Clinical Rotations

The training year will be divided into two 6-month blocks and most rotations will occur in a single block. Interns will have two rotations per block. In addition they will have a primary outpatient rotation that will be 12-months long.  Each week, 8 hours will be spent in each of the three rotations.  There are a number of rotations available allowing for flexibility to customize the training experience to meet the goals of each individual.  All interns will have rotations that include outpatient therapy, assessment and long-term therapy. Prior to the start of the training year the incoming interns will be asked to rank order their choices for rotations. Whenever possible interns will be provided with their top choices although this may not always be possible, for example in the situation where several interns all rank the same rotations highly. 

**Note that at this time we do not know what impact, if any, COVID-19 will have on the provision of in-person therapy for the 2021-2022 training year.  The rotations will be prepared to offer some or all services virtually if necessary.

 

Clinical Rotations – General Adult Track

 

12-month Rotations

At the Center for Cognitive Therapy we offer training in both the psychotherapy process and the diagnostic interview process using the Cognitive Model and Evidence Based Practice.  We treat a wide range of both emotional disorders and personality disorders.  Supervision is offered by therapists who are both certified cognitive therapists and licensed psychologists or social workers. Primary supervisor: Mary Anne Layden, PhD, Director of Education.  https://www.med.upenn.edu/cct/ 

Cohen Military Family clinic. Psychotherapy is offered in a time-limited model, utilizing evidence based practices to promote growth and recovery for Veterans and their family members. Presenting concerns may include but are not limited to Posttraumatic Stress Disorder, Major Depression, Anxiety Disorders, Adjustment Disorders, Insomnia, and Marital/Family Distress. Interns’ direct clinical experiences will include completing biopsychosocial assessments and evidence based therapies. Clinical training opportunities include learning to apply Prolonged Exposure, Cognitive Processing Therapy, Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (for depression and anxiety disorders), Cognitive Behavioral Therapy for Insomnia, and Integrated Behavioral Couples Therapy during the training year, contingent upon the needs of the client. Primary supervisor: Ashleigh M. Adams, PhD, Assistant Director and Director of Training.  https://www.med.upenn.edu/mfc/ 

The Outpatient Psychiatry Clinic (OPC) provides individual and group psychotherapy to the Penn community and to the larger West Philadelphia community. The OPC is a multidisciplinary team clinic including social workers, psychologists, psychiatrists, and nurse practitioners. Psychotherapy orientations include psychodynamic, cognitive behavioral, and eclectic. Providers use time-efficient treatments ranging from short-term psychodynamic to trauma-informed to rational emotive behavior to dialectical behavior therapeutic approaches, as well as many in between. . Primary supervisor: Jessica N. Shore, PsyD, Director of Psychotherapy Services.   https://www.med.upenn.edu/psychiatry/opc.html 

Interns in the Center for Women’s Behavioral Wellness will receive supervision in the provision of evidence-based psychotherapies to women presenting with mental health conditions related to reproductive health complaints.  Didactic sessions, journal clubs, and group and individual supervision will focus on providing interns with an understanding of the psychological effects of common reproductive life experiences such as pregnancy, the postpartum period, premenstrual dysphoric disorder (or other menstrual cycle related mood changes), infertility, pregnancy loss, midlife changes/menopause, and chronic health conditions that interact with reproductive health. The PCWBW is a collaboration between the departments of Psychiatry and Obstetrics and Gynecology.  We provide clinical care to women throughout the lifespan and in both an outpatient psychology clinic and in an embedded women’s health clinic at HUP (The Helen O. Dickens Center).  Primary supervisor: Sara L. Kornfied, PhD; Director, Maternal Wellness Initiative.  https://www.med.upenn.edu/womenswellness/ 

 

