EVMS Clinical Psychology Internship - Major Components
The EVMS Clinical Psychology Internship Program is organized around major, minor, and outpatient rotations. The educational model requires that psychology interns concentrate their activities in their primary area of emphasis while on their major rotations in Adult Medical Inpatient, Pediatric Behavioral Medicine, Adult Psychiatric Inpatient, or Integrated Primary Care. Major rotations can be supplemented with minor rotations (i.e. concentrated experiences in specialized areas) if desired. Didactics and activities at the outpatient training clinic a ½ day a week round out the total internship experience.
In summary, the internship consists of four primary components: (1) major rotations; (2) minor rotations; (3) an outpatient psychotherapy caseload; and (4) a series of seminars.
The Major Rotation
Major rotations reflect particular training emphases and are either in Adult Medical Inpatient, based at Sentara Norfolk General Hospital (SNGH); Pediatric Behavioral Medicine, located at the Children’s Hospital of the King’s Daughters (CHKD); Adult Psychiatric Inpatient, with inpatient forensic and civil psychology services provided at Eastern State Hospital (ESH), or Integrated Primary Care, located at EVMS Department of Family and Community Medicine. All major rotations provide for a variety of brief therapy experiences, interdisciplinary team collaboration, consultation and opportunities for conducting mood, personality, cognitive, intellectual, and/or neuropsychological assessments, although depending on the site, the relative balance and nature of these activities will vary. The adult inpatient experiences at SNGH center on the Physical Medicine and Rehabilitation Unit and the Consultation Liaison service, while the focus of the adult inpatient experiences at ESH is in Civil Psychology and Forensics. The pediatric behavioral medicine training occurs within inpatient and outpatient clinics at the local children’s hospital. The integrated primary care training occurs at both Sentara Norfolk General Hospital (SNGH), EVMS Ghent Family Medicine, and Portsmouth Family Medicine outpatient clinics.
Interns are assigned to one of the following Major Rotations/units:
- Adult Inpatient (medical-hospital-based population) at Sentara Norfolk General Hospital
- Pediatric Behavioral Medicine at Children's Hospital of The King's Daughters
- Adult Inpatient (psychiatric-hospital based population) at Eastern State Hospital
- Integrated Primary Care at Sentara Norfolk General Hospital, Ghent Family Medicine, and Portsmouth Family Medicine
- Outpatient Training at Hofheimer Hall Outpatient Training Clinic
Psychologists trained to serve in collaborative and integrated care settings will be the model healthcare providers for the 21st Century. In fact, the 2009 APA SUMMIT on the training of future psychologists emphasized that it is crucial that successful components of “First-wave” (i.e., traditional) training models be retained while simultaneously developing emerging “Second-wave” models to prepare psychologists as healthcare providers to maintain the viability of the discipline. These types of insights by APA coupled with a recent emphasis on the Patient Centered Medical Home further underscore the need for psychology’s educational models to be one step ahead of where the field is currently in order to prepare trainees for a bright future and meet the needs of the future population. Subsequently, the EVMS Clinical Psychology Internship Program encourages interns to complete a minor rotation of eight hours per week in an area related to integrated care, especially those available in primary care settings. Several minors have been offered in recent years and are expected to be available in the future. These include inpatient integrated primary care psychology, outpatient integrated primary care psychology, child and adolescent neuropsychology, adult neuropsychology, pediatric rehabilitation medicine, eating disorders, bariatrics, sleep disorders, geriatric integrated primary care psychology, and clinical research projects.
Each intern is assigned to a major rotation track, one or more minor rotations, and one outpatient therapy supervisor to ensure breadth of experience. Assignments have been made based on the expressed interests of interns following matching to the program.
Didactics and case conferences are provided for interns each Wednesday morning, and last from four to 35 weeks per seminar. They are taught or facilitated by full-time and community members of the EVMS faculty, based on their areas of expertise. While parts of the series are determined by the Internship Training Committee parts of the series are set by interns' preferences. The series varies somewhat from year to year depending upon Intern and faculty interests. Typical seminars in recent years have included:
- Advanced Personality Assessment
- Behavioral Case Conference
- Child and Family Interventions
- Cognitive Behavioral Psychotherapy
- Ethical Case Conference
- Forensic/Expert Witness
- Multicultural Psychotherapy
- Patients with Disabilities
- Play Therapy
- Primary Care Psychology
- Professional Development
- Professional Skills for the Healthcare System of the Future
- Psychodynamic Psychotherapy
- Psychotherapy for Gay and Lesbian Clients
- Sleep Disorders
- Suicide Assessment and Crisis Intervention
The Seminar Series for the upcoming academic year is included in Appendix 2 of the training manual.