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Graduate Medical Education > FellowshipTraining
Fellowship Training Activities

The fellowship spans a two-year period, with each training year divided into two six-month terms. Some training activities will be concentrated in a specific term, others will occur throughout the majority of the fellowship, and others will occur in concentration at various points of the fellowship.

Training activities include:

Clinical supervision

  1. Individual supervision in neuropsychological evaluation at WRNMMC (2-4 hours per week)
  2. Individual supervision in neuropsychological management (1-2 hours per week)
  3. Neuropsychology case conference (1 hour per week)
  4. Presentation of cases to senior external consultant (annually)
  5. Serve as examinee for ABPP/ABCN mock examination fact finding exercise

Teaching rounds

  1. Neurology morning report (1 hour per week for 12 months)
  2. Neurology case conference (1 hour per week)
  3. Neurosurgery rounds (1 hour per week for year 2)
  4. Neurosurgery preoperative conference (1 hour per week for year 2)
  5. Epilepsy rounds (1-2 hours semi monthly)
  6. Memory Disorders/Neurobehavioral Clinic rounds (as available)
  7. Physical medicine and rehabilitation case conference (1 hour per week for 3 months)
  8. Electrophysiology case review (1 hour per week for 3 months)
  9. Neuropathology review (as available)
  10. Neuroradiology case conference (1 hour per week for 3 months)

Didactics/Seminars

  1. Clinical neuropsychology reading seminar (1 hour per week, with 1 hour per month having military unique focus)
  2. Neurology Grand Rounds (1 hour per week for 12 Months when topic is relevant to neuropsychology)
  3. Medical neurosciences seminar (6 weeks)
  4. Attendance at one off-site in-depth training activity in neuropsychological assessment per year (approved by fellowship director)

Training Program Resources

• The fellowship has multiple formally designated core training supervisors who:

  1. Deliver clinical neuropsychological services
  2. Function as an integral part of the WRNMMC Department of Psychology, Neuropsychology Service
  3. Assume primary clinical responsibility for cases supervised
  4. Are appropriately credentialed (i.e., licensed, registered, or certified) to practice psychology in a federal government setting
  5. Demonstrate substantial competence and have credentials in the advanced practice of clinical neuropsychology

• The fellowship director is a clinical neuropsychologist board certified by the American Board of Professional Psychology/American Board of Clinical Neuropsychology

• The fellowship has multiple adjunct supervisors

Resident-Supervisor Relations
The program fosters an atmosphere of mutual respect and courtesy between supervisor and Fellow, and adheres to the ethical principles and professional conduct standards of the American Psychological Association.

Within the first week following entry into the program, the Fellow will meet with the fellowship director and Chief, Neuropsychology to review the nature and structure of supervision, and procedures for grievance and conflict resolution.

Term-Specific Training

First Term Experiences

• Goals

  1. Identification and, if required, development of plan to address remediation of deficiencies in prerequisite skill base

  2. Acquisition of basic working knowledge of neuropsychology, clinical neurology, neuroanatomy, and neuropathology

  3. Development of skills necessary to integrate symptoms, history, medical data, and neuropsychological data into a comprehensive report of neuropsychological status

• Specific experiences

  1. Acquisition in proficiency with administration and scoring of the WAIS-IV, WMS-IV, components of the Halstead-Reitan Neuropsychological Battery (HRB) and Allied procedures and familiarization with current normative systems for these tests.

