Psychology Internship Program
Sample Rotational Schedule
This internship provides the trainee with the opportunity to take substantial responsibility for carrying out
his or her major professional functions in the context of appropriate supervisory support. The program is
arranged on both a longitudinal and rotational basis. It is designed around a core experience, which
focuses on intern competencies in assessment, diagnostic interviewing, intervention, case management
and triage, consultation, and critical thinking about clinical case material. Interns are exposed to training in
empirically supported treatments for a range of pediatric conditions. Intern participation in
multidisciplinary teams and specialty clinics affords them the opportunity for limited supervision of, and
role‐modeling for, psychology externs and medical students. Each intern’s schedule is individualized
according to his/her special interests and training needs.
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Throughout the entire year, interns devote 20% of their time to providing outpatient therapy in a clinic
located at the main hospital. This clinic provides training for psychology interns and externs, child
psychiatry fellows, and general psychiatry residents. The patient population in the outpatient clinic at the
hospital is economically diverse and often includes families with multiple psychological, social and medical
problems. Referrals to the outpatient clinics come from community physicians, public and private schools,
and other departments within the hospital.
Interns obtain closely supervised practice in therapeutic intervention, including individual child therapy,
group therapy with parents and children and family therapy. A varied caseload is assigned to each intern.
Interns are encouraged to individualize their caseloads according to their special interests. They typically
carry 10 outpatient cases throughout the year, which may include family and group therapy.
It should be noted that training in issues of child abuse and neglect is provided throughout the outpatient
and inpatient programs. Interns who have a special interest in this area may be assigned to psychology
supervisors in the Freddie Mac Child and Adolescent Protection Center.
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Emergency Room Coverage
Throughout the entire year interns spend one Saturday per month (8:00 am ‐ 4:00 pm) providing
emergency room consultation and triage (ER Call). This experience provides training in the management of
psychiatric emergencies, including diagnostic interviewing, formulation, triage, and the hospital admission
process. Supervision is provided by a psychiatry attending on a rotational basis.
All interns spend 70% of their time for three months on the Child Psychiatry Inpatient Unit. This is a short
stay facility for younger children (ages 5‐13) presenting in acute psychiatric crisis. Primary goals of
treatment typically include stabilization, diagnostic clarification and behavior management. The Unit has
an eclectic orientation including psychodynamic, cognitive, behavioral, and family components. Interns
rotating on this service become case managers and therapists, and participate in the diagnostic assessment
of children who are strikingly uncommunicative, withdrawn, depressed or hyperactive. As a member of the
multidisciplinary treatment team, interns are expected to consult with the psychiatry staff, child life
specialists, nursing staff, and the education staff in the design and implementation of the milieu treatment
programs on this unit. Interns typically carry a caseload of two patients at a time, providing individual
therapy, parent training, psychoeducation and case management as needed. Case supervision is provided
by the Psychiatry Attending Physician. This responsibility rotates monthly among the following
psychiatrists: Dr. Bhavin Dave, Dr. Deepa Khushlani, Dr. Edgardo Menvielle, Dr. Nasima Nusrat, Dr. Sandra
Rackley, Dr. Haniya Raza, Dr. Adelaide Robb, Dr. Jay Salpekar, Dr, Martine Solages, Dr. Cathy
Southammakosane and Dr. Wendell Wu.
Interns also spend 70% of their time for three months on the Adolescent Psychiatry Inpatient Unit. This
program is designed to meet the medical and psychological needs of adolescents presenting in acute
psychiatric crisis. These are primarily patients with psychosomatic disorders, depression, anxiety disorders,
oppositional disorders, and school refusal. Interns become part of the multidisciplinary team that includes
adolescent medicine, psychiatry, psychology, social work, education, nursing, nutrition and physical
therapy. Interns typically carry a caseload of two patients at a time, providing case management and
intensive individual and family therapy, Case supervision is provided by the Psychiatry Attending Physician.
This responsibility rotates monthly among the following psychiatrists:, ,Dr. Deepa Khushlani, Dr. Nasima
Nusrat, Dr. Sandra Rackley, Dr. Haniya Raza, Dr. Adelaide Robb, Dr. Jay Salpekar, Dr, Martine Solages, Dr.
Cathy Southammakosane and Dr. Wendell Wu. Psychotherapy supervision for both inpatient rotations is
provided by Dr. Michele Dadson, a staff psychologist.
