Primary Internship Rotations

The Internship is a two-track (i.e., child and adult track) program, housed in the Psychology Education and Training Division of the Department of Psychiatry and Behavioral Health. At the time of application, each intern indicates whether they are applying to either the adult or child track. There are five adult track and four child track interns.

The adult and child tracks are anchored in the program's core commitment to integrationist philosophy, evidence-based evaluation and intervention, and ethno-cultural competence. Both tracks offer training in intervention and assessment and both embrace a highly participatory teaching style—in shared and separate core courses. Each track is staffed by several general internship faculty and some track specific faculty. Both tracks place interns in clinical services for rotations, generally between two months to one year in duration.

Within each clinical rotation, interns have an opportunity to develop their skills in various forms of evaluation and treatment. This allows them to gain clinical experience with patients from different ethnic and socioeconomic backgrounds with a wide range of psychopathology, as well as to learn about treatment systems by becoming an integral member of a treatment team. Comprehensive Adolescent Rehabilitation and Education Service (CARES) is open to interns in both tracks, otherwise the two tracks offer different clinical rotations—designed to provide relevant clinical experience with their respective populations.

The following is a list of the Mount Sinai Morningside and Mount Sinai West Clinical Psychology Internship Rotations. It should be noted that this list emphasizes diagnostic diversity, but the populations in all clinics are diverse and multicultural in a variety of ways, including race, gender, sexual orientation, sexual identity, age, SES, religion, and disability.

Adult Track Rotations

a) CITPD (Center for Intensive Treatment of Personality Disorder): which treats character pathology (mainly Narcissistic Personality and Borderline Personality) using a dialectical behavior therapy (DBT)-informed model (as originally delineated by Marsha Linehan, PhD, combined with more traditional psychodynamic and psychoanalytic treatment modalities. These evidenced-based models offer our interns a scholar-practitioner approach to the treatment of a complex and severe personality disorders. Interns treat two to three individual patients, co-lead groups, and weekly attend staff meetings on this rotation.

b) Mount Sinai's World Trade Center Mental Health Program (WTCMHP) is part of the larger WTC Health Program, offering free, comprehensive, and confidential medical examinations, ambulatory and inpatient treatment, and benefit counseling services to WTC responders who participated in rescue, recovery, and clean-up efforts after the September 11, 2001, attacks.  A psychology intern rotating at the WTCMHP can expect to hone their clinical skills working within a psychoanalytically informed frame that addresses not only trauma but the personality structures that underlie symptomatic presentations. The rotation cultivates a safe and supportive environment that encourages clinicians to work together and learn from one another from different disciplines. An intern is expected to be part of weekly intake conference and treatment planning meeting as well as all staff meetings. This provides critical insight into how a team can work together, to conceptualize treatment planning and how a clinic functions. Clinically, interns will be exposed to a unique form of deep psychological work that will challenge trainees to consider not only a patient’s imagery, metaphors, and emotional experience but their own as well. Each intern is expected to work with one to two acute risk patients in a twice weekly modality as part of the program’s Crisis and Distress Team (CDT). They will also maintain a case load of three to four short-term individual patients and co-lead one group. Interns are supervised by highly skilled licensed staff psychologists both individually and in a group format.

c) The Addictions Institute at Mount Sinai West treats dually-diagnosed adult patients using an approach based in the Harm Reduction Model. While other addictions models (such as the 12-step approach) are reviewed and discussed, the Harm Reduction Model, and the clinical evidence on which it is based, serve as the backbone of the treatment in this training clinic. Interns treat individual patients and co-lead groups in this rotation, which is housed in the day treatment program and the halfway house associated with the Addictions Institute at Mount Sinai West. Interns are closely supervised by licensed clinical psychologists who specialize in substance abuse and co-morbid illness.

d) The adult psychiatric inpatient units (7G or Clark 8) are where adults in acute crisis with a broad range of DSM-V diagnoses are evaluated, stabilized, and treated. Here trainees learn to diagnose and treat patients with a broad range of DSM-V diagnoses using a multimodal approach, which includes medications, individual psychotherapy, group psychotherapy, milieu treatment, and psychological assessment. Interns carry two individual patients, run inpatient groups, and do short-term, rapid-turn-around assessments to assist with patient care and discharge planning. Interns are closely supervised by licensed psychiatrists and psychologists who specialize in inpatient treatment.

