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Learn more about the training opportunities within the core rotation in consultation.
Interns will have the opportunity to provide consultation and intervention services to a variety of patients through the Behavioral Health Integrated Program (BHIP). BHIP is devoted to addressing the behavioral health care concerns of hospitalized children and their families. Interns who participate in BHIP will provide behavioral assessment, consultation, and brief interventions for a wide-range of pediatric subspecialty services including but not limited to adolescent medicine, gastroenterology, critical care, and neurology. Presenting concerns include emotional and behavioral difficulties affecting hospitalization, coping and adaptation to illness or injury, psychosomatic symptoms, and eating disorders. Opportunities for collaboration will occur with other behavioral health care providers (psychiatry, social work, child life) and nursing, medical providers and respective trainees.
The training goal of this consultation 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/week rotation.
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.
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 rehabilitation patients within an inpatient interdisciplinary team (including attending physician, resident, clinical nurse manager, PT, OT, SLP, Child life, social worker, and case manager), and will serve as a leader on the treatment team.
The rehabilitation psychology service provides initial assessments, case consultation, behavioral management, patient and family psychotherapy, psychoeducation, 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 diagnosis that could include traumatic brain injury, brain tumor, stroke, encephalitis, orthopaedic injury, and Conversion Disorder. Typical interventions include behavioral and cognitive-behavioral interventions for adapting to new injury and hospitalization, improving motivation for or compliance with medical treatment, improving symptoms of depression or anxiety, and decreasing symptoms of post-traumatic stress.
This rotation provides the opportunity to participate in an interdisciplinary 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, so most of the providers are clinical trainees under supervision, and there are frequent trainee observers from many disciplines, including physician trainees and allied health professionals. The evaluations, case discussions, and feedbacks are conducted with trainees present, which helps the trainees become comfortable with teaching and facilitating clinical training.
The Regional Autism Center rotation fulfills a requirement in the core area of consultation.
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:
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.
The Pediatric Feeding and Swallowing Center assesses and treats children typically between 2 months to school age 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 within outpatient consultation.
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.
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. The patient population includes children (age 0-21) with a variety of medical conditions. Interns will predominantly work with our Cleft Palate and Craniofacial Team patients, all of whom have congenital conditions affecting the structure and function of the face. There may be opportunities to work with patients with additional conditions affecting appearance (e.g., acquired differences resulting from medical intervention, injury or trauma; hand anomalies).
Integrated care track
The Primary Care rotation fulfills partial 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, school personnel, child psychiatry fellows and pediatric residents.
This rotation is based at the South Philadelphia or Cobbs Creek Primary Care locations.
In conjunction with their psychologist supervisor, psychology interns participate in a brief initial clinical consultation, which focuses on the presenting concern and need for follow-up behavioral health concerns. 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. If necessary, children and families are referred for longer-term community-based care. For these cases, psychology interns work in conjunction with the practice-based social workers to encourage engagement in longer-term care.
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
Intern will attend Cancer Survivorship Program (CSP) clinic each week (Wednesdays) and will shadow the supervisor as she provides consultations to families referred by the CSP medical team. Over the course of the rotation, the intern will take on more responsibility in providing the consultation. Intern will participate in team rounds to prepare for patients (morning of clinic). There will be the opportunity to provide ongoing outpatient therapy to one to two survivors/families initially seen in these consultations. Interns will also be expected to make follow-up phone calls to patients after consults, as needed. In addition, since many of the survivors face learning/cognitive problems, interns will also be expected to help navigate school and learning issues and make referrals for psychoeducational testing.