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Outpatient Evaluation Experience
During the six months that interns are not rotating through the Inpatient Psychiatric Units, they spend two
days per week (40% of their time) on testing rotations. Typically interns select two different settings,
however, in some cases it is possible for interns to spend two days per week on the same service. It should
be noted that several evaluation rotations occur at satellite clinics, which are not readily accessible by pubic
Interns are responsible for writing four full outpatient assessment reports per month for half the year (two
reports per month on each assessment rotation). Assessment rotations are described below:
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- The Hyperactivity, Attention and Learning Problems (HALP) Clinic is an evaluation and treatment
program for children and adolescents with a variety of school problems, including ADHD, learning
disorders, and disruptive behavior disorders. The intern’s role includes administration and interpretation
of a variety of psychological tests, presentation of results at team meetings, and report writing. The HALP
Clinic is located at the Regional Outpatient Center in Fairfax, Virginia. Clinical supervision at this satellite
clinic is provided by Dr. Lisa Efron.
- The Center for Autism Spectrum Disorders, located at the Shady Grove Regional Outpatient Center,
within the Division of Pediatric Neuropsychology, provides multidisciplinary evaluation and treatment
services for children with autism spectrum disorders and their families. The Center specializes in serving
children with High‐Functioning Autism and Asperger’s Syndrome. Interns completing this rotation will be
involved in assessing young children having or suspected of having autism spectrum disorders, and may
also have the opportunity to participate in providing treatment. Interns will administer and interpret
developmental tests, write assessment reports, conduct school consultation, and present results at both
multidisciplinary meetings and in feedback sessions with families. In addition, the program offers
intervention services for families, including behavior management, social skills groups for children, parent
education groups and school planning assistance. Interns may choose to spend part of their afternoons
involved in these focused treatment programs within the Center. Clinical supervision is provided by Dr.
Laura Anthony, Dr. Kathleen Atmore, Dr. John Strang, Dr. Anne Inge, or Dr. Angela Bollich.
- The Division of Pediatric Neuropsychology, located at the Shady Grove Regional Outpatient Center,
provides outpatient evaluations to children of all ages, infancy through young adult. Children commonly
seen for neuropsychological services include those with known neurological disorders (e.g., epilepsy,
traumatic brain injury, hydrocephalus, brain infections), as well as those with neurodevelopmental
disorders, including learning disabilities, ADHD, and autism‐spectrum disorders. The Pediatric
Neuropsychology rotation involves training in a process‐oriented, hypothesis‐testing model of
assessment including supervised experience in the administration, scoring, interpretation, and reportwriting
of a comprehensive battery of neuropsychological tests. Interns will also participate in feedback
sessions with parents, as well as consultation with schools and physicians. Supervision is provided by one
of twelve faculty members (Drs. Madison Berl, Angela Bollich, Gerard Gioia, Kristi Hardy, Laura Kenealy,
Lauren Kenworthy, Julie Newman, Maegan Sady, Jacqueline Sanz, John Strang, Chris Vaughan and Karin
Walsh). Interns are invited to participate in the weekly Pediatric Neuropsychology seminar and clinical
case conference, including directed readings. Interns may be exposed to one or more of the following
specific clinical populations:
- General medical/developmental disorders
- High Functioning Autism/Asperger’s Disorder
- Attention and Executive Function Disorders
- Mild Traumatic Brain Injury/ Sports Concussions
- The Child Development Clinic, located at the main hospital, provides assessment of the behavior and
development of infants and toddlers, birth through age three. The intern is supervised by Dr. Penny Glass
in administration, scoring, interpretation and feedback with instruments that are specialized for this
young population (e.g., Bayley Scales). Children referred for evaluation may have a wide range of
conditions affecting development, including genetic conditions, birth complications, neurologic injury,
and chronic illness. They also reflect a broad cross‐section of sociocultural circumstances. Parent
education/training is emphasized as part of the assessment process. The intern may choose to participate
in consultation to the Neonatal Intensive Care Unit, which includes a support group for parents while
their newborns are hospitalized.
Pediatric Consultation Service
During the six months that interns are not rotating through the Inpatient Psychiatric Units, they spend one
day per week (20% of their time) for three months on the Pediatric Consultation Service. This is a busy
clinical service that provides mental health consultation and liaison to medical teams. Referrals include a
vast array of mental health concerns for children with acute and chronic illnesses, such as gastrointestinal
illness, asthma, cystic fibrosis, renal disorders, toxic ingestion, burns, and trauma. Psychology interns and
psychiatry residents participate together in clinical rounds and didactic education, and are supervised in
their clinical experience by Dr. Sandra Rackley and Dr. Martine Solages, psychiatrists.