e) Interns also rotate five days a week for 12 months through the Adult Outpatient Clinic: where psychiatric outpatients with a broad spectrum of DSM-V diagnoses are treated. Here interns are trained in a number of evidence-based approaches to treatment including: case management, supportive treatment, psychodynamicallly-informed treatments, IPT, DBT, CBT for depression and anxiety, and motivational interviewing. In the supervision of each case, an effort is made to modify and tailor the treatment models/approaches and protocols in a patient-specific fashion. Interns also co-lead an outpatient group under supervision and treat one to two families with specialized supervision and one-way-mirror interactive consultation.

f) Cognitive Behavioral Specialty Clinic: This rotation, which is housed in the Adult Outpatient Clinic, offers interns an opportunity to hone and sharpen their CBT skills. Interns treat two patients supervised by a CBT specialist. They also co-lead two groups (a CBT for Psychosis group and a CBT for Insomnia group) both under the supervision of CBT-trained supervisors. This rotation dovetails well with the CBT didactics, wherein specific diagnosis-specific CBT protocols are reviewed.  As part of this rotation, interns also conduct weekly intakes in our Access Center with hour-for-hour supervision and participate in Sinai’s Trans Clinic where they evaluate and treat adolescents undergoing gender related transitions. The clinical work in the Trans Clinic is supervised by a licensed psychologist who specializes in transition- related psychological issues.

g) Consultation Liaison Service: The consultation-liaison psychiatry team at Mount Sinai Morningside consists of two attending psychiatrists, a consultation-liaison psychiatry fellow, and a PGY4 psychiatry resident. Mount Sinai Morningside operates one of Manhattan's few Level-1 trauma services and has 523 hospital beds. Psychology interns will broaden their exposure to the psychology of illness through supervised psychological evaluation and care of both acute and chronic medically ill patients admitted to the med-surgery floor as well as multiple subspecialty units, including neurosurgery, intensive care, intensive cardiac care, geriatrics, and physical medicine/rehabilitation.

Child Track Rotations

Child interns participate in two yearlong primary rotations in the following settings:

h) The Comprehensive Adolescent Rehabilitation and Education Service (CARES), which is a therapeutic school embedded in a milieu treatment unit that treats dually-diagnosed, at-risk high school students. At CARES, interns are immersed in two primary evidence-based approaches that are integrated throughout the program: Dialectical Behavior Therapy and Motivation Enhancement Therapy.  Interns are also exposed to evidence-based trauma informed treatments (e.g. Trauma-Focused CBT, Seeking Safety) as well as CBT and psychodynamic approaches to treating severe pathology in adolescents.

i) The Child Outpatient Department (OPD), where children, adolescents, and families with a broad range of DSM-V diagnosis are treated.  In the Child OPD, interns are trained in a variety of evidence-based treatments for children and adolescents including: CBT for Depression and Anxiety Disorders, DBT for Adolescents, Parent Management Training, Trauma-Focused CBT, and Parent-Child Psychotherapy, amongst others. Interns are supervised by staff psychologists skilled in evidence-based psychodynamic and cognitive behavioral interventions for children and their families. As part of their Child OPD experience, interns are offered the option to participate in one or more of our specialty electives in the following subspecialty clinics: the Parent-Infant Center, the Clinic for Overcoming Anxiety in Adolescents and in Children (COAACH), the FUTURES Program, and the DBT elective.

  1. The Parent-Infant Center (PIC) elective. PIC allows interns to gain additional exposure to working with at-risk caregivers and their babies and toddlers, up to age 6. Interns also see one or two parent-infant dyads for child-parent psychotherapy and receive one hour per week of supervision.
  2. The COAACH elective. This elective option that allows interns to participate in a weekly group-based supervision led by Elaina Zendegui, PsyD, focused on evidence-based interventions for anxiety disorders, including gradual exposure therapy. Interns will learn and implement CBT protocols for approximately three cases in the outpatient clinic (as part of their outpatient caseload).
  3. FUTURES elective. The FUTURES program provides short-term assessment and treatment for adolescents in the clinic presenting with substance use and trauma-related symptoms. Interns interested in this experience can work with Margaret Rauen, MD, to see individual patients, run groups, and/or complete intakes within the FUTURES program.
  4. DBT elective: The DBT team is a multidisciplinary treatment team housed within the OPD that provides individual therapy and multifamily skills group interventions to adolescents and their families. Interns on this elective will typically carry one to two DBT cases, run multifamily skills groups, and participate in weekly DBT Consultation team. The elective is led by Kristen Courtney, MD.