6-month Rotations

Assessment & Consultation Rotation will have two primary components.  First, each intern will be expected to complete 6 full batteries on complex adult patients from the community on a variety of differential diagnostic questions, including evaluations for Learning Disabilities, ADHD, Intellectual Disability, TBI, dementia, psychoticism, executive functioning, and general diagnostic clarification.  Interns will be expected to have facility with structured diagnostic interviewing, as well as the WAIS, WMS and WIAT, the CVLT, the MMPI-2 and MMPI-2-RF, the DKEFs, and use of computerized CPTs.  Any intern not having previous experience with these specific instruments should do the rotation in the first part of the year, and should participate in summer didactic instruction specific to those measures.  The second component of the rotation will be the opportunity to provide supervised supervision to clinical psychology graduate student trainees at the University of Pennsylvania completing their introductory practicum in Assessment and Consultation.  Interns will provide some live supervision of the trainee’s cases, will collaborate with the trainee on choosing tests and measures and refining their diagnostic case conceptualization, will edit and comment on the trainee’s draft assessment reports, and will join the trainee and the senior supervisor for the final feedback session with the patient.  This rotation is an opportunity to refine differential diagnosis and case conceptualization skills, to maintain and expand facility with various tests and measures, and to provide an invaluable service to the diverse community in the greater Philadelphia area, most of whom would never be able to access comprehensive assessment outside of our clinic.  Primary supervisor: Melissa Hunt, Ph.D.  

The Joan Karnell Supportive Care Program at Pennsylvania Hospital has a long history of partnering with Penn Medicine psychology trainees in an effort to provide psychosocial care to patients struggling with cancer and sickle cell diagnoses. In this tradition, psychology interns on this rotation provide individual short-term psychotherapy (eight sessions) to patients with cancer/sickle cell diagnoses and their family members. Opportunities for couple and family treatment also occasionally arise.  Our trainees take a flexible approach to treatment. Depending on the client's needs, psychotherapy might involve exploratory engagement, supportive techniques, or some combination of the two. Each intern carries a caseload of ~6 patients and has the opportunity to facilitate support and/or therapy groups with patients/caregivers. Our interns are also integrated into the medical, supportive, and palliative care teams. Supervision involves both a weekly individual meeting and a weekly group meeting. Primary supervisors: Coordinator of Oncology Psychosocial Services, Samantha Null, MSS, LCSW, and Staff Psychologist, Gyrid Lyon, PhD.  https://www.pennmedicine.org/cancer/navigating-cancer-care/programs-and-centers/joan-karnell-supportive-care-program 

The Penn Medicine Autism Clinic serves individuals from 12 months of age through adulthood and provides initial diagnostic assessments as well as comprehensive behavioral/psychological evaluations for patients with prior autism spectrum disorder (ASD) diagnoses. Our mission is to use gold standard assessment tools, in conjunction with family-centered care, to facilitate parents’ understanding of their child’s unique developmental/behavioral profile and how that relates to the child’s intervention/educational needs. Families are then connected directly to quality, evidence-based intervention that is most appropriate for their children. The intern will participate in comprehensive treatment-planning evaluations for individuals with autism. Primary supervisor: Keiran Rump, Ph.D.   https://www.med.upenn.edu/aas/ 

The Cancer Counseling Service of the Abramson Cancer Center (ACC) provides individual and family supportive counseling to patients and family members of patients at the ACC.  Our LCSW therapist provides short-term treatment (6-8 sessions) focused primarily on adjustment to illness (of self or family member) and coping skills.  The Cancer Counseling Service also includes psychiatry within in the same location.  Interns would initially shadow the therapist in sessions as agreed to by patients/families with the goal of transitioning to providing independent sessions.  Interns would be expected to participate in departmental activities such as groups, meetings, project work as well as develop a working knowledge of cancer and the psychosocial aspects of the cancer experience.  Primary supervisors: Matthew Stevenson, MSW, LCSW, Therapist, Patients and Family Services, Abramson Cancer Center & Heather Sheaffer, DSW, LCSW, Director, Patient and Family Services, Abramson Cancer Center. https://www.pennmedicine.org/cancer/navigating-cancer-care/support-services/patient-and-family-counseling 

Center for the Treatment and Study of Anxiety. On this rotation, trainees will receive intensive training in exposure and response prevention (ExRP) for obsessive compulsive disorder. Participants will also receive training in prolonged exposure therapy (PE) for posttraumatic stress disorder (PTSD) depending on availability of training cases. Additionally, participants will receive training in a variety of evidence-based treatment manuals for other anxiety-related disorders depending on the chief complaints of patients on their caseload. Trainees will conduct individual therapy and group therapy.  Primary supervisors: Lily A. Brown, Ph.D., Director & Elizabeth Turk-Karan, Ph.D., Assistant Professor.  https://www.med.upenn.edu/ctsa/ 

