The National Jewish Medical and Research Center is
a University affiliated hospital specializing in evaluation and
treatment of patients with immunologic and respiratory diseases. The
Adult Neuropsychology Unit has a training program with the following
goals for psychology trainees.
Goals of the training program:
- To educate trainees about the cognitive and psychological
functioning of patients with chronic obstructive pulmonary disease
and other respiratory difficulties
- To teach trainees administration and interpretation of a 2 hour
neuropsychological screening battery
- To teach trainees to participate in a multi-disciplinary clinical
team.
Objectives of the training program:
- The psychology intern will be trained to administer and
score a standardized neuropsychological screening battery which
includes: estimated Full Scale Intelligence score, simple and
complex auditory attention, sustained visual attention, verbal
abstract reasoning, new sequential abilities, verbal and nonverbal
memory, auditory comprehension, naming to confrontation, oral verbal
fluency to letter and semantic cues, and visuoconstructional
abilities. Brief psychological screening measures for depression and
anxiety will also be administered.
- The psychology trainee will learn to administer a detailed
neuromedical history with a specific focus on prior neurologic
illness, head injury, learning difficulties, substance abuse,
psychiatric history, medical illness and medication use.
- The psychology trainee will learn to document and communicate
behavioral observations which occur during the neuropsychological
assessment.
- The psychology trainee will learn to write a concise
neuropsychological report which includes background information,
behavioral observations, neuropsychological and psychological tests
results, as well as summary and recommendations.
- The psychology trainee will participate in the feedback session
with individual patients regarding neuropsychological test results
including summary and recommendations.
- The psychology trainee will work with members from other
disciplines including physical therapy, speech therapy, social work,
psychiatry, nursing and pulmonary medicine.
Specific Training Activities:
Required Activities:
Neuropsychological assessments: Each month the
interns will complete administration, scoring and a report on two
neuropsychological evaluations administered to patients with pulmonary
disease.
Feedback sessions: The intern will be
supervised in the feedback of neuro-psychological test results and
recommendations to individual patients.
Optional Activities:
Multi-disciplinary treatment group (the trainee may
participate in a weekly seminar and feedback group which involves
multiple team members in the recommendations and progress of pulmonary
patients in rehabilitation).
Additional Courses:
The neuropsychology seminar (4-month seminar) will
be available to any of the trainees through the psychology intern
program.
Theoretical Approaches:
The Adult Neuropsychology Unit at the National
Jewish Medical and Research Center aims to provide assessment of brain
function in pulmonology patients who are at risk for neurobehavioral
deficits. A neuropsychological screening battery has been empirically
developed specifically for pulmonary patients. This battery is used to
assess CNS integrity and recommend strategies for compensation in
deficit areas.
Types of Clinical Approaches:
- Neuropsychological diagnostic service.
- Multi-disciplinary recommendations for rehabilitation
Population of Clients:
The persons referred to National Jewish Medical and
Research Center Adult Neuropsychology Unit are typically ages 18 and
over with a pulmonary or immunologic disease. For the purpose of the
internship program, the intern will focus on patients with chronic
obstructive pulmonary disease (i.e., emphysema, chronic bronchitis).
Supervision:
The intern will receive supervision for all aspects
of the neuropsychological evaluation. This includes the administration
and scoring of the neuropsychological battery, interpretation, and
report writing. Supervision will occur on site from the current
neuropsychology technician, as well as the neuropsychologist.
Classes/Case Conferences/Scholarly Opportunities:
The Neuropsychology Seminar: This meets for one
hour weekly from September through December to address the overall
goals and methods of neuropsychological assessment.
Supervisors:
Elizabeth Kozora, Ph.D. (Clinical Psychology,
University of Cincinnati, 1989)
Areas of expertise include neuropsychological
assessment in persons with respiratory and autoimmune diseases (i.e.,
systemic lupus erythematosus, chronic fatigue syndrome, asthma,
chronic obstructive pulmonary disease, sarcoidosis, interstitial lung
disease, occupational toxic exposures).