PRE-DOCTORAL INTERNSHIP IN CLINICAL NEUROPSYCHOLOGY 2015-16
PRE-DOCTORAL INTERNSHIP IN CLINICAL NEUROPSYCHOLOGY 2015-16 For more information, please contact: Susan Vandermorris, PhD., C. Psych. Director of Training, Pre-doctoral Internship in Clinical Neuropsychology Neuropsychology & Cognitive Health Program Baycrest 3560 Bathurst Street Toronto, ON M6A 2E1 Telephone: 416-785-2500 x2686 Fax: 416-785-4235 Email: [email protected] Web: www.baycrest.org/neuropsychology TABLE OF CONTENTS INTRODUCTION ................................................................................................................ 3 TORONTO AND SURROUNDING AREA ................................................................................... 3 BAYCREST ............................................................................................................................... 3 NEUROPSYCHOLOGY & COGNITIVE HEALTH PROGRAM....................................................... 4 OVERVIEW OF THE INTERNSHIP PROGRAM ....................................................................... 6 PROGRAM MISSION AND MODEL .......................................................................................... 6 PROGRAM STRUCTURE .......................................................................................................... 6 DIDACTIC EXPERIENCES .......................................................................................................... 7 RESEARCH OPPORTUNITIES ................................................................................................... 9 INTERN CONTRIBUTIONS TO TRAINING AND WORK-LIFE BALANCE .................................... 9 SALARY AND BENEFITS ......................................................................................................... 10 DIVERSITY AND ACCESSIBILITY............................................................................................. 10 ACCREDITATION ................................................................................................................... 10 DESCRIPTION OF THE ROTATIONS ................................................................................... 11 NEUROPSYCHOLOGICAL ASSESSMENT ................................................................................ 11 MEMORY INTERVENTION .................................................................................................... 12 BEHAVIOURAL MANAGEMENT & SUPPORT ........................................................................ 12 CLINICAL REHABILITATION ................................................................................................... 14 NEUROPSYCHOLOGICAL RESEARCH .................................................................................... 15 PROGRAM FACULTY ........................................................................................................ 16 APPLICATION PROCESS ................................................................................................... 21 APPLICATION MATERIALS AND DEADLINE .......................................................................... 21 SELECTION CRITERIA ............................................................................................................ 21 ACCEPTANCE AND NOTIFICATION PROCEDURES ................................................................ 22 2 INTRODUCTION TORONTO AND SURROUNDING AREA Toronto is the capital of Ontario and the largest city in Canada. There are three universities (University of Toronto, York University, and Ryerson University), numerous cultural attractions (Royal Ontario Museum, Toronto International Film Festival, live theatre, Toronto Science Centre, Art Gallery of Ontario), and professional sports teams (the MLB Blue Jays, the NHL Maple Leafs, the CFL Argonauts, and the NBA Raptors), as well as the Hockey Hall of Fame. There are abundant water activities available at nearby Lake Ontario, as well as opportunities for hiking and camping within driving distance from the city and many bike trails within the city. BAYCREST BAYCREST MISSION Baycrest is an academic health sciences centre that provides an exemplary care experience for older adults across a variety of institutional and community based settings. We are devoted to improving the quality of life of older adults everywhere through the integration and application of exceptional healthcare, wellness promotion, research, and educational activities. We draw inspiration from the unrivalled support of generations of families within our community and the ethical and cultural values of our Judaic heritage. Our traditions compel us to devote ourselves to helping others in need, while pursuing wisdom through educational attainment and scientific inquiry. We are dedicated to: Achieving the highest quality and innovation in client-centered clinical and residential care and patient safety; Generating and applying clinical and scientific breakthroughs; Sharing our expertise nationally and globally, serving as a thought leader and resource for information to support the health and wellbeing of the older adult population; Providing a community of care and learning that encourages creativity and personal and professional growth for all of our staff, physicians, volunteers, and students; and, 3 Effectively advocating for an accessible and comprehensive healthcare and community support system that responds to the diverse needs of older adults. BAYCREST VISION We will transform the experience of aging through leading innovations in brain health, wellness promotion, and approaches to care that enrich the lives of older adults. ABOUT THE CENTRE Baycrest provides care and service to approximately 2,500 people a day through the centre, which includes a unique continuum of care including wellness programs, residential housing, and outpatient clinics. The Apotex Centre, Jewish Home for the Aged is a 372-bed residential unit providing nursing care. Baycrest Hospital is a 300-bed complex continuing care hospital facility consisting of clinical