The Center for Weight and Eating Disorders provides evidence-based individual psychotherapy services and psychological evaluations for bariatric patients preparing for surgery.  Interns will be trained and supervised in the administration of bariatric evaluations and letter-writing, while interacting with a multi-disciplinary team.  They will also have a small caseload of patients seeking psychotherapy for presenting problems such as binge eating disorder, weight management (often by referral of medical specialists), night eating syndrome, bariatric-related issues, and body image issues. Primary supervisor: Courtney McCuen-Wurst, PsyD, LCSW https://www.med.upenn.edu/weight/ 

Consultation/Liaison Service. This rotation takes place in the Hospital of the University of Pennsylvania, where interns are part of the C/L team.  The C/L team is contacted whenever medical inpatients in the hospital are reporting emotional distress or other psychiatric concerns.  Interns respond to these calls with a bedside evaluation of the patient to determine what services they might benefit from.  This often leads to conducting short-term therapy while the patient is in the hospital, and then helping them find a place to continue treatment after discharge.  Interns work alongside psychiatrists and social workers for an interdisciplinary team approach.  Primary supervisor: Eleanor Anderson, M.D.

Inpatient psychiatry unit. The inpatient unit is located at Pennsylvania Hospital, which is part of the Penn Health System in the Center City neighborhood.  Interns provide evaluation and therapy for inpatients and are an important component of the treatment team.  Each morning, interns will round on the unit with the attending psychiatry and other providers followed by case conference.  Interns will spend 3 months each on a unit focused on mood disorder-spectrum cases and 3 months on a psychosis-spectrum unit.  NOTE that this rotation is 16 hours/week, so it fill both of the 8 hours/week slots for a 6-month block.  Primary supervisor: Reed Goldstein, Ph.D.   https://www.med.upenn.edu/psychiatry/inpatient.html 

The Outpatient Addiction Treatment rotation is an opportunity to increase confidence in evaluating and treating substance use disorders and co-occuring psychiatric disorders. The multidisciplinary treatment setting incorporates leading edge, evidence-based interventions to assist individuals enter into and maintain recovery.  Primary supervisors: Edwin Kim, MD, Michele Gonen, PhD  https://www.med.upenn.edu/addiction/ 

Pain Medicine. Over 80 million adults in the United States suffer from chronic pain. Often patients with patient present with multiple medical and psychiatric co-morbidities which requires a multimodal approach. The PENN Pain Medicine Center provides diagnostic assessments, a variety of interventions including neuromodulation, injections, medication management and behavioral health care. The behavioral medicine clinic sees 10-12 patients per day and provides preoperative psychological evaluations, CBT/ACT and co-management of patients with chronic pain and concomitant substance use disorders. Interns will be involved in direct patient care under supervision, exposure to interventional pain care and provided opportunity for scholarly activity (case reports, review articles).  Primary Supervisor: Martin D. Cheatle, PhD, Associate Professor

PATCH. PATCH provides evidence-based assessment and treatment for youth ages 5-18 with anxiety and related disorders at Hall Mercer Community Mental Health Center. PATCH therapists are trained in cognitive-behavioral therapy (CBT) with an emphasis on exposure therapy, the most demonstrated-effective psychotherapy for these disorders. CBT involves a partnership between the therapist and family and helps children learn to modify their thoughts and behaviors so that anxiety no longer has control over their lives. We treat a range of presenting concerns, including generalized anxiety, separation anxiety, social anxiety, specific phobia, school anxiety, panic attacks, selective mutism, obsessive-compulsive disorder, tics, and trichotillomania. PATCH provides a unique opportunity for interns to deliver evidence-based practices within a community mental health setting. Many cases in the PATCH program have complex comorbidities and require clinicians to engage in collaboration with other behavioral health providers, such as psychiatrists and case managers. Primary supervisor: Keiran Rump, Ph.D.   https://www.med.upenn.edu/hallmercer/patch_about.html 

