Hurley Medical Center (HMC) offers a two-year postdoctoral fellowship position in adult rehabilitation psychology. Heavy emphasis on clinical neuropsychology practice in diverse practice settings is also provided. This is an APA-accredited program in Rehabilitation Psychology. In accordance with the Baltimore Conference Guidelines, fellows receive intensive training and obtain experience in the delivery of rehabilitation psychology and neuropsychology services in both inpatient and outpatient settings. The program aspires to prepare the trainee for a career in hospital practice with a special emphasis on being part of an interdisciplinary team. Upon completion, fellows are prepared for board-certification, leadership, and supervisory roles in a variety of practice settings.
These are the two positions:
- Adult Rehabilitation Psychology: 1 position open. Accepting applications for Sept. 1, 2019, start date until position is filled.
- Pediatric Rehabilitation Psychology: Position filled; apply by Jan. 15, 2020, for 2020-2022 fellowship.
Most graduates of the program obtain employment in a medical center and remain active in medical education, hospital practice, rehabilitation, and/or clinical neuropsychology practice. More than 90% report that the training they received was very closely related to their current employment.
Rehabilitation Psychology Fellowship Program Strengths
Interdisciplinary patient care: Fellows provide services to an even mixture of patients in inpatient and outpatient settings. The service model is intentionally designed so that clinicians can follow patients from their initial admission (ICU), through inpatient rehabilitation, and into outpatient care. In our experience this allows for exceptional continuity of care for individuals dealing with challenging life events. We have long been a part of several interdisciplinary treatment environments. For example, psychologists are integrated members of the trauma and rehabilitation teams, working collaboratively with and providing support to colleagues and staff. As such psychologists regularly attend rounds, team, and family conferences. Clinical responsibilities include the provision of evidence based rehabilitation psychology interventions in addition to neuropsychological evaluations. Clinicians also regularly consult on various med-surg units but the majority of consults are on the neuro ICU or inpatient rehabilitation unit. The Flint community has a diverse population and psychologists routinely evaluate and treat patients who have sustained traumatic brain injury, polytrauma, spinal cord injury/disease, burn injury, and a broad spectrum of neurological disorders. Individuals with stroke, amputation, debility, multiple sclerosis, dementia, delirium, and chronic pain are also often seen. Additionally, the service is frequently called upon to perform capacity evaluations and or assist in differential diagnosis and disposition planning. Clinical responsibilities are broad and include treatment planning, assessment, education and consultative services, as well as individual, family and group intervention. Adjustment to disability psychotherapy, pain management, behavioral management, and family counseling are among the primary clinical services provided. In the outpatient setting psychologists provide treatment and neuropsychological assessment to patients who have been discharged from the hospital. Additionally, external referrals for neuropsychological assessment are often taken for individuals with rehabilitation related diagnoses, dementia, multiple sclerosis, mild cognitive impairment, and other conditions. Thus, clinicians with a special interest in specific outpatient populations are typically able to pursue this in the outpatient setting.
Curriculum: Formal fellowship didactics include topics such as psychopharmacology, functional neuroanatomy, rehabilitation seminar series, neuropsychological practice, and evidence-based treatment in acute and long-term care environments. HMC is a teaching hospital that houses a variety of physician residencies, which offer a rich spectrum of educational and academic activities. During the fellowship educating medical students and resident physicians is often integrated into the training experience.
APA-accredited: Hurley established a medical psychology fellowship in the 1990s, Training in rehabilitation settings has been ongoing since 1994. As a member of the Consortium for Advanced Psychology Training (CAPT) it was the first in the country to receive specialty accreditation in Clinical Health Psychology through the American Psychological Association. In 2012 CAPT was accredited by the APA as a multiple practice program in Rehabilitation Psychology and Clinical Health Psychology.
Diverse training environment: Hurley is a 443-bed, public teaching hospital that has been caring for the Flint community and surrounding areas for over 100 years. It is the area’s only Level I Trauma Center and serves as a teaching hospital for Michigan State University. HMC also maintains collaborative relationships with the University of Michigan and Henry Ford Hospital. HMC is the region’s only Children’s Hospital, Level III NICU, PICU, and Burn Unit. Not surprisingly, the medical center is known as a regional leader in neuropsychology, rehabilitation psychology, pediatrics, subspecialty care, trauma, and education. During the two-year program, fellows have an opportunity to care for individuals and families dealing with a wide range of conditions, such as:
- Brain tumor/Cancer
- Burn injury
- Developmental disorders
- Multiple sclerosis
- Movement disorders
- Sickle cell anemia
- Spinal cord injury
- Traumatic amputation
- Traumatic brain injury
Quality of life — both professional and personal — is an important component of the fellowship. The Fellows’ schedules are reasonable with liberal fringe benefits and competitive stipends, so they are able to focus their energy on developing their skills as psychologists and educators. Located an hour north of Detroit, Hurley Medical Center is at the center of a vibrant urban and educational setting, with many of Michigan’s natural wonders just a short drive away. The Flint and Genesee County area itself also has a lively cultural center, downtown, and lots of festivals and nationally recognized farmers’ markets.
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