Medical Specialty Rotation
All interns complete a three month medical specialty rotation. This rotation occurs during the six months
that interns are not placed on the Inpatient Psychiatric Units and when they are not on the Pediatric
Consultation Service. Interns devote one day per week (20% of their time) to this rotation. It should be
noted that consultation and treatment skills are similar with the different medical populations, though the
clinical issues may vary. Interns choose from the following:
Additional clinical experience in pediatric psychology is also available with multidisciplinary teams who treat HIV/AIDS.
- The Sleep Disorders clinic is a multidisciplinary clinic, housed in the Pulmonary department, run by Dr. Judy
Owens, a pediatrician. Sleep disorders affect children and their families at all stages of development and
are increasingly recognized as important causes of affective, behavioral, and attentional regulation. Interns
participating in this clinic will receive didactic training in the normal development of sleep, and experiential
training in the diagnosis and treatment of sleep disorders. Clinical supervision is provided by Dr. Daniel
Lewin, a staff psychologist.
- The Endocrinology (diabetes) rotation involves working as part of a multidisciplinary team that provides
services to young children through young adults with type 1 and type 2 diabetes. The disciplines involved in
children’s care include medicine, nutrition, nursing, social work, and psychology. Interns on this rotation
have the opportunity to participate in consultation and treatment for children primarily diagnosed with
type 1 diabetes. Consultations include meeting with children/families: around the time of diagnosis, at
medical outpatient clinic visits, as medical inpatients following periods of management difficulties, and
when transitioning to more intense medical regimens. Outpatient treatment cases present with a variety of
problems including adjustment to illness, poor adherence to the regimen, and family conflict. Interns may
also choose to participate in co‐leading teen and/or parenting groups. Clinical supervision is provided by
Dr. Randi Streisand and Dr. Lauren Clary.
- In the Obesity rotation, interns will have the opportunity to be part of the team evaluating and treating
adolescents who are in the process of receiving weight loss surgery. Specifically, interns will conduct presurgical
evaluations, provide recommendations to families and the medical team, and provide some followup
services to youth following surgery. Interns will also carry a caseload of 2‐3 outpatients who are
receiving weight management services. Presenting concerns range from anxiety, mood, and behavioral
problems, assistance with following medical regimens, family relationships, and binge eating or other
maladaptive eating or weight control behaviors. Interns will be supervised by Dr. Eleanor Mackey during
this three month rotation.
- The Pediatric Pain Psychology Service of the Pain Medicine Program is part of an interdisciplinary program
that provides consultation‐liaison, inpatient, and outpatient treatment to children, adolescents and their
families experiencing acute and chronic pain. Psychological factors such as mood, anxiety, and beliefs about
pain and coping style have been found to play a role in an individual’s adjustment to acute and chronic
pain. Interns will be involved in conducting comprehensive biopsychosocial evaluations, utilizing
standardized measures in order to determine the patient’s understanding of the pain, define pain behavior,
disability, and impairment, and to determine the relationships of pain behavior and how it impacts daily
living. The goal of this evaluation is to develop a comprehensive integrative treatment plan tailored to the
individual and his or her family. This integrative treatment approach is highly effective in reducing anxiety
and depression and improving quality of life in patients with chronic pain. Interns will be supervised by Dr.
Angela Fletcher during this rotation.
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Interns are evaluated formally by their supervisors at the end of each rotation or semi‐annually on year
long rotations. Supervisors rate interns on a set of scales designed to evaluate their performance in
treatment, consultation, case management, assessment, and professional development, and discuss
feedback with the interns. These evaluations are primarily designed to ensure that the interns are making
optimal use of their training year. Letters are sent to the director of each intern's doctoral training program
at the completion of the internship.
The internship is conceptualized as an evolving training program, with continuous self‐review and quality
enhancement. Interns and staff engage in periodic evaluation of the program's goals and its method of
implementing these goals. Interns complete annual evaluations on seminars, supervisors and rotations.
The training director has regular meetings with both the training staff and the interns to discuss and
evaluate the program.
Initial positions of the fifty-six interns who have completed the program since 1997:
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