dementia, strokes, TBI, tumors,
seizures, and MS, etc.
Psychiatric Partial Hospitalization (PPH)
 Supervisor: Dr. Isenhart, Peterson, Schumacher, and
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Broden
Not a treatment team - cost-effective and clinically
viable alternative to full hospitalization
Intensive treatment while avoiding some of the
malignant regressive temptations often associated
with inpatient care
Organized within a therapeutic community or milieu
setting, the broad range of treatments include:
Case management, educational therapy, group
therapy, occupational therapy, recreational therapy,
and medication management
Opportunity for psychoeducational and process group
experience
Post-Traumatic Stress
Recovery (PTSR) Program – Team L
 Supervisors: Drs. Curry, Ferrier-Auerbach, Kaler
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Meyers, Polusny, Voller, and Wagner
Training in the assessment and treatment of patients
with acute and chronic trauma-related disorders
Assessment – diagnostic interviewing, objective,
projective, and neuropsychological instruments
Individual, family, and group psychotherapy
EST – CPT, PE, MI and Seeking Safety
Consultation to the multidisciplinary team
Psychoeducational activities
Ongoing research
Female veterans, OIF/OEF service members
Variety of traumas.
Primary Care Psychology/ Health Psychology
 Supervisors: Drs. Billig, Helbok, Mallen Olson, Chiros, and
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Skroch
Integration of mental health with primary care
 Co-located working collaboratively with PC staff
 Rapid access and tx for acute psychiatric disorders
 Innovative models of co-managing care for patients with
chronic medical and mental health conditions.
Interns will have the opportunity to learn innovative
models and skills for managing mental health conditions
within an integrated primary care clinic setting.
Chronic pain assessment and intervention,
Training in the assessment, treatment and consultation of
medical patients.
Orientation - Integrative, emphasizing contemporary
behavioral approaches.
Telemedicine opportunities
Polytrauma/Rehab
 Supervisors – Drs. Petska, Collins, Blahnik,
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Lamberty, McGuire, Sim, Howard, Kennedy, and
Merladet
Training in Rehabilitation and Neuropsychology
Recognized as a center of excellence
1 of 4 such programs in the country
Provides a full range of intensive inpatient treatment
to brain injured veterans and active duty patients,
many in their late teens and early 20's
Psychotherapeutic and behavioral interventions
Neuropsychological evaluations
Family interventions
Bed rounds
Neurological and psychiatric examinations
VISN Pain Center
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New VSIN Tertiary Pain Center
New rotation or part of rehab rotation?
Staff being hired.
We will know more at start of training year
Assessment and intervention with chronic pain
SPMI (Serious and Persistent Mental
Illness) Team
 Supervisors: Dr. Hegeman, Nienow, Rogers, and
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Sponheim
Assessment and treatment of patients with psychotic
disorders including bipolar disorders
Patients vary in their level of functioning and
persistence of psychopathology
Competence in the conceptualization and assessment
of psychosis and other psychiatric symptoms as well
as in the assessment of cognitive and social
functioning in outpatients and inpatients
Individual therapy, group therapy, and couples or
family interventions
New Programs – CBSST, Family Program, recovery
Oriented
Main
Rotations
22.5 hours per week
Standard
interns
Rotation 1
Neuropsych
Neuropsych II
Rotation 2
Rotation 3
Neuropsych I
Rotation 3
GRECC Memory Clinic
Neuropsych I
Rotation 2
Neuropsych
Neuropsych II
GRECC Memory Clinic
Adjunctive
Experiences
DBT, Family Therapy, TLDP, MI, CPT, Admin., ACT, Extended Psychodynamic
Therapy Clinic, Research, AIC (17.5 hrs per week)
Adjunctive
Exp.
-------------------------------6 hours per week ---------------------
Adjunctive
Exp.
-------------------------------6 hours per week ---------------------
Assmt. Clinic
------------------------------1.5 Hrs. per week----------------------
Reading/misc
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Seminars
--------------------------------2 Hrs per week----------------------
This chart is intended to serve as a planning guide and should not be rigidly interpreted. Time estimates
are based on a 40 hour work week. Interns should expect to work 40 to 50 hours per week in order to
complete training activities.