programs in Geriatric Assessment and Treatment, Palliative Care, Rehabilitation Medicine, Behavioural Neurology, and Psychiatry. The Baycrest Terrace is a 204-unit, adult residential complex. The Wagman Centre is a community centre for older adults, providing social services and activities to the residents of the Centre and to the community. Baycrest’s Research Centre for Aging and the Brain includes the acclaimed Rotman Research Institute, considered one of the top five brain institutes in the world, and the KuninLunenfeld Applied and Evaluative Research Unit (KLAERU) which supports research focused on clinical outcomes, client and family experiences and knowledge translation. Through the Centre for Education on Aging, Baycrest shares expertise and knowledge locally, nationally and internationally. Fully affiliated with the University of Toronto, Baycrest plays a unique and important role in training and enlightening future professionals who will have the responsibility of servicing our aging population. Baycrest has linkages, partnerships and appointments at other academic centres across the country, continent and beyond. NEUROPSYCHOLOGY & COGNITIVE HEALTH PROGRAM The Neuropsychology and Cognitive Health program provides clinical services, education and training and clinical research related to the assessment and treatment of memory and other cognitive abilities in older adults. The mission of our program is to provide excellence and leadership in clinical neuropsychological services. Our staff is made up of psychologists, social workers, administrative support as well as many volunteers and students. CLINICAL SERVICES The program provides neuropsychological assessment, intervention, and consultation across Baycrest programs and to external organizations. 4 Neuropsychological Evaluation Services contribute to the diagnosis of cognitive disorders and treatment planning. Neuropsychological intervention is offered to clients with mild to severe cognitive changes. Specific programs include the following: o The Memory and Aging Program serves older adults with age-normal memory changes. o Learning the Ropes for Mild Cognitive Impairment (MCI) serves clients with MCI and their family members. o Memory-Link provides training and support for clients with severe memory impairment and their family members. o Neuroperceptual intervention provides cognitive rehabilitation for visual disorders. o Training of Executive Attention targets executive and attention deficits associated with diverse cognitive disorders. External neuropsychological consultation services are provided to Sunnybrook Health Sciences Centre and West Park Healthcare Centre (a 774-bed, rehabilitation centre in Metropolitan Toronto). Behavioural consultation helps Baycrest teams manage responsive behaviours in patients with cognitive disorders. EDUCATION AND TRAINING We offer training opportunities for undergraduate psychology students, graduate practicum students in social work and psychology, and pre-doctoral neuropsychology interns. We also provide numerous rounds and seminars for trainees in neuropsychology. CLINICAL RESEARCH Our staff members are involved in clinical research investigating cognitive and behavioural changes that occur with normal aging and age-related cognitive disorders. 5 OVERVIEW OF THE INTERNSHIP PROGRAM PROGRAM MISSION AND MODEL The mission of the Pre-doctoral Internship in Clinical Neuropsychology is to educate, train and evaluate our interns in order to support achievement of competence in evidence-based, clinical neuropsychological practice and research. Our mission is accomplished through a model of training that consists of the following components: (1) staged and sequential development of clinical skills throughout the internship; (2) acquisition of critical thinking skills to evaluate evidence applicable to clinical practice; (3) integration of research into practice by development of skills in outcome measurement; (4) mentorship by faculty to foster the interns’ professional development. We value and model the close integration of care, research and education in all professional activities. We strive to provide our interns with the knowledge of current, best-practice in provision of neuropsychological services, exposure to evidence-based research in clinical neuropsychological practice and the opportunity to develop skills in intervention for cognitive disorders. We aim to equip our interns with the core skills and competencies involved in delivery of neuropsychological services including professional consultation, assessment, diagnosis, intervention, clinical research and providing useful information to our clients. PROGRAM STRUCTURE All interns complete two 6-month rotations (2.5 days/week) and one 12-month rotation (11.5 days/week). Neuropsychological Assessment is required as one of the 6-month rotations. Memory Intervention is required as the 12-month rotation. Interns may choose one of three elective rotations for the other 6 months: (a) Behavioural Support and Management, (b) Clinical Rehabilitation, or (c) Neuropsychological Research. The specific program will be jointly determined by the intern and internship director at the time of acceptance to the program. Didactic sessions run from September through June. Two hypothetical rotation configurations are laid out below. Detailed descriptions of the rotations and seminars are provided beginning on page 11. Sample Rotation: Fall/Winter (September-February) Neuropsychological Assessment: 2.5 days per week (one to two assessment cases) Memory Intervention: 1-1.5 days/week (may include one group session of either the Memory and Aging Program or the Learning the ROPES for Mild Cognitive 6 Impairment Program and one to three individual memory training sessions with Memory Link program clients) Didactics: 3+ hours per week (Behavioural Neurology Rounds, Neuropsychology Seminar/Evidence-Based Practice in Psychology Rounds, Psychology Speaker Series, optional rounds of interns’ choice) Supervision: 4 hours per week (one hour may be group supervision) Spring/Summer (March-August) Clinical Rehabilitation: ~2.5 days/week (Training of Executive Attention program at Baycrest, Psychotherapy at West Park) Memory Intervention: as above 3+ hours of didactics: as above 4 hours of supervision: as above Sample weekly schedule (fall/winter): Morning Afternoon Monday Neuropsych. Assessment (one case, intern may also be involved with a second case on Tuesday) Tuesday Supervision Report writing Wednesday Behavioral Neurology Rounds Thursday Memory and Aging Program group session Memory Disorders Clinic Rounds Report Writing Memory Link client session Supervision Friday Psychology Speaker Series Supervision Neuropsych. feedback session Memory Link client session Group supervision Neuropsych. Seminar or EvidenceBased Practice in Psychology Seminar DIDACTIC EXPERIENCES Interns are introduced to specific topic areas by clinical and research seminars and by inpatient rounds. In addition to mandatory attendance at the core seminars, there are also opportunities to attend research seminars, grand rounds, medical rounds, and lectures by 7 visiting scientists and clinicians at both Baycrest and other hospitals, according to individual interests and relevance to ongoing rotations. NEUROPSYCHOLOGY SEMINAR (CORE) This is a weekly didactic lecture series that is required for all interns and open to the hospital community. Presentations focus on core topics in the practice of clinical neuropsychology (e.g., interviewing, scoring and test interpretation, making diagnoses, providing feedback, intervention and rehabilitation, neuroanatomy, neuroimaging, neurologic examination, ethics and professional issues). Each intern is expected to give at least one presentation during the year focused on a neuropsychological disorder. Typically, the didactic talk regarding the disorder is supplemented by a case presentation of a patient the intern has seen during the neuropsychological assessment rotation. EVIDENCE-BASED PRACTICE IN PSYCHOLOGY SEMINAR (CORE) This is a monthly meeting that is required for all interns and open to the hospital community. The purpose of this seminar series is to familiarize the participants with the methods and procedures of evidence-based practice. Topics include evaluation of the clinical utility of diagnostic tests, evaluation of clinical studies and trials, evaluation of risks and benefits of treatments and program evaluation. Participants will learn how to formulate clinically relevant questions from clinical cases, search the literature for evidence and critically evaluate the evidence. Participants are expected to choose a clinical topic, develop a clinical question and lead a discussion of the relevant clinical evidence that answers the question. PSYCHOLOGY SPEAKER SERIES (CORE) This is a monthly meeting that is required for interns and open to the hospital community. Speakers give didactic presentations on research topics relevant to neuropsychology. Each intern is expected to give at least one presentation during the year. In the past, this has typically been a presentation of the intern's own dissertation research. BEHAVIOURAL NEUROLOGY ROUNDS (CORE) These weekly rounds are required for all interns and consist of city-wide case based presentations on persons with neurological problems, often with a focus on differential diagnosis. Target audience is neurologists, psychiatrists, neuropsychologists, or others that see persons with neurological problems. BEHAVIOURAL SUPPORT ROUNDS (OPTIONAL) These weekly rounds focus on assessment and interventions for behavioural and psychological symptoms of dementia (BSPD). Target audience is front line staff at long-term care, hospital, and community settings. 8 ROTMAN RESEARCH ROUNDS (OPTIONAL) This is a weekly seminar that focuses on cognitive neuroscience research. Speakers include postdoctoral fellows and faculty from the Rotman Research Institute and prominent visiting scientists from the around the world. Attendance at these talks is optional, and strongly recommended for interns interested in an academic career. PSYCHIATRY GRAND ROUNDS (OPTIONAL) These weekly rounds focus on issues relevant to (primarily geriatric) psychiatry, and may be clinical or research-based. Speakers include both in-house faculty and invited guests from other institutions. RESEARCH OPPORTUNITIES All our faculty are engaged in clinical research which is both informed by and informs scientific research in cognition and neuropsychology. There are many opportunities for interns to engage in supervised clinical research relevant to their training experiences and interests. During the internship year, interns are required to carry out at least one individualized supervised research project, typically within the context of one of their rotations. Specific objectives for the project are determined individually and collaboratively with the supervising staff member. Examples of possible projects include: a detailed case study of a client evaluated on the neuropsychological assessment rotation, program evaluation of one of the group interventions, systematic reviews or meta-analyses of clinical topics, or development of cognitive tests. INTERN CONTRIBUTIONS TO TRAINING AND WORK-LIFE BALANCE Interns are key contributors to the program and have regular opportunity to shape their experience. They are members of a standing training committee focused on the functional structure of the internship (e.g., rotation content and scheduling, interns’ evaluations of the internship, work-life balance and time-management, activities related to accreditation, preparation for applicant interviews and applicant evaluations). The program values interns’ contributions and has a history of making changes in response to intern feedback. To highlight a recent example of this, we have taken a number of steps to promote work-life balance in our trainees. This includes reducing caseload expectations in the Neuropsychological Assessment rotation, consolidating our weekly Neuropsychology