Psychology Externship

Training & Rotations for External Students

Advanced Training for Predoctoral Psychology Students

The Division of Behavioral Health at Nemours/Alfred I. duPont Hospital for Children offers a psychology externship for advanced predoctoral students (3rd year students and above) in clinical, school, and counseling psychology. Positions are offered, dependent upon the availability of opportunities and the match of interests between supervisors and applicants. In the Division of Behavioral Health, we serve infants, children and adolescents who are hospital inpatients and outpatients, referred from ambulatory services of the hospital, and the community.


Training & Rotations for Externs

Within the Department of Pediatrics, the Division of Behavioral Health includes psychologists and psychiatrists. We have an APA-approved Clinical Doctoral Psychology Internship and Postdoctoral Fellowship program. In Psychology, there are over 40 doctoral-level licensed psychologists, psychology residents (interns), postdoctoral fellows and extern students. We serve infants, children and adolescents in need of psychological evaluation and treatment.


Training Overview

Our externship positions typically last 9 to 12 months, depending on the needs of the student and clinic. There is no stipend available for externship training. Externship rotations are organized by type of training experience (i.e., intervention, evaluation rotations). Additional training experiences, such as involvement in group treatments, are available to supplement any training experience so long as the training experiences do not conflict with one another.  There is one position per rotation unless otherwise indicated. Externship rotations are one day per week unless otherwise indicated. Students seeking a two-day placement can apply for multiple rotations.

In addition to clinical experiences, externs are welcome to participate in other educational activities available through our externship program and the hospital, including didactic seminars and grand rounds.

Externship Rotations

Our externship program provides a rich variety of clinical intervention and evaluation experiences, in a range of settings, under supervision by our faculty. Rotations are organized by type of training experience (i.e., intervention, integrated primary care, evaluation rotations). Specific days of the week in which rotations are offered is noted where applicable. If a rotation has flexibility for another day of the week, that will be noted in the description. 

Intervention Rotations

 
Autism Behavior Consultation Clinic

The Autism Behavior Consultation Clinic (ABC) is designed to provide brief, targeted behavioral services for children with Autism Spectrum Disorder (ASD) or other developmental disorders and their caregivers. Intervention focuses on empirically-based approaches to behavior management and addresses a wide range of behavioral and developmental concerns, including aggression, tantrums, compliance, self-help skills and toileting concerns. Appointments are 45 minutes and therapy focuses on evidence-based, short-term, goal-oriented techniques.

Externs see patients on Wednesday afternoons and receive live supervision via one-way mirror.  Advanced 4th and 5th year students are encouraged to apply, externs are able to combine this with another rotation for a 2-day placement.


Supervisor:
 
Behavior Consultation Clinic

The Behavior Consultation Clinic (BCC) is designed to provide evidence-based therapy in a fast-paced, "real world" setting for children ages birth to 5 years and their parents. Presenting problems include a wide range of behavioral and developmental concerns that commonly present in early childhood, such as behavior, sleep problems, toileting concerns, picky eating, separation anxiety, specific phobias and selective mutism.

Appointments are held on Friday, are 45 minutes long and live supervision is provided via a one-way mirror. Externs frequently coordinate care with medical and child care providers. There are opportunities to participate in resident teaching.  Advanced 4th and 5th year students are encouraged to apply, externs are able to combine this with another rotation for a 2-day placement.


Supervisor:
 
Child and Community Therapy

Our new Concordville, PA branch office is excited to offer the opportunity for a community mental health training experience providing both testing and therapy services on an outpatient basis.  This placement provides breadth and depth in experience by providing service to patients from 0-18 years and across the continuum of mental health needs from disruptive behavior to depression and anxiety with opportunities for short-term interventions as well as full courses of treatment.   This experience offers a well-rounded placement in a generalist outpatient team for those looking to enhance therapy and testing skills in a community setting.

This placement could be a one or two day experience (Monday and/or Thursdays) with each day offering the opportunity for brief ADHD evaluations and/or more comprehensive evaluations, new patient intake appointments, and the ability to follow cases for ongoing therapy.  Third year students and above are encouraged to apply, externs are able to combine this with another rotation for a 2-day placement. 


