Clinical Activities & Supervision

The clinical environment at Hurley Medical Center provides for advanced learning experiences. First-year fellows typically have 15-25 hours of patient contact per week, providing targeted assessments, interventions, and real-world practice. In many circumstances, fellows - with input from their supervisors - can select cases that will best enhance their knowledge base, providing a wide-ranging learning experience. Fellows learn evidence-based practice and how to develop and monitor appropriate treatment plans.

Main clinical activities include:

  • Inpatient consultations
    • Typically requires the fellow to: respond within 24 hours of request, evaluate patient at bedside, write notes as required by Hurley standards, formally communicate with the referring physician.
  • Psychological Testing
    • Conduct psychological, neuropsychological, and cognitive assessments. May include determining necessity/appropriateness of testing for a given patient, with guidance from supervisors.
  • Outpatient Neuropsychological and Cognitive Testing
    • A fellow usually completes 20-30 outpatient evaluations during the first year and 30-45 evaluations during the second year. Completion of at least 50 outpatient evaluations is normally required to graduate in good standing from the Rehabilitation Psychology Fellowship. First-year fellows typically see one outpatient neuropsychology testing case every other week. Fellows are expected to complete their report within 1 week of the assessment and have 5 days to revise (per supervisor’s feedback), if needed.
    • Many clinical activities include one-on-one teaching/supervision from the supervisor. For example:
  • Individual Supervision
    • Fellows have a least two hours of individual, face-to-face supervision each week, plus two or more supervisors during any one training year. Supervision occurs in multiple settings, such as during rounds, on the floor during patient-care activities, via phone, email, text-messaging, outpatient office, and other contexts.
  • Patient-Care Rounds
    • The fellow participates weekly in patient-care rounds with hospital-based psychologists, exposing the fellow to patient-care coordination and discussions about clinical issues with deep educational value. Supervisors often conduct group discussions on educational topics that arise during clinical care.

Didactic Training

The fellowship provides a robust rehabilitation psychology curriculum, along with many elective seminars and activities to deepen knowledge and skills, while preparing fellows for a long and successful career in rehabilitation psychology.

Sample Curriculum content

Sample curriculum, page 1
The curriculum includes weekly didactics, as shown in this sample of Page 1.
  • Weekly rehabilitation health psychology seminars*
  • Professional development, leadership, and management seminars*
  • Adult medical seminars (e.g., noon conferences, grand rounds; morbidity, mortality and improvement; tumor board)*
  • Graduate Medical Education Combined Lectures (e.g., professionalism, wellness, cultural sensitivity, corporate compliance, confidentiality, risk management, health disparities, population health, quality and patient safety)*
  • Trauma conference
  • Psychopharmacology
  • Hospital-wide committee participation (e.g., ethics, diversity and inclusion council)
  • Book chapter review and journal club

*Required educational experiences

Sharing your knowledge

Scholarly Activities

The program provides a scholarly approach to rehabilitation psychology practice and provides a robust educational curriculum.

1 scholarly project required during the entire fellowship period

  • On-site medical library
  • Dedicated research department
  • Faculty support mentorship
Types of scholarly activities available:
  • Collaborative research studies
  • Quality improvement projects
  • Program evaluation
  • Participation and eventual authorship of peer-reviewed works including posters, oral presentations, and journal articles

Teaching activitites

Medical education is a minor emphasis of the fellowship.

  • Teaching, instruction, and shadowing of medical residents and medical students
  • Formal didactic instruction to peers, medical residents and medical students on topics related to rehabilitation psychology, psychological testing, and neuropsychological and cognitive testing
  • Community outreach
  • Supervision of practicum students
  • Curriculum development
  • Faculty appointment eligibility