Child interns also participate in two short-term rotations throughout the year in the following settings:

j)  An inpatient child/adolescent psychiatry unit, where children and adolescents in acute phases of major psychiatric illness are treated. On the unit, interns are trained extensively in risk assessment, safety planning, and diagnostic assessment based on DSM-V diagnoses.

k)  A pediatric neuropsychology assessment service, where interns observe and conduct psychiatric assessments of children and adolescents. On this service, interns learn how to administer, score, and interpret a wide range of evidence-based tests for children and adolescents. They also build and refine skills in writing comprehensive neuropsychological assessments.

 

For interns in both Tracks, outpatient individual, group, and family therapy is a year-long rotation, which is a major component of the Internship clinical experience.

ADULT TRACK 
In the Adult Outpatient Clinic, each intern carries a caseload of: 8-10 individual patients, one group and one family, with a broad range of psychiatric diagnoses, demographic characteristics, and ethnic, cultural and sexual identities, and life situations. Interns receive supervision in each of the following areas: group psychotherapy; individual (psychodynamic therapy, dialectical behavior therapy, supportive therapy) case management, and crisis intervention (two hours/week, delivered by two supervisors); individual cognitive behavioral therapy (one hour/week, within a small group of interns); and family therapy (two hours/week, delivered in real-time, using a one-way mirror, and shared by the intern class, serving as consultants). Interns are also trained to conduct intake evaluations and treatment screenings.

CHILD TRACK 
In the Child Outpatient Department, each intern carries a caseload of: one group (co-led with a staff member); one or two families; and several individual patients (including parent-infant dyads through the Parent-Infant Center), with a broad range of psychiatric and developmental problems, ages, demographic characteristics, ethnic, cultural and sexual identities, and life situations. The target population is children/adolescents, ages zero to eighteen, and their families. Interns receive individual supervision in each of the following areas: systems/group psychotherapy (one hour/week); individual psychotherapy (e.g., psychodynamic therapy, dialectical behavior therapy, cognitive behavior therapy, parent-infant therapy), crisis intervention, etc. (Two hours/week, delivered by two supervisors); and family therapy (one hour per week in group, sometimes using real-time, one-way mirror-assisted feedback) for a total of four hours per week. Interns may also conduct intake evaluations. Interns will have the opportunity to design individualized caseloads based on their specific areas of interest.

In both Tracks, assessment is an important component of the Internship clinical experience. Each intern will administer, score, interpret, and compose a report for at least two comprehensive assessments. These assessments will make use of cognitive tests (i.e., WAIS-IV, WISC-V, WJ-IV), objective personality tests (e.g., MMPI, MCMI, MMPI-A), projective personality tests (e.g., Rorschach), structured psychiatric interviews (e.g., SCID), academic achievement, symptom rating scales, and neuropsychological screening tests, as needed. Interns receive intensive supervision on administration, interpretation, and report writing (i.e., approximately six hours/ assessment). In the Child Track, interns may focus their assessment experience in the Child and Family Institute Outpatient Psychiatry Department or in CARES.

On all of the Rotations, as well as in the Adult and Child Outpatient Psychiatric Clinics, consultation is an aspect of the interns' clinical experience. In the process of implementing treatment plans, coordinating services for patients with complex problems, interns routinely consult with (psychiatric, social service, case management, medical and other) providers from community-based social service agencies, foster care agencies, hospitals, schools, universities, criminal justice agencies, and other facilities. The Department of Psychiatry and Behavioral Health Consultation-Liaison Services, for adults and children, are potential sites for interns to participate in consultation, as part of a team (with attending psychiatrists and psychiatry residents). Due to the already full-time workload of the interns, interns do not currently rotate into this service. However, optional opportunities, to join the Consultation-Liaison teams for a mini-rotation, are available -- should the intern and the Training Director or Associate Training Directors and the Directors of the adult and/or child Consultation-Liaison Services agree that they have sufficient time to do so.

