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Adult - Clinical Training Experiences

University of Michigan

General Neuropsychology Clinic: The general clinic for the Neuropsychology Section evaluates more than 3000 patients annually in response to referrals from across the medical center and the surrounding region. Adult referrals involve questions such as neuropsychological sequelae of general medical and neurological conditions, dementia, and trauma, as well as pre-surgical evaluations (e.g., epilepsy surgery, transplant surgery, bariatric surgery), mood disorders, and neurodevelopmental and learning/attention problems.

The Adult Neuropsychology Resident conducts outpatient evaluations for adult and geriatric patients with a wide array of presenting cognitive, emotional, and behavioral conditions. A psychometrist model is used for the majority of the assessments, with the resident responsible for interviewing, interpreting, writing clinical reports, and providing feedback. Residents also provide inpatient consultation services currently on a rotating basis. One of the goals of this program is to ensure that all residents gain experience with patients across the entire lifespan. As such, all UM residents will complete a 4 month experience that involves assessment of pediatric patients.

Postdoctoral residents regularly staff interdisciplinary clinics with medical residents and attending medical staff. Required experiences for UM residents include Cognitive Disorders Clinic, Bariatric Clinic, and Pediatric Clinics for ADHD and neurodevelopmental disorders. However, additional experiences are available across institutions (UM and VAAAHS). The experience includes integration of neuropsychological assessment data with neurological and medical evaluations of patients and discussion about aspects of the case along with teaching by attending staff.  

Primary Clinic Experiences:

Cognitive Disorders Clinic: This weekly clinic in neurology evaluates problems of memory and thinking ability that can occur with aging. It provides diagnosis and comprehensive management of patients with memory loss and disorders of higher cognitive function and dementia. Neuropsychology residents observe the neurological examination and provide feedback and consultation about patients’ neuropsychological evaluation to the treatment team.

Bariatric Clinic: Residents conduct neuropsychological evaluations of all patients being considered for bariatric surgery at the University of Michigan. The bariatric surgery group is a multidisciplinary team consisting of neuropsychology, surgery, internal medicine, social work, and dieticians that meets on a biweekly basis to discuss patients and make recommendations of medical, dietary, and behavioral interventions. The clinic provides experience interacting across disciplines, with an emphasis on developing psychological assessment and interview skills.

Pediatric Clinics: To ensure lifespan training, adult residents will complete a 4 month rotation conducting pediatric assessment cases. During this rotation, they will participate in the ASD and ADHD multidisciplinary clinics. These outpatient clinics are responsible for the diagnosis and treatment management of children with suspected autism spectrum disorders and attention-deficit/hyperactivity disorder as well as common psychiatric comorbidities. Observational opportunities may also be available in the Epilepsy, General Neurology, and the Hematology/Oncology Clinics.

Optional Clinic Experiences: In addition to the above clinics, residents have the opportunity to gain experience in other Neuropsychology Section-supported clinics, including the Neurosport Clinic, the Movement Disorder Clinic, the Epilepsy/Wada Clinic, and several clinics at the VAAAHS (e.g., Community Living Center, Polytrauma/TBI Clinic, Substance Abuse Clinic, Post Traumatic Clinic).

Adult- VA Ann Arbor Healthcare System

General Neuropsychology Clinic: Services are provided throughout the hospital and on the outpatient service. Referrals vary from assessment for cognitive change related to conditions such as epilepsy, head trauma, substance abuse, ADHD, and psychiatric disorders. Inpatient evaluations are referred from general medicine and neurology units, while outpatient evaluations generally come from Ambulatory Medicine, Psychiatry, and Neurology services. Residents are responsible for administering neuropsychological tests, interviewing, interpreting, writing clinical reports, and providing feedback.

Primary Clinic Experiences:

Community Living Center (CLC):  This is the nursing home unit for veterans with chronic disease and postdoctoral residents work with supervising Clinical Psychology Interns and undergraduate students in screening and full evaluations of patients who are generally hospitalized for longer periods. All admitted patients are screened for general cognitive and affective status. Conditions for which full consultation is sought include effects of chronic illness, degenerative and cerebrovascular dementias, stroke, long-term epilepsy, effects of remote head injury, etc. Clinical data is frequently used in institution-approved research projects, often conducted in conjunction with undergraduate students.

VAAAHS Polytrauma Clinic:  This clinic is primarily concerned with evaluation of veterans returning from recent theatres of action in the Middle East as well as other areas of conflict. Among more common questions for referral are concerns about cognitive and emotional effects of mild head injury, cognitive and affective correlates of post traumatic stress disorder, and cognitive and personality changes associated with other sources of service-related physical and emotional traumas. Clinical data is also available for frequent use in related institution-approved research projects.

Optional Clinic Experiences: In addition to the above clinics, residents have the opportunity to gain experience in other clinics including the Substance Abuse Clinic and Post Traumatic Clinic, and several clinics at the UM (e.g., Cognitive Disorders Clinic, Movement Disorder Clinic, Epilepsy/Wada Clinic, Neurosport Clinic, ADHD Clinic, and ASD Clinic).

 

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