Seminar with our monthly Evidence-Based Practice in Psychology Seminar to increase 9 interns’ scheduling flexibility, and dedicating time within this Seminar series and our Training Committee meetings to ongoing discussion and monitoring of this important issue. SALARY AND BENEFITS Funding is provided for full-time interns at the rate of $28,500 per annum. Benefits include 10 paid vacation days per year in addition to paid statutory holidays. Interns are allotted 5 days for conference attendance or professional time. Registration at the annual Rotman Research Institute conference in March will also be covered. DIVERSITY AND ACCESSIBILITY The Pre-doctoral Internship in Clinical Neuropsychology at Baycrest is committed to employment equity, welcomes diversity in the workplace, and encourages applications from all qualified individuals, including members of visible minorities, aboriginal persons, and persons with disabilities. Baycrest complies with the Ontarians with Disabilities Act. As such, we offer an accessible workplace, including office space, washrooms, dining facilities, parking, and equipment, for both clients and interns with disabilities. The Director of Training will be happy to provide additional information to interns with specific questions about access and accommodations at Baycrest and West Park. ACCREDITATION The program has been accredited by the Canadian Psychological Association in clinical neuropsychology since 2008-09. A site visit for re-accreditation was completed in 2013-14. A decision on this application will be made at the next CPA Accreditation Panel meeting, October 17-19, 2014. Information regarding accreditation status can be obtained from the CPA Accreditation Office at: Office of Accreditation, Canadian Psychological Association 141 Laurier Avenue West, Suite 702 Ottawa, Ontario K1P 5J3 Dr. Melissa Tiessen, Director, Education Directorate & Registrar, Accreditation 888-472-0657 (613-237-2144), ext. 333, [email protected] 10 DESCRIPTION OF THE ROTATIONS All interns complete two 6-month rotations and one 12-month rotation. For all rotations, the specific responsibilities will be established collaboratively with the intern’s supervisor, based on the core program requirements and the intern’s personal training goals. NEUROPSYCHOLOGICAL ASSESSMENT 6-month REQUIRED rotation, 2.5 days per week Interns will carry out supervised neuropsychological assessment of individuals presenting with a range of conditions such as neurodegenerative disease, stroke, trauma, psychiatric disorders, and systemic disease. The intern will train to interview patients and review their medical history in order to develop a differential diagnosis or provide a functional assessment pertaining to discharge planning. A primary focus of outpatient neuropsychological services at Baycrest is on differential diagnosis of dementia, such as Alzheimer's disease, vascular dementia, frontal lobe degeneration or frontal-temporal dementia, Parkinson’s disease, and other forms of dementia. Occasionally, patients are referred for other reasons, including evaluation of head injury, attention-deficit disorder, and learning disabilities. Neuropsychological services at West Park Healthcare Centre predominantly offer assessment to inpatients with stroke, head injury, anoxic brain injury, tumor, hydrocephalus, alcohol-related syndromes, various dementia syndromes and brain abscess. Interns will learn to administer a battery of standardized tests of memory, cognition, attention, language, sensation, perception, praxis, visuospatial ability, motor skills, and mood. The intern is expected to score the tests given, summarize the results, and report behavioural observations made during testing. Initially, the supervisor will conduct the clinical interview, but the intern will do so as the rotation progresses. Interns will prepare written reports based on the assessments (following discussion of the results with the supervisor), including delineation of cognitive strengths and weaknesses, diagnosis of cognitive impairment, and recommendations regarding further assessment or treatment. They will participate in multidisciplinary team meetings where information from several health professions is shared to develop treatment plans for clients (e.g., the Memory Clinic team includes representatives from Neurology, Psychology, Psychiatry, Social Work, Occupational Therapy, and Speech and Language Pathology). Interns will also provide information about the assessment results to patients and their families in feedback sessions. 11 MEMORY INTERVENTION 12-month REQUIRED rotation, 1-1.5 days per week In this rotation, interns engage in memory intervention activities involving the entire range of memory dysfunction, from mild changes associated with normal aging and mild cognitive impairment to severe memory impairment (amnesia) secondary to neurological dysfunction. The intern will learn to integrate neuropsychological findings in order to develop and implement individualized and group memory interventions and to coordinate case management. The approach of this rotation is to apply findings from basic research to problems of day-to-day memory functioning. Interns will conduct in-depth assessments of memory and other cognitive abilities, provide group and individual education, develop and implement evidence-based memory interventions, and provide clients and families with feedback. These services are provided within three contexts: (a) the Memory and Aging Program: an education and intervention program for older adults who are experiencing normal age-related memory changes. (b) Learning the ROPES for Mild Cognitive Impairment (MCI): a group program focused on optimizing cognitive health through lifestyle choices, memory training, and psychosocial support in older adults with MCI and close family members/friends, and (c) Memory-Link, a clinical evaluation and treatment service provided to adults with moderate to severe memory problems and their family members/friends. Specific memory