The 12-month training year is organized into phases that reflect a balance of rotational and longitudinal experiences. The first two weeks are an orientation period in which interns receive a brief introduction to the Army, DDEAMC, OBHS and the internship itself. During the orientation, interns participate in training activities with other new incoming medical officers. Several seminars are also scheduled in OBHS to impart basic knowledge regarding various aspects of clinical practice, especially within the military environment. The orientation period also provides an opportunity for interns and faculty to become acquainted and for the faculty to learn about previous training, experiences, and different skill levels of the new interns. The remainder of the year contains both longitudinal and rotational training experiences, described below.
There are four core rotations lasting approximately 12 weeks each as well as a long-term therapy experience that spans the entire training year. Supervision is provided for all clinical activities. Each intern is assigned both a rotation supervisor and a primary psychotherapy supervisor. Some rotations allow for the intern to be supervised by a 2nd year psychology resident with umbrella supervision by a licensed psychologist. Each intern also participates in a weekly outpatient multidisciplinary treatment team. Interns spend 4-6 hours in supervision per week.
Four Core Rotations:
- Adult Assessment: Interns concentrate on administering, interpreting, and reporting the results of formal psychological assessments with a variety of patients. Interns also learn to work with paraprofessional personnel in the assessment process by completing cases where behavioral health specialists or psychometricians have collected much of the data. The purpose of this rotation is to refine psychological assessment skills and to have an ongoing face-to-face experience with patients who have serious medical and psychiatric problems.
- Military Psychology: The focus of this rotation is on teaching interns psychological assessments and interventions specific to a military setting and providing command consultation to Army units. The intern will have the opportunity to conduct military unique activities such as command directed behavioral health evaluations, security clearance assessments, drill sergeant/recruiter evaluations, deployment suitability, and provide behavioral health education to a military population. The goal of this rotation is to prepare psychologists to practice effectively in a military setting.
- Health Psychology: This rotation provides the intern with a comprehensive experience in developing health psychology and behavioral medicine intervention skills and providing consultation to various medical disciplines. Typical interventions include tobacco cessation, weight management, diabetes self-care, and pain management. Consultation skills focus on the impact of psychosocial factors on the treatment, management, and adaptation to a variety of medical conditions. The goal of this rotation is to prepare psychology interns for work in a medical center environment.
- Neuropsychology: Interns will be exposed to the specialized assessment instruments of Neuropsychology and develop an increased proficiency in all aspects of adult assessment, including cognitive and personality assessment. They will also have an increased understanding of neurobehavioral conditions such as traumatic head injury, cerebral vascular accidents, and dementia and associated remediation or treatment.
Long-term Therapy Experience:
During the yearlong clinical experience at Outpatient Behavioral Health Services (OBHS), interns participate in assessing walk-ins, engaging in crisis intervention, providing evidenced-based psychotherapies, and conducting psychological assessments. The intern focuses on consultation, evaluation, individual and group treatment, and supervision.