Penn Memory Center. The Penn Memory Center (PMC) is made up of a multidisciplinary team with expertise in neurology, gerontology, psychiatry, neuropsychology and social work. The PMC serves as a unified Penn Medicine source for those age 65 and older seeking evaluation, diagnosis, treatment, information, and research opportunities related to symptoms of progressive memory loss, and accompanying changes in thinking, communication and personality. This one day/week position is designed for a trainee who is interested in learning about neurodegenerative disease, working with older adults, and obtaining experience with cognitive screening for individual's with Alzheimer's Disease and Related Dementias. This position is typically filled by a student who is not in a neuropsychology track. Primary Supervisor: Dawn Mechanic-Hamilton, Ph.D., ABPP-CN  https://pennmemorycenter.org/ 

 

Clinical Rotations – Child/Developmental Disabilities Track

** Interns in this track may select rotations available in the Adult General Track based on availability and training goals.

a. Intervention Rotations

Pennsylvania Hospital Anxiety Treatment for Children and Adolescents at Hall Mercer (PATCH). PATCH provides evidence-based assessment and treatment for youth ages 5-18 with anxiety and related disorders at Hall Mercer Community Mental Health Center. PATCH therapists are trained in cognitive-behavioral therapy (CBT) with an emphasis on exposure therapy, the most demonstrated-effective psychotherapy for these disorders. CBT involves a partnership between the therapist and family and helps children learn to modify their thoughts and behaviors so that anxiety no longer has control over their lives. We treat a range of presenting concerns, including generalized anxiety, separation anxiety, social anxiety, specific phobia, school anxiety, panic attacks, selective mutism, obsessive-compulsive disorder, tics, and trichotillomania. PATCH provides a unique opportunity for interns to deliver evidence-based practices within a community mental health setting. Many cases in the PATCH program have complex comorbidities and require clinicians to engage in collaboration with other behavioral health providers, such as psychiatrists and case managers. Primary supervisors: Keiran Rump, Ph.D.; Julie Worley, Ph.D.  https://www.med.upenn.edu/hallmercer/patch_about.html 


b. Assessment Rotation

Penn Medicine Autism Clinic

The Penn Medicine Autism Clinic provides initial diagnostic assessments as well as comprehensive behavioral/psychological evaluations for patients with prior ASD diagnoses for individuals from 12 months of age through adulthood. Interns will have the opportunity to participate in parent interviews, child assessment, feedback sessions, treatment planning, and report writing. Supervision is provided by a licensed psychologist.  https://www.med.upenn.edu/aas/ 

c. Consultation Rotations

School District of Philadelphia: Autism Support
A team of consultants from the Center for Mental Health Policy and Services Research provide ongoing consultation and support to the School District of Philadelphia’s programming for students with ASD. Consultation regarding the use of evidence-based practices for students with ASD, including classroom and behavior management, the use of visual supports and daily routines to support student engagement, and individualized instruction based in applied behavior analysis, is provided to teachers and staff within kindergarten-through-fifth grade autism support classrooms throughout the School District of Philadelphia. Consultation is also provided at the school-wide level to improve opportunities for inclusion for children with ASD within the regular education setting. Interns will participate in the delivery of school-based consultation to improve teachers’ use of evidence-based practices for their students with ASD. Supervision is provided by a licensed psychologist.

BRIDGE
Interns provide consultation to school mental health clinicians on concrete strategies to guide their consultation with teachers. Consultants provide an initial training to clinicians, followed by two months of weekly in-person support and two months of phone consultation.  These clinicians participate in brief, ongoing consultation meetings with teachers. The objective of these meetings is for clinicians to help teachers implement effective classroom strategies to address behavioral and emotional challenges exhibited by students in the classroom. Supervision is provided by a licensed psychologist.


d. Research Rotation

CMH is an active research center, and we are strongly committed to helping our interns furtherenhance their research skills. Up to 10% of an intern’s time may be protected for research-related activities. If an intern has not yet completed his or her dissertation, this time should be used to make significant progress towards defending the dissertation. If the intern has completed the dissertation by the time the internship starts, or at any point during the internship year, they are encouraged to use this protected time to explore research questions that can be answered using data from any variety of data sets available at CMH. The intern should initiate this conversation with the Training Director, who can then direct him or her to an appropriate faculty mentor.

 

 

 

 

 

Optional Second Year

Note that in the past this internship offered an optional second year of post doctoral training. This option is no longer available starting with the 2021-2022 training year. 


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