Learn more about the training opportunities within the core rotation in consultation.
- Behavioral Health Integrated Care (Consultation Liaison)
This rotation is required and restricted to interns within the Behavioral Health Integrated Care track. Interns will work in CHOP pediatric primary care, providing consultation and intervention services within a primary care team, including pediatrician, pediatric resident, clinical nurse practitioner, child psychologist, amongst others. The patient population is generally low income and resides in medically underserved urban communities. Some interns will also provide consultation and intervention services within an urban middle school utilizing a multidisciplinary team, including child psychologist and child and adolescent psychiatry fellows. Interns will acquire skills necessary to effectively provide community-based services to underserved children and their families.
- Neonatal Intensive Care Unit
The training goal of this rotation is to provide clinical experience with infants and their families in an inpatient intensive care setting. This rotation involves consultation and collaboration with multiple disciplines, including nursing, developmental therapies (physical, occupational, speech, music, and child life), social work and neonatology. This rotation complements the Neonatal Follow-up Program rotation and provides a foundation for understanding the needs of the population referred to that program. This rotation is generally completed as an 8-hour rotation.
- Learn to conduct infant assessments using parent interviews, nursing interviews, clinical observations, and standardized assessment procedures
- Learn how to provide feedback to parents regarding their infants’ development
- Work with multidisciplinary colleagues and parents to create developmentally appropriate schedules and activity suggestions
- Oncology Survivorship Clinic
Interns completing the Survivorship Clinic rotation will provide outpatient consultation and intervention services for children, adolescents, and young adults and their families who have survived cancer. Interns will respond to outpatient consultation requests, refer patients for outside services and/or provide outpatient therapy. Common referral issues include: adjustment to survivorship, issues of loss and grieving, posttraumatic stress. Interns may also co-lead a bi-monthly parent group for parents of inpatients, and may have the opportunity to co-lead other groups for survivors and their families.
- Develop consultation skills as the psychosocial member of an interdisciplinary team providing care to survivors and their families.
- Gain family-systems and cognitive behavioral psychotherapy skills for a wide range of issues related to childhood cancer and its treatment, with children, adolescents and young adult survivors and their families.
- Become familiar with long-term cognitive, emotional, and medical late effects of childhood cancer treatment, and the effect of these late effects on the development of the survivor and his/her family.
- Rehabilitation Psychology
The inpatient rehabilitation program is located in Children’s Seashore House and is an 18-bed unit, providing services to children with a variety of neurorehabilitation and musculoskeletal needs. Psychology interns working with this program will develop skills at providing psychological services for neurorehabilitation patients within an interdisciplinary team (including attending physician, resident, clinical nurse manager, PT, OT, SLP, Child life, social worker, and case manager). The rehabilitation psychology service provides initial assessments, case consultation, behavioral management, individual psychotherapy, family therapy, education, cognitive screening, and co-treatment with other members of the team, and overall team support. Interns on this service will be responsible for the initial assessment and provision of indicated psychological services for a limited caseload of patients with traumatic brain injury, brain tumors, encephalitis, and so forth. Trainees may also have the opportunity to participate in the Minimally Responsive Evaluation Program if appropriate patients are entered in this program during the rotation.
- Develop knowledge related to the unique sequelae and biopsychosocial needs of children with neurorehabilitation issues, and their families.
- Develop skills related to the clinical assessment of patients and families with neurorehabilitation issues, which will include diagnostic interviewing and cognitive screening as indicated.
- Develop skills related to the provision of services to patients and families with neurorehabilitation issues, which will include individual and family interventions, education, behavioral interventions, and cognitive remediation as indicated.
- Gain knowledge and skills related to working within a multidisciplinary inpatient treatment team.
- Develop skills as a consultant to members of the treatment team around patient care issues.
- Develop skills related to documentation, including progress notes, discharge summaries, and psychological evaluations.
- Participate in team meetings, family meetings, and school re-entry meetings.