Supervisor:
 
First State School Consultation and Treatment

This position offers the opportunity to provide therapy (individual, family and group), consultation (classroom teachers, nursing staff) and brief assessment services in a school-based setting for children with a variety of chronic illness conditions. The First State School at Wilmington Hospital (Christiana Care Health System) is one of the first and only hospital-based schools in the United States dedicated to providing integrated specialized medical and therapeutic care (e.g., nursing as well as psychological, psychiatric, occupational, physical and speech therapies) with traditional classroom schooling. Physicians may refer kindergarten age to high school age patients to the First State School because of medical necessity. Typical diagnoses of children attending the First State School include diabetes, sickle cell anemia, hemophilia, HIV, kidney and liver disease, asthma, cancer and gastrointestinal disorders. Therapy is predominantly targeted towards medical adherence, adjustment to illness, coping with stressors and enhancing school academic and social functioning.

Externs will see patients and work with the interdisciplinary team on Wednesday. There will be opportunities for the extern to consult with the child’s medical team (hospital and school-based), classroom teachers and educational diagnostician (e.g., behavior plans; accommodation plans) and consulting psychiatrist. Third year students and above are encouraged to apply, externs are able to combine this with another rotation for a 2-day placement.


Supervisor:
 
Integrated Pain and Wellness Program

Externs on this rotation will spend a full day working within pediatric pain management in the multidisciplinary pain program providing individual and family therapy to youth experiencing chronic pain as well as collaboration with other disciplines (e.g., social work, physical therapy, rheumatology). The extern will also co-treat within the Stress and Pain Skills (SiPS) Group, which is a weekly, 60-minute education and skills-based group serving youth ages 13 and up with chronic pain. Extern responsibilities include conducting intake evaluations and individual therapy, co-facilitating the group, and writing notes.

Date of rotation is flexible.  Third year students and above are encouraged to apply.  This rotation can be a 2-day experience if interested, can also be combined with another rotation for a 2-day placement. 


Supervisor:
 
Solid Organ Transplant & Behavioral and Developmental Access Clinic (BDAC)
THIS ROTATION IS NO LONGER AVAILABLE FOR THE 2018-2019 TRAINING YEAR

This externship provides both pediatric and developmental experiences.

Solid Organ Transplant: Externs will participate in liver or kidney solid organ transplant rounds, observe inpatient consultations/liaisons (both general and transplant related) and participate in co-therapy with patients in dialysis.

BDAC: Externs will gain experiences with a broad range of complex early childhood concerns including medical, behavioral, social, emotional, attentional and developmental challenges in children under the age of 4. Externs will be able to participate in consultation, follow-up, feedback and brief assessment screening visits while learning how to conceptualize complex diagnostic presentations and identify appropriate interventions.

Dates for these placements will be Mondays and/or Wednesdays. Third year students and above are encouraged to apply. This experience can be combined with another to create a 2-day placement.


Supervisor:

Maia Noeder, PhD

 
Parent Child Interaction Therapy

Externs on this rotation primarily provide Parent-Child Interaction Therapy (PCIT) to young children (2-6 years old) with disruptive behaviors and/or emotional concerns and their caregivers. PCIT is an empirically-supported treatment that is considered the "gold standard" for moderate to severe disruptive behavior problems in young children. On occasion, other evidence-based psychotherapy services may also be offered in conjunction with PCIT. The most common reason for referral is disruptive behavior, but children also present with anxiety, emotion regulation difficulties, attention concerns, toileting/sleep concerns, and parent-child or sibling conflict. Externs will receive training in implementing PCIT with fidelity. Externs see patients on Monday afternoons or Tuesday mornings and receive live supervision via one-way mirror. This experience often involves coordination with schools and/or other multidisciplinary team members as appropriate.  

Dates for this rotation will be Monday afternoon or Tuesday morning.  Advanced 4th and 5th year students are encouraged to apply, this experience can be combined with another to create a 2-day placement. 