Rotations
Adjunctive experiences
Assessment Clinic
Seminars/Didactics
Readings
Adjunctive Training Experiences
 Interns select 3 Adjunctive Training Experiences:
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Family Therapy Training Clinic (FTTC)
Dialect Behavior Therapy (DBT)
Anxiety Intervention Clinic (AIC)
Time-Limited Dynamic Psychotherapy (TLDP)
Motivational Interviewing (MI)
CBSST
Cognitive Processing Therapy (CPT)
Prolonged Exposure (PE)
Psychodynamic Psychotherapy
Acceptance and Commitment Therapy (ACT)
Assessment Clinic
Administration
Research
Family Therapy Training Clinic
 Supervisor: Drs. Leskela and Erbes
 Training in the assessment and treatment of couples
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and family-related concerns
Staff, postdoctoral fellows, and interns participate
Didactic presentations
Clinical experience using structural, strategic,
solution-focused, and narrative techniques
Group supervision
Anxiety Intervention Clinic
 Supervisor: Dr. Possis
 Utilizes empirically-supported approaches to treat
Anxiety disorders
 Critical thinking and professional development are
emphasized
 Interdisciplinary training setting
 Peer consultation/supervision model
Prolonged Exposure
 Supervisors – Drs. Polusny and Strom (VA National
Trainers); Drs. Voller and Ferrier-Auerbach
 Didactics starting with 1.5 day PE training and
weekly readings
 Weekly 90 min. appointments with 1-2 veterans
 Bi-monthly consultation group
 Weekly group and individual supervision
 Video tape and review by supervisor
 Will be PE certified with the VA (same as staff)
Cognitive Processing Therapy Clinic
 Supervisors: Drs. Curry & Petska (VA Regional
Trainers)
 Utilizes empirically-supported time-limited approach
to treat trauma-related disorders such as PTSD
 Readings and discussions of didactic material, review
of video and audio tapes of interactions with patients,
and role-playing
 Interdisciplinary training setting
 Peer consultation/supervision model
 Opportunity to serve as individual therapist and coleader for group
 Ongoing clinical outcome assessment
Time-Limited Dynamic Psychotherapy
(TLDP)
 Supervisor: Dr. Wagner
 Empirically-based treatment model:
 Strupp and Binder (Psychotherapy in a New Key: A
Guide to Time Limited Dynamic Psychotherapy
 Training in a group/peer supervision/consultation
format
Motivational Interviewing (MI)
 Supervisor: Dr. Isenhart
 Empirically supported directive, client-centered
therapeutic style for eliciting behavioral change
 Help clients explore and resolve ambivalence about
making changes
 Applicable to SUDs and other psychological disorders
 Will learn basic MI goals and principles
 Readings and discussions of didactic material, review
of video and audio tapes of interactions with patients,
and role-playing
Acceptance & Commitment Therapy: ACT
 Supervisors: Drs. Billig & Hess (VA Consultants)
 A functional contextual therapy that views psychological
problems dominantly as problems of psychological
inflexibility.
 Uses acceptance and mindfulness processes, and
commitment and behavior change processes, to produce
greater psychological flexibility.
 Six months for the later part of the year
Dialectical Behavioral Therapy (DBT)
 Supervisors: Drs. Meyers and VanEgeren
 Empirically-supported, manualized treatment
approach developed by Linehan, 1993)
 Used to treat male and female patients who share key
features with those diagnosed with Borderline
Personality Disorder, particularly emotion
deregulation
 Didactic, group supervision, consultation group
 Individual and/or group interventions
DBT/PE
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New pilot program
Co-lead skills group (6 week intensive module)
Co-lead mindfulness exercises
Lead community outings – skill practices
Individual patient if experience with DBT
Psychoanalytic Therapy
 Supervisor: Dr. Walden
 This year-long clinic is intended to give trainees
experience with psychoanalytic-informed approaches
to psychotherapy with individuals.