interventions include both internal memory strategies (e.g., associations and spaced repetition) and external memory aids (e.g., smartphones). A unique aspect of this rotation is the opportunity to contribute to the development and evaluation of novel memory interventions. The types of clients receiving these services include healthy older adults and older adults with mild cognitive impairment, and adults (20 to 85+) with traumatic brain injury, encephalitis, cardiovascular accidents, and other neurological disorders. The majority of clients in the Memory and Aging Program are self-referred. Patients with memory impairments are referred from Behavioural Neurology, Memory Clinic, Geriatric Assessment Clinic, and Community Outreach programs at Baycrest. Referrals are also received from the neurology departments of other hospitals and from community general physicians. BEHAVIOURAL MANAGEMENT & SUPPORT 6-month elective rotation, 2.5 days per week The cognitive decline that is a defining characteristic of dementia syndromes results in progressive inability to handle the demands of everyday life and contributes to the development of behavioural disturbances (e.g., physical aggression, delusions, inappropriate 12 vocalizations, inappropriate voiding, sleep disturbance). These behavioural disturbances are often the reason that caregivers seek treatment as they challenge the knowledge, skills, creativity, and coping resources of formal and informal caregivers. Challenging behaviours are a major risk factor for caregiver distress, and are extremely disruptive in an institutional setting. The successful management of challenging behaviours can result in an improved quality of life for cognitively impaired individuals (e.g., they have new opportunities to take part in social programming and may experience less conflict with other residents) and may improve the safety of other residents and caregivers. The Behavioural Management and Support rotation will provide the intern with the opportunity to gain experience in the management of challenging behaviours. Clients seen will include inpatients on the Behavioural Neurology Unit (BNU) and the transitional Behavioural Support Unit (BSU). Baycrest’s inpatient Behavioural Neurology Unit is a 20-bed hospital unit that specializes in assessment and treatment of behavioural disturbances due to neurological disorders. The Behavioural Support Unit is a 23-bed unit in Baycrest’s Apotex centre, a long term care setting, that also provides specialized transitional behaviour support for resident’s with behavioural disturbances due to neurological disorders. Both teams provide a multidisciplinary service composed of neurology (BNU only), psychiatry, general medicine, nursing, psychology, social work, occupational therapy, speech language pathology, physiotherapy, dietary, and recreational therapy. In order to develop a behavioural management plan of a particular client’s behaviour, the intern will collect information about the person’s history in order to gain an appreciation of details of the history that could be incorporated into the management protocol (e.g., preferences, likes, hobbies); cognitively assess the client, if appropriate; conduct interviews with staff on all shifts in order to gain a better understanding of the nature of the challenging behaviour, monitor the collection of data aimed at identifying what might be triggering (the antecedents) and maintaining (the consequences) the challenging behaviour; in collaboration with staff, develop a management plan that details the specific intervention that is to be applied; evaluating and documenting the outcome of treatments; address staff expectations around the outcome of treatment; and educate the staff, caregivers, and family about the contribution of the client’s specific cognitive impairments to his/her challenging behaviour. Through this rotation, the intern will have exposure to how various neurological disorders progress in terms of cognition and behaviour, gain experience cognitively testing clients with behavioural disturbance, and develop an appreciation of the complexities of working as a part of an interdisciplinary team. Outside of the intern’s involvement with individual clients, he/she may participate in ongoing behaviour management research projects and/or educational activities. 13 CLINICAL REHABILITATION 6-month elective rotation, 2.5 days per week The rotation focuses on two separate aspects of rehabilitation: neurorehabilitation and psychological rehabilitation. The neurorehabilitation component will be served at Baycrest for 1.5 days per week. In the neurorehabilitation component, the intern will work with clients who have a variety of neurological and neuropsychiatric conditions (e.g., stroke, multiple sclerosis, mood disorders) and are experiencing significant difficulty in their day-today function. The intern will draw upon principles of neurorehabilitation to apply a cognitive-based, training of executive attention (TEA) intervention, to address real-world problems. The TEA programme is designed to teach participants strategies that they can use in their daily lives to improve their ability to achieve goals by sustaining their attention and staying focused, formulating realistic plans, and organizing, prioritizing, and completing tasks in a timely fashion. When indicated, the intern may also perform cognitive assessments in order to clearly define clients’ strength and weaknesses in order to tailor the interventions to meet their abilities and needs. The second component of this rotation is focused on psychological adjustment to a number of medical conditions, where the intern will spend one day per week at West Park Hospital. The intern may work with both adult inpatients and outpatients with a variety of complex medical conditions: orthopaedic injuries (e.g. hip and knee replacement, trauma), respiratory diseases (e.g. COPD, TB, pulmonary fibrosis), neurological disorders (e.g. CVA, aneurysm, head injury, multiple sclerosis, spinal cord