- Participate in monthly Psychosocial Rounds.
- Regional Autism Center Rotation
This rotation provides the opportunity to participate in a multidisciplinary evaluation of young children (age 2-6 years) for possible autism spectrum disorders (ASDs). Disciplines include developmental behavioral pediatrics, psychology, speech and language pathology, occupational therapy, and social work. This is a training clinic: most of the providers are clinical trainees under supervision, and there are frequent trainee observers (LEND fellows and pediatric residents).
The Regional Autism Center rotation fulfills a requirement in the core area of consultation.
- Administer the ADOS as part of a multidisciplinary evaluation.
- Provide consultation to the team about observed behaviors, diagnostic impressions, and recommendations.
- Participate and lead the team case discussion.
- Provide written and oral feedback to families individually and on behalf of the team.
- Solid Organ Transplant
The training goal of this rotation is to provide the intern with exposure and direct practice opportunities in providing psychological services as a member of interdisciplinary heart, lung, heart/lung, liver, and kidney transplant teams. These teams serve children who are experiencing organ failures, and who are at various stages in the pre- and post-transplant process.
Psychology services provided include:
- Pre-transplant psychosocial assessment of children and families;
- Inpatient/outpatient consultation/intervention services for children and adolescents awaiting transplant and their families; and
- Consultation with the transplant medical team around patient and parent coping and parent-staff interaction.
Common referral issues include adjustment to illness, prolonged hospitalization, and transplant; grief and loss; parent/team communication; and adherence to medical regimen pre- and post-transplant.
This rotation is generally completed as an eight-hour rotation. However, other arrangements may be made to accommodate needs of a particular intern’s training interests/schedule.
- To develop an understanding of child and family coping with organ failure and the need for transplant and prolonged hospitalization, as impacted by individual, situational and systemic factors.
- To develop skills in the conduct of the pre-transplant psychological evaluation.
- To develop an understanding of factors impacting the pre-transplant evaluation process, including psychological, social, medical and ethical.
- To develop skills in intervening to support child, parent and sibling coping with illness and hospitalization.
- To develop skills in consultation with medical and nursing staff to support patient and family coping.
Required training activities include:
- Responding to requests for psychology consultation, which typically come from physicians, nurses, social work or child life on the unit. The consultation involves meeting with the family for an initial assessment, gathering information from the medical team, providing feedback to the team about your assessment findings, and ongoing follow-up of the family and team when warranted.
- Conducting pre-transplant psychological evaluations each time a patient is been evaluated as a candidate for heart transplantation (approximately one per month). Sometimes these evaluations will include a cognitive/psychoeducational screening of the child.
- Possible co-leading of a parent support group on the unit.
- Attending ONE of weekly psychosocial rounds (lung transplant: Wednesdays at noon; heart transplant: Wednesdays at 3 p.m.).
- Weekly individual supervision
- Pediatric Feeding and Swallowing Center
The Pediatric Feeding and Swallowing Center assesses and treats children typically between 2 months to 5 years with a variety of complex feeding and swallowing problems. These children may present with limited intake of food and/or fluid, limited variety of foods accepted, dependence on tube feedings, and failure to advance from smooth to textured foods.
Comprehensive services are provided by an interdisciplinary team, comprised of a pediatrician, nurse practitioner, psychologist, dietitian, speech and language pathologist, and occupational therapist. Services offered include evaluation of feeding problems, outpatient consultation and feeding therapy in a day hospital setting. Limited inpatient consultations and feeding therapy in outpatient setting may also be available.
- To increase knowledge about assessment of complex feeding disorders
- To develop behavioral techniques to treat feeding difficulties in both outpatient and day hospital settings
- To understand the role of the pediatric psychologist on an interdisciplinary team
- Pediatric Sleep Center
Psychology trainees will join the multidisciplinary team, including pulmonary, neurology, and psychology, of the Sleep Disorders Center in the Division of Pulmonary. Approximately 500 new patients are seen each year. The focus of this rotation includes both assessment and treatment of sleep disorders in children and adolescents, with follow-up of individual patients. As part of this rotation you will participate in a weekly didactic series.