 One to two cases, meeting once or twice weekly, for a
total of two clinical hours per week.
 Process notes for use in a weekly group supervision
meeting.
 Readings covering various psychoanalytic ways of
thinking about and working with people are assigned
and discussed in supervision.
Assessment Training Clinic
 Supervisors: Drs. Arbisi and Siegel
 Ensures that all interns get good training in
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psychodiagnosis
 Diagnostic interviewing
 Intellectual assessment
 Objective instruments
 Exposure to projective instruments
Meets weekly for entire year
Wide range of cases are assigned on a rotating basis
Interns provide consultation and peer supervision
Interns can expect to become familiar with the
relevant assessment related literature
Research/Scholarly Experiences
 Research: Consistent with our Scientist Practitioner
Model, interns may participate in a research or other
scholarly project for six or 12 months of the training
year
 Averaging four hours of release time per week.
 Can devote more on own time.
Administrative Experiences
 Interns may elect to obtain administrative experience
with psychologists who are actively involved in clinical
administration.
 This experience will involve some didactic, readings,
shadowing staff and completion of a project based on
intern’s interests.
Seminars
 Seminars: weekly Psychology Training Seminar
 Didactic focus (interns help choose)
 Adjunctive experiences have a didactic component
 One of the presentations occurs in Mental Health
Grand Rounds (formal and multidisciplinary in
nature)
***** Want to foster development of competency, critical
thinking abilities, knowledge, and professional identity
Optional Didactics
 Neuropsychology Case Conference
 Year-long conference involves didactics and case
presentations
 Opportunity to improve their competence in
interpretation of neuropsychological tests,
consultation and peer supervision
 Other educational seminars and case conferences
throughout the hospital and community
Main
Rotations
22.5 hours per week
Standard
interns
Rotation 1
Neuropsych
Neuropsych II
Rotation 2
Rotation 3
Neuropsych I
Rotation 3
GRECC Memory Clinic
Neuropsych I
Rotation 2
Neuropsych
Neuropsych II
GRECC Memory Clinic
Adjunctive
Experiences
DBT, Family Therapy, TLDP, MI, CPT, Admin., ACT, Extended Psychodynamic
Therapy Clinic, Research, AIC (17.5 hrs per week)
Adjunctive
Exp.
-------------------------------6 hours per week ---------------------
Adjunctive
Exp.
-------------------------------6 hours per week ---------------------
Assmt. Clinic
------------------------------1.5 Hrs. per week----------------------
Reading/misc
.
--------------------------------2 Hrs per week----------------------
Seminars
--------------------------------2 Hrs per week----------------------
This chart is intended to serve as a planning guide and should not be rigidly interpreted. Time estimates
are based on a 40 hour work week. Interns should expect to work 40 to 50 hours per week in order to
complete training activities.
Rotations
Adjunctive experiences
Assessment Clinic
Seminars/Didactics
Readings
Time Commitment
 A one-year, full-time training commitment - averaging
45 to 50 hours a week on site
 Expected that some work will occur off site as well
 Balance of work and learning
Supervision
 2 + hours of individual supervision per week
 2 + hours of group supervision per week
 Style and modes of supervision vary
 Videotapes, audiotapes, observation, role-plays,
process notes, and co-therapy are among the tools
used to aid in supervision
 May be assigned readings and literature searches
 Mostly consultative in nature
Mentors
 Each intern will choose a mentor
 A non-evaluative but not absolutely confidential
relationship
Role:
 Help the intern negotiate the internship program
 Integrate feedback from various supervisors
 Plan for post-internship goals
Postdoc Opportunities
 2 postdocs in the specialty of Clinical Neuro (2 years)
 4 Postdocs in Clinical Psychology – emphasis (1 year)
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PCMH/Health
Rehab Psychology/Polytrauma
SMI (interprofessional center)
Trauma
 Accredited – Clinical focus with 25-49% time in
research
 Current interns very competitive but no overt
preference (about 50% selection)
The Application Process
We seek applicants who have:
1. A sound clinical and scientific knowledge base
2. Strong basic skills in standard assessment,
intervention, and research techniques
3. Personal characteristics necessary to function
well in our internship setting
 Open to supervision, thirst for learning, strong
initiative
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Selection criteria are based on a "goodness–of–fit"
with our scientist-practitioner model
Training Term
 Full-time for one year beginning on about the 3rd week
of August
 One year at full-time equals 2080 hours
Leave:
 10 federal holidays
 Sick leave and annual leave (4 hours of each per
two-week pay period (a total of 13 days of each)
 Authorized leave for conferences, presentations, PD
interviews, and to complete activities required by
your university - # day is flexible
Stipend and Benefits
 $25,402 per year
 Health and life insurance is available.