Supervision is focused on helping the interns deepen and broaden their understanding of clinical processes and the treatment situation. A special effort is made to facilitate development of a flexible stance to respond to the needs of a culturally, ethnically, and medically diverse patient population. Supervisors in the Child and Adult Tracks are committed to providing supportive instruction that encourages the development of clinical technique and the integration of theory and scientific evidence into therapeutic practice. An integrative treatment approach - utilizing psychodynamic, cognitive behavioral, dialectical behavioral, family-systems, ethno-cultural, developmental, medical model, and other perspectives -- is emphasized. Supervision must include direct observation, audio or video recording, one-way mirror observation and consultation (i.e., for family therapy). Supervisors may also join sessions, as part of supervision.

As described above, interns receive close, regular supervision during all of their rotations and clinical experiences. In their outpatient psychiatry clinic experience, they receive a minimum of five to six hours of individual, group and family supervision. Interns also participate in clinical team meetings, staff meetings, and case conferences, throughout the week. In their assessment experience, interns receive several hours of supervision, for administration, scoring, interpretation, and report-writing. All supervisors are also available, on an as-needed basis, for additional meetings or phone consultations. Interns are especially urged to contact their supervisors for emergencies.

On both Tracks, Interns meet individually with the Training Directors or Associate Training Director, for overall program supervision, career guidance, evaluative feedback, and elicitation of their feedback about their Internship experience, three times per year. This occurs: early in the year; mid-year; and end of year. The Training Directors and Associate Director also conduct regular sessions, on a monthly basis, focused on interns' ongoing experience of their clinical experience, rotations, supervision, didactics, and systems experience of the Services they are part of, and of the overall Internship Program. These sessions are aimed at identifying Program strengths and weaknesses, and making appropriate real-time adjustments. The Training Directors and Associate Director are also available, on an as-needed basis, for additional meetings or phone consultations. Interns are especially urged to contact them for emergencies.

Education in models of supervision is also the focus of a Course Module in the Combined Child-Adult Track Core Curriculum.

The Mount Sinai Morningside and West Hospitals are home for an active complement of training faculty engaged in clinical research. These typically include: trials of behavioral and/or pharmacologic approaches to substance use and other psychiatric disorders; and trials of novel behavioral therapies for adults and children with a broad range of mental and physical health problems. Due to the already full-time workload of the interns, interns do not currently rotate into research projects. However, evidence-based intervention and assessment, empirically-validated psychological theory, and methods of scientific inquiry and analysis are central components of our supervision, didactics and services. As interns are frequently in the process of completing dissertations, attention is devoted to discussion of interns' dissertation research, to on-site resources (e.g., SPSS-equipped computers, library), and to strategies for solving dissertation issues. Interns who have completed dissertations may be interested in optional participation in research. Interns are encouraged to use Faculty as mentors, in completing their research, or in exploring limited participation in research - should the intern and the Training Directors, or Associate Training Director and the researcher agree that he/she has sufficient time to do so.

The MSMW Internship Training Program contains two tracks within it:

a) The Adult track serves to train students interested in specializing in the treatment of adults (defined as roughly 18 and older by our program), and

b) The Child track serves to train students interested in specializing in the treatment of children (defined as prenatal to 17 by our program) and their families.

The schedule for clinical work and didactics for both of these tracks is detailed below. Within each track, trainees have morning and afternoon rotations and didactics seminars. Most of the rotations are track-specific with the exception of the CARES rotation which is offered in both tracks. Some of the didactic seminars described below are offered in our CORE training series and are attended by both child and adult interns. Other didactics are track-specific.

I. Orientation Seminars:

A) New Beginnings: This is an orientation organized by Sinai System in which the medical center’s fundamental aims and policies are reviewed. Both child and adult interns are required to attend this orientation on the first day of the internship.

B) Internship Core Competence Orientation: This orientation is required of all interns (child and adult) on the second day of the training year.  This orientation is run by the Director and the Associate Directors of Education and Training. During this orientation interns meet one another as well as key personnel in the training program. They also are given a copy of the Internship Handbook (uploaded to the portal associated with this Standard) which is reviewed at that time. Finally, interns divide up by track and meet with the relevant Director/Associate of Training to discuss their upcoming orientation week as well as their daily schedules for the summer months and going forward.

C) Adult Specific Orientation: The orientation for the adult track is conducted during the first few weeks of the internship. This includes: a specific orientation to the Adult OPC (conducted by OPC faculty and attended by Psychiatry residents, Psychology Interns and Psychology Fellows) and  formal didactics on: learning the charting software (EPIC), the Mental Status Examination, important charting requirements, how to manage the difficult outpatient,  how to manage the violent inpatient, disposition and treatment planning, etc.

