Training Activities

The Adult Neuropsychology Postdoctoral Fellowship is two years in duration. Seventy percent of the fellows’ time is devoted to direct clinical service, with 30 percent allotted for didactics and research. The fellow will be supervised on a rotating basis by each of the core neuropsychological faculty members, with additional supervision by affiliated faculty in neuropsychology, neurology, neurosurgery and sports medicine during clinical didactic opportunities. Clinical and research supervision will occur during individual meetings with the identified supervisor. The fellow will have at least two hours of direct supervision every week. The fellow will also meet with the program director and other division neuropsychologists to discuss career development and professional issues at least once a month or as topics arise.

The fellow’s schedule is broken into two four-hour clinics each day. This yields a schedule that includes seven clinics (or three-and-a-half days per week) of clinical service and three clinics (or one-and-a-half days per week) devoted to didactics and research. The specific clinics devoted to clinical service, didactics or research will vary according to the activities selected by the fellow and faculty. A sample schedule is provided below:

  Monday Tuesday Wednesday Thursday Friday
Morning Clinic Clinical Care Clinical Care Clinical Care Clinical Care Clinical Didactic Rotation
Afternoon Clinic Clinical Care Clinical Care Clinical Care Research/
Didactics
Research

Clinical Service

The fellow will conduct up to seven outpatient neuropsychological evaluations per week (clinical demands will be adjusted based on factors such as whether the fellow is utilizing psychometrics, types of patients seen, clinical interests, etc.). Initially, each fellow will be responsible for the administration and scoring of test protocols in addition to the interpretation and preparation of reports; however, after clear competence in test administration and scoring has been demonstrated, the fellow will have access to psychometrics for test administration. The fellow will participate in all interviews, leading the interviewing as he or she progresses in the program. He or she will also work with the faculty to select test batteries, draft reports and provide feedback to patients and referral sources. The fellow will also be involved in several multidisciplinary teams and conferences with the expectation that the fellow will present neuropsychological information at multidisciplinary patient conferences.

Didactics

The fellow will have opportunities for a wide range of didactic and educational experiences at UH Cleveland Medical Center and at Case Western Reserve University. Mandatory didactic sessions include a weeklong Department of Neurology Resident Boot Camp, monthly Brain Health & Memory Center Grand Rounds, weekly Department of Neurology Grand Rounds and a weekly neuropsychology seminar. The fellow will be required to give occasional educational presentations at these meetings and assist in identifying relevant topics for presentation at the weekly neuropsychology seminar. He or she will also be expected to attend the Epilepsy/EEG/Clinical Physiology course during either the spring or summer of one of his or her two years. The fellow will also have the opportunity to teach medical residents who rotate through the division and are learning neuropsychological testing procedures. The fellow may also have additional opportunities to present to affiliated schools and community organizations. Additional didactic opportunities include Deep Brain Stimulation Case Conference, Epilepsy Grand Rounds, Epilepsy Surgery Case Conference, Institute of Pathology Brain Cutting, Pediatric Neuropsychology Seminar, Psychiatry Grand Rounds and Neurosciences Seminar, among many others.

In addition to courses/seminar didactics, fellows will also have the opportunity for observational/experiential didactics through clinical didactic rotations in several related areas. These clinical didactic rotations, expected to account for one clinic (one half-day) per week, will provide the fellow with a strong foundation for understanding the presentation and treatment of multiple relevant neurological conditions and to see the neurological/medical exam in practice. Clinical didactic experiences in pediatric neuropsychology and general neurology are mandatory during the first year of the fellowship. During the fellow’s second year, opportunities for additional elective clinical didactics will be available including behavioral neurology, cognitive rehabilitation, deep brain stimulation/movement disorders, epilepsy/epilepsy surgery, geriatrics, neurosurgical management and sports medicine/concussion. As an example, the general neurology clinical didactic rotation will include the observation of neurologists in inpatient and outpatient settings including the outpatient behavioral neurology clinic, inpatient neurological rounds, outpatient movement disorders clinic, inpatient adult epilepsy monitoring unit and so on.

During the first six months of the fellowship, the fellow will use a portion of his or her didactic/research time to complete the onboarding process, which includes a demonstrated proficiency in the administration and scoring of neuropsychological testing; development of research goals (described in detail below); and establishing familiarity with UH policies and procedures. In the second half of year one, the fellow will use a portion of his or her didactic time to complete required clinical didactic rotations in pediatric neuropsychology and general neurology. After year one, the fellow will select up to three elective clinical didactic rotations to gain additional experience in his or her areas of particular interest.

In addition to the seminars and clinical didactics described above, the fellow will be expected to complete readings in clinical neuropsychology and related areas. Readings will be chosen for each fellow by his/her supervisors and additional activities will be assigned/offered to meet the criteria set forth by the Houston Conference. Didactics and readings will have a specific focus on ethical standards, cultural diversity and individual differences. The fellow’s competence in clinical practice as well as these areas will be assessed and rated by the faculty supervisors. The fellow will also complete a written clinical competency exam for neuropsychology at the end of the first year of training to help tailor training needs to the fellow specifically. Case conceptualization and knowledge of ethical standards will also be assessed via oral discussion of practice samples. Also, at least once per year of the fellowship, each fellow will be expected to participate in a fact-finding experience modelled on the ABPP oral exam section during the neuropsychology seminar.

Research: Fellows will be expected to complete one research project per year of the fellowship. Eligible projects may include presentation at a national conference, submission of an article for publication or completion of a review article. A variety of funded studies are underway in the Department of Neurology at UH Cleveland Medical Center and multiple ongoing efforts for neuropsychological data collection are available for analysis. Fellows will be expected to have identified a topic of interest for their first research project within the first month of their fellowship along with a plan for execution of the project to be approved by relevant fellowship faculty and the fellowship director shortly thereafter.

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