 The United States Government covers interns for
malpractice under the Federal Tort Claims Act
Our Strength is Our Weakness
 Opportunity and Choice!
 Many training options
 Can be overwhelming!
 Cannot pick them all
 Need to try and prioritize
 Many ways to get training goals met
 Several rotations/options can meet goals
Nationally Recognized Staff
 Training Program
 Dr. Siegel
 APPIC Board of Directors
 Co-Chair VA National Professional Standards Board
 Associate Editor - TEPP
 Past - APA Commission on Accreditation – Executive Committee
 Past Chair, VA Psychology Training Council
 National VA Trainers and Clinical Consultants
 Dr. Billig
 Acceptance and Commitment Therapy
 Drs. Polusny & Strom
 Prolonged Exposure Therapy
 Dr. Hegeman
 Cognitive Behavioral Social Skills Training
 Dr. Nienow
 Family Psychoeducational Program for Schizophrenia
 Drs. Petska & Curry
 Cognitive Processing Therapy
 Research Staff
 Dr. Sponheim
 Continuously funded psychopathology research lab for the past
15 years.
 Dr. Arbisi
 Author of MMPI-2 F(p) scale, co-author MMPI RF
 Consulting editor, Personality Assessment
 Dr. Polusny
 RINGS project
 Dr. Erbes
 RINGS project
 Dr. Nienow
 Cognitive training intervention for individuals with
schizophrenia
 Dr. Hagedorn
 Contingency management in addictions treatment
Other Strengths
 Highly skilled supervisory staff dedicated to training
 No pressure to produce billable hours
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Focus in on TRAINING
Want about 15 clinical contact hours per week by mid year
Balance learning with productivity
Goal: prepare you for postdoc or job
 Assessment and testing is the clinician’s decision
 Very few sites that don’t limit testing especially personality
assessment
 Affiliated Medical Center – academically productive
 Access to female patients
 Telemedicine
Thank You Notes/Email
 We ask that you do no send us thank you notes or
emails.
 Communication with TDs and staff is encouraged if
you have questions about our program and how it may
meet your training needs and goals.
Minneapolis-St. Paul
Yes, it gets cold, but….
 Kiplinger rated the Twin Cities #2 on their list of “50
smart places to live”.
-”Hip and progressive with a Midwestern
sensibility, multiple cultural outlets, and pro teams
in all four major sports.”
 Forbes ranked Minneapolis #1 on their list of most
affordable places to live well.
 Twin Cities suburbs are consistently ranked “best
places to live” by Money magazine.
-Past winners include: Apple Valley, Eagan,
Plymouth and Chaska.
Schedule
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8:00 - 9:00 Intros. Brief Program Description
9:00 – 9:30 Overview of Research Opportunities
9:30 - 10:20 Interview block
10:30 - 11:20 Interview block
11:30 - 1:30 Lunch/ Rotation/Adjunctive
Supervisors (2nd Floor Atrium – see map)
1:30 - 2:30 Interview block
2:30 - 3:15 Meet with current interns
3:15 - 3:45 Tour by Postdoctoral Residents
345 – 4:14 Wrap up with TDs
 Each applicant will have 2 interviews of approximately 45 minutes.
Two interviews in three blocks.
 The second interview will include a clinical vignette.

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