 D) Child Specific Orientation: Orientation trainings and seminars for child interns occur over the first two months of internship. Orientations to the Child Outpatient Clinic as well as the CARES program are provided in the first two weeks of training. Orientations cover information regarding clinical practice, clinic policies, suicide/violence/risk assessment and intervention, management of agitation, safety planning, child maltreatment, ethics, legal issues and billing/documentation. Child interns also receive intensive didactics in Dialectical Behavior Therapy, Substance Use Monitoring/Treatment, Infant Mental Health and Milieu intervention during the summer.

II. Primary Clinical Rotations:

As previously noted, Adult interns select 3 from the below which they attend for 4 months each.                                               

Child interns work in the CARES rotation (letter E below) each morning for the entire training year.

A) Inpatient Rotation (Option for Adult Interns Only): Interns are assigned to one of two thirty-six bed inpatient units where they function as primary clinicians for their patients. Their responsibilities include intake evaluation, individual and group psychotherapy, psycho-diagnostic assessment, and participation as a team member in staff and unit community activities. Interns carry two individual inpatients, and co-lead one therapy group with a licensed staff member. On-site supervision is provided by the psychiatrist unit chiefs and chief psychiatry resident and off-site adjunctive supervision is provided by supervising psychologists. Interns attend and participate in daily morning rounds and also present at weekly inpatient case conferences during which the patients are also interviewed. Please see Appendices for this site-specific handbook.

B)  Psychiatric Recovery Center/ PRC- (Option for Adult Interns Only): This is an intensive outpatient program offering services designed to meet the needs of individuals with severe and persistent mental illness. A work and recovery model informs the treatment, and supports the goal of engagement in vocational, pre-vocational, or educational activity, either on-site or outside of the program. Psychology interns are an integral part of PRC's multidisciplinary team. Interns serve as primary therapists, conducting individual psychotherapy with four patients, leading several groups, and conducting weekly intakes for the both PRC and the Adult OPC. Interns may also conduct psycho-diagnostic assessment to help clarify diagnosis and level of functioning. The psychologist site director, as well as other psychologists on staff, provides supervision. Please see Appendices for this site-specific handbook.

C)  The Center for Intensive Treatment of Personality Disorders /CITPD- (Adult Interns Only): This is an intensive outpatient treatment program for adults who are in acute crisis. The majority of patients have affective illness and/or Axis II pathology. Treatment takes the form of various group and individual sessions aimed at helping patients resolve the acute crisis and make the transition back into the community. Dialectical Behavior Therapy (DBT) is a treatment focus as well as psychodynamic and process work. Interns carry two individual patients, co-lead several groups with licensed staff who are also their supervisors.  They also conduct intakes. The psychologist site director, as well as other psychologists and licensed professionals on staff, provide supervision. All of this supervision is overseen and coordinated by the site director. This is the only required primary rotation at the present time so all adult interns rotate here for four months each. Please see Appendices for this site-specific handbook.

D) The Addiction Institute of New York /AI- (Adult Interns Only): is a comprehensive substance abuse treatment center - which includes detoxification, intensive inpatient and outpatient rehabilitation, outpatient treatment programs, residential treatment, methadone, buprenorphine and other pharmacologic treatment, and a consultation service for medical/surgical inpatient units. The intern may be placed into specialty clinics of the outpatient treatment program (e.g., 'Crystal Clear' relapse prevention program for stimulant-using men who have sex with men, young adult program for individuals with various types of substance use, DBT-informed groups for dually-diagnosed individuals with Axis II disorders, etc.) and/or in the intensive outpatient rehabilitation service. Interns co-lead several groups and provide as-needed individual counseling to group members. Interns may also participate in consultations with the medical/surgical services. The psychologist Assistant Clinical Director provide supervisions. Please see Appendices for this site-specific handbook.