  2. Following mastery of test administration and scoring, the fellow will be assigned 1-2 evaluation cases per week involving patients with known or suspected neurological disease. The fellow will prepare comprehensive written reports in accordance with accepted practice in clinical neuropsychology, following a format provided by the fellowship director

  3. Acquisition of proficiency in the administration and scoring of a spectrum of additional neuropsychological measures, to include structured neuropsychological mental status testing, and utilization of these approaches in appropriate clinical settings

  4. Involvement in special neurologic, neurosurgical, and neuroradiologic procedures as they occur, in accordance with the didactic and experiential considerations outlined above

  5. Participation in neuropsychological research

Second Term Experiences

• Goals

  1. Acquisition of advanced knowledge of neurobehavioral syndromes and current theories of brain-behavior relationships

  2. Acquisition of in-depth relevant knowledge of the neuroscientific basis of neuropsychology

  3. Broadening of skills relating to administration and scoring of neuropsychological measures

  4. Increased independence in clinical neuropsychological assessment, diagnosis, and treatment planning

• Specific experiences

  1. Acquisition of proficiency in the administration and scoring of the WRNMMC Core Neuropsychological Battery, Memory Disorders Battery and as required for specific clinical contexts, other neuropsychological instruments

  2. Completion of a Neurosciences Course, including lab

  3. Completion of one off-site in depth training seminar in clinical neuropsychology as permitted by availability and suitability

  4. Completion of 1-2 neuropsychological evaluation cases per week, with test administration in the latter three months of the term completed by the neuropsychology technician. The fellow will prepare comprehensive interpretive reports in accordance with accepted practice in clinical neuropsychology and will utilize multiple report formats

  5. Assistance/participation in neuropsychological support for special neurological, neurosurgical, and neuroradiological procedures as they occur, in accordance with the didactic and experiential procedures outlined above

  6. Completion of 55 neuropsychological diagnostic cases expected in year one, with most referrals from the neurology and neurosurgery services

  7. Service as operations officer for at least one neuropsychological consultant visit

  8. Participation in neuropsychological research

Third and Fourth Term Experiences

• Goals

  1. Development of an up-to-date, research based understanding of contemporary issues in clinical and experimental neuropsychology

  2. Refinement of a theoretically sound and efficient approach to the practice of clinical neuropsychology involving a broad range of pathologies and referral questions, including military-unique issues

  3. Participation in neuropsychological research, including completion of an independent research project

  4. Acquisition of skills in teaching and administration of clinical neuropsychology

  5. If indicated and available, completion of a supervised training experience in a subspecialty area of neuropsychology at an outside setting

  6. Acquisition of basic working knowledge of neurosurgery

  7. If requested and available, completion of a supervised training experience in a subspecialty area of neuropsychology at an outside setting, as approved by Fellowship Director.

  8. Acquisition of advanced skills in evaluation and rehabilitation of traumatic brain injury in the military environment.

• Specific experiences

  1. Completion of approximately 2-3 neuropsychological cases per week, with test administration completed by neuropsychological technician. Whereas most cases in the first year of the fellowship are referrals from neurology and neurosurgery, cases in the second year are assigned from a broader range of referral sources including Internal Medicine, Psychiatry, and Physical Medicine and Rehabilitation. Completion of 100 neuropsychological diagnostic cases is expected in year two.

  2. Participation in one off-site in-depth training experience in clinical neuropsychology, as permitted by availability and suitability

  3. Completion of an independent research project in clinical neuropsychology with a military relevant focus, to include
    collection of pilot data and write-up; involvement in ongoing research projects in the department and/or other sites

  4. Involvement in neuropsychological intervention services to at least 5 individuals

  5. Presentation of one lecture relating to clinical neuropsychology

  6. Supervision of year 1 fellow or rotating intern or extern on at least 6 cases, with backup staff supervision

  7. Completion of one significant activity in program development or administration in clinical neuropsychology (e.g., expanding an underdeveloped product line in clinical neuropsychology, developing and implementing a novel assessment or treatment protocol, serving a rotation as clinical coordinator for neuropsychology service)

  8. Completion of up to 3 months full-time equivalent off-site rotation in subspecialty (optional)

  9. Completion of rotation with Defense and Veterans Brain Injury Center


Contact

Location
Building 1, 19th Floor
Room 19107

Phone
Main (301) 400-2228
DSN: 400.2228



Hours of Operation
Monday thru Friday
0730 - 1600