Dean Medical Center - Adult Neuropsychology Service

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Wisconsin Internship Consortium in Professional Psychology

Dean Medical Center – Adult Neuropsychology Service

Department of Neurosciences
1313 Fish Hatchery Road
Madison, WI 53715
(608) 294-6088
NMS# 211211

Dean Medical Center’s Adult Neuropsychology Service is a multidisciplined (e.g., neurologists, neurosurgeons, neuropsychologists) clinic involved in the diagnosis and treatment of neurological disorders that occur later in life. Neurologists and neurosurgeons conduct evaluations of the nervous system that include the neurological exam, neuroimaging studies (e.g., MRI and CT scans), EEG and EMG studies, and laboratory tests (e.g., blood work, spinal fluid, biopsies). Neuropsychological assessment is an extension of the neurological exam and involves psychometric methods to characterize the behavioral manifestations of neurological disease or trauma. The goal is to identify the cognitive or neurobehavioral impairments that pose barriers to optimal psychological functioning, and to develop compensation strategies that prevent impairments from causing disability.

Patient referrals come from within the department, and also from primary care physicians, nurse practitioners, physician assistants, psychologists, and psychiatrists within the Dean Health System of southern Wisconsin. Referrals also come from the Physical Medicine and Rehabilitation Department of Meriter Hospital, where Dean patients receive inpatient rehabilitation services. This broad referral base contributes to a wide variety of clinical opportunities.

The adult neuropsychology internship offers fascinating opportunities to learn more about the neuropsychological manifestations of dementia (e.g., Alzheimer’s disease, Diffuse Lewy Body disease, Vascular disease, Pick’s disease, and Fronto-temporal degeneration) closed head injury (e.g., post concussion syndrome, TBI) stroke (e.g., infarctions, hemorrhage, and complicated migraines), attention deficit disorders, multiple sclerosis, specific learning disorders (e.g., disorders of reading, written language, and mathematics), seizure disorders (e.g., complex partial seizures and generalized seizures) and psychiatric disorders (e.g., schizophrenia, bipolar disorder, and depression).

The didactic component of internship training will include readings in neuroanatomy, neuropathology, psychometric assessment methods, and clinical neuropsychology. Intensive clinical training in neuropsychological assessment methods will focus on chart review, interviewing, test administration, and test scoring. Interns will learn how to interpret neuropsychological test findings and how to provide direct feedback to patients and their families. Interns will also learn a comprehensive neuropsychological evaluation report writing format and strategies for tailoring reports to the specific needs of referral sources. Particular emphasis will be placed upon building intern’s skills of generating useful recommendations to help patients compensate for cognitive deficits and to help family members cope more effectively with patients’ neurobehavioral impairments. The culmination of internship training will be the development and implementation of rehabilitation counseling interventions with selected patients. Opportunities may also exist for inpatient consultation at St. Mary’s Hospital, research (given the extensive amount of neuropsychological data that is collected), and conducting specialized neurodiagnostic procedures (e.g., the intracarotid amytal test, which determines hemispheric dominance for speech and language in patients being considered for epilepsy surgery.)

Proposed Intern Applicant Requirements

(to be finalized in Fall 2012 by the WICPP Consortium Training Committee)

Coursework

  • four foundational areas of psychology (required)
    • social bases of behavior
    • cognitive/affective bases of behavior
    • biological bases of behavior
    • individual differences
  • cognitive/intelligence testing and assessment (required)
  • neuropsychology (required)
  • personality testing and assessment (preferred)
  • psychometric assessment methods (preferred)
  • physiology (preferred)
  • neuroanatomy/neurophysiology (preferred)
  • behavioral neurology (preferred)

Practicum Experiences

  • experiences in diagnosis, assessment, and intervention with adults presenting with mental health issues with concurrent medical problems (e.g., cancer, chronic health issues) acquired brain dysfunction (e.g., closed head injuries), developmental or neurodevelopmental disorders(e.g., dementia), stroke or seizure disorders, cognitive or neurobehavioral impairments (e.g., ADHD, learning disabilities)
  • experience in health, hospital, and/or other medical settings (preferred)
  • experience in other mental health settings (preferred)

Additional Experiences

  • interest and experience in diversity and multiculturalism, including evolving cultural competence and experience with clients from different cultural backgrounds
  • 200 assessment hours (minimum)
  • 100 intervention hours (minimum)
  • experience in administering and scoring the following assessment instruments:
    • WAIS-III and WAIS-IV
    • RBANS
    • Memory assessments
    • Woodcock-Johnson
    • Personality measures (e.g., MMPI-II, MMPI-R)

Supervisor: Jerry Halsten, Ph.D., ABPP
Stipend: $22,000/year

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