injuries), neuromuscular (e.g. muscular dystrophy, ALS, rheumatoid arthritis), and amputation. In addition, to learning to work with the physical limitations, interns will have an opportunity to work with patients with cognitive impairments and speech deficits (including nonverbal patients). Interns will be involved in conducting brief assessments (chart review, client interview, psychological testing) to inform treatment planning. Individual treatment is primarily delivered from a solution focused, logotherapy and or cognitive behavioural perspective, adapted to the patient population. Common treatment themes involve, but are not limited, to the following: adjustment to illness and disability; adjustment to institutionalization; and development of strategies to manage anxiety, depression, panic, and pain. In some cases, family therapy is provided to assist patient families to cope with the impact of their family member’s situation on their functioning. Professional consultation in the form of knowledge dissemination and provision of practical strategies to the healthcare team may also be provided to assist with the management of challenging patient behaviours. 14 NEUROPSYCHOLOGICAL RESEARCH 6-month elective rotation, 2.5 days per week This rotation is intended to provide interns with research experience in clinical neuropsychology. Ongoing studies involve memory, attention, and lifestyle (exercise, volunteering) interventions in normal aging, individuals with mild cognitive impairment (MCI), and individuals with cerebral small vessel disease, as well as research into the effects of healthy aging and MCI on memory processes. New research in other cognitive domains and with other client populations may also be feasible. There may also be an opportunity to conduct detailed single-case designs. Under supervision, interns will familiarize themselves with the appropriate theoretical and empirical background, and carry out a focused study. Interns will be expected to conclude the rotation by writing a report of the study and findings, ideally for publication. Interns are also expected to attend relevant Rotman rounds during this rotation. 15 PROGRAM FACULTY Representative publications are provided for each faculty member. In some cases, presentations are listed to give an idea of that faculty member's interests. SUPERVISING FACULTY Anderson, Nicole, PhD, C.Psych (University of Toronto, 1997); Senior Scientist at the Rotman Research Institute. Supervisor of Neuropsychological Research rotation. Research interests focus on cognitive aging (in healthy aging and mild cognitive impairment), memory processes, memory rehabilitation, and functional neuroimaging. Anderson, N. D., Damianakis, T., Kröger, E., Wagner, L., Dawson, D., Binns, M., Bernstein, S., Caspi, E., Cook, S., & the BRAVO Team. (in press). The protective benefits of volunteering against functional decline and dementia: A critical review and recommendations for future research. Psychological Bulletin. Anderson, N. D., Murphy, K. J., & Troyer, A. K. (2012). Living with mild cognitive impairment: A guide to maximizing brain health and reducing dementia risk. Oxford University Press. Jankey, Sharon, PhD, C.Psych (York University 1998); Staff Psychologist at West Park Healthcare Centre; Supervisor of Clinical Rehabilitation rotation. Primary clinical interests are the assessment and treatment of medical patients. Primary research interests are the adjustment of persons and their families to chronic illness, disability, and residing in complex continuing care. Jankey, S.G. (in press). Psychological considerations in pulmonary rehabilitation. In L. Pradan & V. Postalache. A practical guide to pulmonary rehabilitation. Jankey, S.G. & Dooner, C. (2008) Psychological aspects and interventions. In N. Ambrosino & R. Goldstein. Ventilatory support for chronic respiratory failure. New York, NY: Informica Healthcare. Jovanovski, Diana, PhD, C.Psych (University of Toronto, 2010). Staff Psychologist at West Park Healthcare Centre; Supervisor of Neuropsychological Assessment rotation. Primary clinical interests include neuropsychological assessment, rehabilitation, and discharge planning with various patient populations including stroke, traumatic brain injury, brain tumours, tuberculosis, epilepsy, and other clinical diagnoses; primary research interests include the ecologically oriented evaluation of executive function in various patient populations; the neuropsychological sequelae of various illicit drug users including cocaine 16 and MDMA; and cognitive rehabilitation techniques targeted at executive dysfunction and memory impairment. Jovanovski, D., Zakzanis, K., Campbell, Z., Erb, S., & Nussbaum, D. (2012). Development of a novel, ecologically oriented virtual reality measure of executive function: The Multitasking in the City Test. Applied Neuropsychology, 19, 171-182. Jovanovski, D., Zakzanis, K., Ruttan, L., Campbell, Z., Erb, S., & Nussbaum, D. (2012). Ecologically valid assessment of executive dysfunction using a novel virtual reality task in patients with acquired brain injury. Applied Neuropsychology, 19, 207-220. Murphy, Kelly J., PhD, C.Psych (University of Western Ontario, 1996); Supervisor, Memory Intervention rotation (Learning the Ropes for Mild Cognitive Impairment program). Primary clinical and research interests focus on cognitive changes and memory intervention in mild cognitive impairment. Other research interests include executive and higher order visual functions in clinical and normal aging populations. Murphy, K. J., & Troyer, A. K. (2012). Recognizing dementia can be tricky. Journal of Current Clinical Care, 3, 6-13. Anderson, N. D., Murphy, K. J., & Troyer, A. K. (2012). Living with mild cognitive impairment: A guide to maximizing brain health and reducing dementia risk. Oxford University Press. Rewilak, Dmytro, PhD, C.Psych. (University of Alberta, 1983); Supervisor of Clinical Rehabilitation rotation. Clinical interests include cognitive changes in depression, rehabilitation of executive