E) The Comprehensive Adolescent Rehabilitation and Education Service /CARES (year-long morning rotation for child interns/option of 4 month rotation for adult interns): CARES is a safe and therapeutic school environment for New York City public high school students whose previous school performance has been limited by emotional and behavioral difficulties. The program provides educational and therapeutic components, including substance abuse treatment for students who use drugs or alcohol. CARES has 2 tracks: (1) The Adolescent Alternative Day Program (AADP) which is designed to help students whose school performance has been affected most by problems with social skills, anxiety, and/or mood changes; and (2) The Comprehensive Addiction Program for Adolescents (CAPA), which offers additional services for students seeking recovery from substance abuse. CAPA uses a harm-reduction model to help students reduce, and ultimately abstain from substance use. CARES provides multidisciplinary therapeutic services designed to address the specific problems that have interfered with each individual student's academic, social, and emotional success in the past. The CARES clinical staff works together as a team to make an individual treatment plan for each student, which will include: Individual Therapy (2x/week); Group Therapy (5 days/week); Family Therapy / Collateral Sessions (weekly/monthly); Psychopharmacology (monthly); Milieu Therapy (daily/as needed); Community Meetings; Complementary Services (ex: AA, NA, case management, waiver, linkages with community organizations). Throughout the Internship year, Child Track interns carry two individual treatment cases, one family therapy case, co-lead three groups and serve as milieu therapists. If adult interns chose this as their morning rotation, they treat one or two patients twice a week, co-lead one group, treat one family and participate in the milieu and in community meetings.  The psychologist director and licensed staff psychologists provide supervision. Please see Appendices for this site-specific handbook.

III. Outpatient Clinical Rotations:

A) Adult Outpatient Clinic (Adult Interns Only): The AOPC is a high volume, psychiatric outpatient clinic serving a diverse population of individuals with wide-ranging socio-demographic, ethno-cultural, psychiatric and medical characteristics. The intern-trainee gains experience in providing psychotherapy in a range of modalities (e.g. CBT, DBT, MI, ACT, short and longer-term psychodynamic psychotherapy, group therapy and family therapy). He/she collaborates with a team of clinicians, including psychiatrists, nurse practitioners, psychologists, social workers, and psychiatric residents, to provide high-quality, evidence-based care.  Interns typically carry 10-12 individual patients, co-lead one group and treat one family on an outpatient basis.  In addition, they will conduct two psychological assessments per year. Interns have two outpatient supervisors, one family supervisor/consultant, one group supervisor and one assessment supervisor for their work in the AOPC.  They are also required to attend the AOPC interdisciplinary staff meeting every other week and the Psychosis Training Case Conference on the alternate weeks.

B) Child Outpatient Department: (Child Interns Only) In the Child Outpatient Department, each intern carries a caseload of: one group (co-led with a staff member); one or two family cases; and 10-12 individual patients (including parent-infant dyads through the Parent-Infant Center), with a broad range of psychiatric and developmental problems, ages, demographic characteristics, ethnic, cultural and sexual identities, and life situations. The target population is children/adolescents, ages zero to eighteen, and their families. Interns receive individual supervision in each of the following areas: systems/group psychotherapy (one hour/week); individual psychotherapy (e.g., psychodynamic therapy, dialectical behavior therapy, cognitive behavior therapy, parent-infant therapy), crisis intervention, etc. (Two hours/week, delivered by two supervisors); and family therapy (one hour per week in group, sometimes using real-time, one-way mirror-assisted feedback) for a total of four hours per week. Interns may also conduct intake evaluations. Interns have the opportunity to design individualized caseloads based on their specific areas of interest.

C) The Inpatient Child/Adolescent Psychiatry Unit (Babcock 5) - 7 weeks (Child Interns Only): The inpatient child and adolescent service rotation offers an opportunity to gain experience working therapeutically with severely disturbed youth and their families and to work side by side in a team approach with psychiatric nurses, art and rehabilitation therapists, medical students, social workers, psychiatric trainees, and attending psychiatrists. The unit services a diverse population of children aged 6 to 12 and adolescents aged 13 to 17. Approximately a third experience psychosis, a third experience severe impulsivity and hyperactivity, and a third mood disturbances; trauma is very common throughout. Interns participate in a 7-week rotation (3 hours/day, 4 days/week). Interns bring their specialist training to serve as an experienced leader in the implementation of individual therapy, group therapy, and management of a milieu behavioral program with close integration among the multidisciplinary staff. As a crucial member of the multidisciplinary rounds, interns gain the opportunity to learn basic principles of medication management and its surrounding nuanced effects on parent child dyad, dispositional planning considerations and strategies, and a broader understanding of the role of social service and family system work in the delivery of care to children and adolescents. Opportunities for individual supervision with the psychiatric attending faculty present an opportunity for greater immersion in care within a medical perspective to strengthen the psychology trainee's global development and to advance flexible care delivery and an understanding of the role of the acute inpatient unit in the contemporary mental health system.