- To understand normal sleep patterns in children and adolescents and the symptoms and treatment of common pediatric sleep disorders, including sleep apnea, narcolepsy, parasomnias (e.g., sleepwalking, sleep terrors), rhythmic movement disorder, bedtime problems, and night waking.
- To gain training in assessment of pediatric sleep problems, including subjective (e.g., history taking, sleep diaries) and objective (e.g., overnight polysomnography) measures of sleep and sleep disorders.
- To develop treatment programs for behaviorally based sleep problems and consult with team members on medically-based sleep issues.
- To expand skills in working within a multidisciplinary team.
- Plastic Surgery: Facial Reconstruction Center
Interns work 4-8 hours on Thursdays. Cleft Palate Clinic is held three times a month; Craniofacial Clinic is held on the third Thursday of each month. Each clinic day concludes with a one hour multidisciplinary team meeting.
Patients (ages: birth to 21 years) with a variety of medical concerns, including:
- Congenital conditions (e.g., cleft lip and palate, craniofacial conditions, and birthmarks)
- Acquired differences resulting from trauma (such as MVAs and burns), tumors (from cancer and neurofibromatosis)
- A variety of hand problems resulting from birth deformities, injury or trauma
Interns who elect to complete this rotation will participate in the following activities:
- Conduct psychosocial assessments for patients with craniofacial conditions presenting for their annual team evaluation.
- Provide consultation to multidisciplinary craniofacial and cleft palate teams, which include specialists from plastic surgery, ophthalmology, speech pathology, audiology, nursing, neurosurgery, psychology, social work, orthodontics, pediatrics, genetics, growth and otolaryngology.
- Provide follow-up care (e.g., therapy) for children/families with acquired and congenital conditions.
- Pediatric Primary Care
Integrated care track
The Primary Care rotation fulfills requirements in the core areas of intervention and consultation and includes individual and family therapy, parent training in behavior management, clinical assessment, and consultation with families, primary care pediatricians, and pediatric residents.
This rotation is based at the Cobbs Creek Primary Care location.
In conjunction with their psychologist supervisor, psychology interns participate in the initial clinical consultation, which focuses on an assessment of the child in the context of their family, school, and community. Clinical consultation results are shared with the referring pediatrician, as well as parent(s). Based on the level of the concerns, short-term, evidenced-based treatment plans are developed. The child and parent(s) are seen for follow-up mental health intervention by the psychology intern at the primary care office location.
- To learn about strategies for providing co-located mental health services in pediatric primary care.
- To provide individual, family and group EBPs to children and families in a primary care setting.
- To learn effective diagnostic techniques for interviewing parents and children.
- To learn how to conduct behavioral consultation with other primary care providers.
- To become an effective consultant on empirically supported interventions to primary care providers.
- To collaborate with trainees from other disciplines in a primary care setting.
- Pediatric Stroke Program
The Pediatric Stroke Program is a multidisciplinary clinic that provides comprehensive treatment and assessment of children who have suffered from strokes or other vascular conditions. The team consists of individuals from nursing, neurology, physical therapy, occupational therapy, speech-language therapy, social work, school intervention and neuropsychology.
Interns in the pediatric stroke clinic will see patients in the multi-disciplinary clinic who are referred for various emotional, behavioral and cognitive concerns. Interns work closely with the other team members and provide integrated assessment, consultation, or brief intervention services within the clinic setting. Supervision involves shadowing and individual supervision.
Interns are expected to attend weekly Stroke Conferences, pre-clinic rounds and stroke clinics
- Increase understanding of pediatric stroke and related medical conditions
- Develop consultation and assessment skills as a member of an interdisciplinary team providing care to stroke patients and their families.
- Develop skills working within an interdisciplinary treatment team, including providing feedback and consultation to the team.