dysfunction, and behavioural and emotional disturbances associated with brain pathology. Cusimano, M.D., Rewilak, D., Stuss, D.T., Barrera-Martinez, J.C., Salehi, F. & Freedman M. (2011). Normal pressure hydrocephalus: Is there a genetic predisposition? Canadian Journal of Neurological Sciences, 38, 274-81. Scalco, M.Z., Streiner, D.L., Rewilak, D., Castel, S., & Van Reekum, R. (2009). Smell test predicts performance on delayed recall memory test in elderly with depression. International Journal of Geriatric Psychiatry, 24, 376-381. Ray, Colleen A., PhD, C.Psych. (University of Arizona, 2009); Supervisor of Behavioural Management & Support Rotation. Primary focus involves interventions to ameliorate behavioral and emotional challenges associated with neurological disorders. Cohen-Mansfield, J. & Ray, C. (2014) Whose responsibility is it to make life worth living? International Psychogeriatrics, 26 (08), 1231-1233. 17 Feldman, S. & Ray, C. A. (2013, October). Non-Pharmacological Approaches for the Management of Responsive Behaviours/BPSD. Two workshops presented at the Ontario Long Term Care Physicians 2013 Conference, Toronto Marriott Downtown Eaton Centre Hotel, Toronto, Ontario. Rowe, Gillian, PhD, C.Psych (University of Toronto, 2009); Supervisor of Memory Intervention rotation (Learning the Ropes for Mild Cognitive Impairment and Memory-Link programs). Primary interests include cognitive changes with aging. Biss, R., Hasher, L., Ngo, J., Campbell, K.L., & Rowe, G. (2013). Distraction can reduce age-related forgetting. Psychological Science. 24, 448-455. Svoboda, E., Rowe, G., & Murphy, K. (2012). From science to smart-phones: Boosting memory function one press at a time. Journal of Current Clinical Care, 2, 15-27. Stokes, Kathryn, PhD, C.Psych (University of Virginia, 1988); Supervisor of Neuropsychological Assessment rotation. Runs outpatient clinical neuropsychology services and is involved in student training. Primary research interests are hormones and cognition, and spatial processing in Alzheimer's disease. Westmacott, R., Freedman, M., Black, S. E., Stokes, K. A., & Moscovitch, M. (2004). Temporally graded semantic memory loss in Alzheimer’s disease: Cross-sectional and longitudinal studies. Cognitive Neuropsychology, 21, 353-378. Siegenthaler, A.L., Stokes,K. A., Park, N. W., & Chow, T.W. (2004, Aug.). Cognitive decline, Gerstmann’s syndrome, and apraxia in a case of Corticobasal Ganglionic Degeneration (CBGD). Poster presented at the 28th International Congress of Psychology, Beijing, China. Svoboda, Eva, PhD., C.Psych. (University of Toronto, 2006); Supervisor of Memory Intervention rotation (Memory-Link program). Primary clinical interests include neuropsychological assessment of subacute acquired brain injuries and cognitive recovery, and memory rehabilitation in amnesia. Research interests focus on the assessment and neuroimaging of autobiographical memory and the development and evaluation of memory interventions in amnesia. Svoboda, E., Richards, B., Leach, L., & Mertens, V. (2012). PDA and smartphone use by individuals with moderate-to-severe memory impairment: Application of a theorydriven training programme. Neuropsychological Rehabilitation, 22, 408-427. Svoboda, E., Richards, B., Polsinelli, A. & Guger, S. (2010). A theory-driven training program in the use of emerging commercial technology: Application to an adolescent with severe memory impairment. Neuropsychological Rehabilitation, 20, 562-586. 18 Vandermorris, Susan, PhD, C.Psych (University of Victoria, 2009); Director of Training, Supervisor of the Memory Intervention rotation (Memory and Aging Program). Primary clinical interests are neuropsychological assessment and intervention in older adult populations; Primary research interests are cognitive aging, within-person variability, relationship of neuropsychological assessment to everyday functioning. Vandermorris, S., Sheldon, S., Winocur, G., & Moscovitch, M. (2013). Differential contributions of executive and episodic memory functions to problem solving in younger and older adults. Journal of the International Neuropsychological Society, 19(10), 1087-1096. Vandermorris, S., Murphy, K.M., & Troyer, A.K. (2013). Age-related elevations in intraindividual variability on associative memory tasks. Aging, Neuropsychology and Cognition, 20(6), 722-34. OTHER PROGRAM CONTRIBUTORS Brickman, Ruth, MSW, RSW (University of Toronto, 1993). Social worker in the Memory-Link program (part of Memory Intervention rotation). Practices within a multi-disciplinary team to provide psychosocial support to Memory-Link program clients and their families. This includes individual counselling, facilitation of psychoeducational support groups, and assistance for clients in accessing a variety of resources in their communities Climans, Renee, MSW, RSW. Social worker in the Learning the Ropes for MCI program (part of Memory Intervention rotation). Practices within a multi-disciplinary team to provide psychosocial support to program clients and their families. This includes individual, couples and family counselling, facilitation of psychoeducational support groups, and assistance for clients in accessing a variety of resources in their communities. Leach, Larry, PhD, C.Psych (Arizona State University, 1977); Primary clinical and research interests are assessment of dementia, attention and perceptual disorders, recovery of function, and remediation of attention and memory disorders. Leach, L. (2013). The Kaplan-Baycrest Neurocognitive Assessment. In L. Ashendorf (Ed.), The Boston Approach to Neuropsychological Assessment (pp. 271-299). New York: Oxford. Monette, M.C.E., & Leach, L., (2013). Discrimination of the cognitive profiles of MCI and depression using the KBNA. Canadian Journal of Neurological Science, 40, 670677. 