IV. On-Going Didactic Seminars and Workshops:

Note: Syllabi and reading materials (in list form as well as e-copy format) for each of the below courses are uploaded to the portal associated with this standard. E copies of all reading materials for each of the below courses are also uploaded to a training drive which is easily accessible to all trainees.


A) Core Competency Seminar (50 minutes/ week): This weekly seminar is required of both child and adult interns and includes topics in the core competency syllabus which are central to important learning for both tracks. A complete schedule for this seminar is uploaded here.  Modules in this course include: (i.) several lectures on ethics, (ii.) a once monthly Diversity Seminar where interns present cases to the Chief Psychologist at MSSLW. These cases are discussed and considered through the lens of diversity and multicultural awareness, (iii.) A core testing module which includes an overview of: Projective tests, Neuropsychological tests, MMPI and NCMI,  (iv.) a diversity workshop where trainees are encouraged to explore and discuss their own experiences with micro-aggressions vis-à-vis diversity and cultural differences, and (v.) specialized clinical  topics such as: features of the psychodynamic approach (the frame, therapeutic rupture, enactment, etc),  addictions treatments (harm reduction), LGBTQ- sensitive treatments, trauma treatments, and models of supervision. See Core Competency Lectures Series..

B) Family Seminar (75 minutes x2/month): (Child and Adult Interns together) This seminar is co-led by two licensed psychologists with specialized training in family and systems. One of these psychologists was trained at the widely-recognized Ackerman Institute in family systems and couples treatment. After a few weeks of family and systems theoretical training, interns are encouraged to present a family case which they are currently treating and then invited to bring that family to be treated for 1-2 sessions behind a one-way mirror. The treatment team (which includes the two co-leaders and the other interns) sits in the observation room and telephones in with their comments and suggestions. This is live-interactive supervision. Following this session, the team sits with the intern-therapist and discusses their impressions in light of the system theories previously taught. Interns attend this seminar twice a month.

C) Process Group (75 minutes/week): This is a traditional process group required of both child and adult interns. This group is led by a licensed psychologist who is a member of the American Group Psychotherapy Association and who is trained in Tavistock’s group methods. This group meets once a week for 60 minutes. The theory associated with this technique is reviewed in the first few weeks of the seminar. After that, the group functions with strict adherence to the model. By design, there is no contact between the Director/Associate Directors of Training and the leader of the process group except if a trainee asks to leave the group, is in danger or is posing a danger to someone else. (Trainees have asked to leave the group but no one has ever been in danger or posing a danger to another person.)

D) Departmental Grand Rounds (75 minutes/week): Both child and adult interns are invited to attend the weekly departmental Grand Rounds.

E) Didactics Specific to the Adult Track:

(i) Year-long course in CBT/DBT and other evidence-based modalities (50 minutes/week): This team-taught weekly course aims to expose students to a series of diagnosis-specific evidence based treatment protocols. In the first half of the year, lecturers review these treatment manuals using slides, lectures, and other didactic approaches including workshops and role-plays. This half of the year reviews: Motivational Interviewing, CBT for Panic Disorder and GAD, CBT for OCD, CBT for Depression, CBT for Psychosis, CBT for Social Phobia, and several other diagnosis specific protocols. As the first semester of this course progresses, students are encouraged to bring in examples from cases they are treating as they are relevant to and help to explicate the protocols being taught. The second semester of this course is entitled “CBT in the Trenches- Applying the protocols in the real world”. This half of the course is run a case conference where trainees present cases they are treating and are encouraged to think about the cases in light of the protocols taught earlier in the year.  Protocols are written by researchers in “pure” settings where numerous diagnostic exclusions are permitted. In our OPC, we treat real-life “imperfect” cases which require adaptation and modification of the protocol to fit the patient. Here we try to teach patient-driven treatment rather than simply applying the protocol to a patient who meets diagnostic criteria.