Supervisor:

Integrated Primary Care

We have several training opportunities offering experience in integrated primary care settings.  These rotations focus on implementing brief therapeutic interventions and consultation with professionals, including physicians, nurse practitioners and other care providers in pediatric primary care.   One full day is spent in clinic, focusing primarily on short-term, goal-oriented interventions. Patient populations are sociodemographically diverse and includes a wide variety of ages and presenting conditions including behavioral disorders, ADHD, mood disorders, anxiety disorders, elimination disorders, developmental delays, learning disabilities as well as many concerns of early childhood including eating and sleeping difficulties. The extern will also gain experience utilizing brief screening measures (e.g., Wide Range Intelligence Test, Wide Range Achievement Test-4, Comprehensive Test of Phonological Processing-2) as needed to clarify diagnosis and inform therapeutic and educational interventions. Externs will also have the opportunity to shadow medical providers, present psychology lectures to office staff, and participate in medical student teaching.  

The Jessup Street rotation provides the opportunity to participate in integrated well visits and the Parent Child Conduct group program.  Integrated well visits are provided to patient families with children 0-8 years old and focus on development, parent/child dyad relationships, attachment, and common early childhood concerns such as sleep and behavior. These visits are performed in conjunction with the medical team.  Parent Child Conduct group is held Thursday evening and includes concurrent child and parent group treatment.  Responsibilities include gathering baseline data, participating as a co-therapist for child or parent groups and assessing outcome data. Group is held on Thursday evening from 5-7 p.m. Individual and group supervision is provided.  

Locations and days in which specific rotations are available are listed below.  Third year students and above are encouraged to apply.  Rotations can be combined with others to create a 2-day experience.

Locations:
 
Foulk Road

Day Available: Monday

Supervisor:

 
Jessup Street
 
Middletown

Day(s) Available: Monday and/or Thursday

Supervisors:


Evaluation Rotations

 
Neuropsychological Evaluations

This rotation involves completion of neuropsychological testing with children and adolescents presenting with neurocognitive or neurobehavioral difficulties associated with medical, neurodevelopmental or genetic disorders. Test batteries typically include measures of intellectual functioning, attention, memory, language, executive functioning and psychosocial functioning. Externs will assist with test selection and planning, test administration, scoring and report-writing, as well as observing feedback sessions with families.

One-on-one weekly supervision will cover test administration issues, case conceptualization with regards to neuroanatomy and development, and discussion of differential diagnoses. An expectation to participate in didactic experience is also part of this rotation.

This rotation requires two days per week and one day must be Thursday; there can be some flexibility with the second day but preferably Tuesday to allow the extern to attend feedback sessions and didactics. The clinical case material, supervision and didactics that comprise this experience are designed to provide a broad introduction to pediatric neuropsychology and to prepare the extern for further training in the area of neuropsychology. Third year students and above are encouraged to apply. 


Supervisors:
 
Psychological Testing in Primary Care

This externship provides opportunities for psychological testing at the Nemours duPont Pediatrics primary care office in Concordville, PA. This placement would give externs the opportunity to gain experience evaluating young children through adolescents presenting with a range of questions regarding school readiness, qualification for standardized testing accommodations, and learning disorders as well as traditional concerns with mood, anxiety, attention, and development. Test batteries would include cognitive and academic measures as well as measures of memory and attention, phonetic processing and visual-motor functioning.

This rotation is offered on Mondays.  Third year students and above are encouraged to apply, externs are able to combine this with another rotation for a 2-day placement.


Supervisors:

Nemours/Alfred I. duPont Hospital for Children is like no other in the region — designed by families, for families.

About Our Hospital in Delaware

The Nemours/Alfred I. duPont Hospital for Children is a multispecialty, tertiary care teaching institution located on a 300-acre estate in the scenic Brandywine Valley in Wilmington, Del.

As a program participant, you’ll have access to advanced computer systems for patient care activities, electronic mail, word processing, internet access and library research functions. Among the hospital’s amenities for all staff are:

  • free parking
  • park-like setting
  • gym/fitness center
  • on-site child care center for children of staff
  • massage therapy

Learn More About duPont Hospital for Children »

Contact Us

Kathryn Hoffses, PhD

Director of Externship Training, Division of Behavioral Health
Nemours/Alfred I. duPont Hospital for Children
1600 Rockland Road
Wilmington, DE 19803
(302) 651-4500
kathryn.hoffses@nemours.org
Email is the preferred method of contact.

Apply for Our Externship

Application Requirements
Deadline: January 16, 2018

Please see additional information for our externship program:

Resources

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