19 Moscovitch, Morris, PhD, C.Psych (University of Pennsylvania, 1972); Research focuses on cognition and memory with particular emphasis on the neural mechanisms mediating explicit and implicit memory, face recognition, and attention. Lee Y., Anaki D., Grady C.L. & Moscovitch M. 2012. Neural correlates of temporal integration in face recognition: An fMRI study. NeuroImage, 61, 1287-1299. Winocur G. & Moscovitch M. 2011. Memory Transformation and Systems Consolidation. Journal of International Neuropsychological Society, 17, 766-780. Rivest, Josée, PhD, C.Psych (Harvard University, 1993); Provides clinical services to patients presenting with visual-perceptual difficulties. Clinical and research interests focus on higher order visual behaviours (in particular, shape perception, object and face recognition, and attention) as they relate to brain damage and aging. Rivest, J., Moscovitch, M., & Black, S. (2009). A comparative case study of face recognition: The contribution of configural and part-based recognition systems, and their interaction. Neuropsychologia, 47, 2798-2811. Tse, P. U., Rivest, J., Intriligator, J., & Cavanagh, P. (2004). Attention and the subjective expansion of time. Perception & Psychophysics, 66(7), 1171-1189. Troyer, Angela K., PhD, C.Psych (University of Victoria, 1994); Program Director of Neuropsychology & Cognitive Health Program; Professional Practice Chief of Psychology; Primary clinical interest is neuropsychological evaluation of mild cognitive impairment (MCI) and dementia, and memory intervention in normal aging and MCI. Research interests focus on memory changes in normal aging, MCI, and dementia; effectiveness of memory interventions; and relationship between executive functions and memory. Wiegand, M. A., Troyer, A. K., Gojmerac, C., & Murphy, K. J. (2013). Facilitating change in health-related behaviours and intentions: A randomized controlled trial of a multidimensional memory program for older adults. Aging and Mental Health. DOI:10.1080/13607863.2013.789000. Troyer, A. K., Murphy, K. J., Anderson, N. D., Craik, F. I. M., Moscovitch, M., Maione, A., & Gao, F. (2012). Associative recognition in mild cognitive impairment: Relationship to hippocampal volume and apolipoprotein E. Neuropsychologia, 50, 3721-3728. 20 APPLICATION PROCESS APPLICATION MATERIALS AND DEADLINE Prospective interns must complete the APPIC Application for Psychology Internship (AAPI), which can be obtained from the website http://www.appic.org/. In your cover letter, please include a statement of your career goals and a description of your training goals for the internship year, including identification of which available rotations best align with your goals. Your complete, online application must be uploaded to the APPIC website by 11:59 P.M. EST, November 3, 2014. For further information, you may reach Dr. Vandermorris by phone at (416) 7852500 x2686, by e-mail at [email protected], or by mail at the following address: Susan Vandermorris, Ph.D., C.Psych. Neuropsychology & Cognitive Health Program Baycrest, 3560 Bathurst Street Toronto, Ontario M6A 2E1 CANADA SELECTION CRITERIA Prospective interns must meet the following requirements: doctoral dissertation proposal submitted (prior to application), graduate-level coursework complete (prior to the match), a minimum of 600 hours of supervised practicum experiences including psychological assessment and psychotherapy or intervention completed prior to the start of internship, including at least 300 hours of direct client contact and 150 hours of supervision. Graduate coursework must include core scientific knowledge in general psychology, neurosciences (neuroanatomy, cognitive neuroscience, neuropsychology), and a thesis project in neuropsychology. Preference is given to applicants from CPA or APA accredited clinical psychology programs, but applicants from non-accredited programs that include equivalent training will be considered. (Note: students from non-accredited programs should provide sufficient documentation to demonstrate program equivalence, including certification from the director of clinical psychology that the training is equivalent to 21 approved programs.) We encourage interns to complete as much of their dissertation prior to the start of internship as possible. Completion of their oral defence prior to internship would be ideal, but at a minimum, data collection should be completed prior to beginning the internship. There will be a maximum of two interns enrolled in the internship program each year. These two will be selected via the National Matching Service in accordance with APPIC regulations. This internship site agrees to abide by the APPIC policy that no person at this training facility will solicit, accept or use any ranking-related information from any intern applicant. ACCEPTANCE AND NOTIFICATION PROCEDURES In selecting interns, the Baycrest Pre-doctoral Internship in Clinical Neuropsychology follows the Association of Psychology and Postdoctoral Internship Centres (APPIC) voluntary guidelines. Applicants, agencies, and programs are urged to report any violations of these guidelines to the Chairperson, APPIC Executive Committee. We will participate in APPIC’s computer matching procedure, the National Matching Service for year 2015-16. The APPIC site code number for our internship program is 1837. The details of the acceptance and notification procedures can be found on the APPIC website: http://www.appic.org. We will also be happy to address your questions or concerns directly (write to [email protected]) or during your interview at our site (if you are short-listed). We will contact students who match to our program after 11:00 on Match Day. A letter confirming internship positions to students who are matched with us will be sent within 3 working days, which will allow time for our Human Resources department to approve the letter of offer. Any offer from Baycrest is contingent upon the applicant not having made a prior commitment and is subject to the sending institution signing an Affiliation Agreement in respect of the sending institution’s responsibilities for the student. A copy of the Affiliation Agreement is available from Baycrest upon request. 22
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