(ii) Year-long course in psychodynamic therapies (50 minutes/week): This course is divided in to two semesters. During the first semester (July- mid December), themes and theories of different psychodynamic treatment approaches are reviewed and discussed. These therapeutic approaches are located in history and in the larger “over-arching map” of therapeutic approaches.  The second semester of this course (mid-January-May) led by a trained analyst is run as a case conference for psychodynamic theory and thinking. Each student is expected to present audio-tapes from sessions with a selected patient. Interestingly, the presenter is not allowed to comment or discuss their perspective during these presentations. The seminar leader and other interns discuss the tapes and give feedback to the intern treating the case.

(iii) AOPC Case Conference (60 minutes/x2 per month): This is a seminar where high-risk outpatients are presented and interviewed and treatment options are suggested and discussed. This seminar is run by the Adult Outpatient Clinic and is led by Dr. Marianne S.Goodman, an Assistant Professor of Psychiatry at The Mount Sinai School of Medicine. Dr. Goodman is involved in treatment research on borderline personality disorder and coordinates the medical student education program for the department of Psychiatry at the Bronx VA Medical Center. Her research focuses on Dialectical Behavioral Therapy treatment for borderline personality disorder and childhood trauma antecedents. Interns are invited to attend and to present in this seminar at least once in the course of their training year.

(iv) Structured Interview for Prodromal Syndrome (SIPS) Training (2 days off-site): When trainees rotate through the PRC (above described), they are required to attend training in SIPS.  This two day, off-site training teaches them to use the structured interviewed designed to rule out/in past and current psychosis, rule out/in psychosis risk syndromes and rate the current severity of the psychosis risk symptoms. After training, interns are expected to conduct one of these interviews during their time in the PRC rotation.

(iv) Modular Course (50 minutes/week)– Other clinical topics of interest: In this year-long weekly course, a team of different faculty presents topics in which they are expert. These topics include: biofeedback, integrated treatment of character disorder, relational psychoanalysis, groups and systems, Lancanian theory and therapy, IPT, and using the termination in your treatment. In each case, the research and clinical evidence on which the treatment has been tested and developed is presented.  Students are encouraged to question and challenge these methods and to ask questions informed by the patients they are treating. There is also a professional development component to this series in which former trainees come back to the hospital to talk about their current work and also speak about how to start a private practice. 

F) Didactics Specific to the Child Track:

(i) Once weekly (60 minutes/week) Psychotherapy Course, a core course on evidence-based treatments for the major presenting problems of child and adolescent patients --internalizing and externalizing behaviors, anxiety and developmental trauma disorders, and substance use disorders. Topics include: working with caregivers; play therapy; treating externalizing disorders; treating internalizing disorders; treating trauma; treating substance use disorders; group therapy; working with schools; transference/countertransference; and termination. Modules are designed to progress in depth and skill level as the year progresses, in an effort to parallel the interns' practical experiences with patients. This course is attended by Child Psychology Interns and Child Psychiatry 1st year Fellows which helps to facilitate their interdisciplinary collaboration.

(ii) Once-weekly (60 minutes/week) Testing Course/Supervision related to the assessment of children and adolescents with possible learning and developmental disabilities. Interns participate in this course/supervision for approximately 2 months while they are completing psychological assessments.

Evaluation and feedback is an integral part of the conduct of the Internship Program. Throughout the Internship year, evaluation and feedback, on a variety of levels, provides the basis for real-time self-appraisal and (as-needed) enhancement of all aspects of the Internship Program, as well as of intern work. Three times/year (i.e., early in the year, mid-year, end of year), evaluations are obtained from interns and ongoing supervisors. At the end of rotations, evaluations are obtained from interns and Rotation supervisors. Supervisor feedback is based on ‘live observation’  (the APA defines this as direct observation, video/audio tapes) as well as trainee report and process notes. At the end of Course modules, evaluations are obtained from interns, as a group.

Information about supervision and courses, shared with the Training Directors or Associate Training Director, is used to identify Program strengths and weaknesses, and to make real-time adjustments. Information about Intern work, shared in supervision as well as in individual meetings with the Training Directors or Associate Training Director, is used to support and enhance the intern's ongoing experience and proficiency. Interns meet individually with the Training Directors or Associate Training Director, for overall program supervision, career guidance, evaluative feedback, and elicitation of their feedback about their Internship experience, three times per year. The Training Directors and Associate Director also conduct regular sessions, on a monthly basis, focused on interns' ongoing experience of their clinical experience, rotations, supervision, didactics, and systems experience of the services they are part of, and of the overall Internship Program.