Curriculum / Rotations

We offer 2 tracks (1 position each):

  • Adult/ Behavioral Medicine (APPIC Code #163913)
  • Neuropsychology (APPIC Code #163914)

Each track is organized around training experiences through the Major Rotations. Minor rotations are also required and are designed to complement the skills learned in the major rotations and to round out the trainee’s clinical experiences. We offer the ability to create an individual training plan based on selection of Minor Experiences. Interns will not complete minor experiences that duplicate experiences in their major area.

See links for descriptions:

Adult/ Behavioral Medicine Major Rotations

Neuropsychology Major Rotations

Minor Rotations (Available for Either Track)

Adult/ Behavioral Medicine Major Rotations

Throughout the 12 months, the intern spends approximately 3 days per week participating in the experiences below. Interns complete four 6-month rotations (2 rotations are concurrent, 1.5 days each) with each of the 3 primary supervisors in the Department of Behavioral Medicine and Psychiatry (Cassie Brode, PhD, Stephanie Cox, PhD, and Richard Gross, PhD, ABPP) and in Primary Care (primary supervisor, Alison Vargovich, PhD).

Adult Outpatient Psychology/ Psychiatry

Supervisors: Cassie Brode, PhD, Stephanie Cox, PhD, or Richard Gross, PhD, ABPP

Location: Chestnut Ridge Center

Interns provide assessment and evidence-based treatment to patients with a wide range of presenting problems including those with co-morbid medical and psychiatric concerns. Interns will have regularly scheduled intakes and new patient evaluations throughout the rotation. Interns are encouraged to have a mixture of both short-term and long-term therapy cases. Interns receive supervision primarily from a Cognitive- Behavioral orientation, although interns may also receive training in other evidence-based approaches such as Acceptance and Commitment Therapy and Motivational Interviewing. We are able to select specific patient populations or disorders of interest in order to advance an intern’s training in a specific area or to address any gaps in training.

Chronic Pain

Supervisor: Richard Gross, PhD, ABPP

Location: Chestnut Ridge Center/ Pain Management Center

The goal of the rotation is to increase intern’s knowledge of various chronic pain disorders often encountered in behavioral medicine settings including low back pain/ disk disease, radicular pain, neuropathic pain syndrome, fibromyalgia, and pain associated with malignancy, etc. Assessment is a primary focus of this rotation including evaluations to determine risk for opioid abuse/ misuse and pre-surgical psychological evaluations.

The intern will also participate in treatment for chronic pain patients including both individual and group treatment, including a CBT for chronic pain group. The intern may also participate in an intensive treatment program for Opioid Use Disorders (COAT Program- Compressive Opioid Addiction Treatment). Opportunities to work across disciplines with various medical sub-specialties and to work within an interdisciplinary pain center also exist.

Bariatric Surgery

Supervisors: Stephanie Cox, PhD or Cassie Brode, PhD

Location: Chestnut Ridge Center/ Department of Surgery

WVU Bariatrics offers a comprehensive surgical weight loss program including bariatric- trained surgeons, mid-level providers, dieticians, and psychologists. The intern has the opportunity to work as part of this multidisciplinary team in both assessment and intervention capacities. Interns receive training in pre-surgical psychological evaluations to determine a patient’s appropriateness for surgery. Additionally, interns can provide treatment to patients both pre and post surgically. Concerns commonly addressed include engagement in behavioral changes, treatment of disordered eating behavior, stabilization of psychiatric symptoms, etc. The intern also has the opportunity to attend team case review meetings and observe surgical procedures. The intern will also have the opportunity to lead and/or co-lead a monthly support group for pre- and postoperative patients.

Primary Care Behavioral Health

Supervisors: Alison Vargovich, PhD; Kimberly Foley, PhD

Location: Clark K. Sleeth Family Medicine

The intern will participate in a variety of integrated primary care experiences. Behavioral health care is integrated into our primary care clinics within the patient-centered medical home model. The goal of this rotation is to increase the intern’s proficiency within the primary-care model; this includes the provision of population-based goal-oriented short-term treatment. Common presenting problems in this setting may include comorbid medical/ psychological concerns, insomnia, medication compliance, adjustment disorders, insomnia, relationship stressors, depression/ anxiety. See description of minor experiences for additional training opportunities.

Supervision: Interns will meet with each of their supervisors for a total of 2 or more hours per week of individual supervision. Additionally, interns receive informal supervision in the course of observing therapy or conducting co-therapy with the supervisor, staffing after intake evaluations, and in multidisciplinary meetings. Supervision totals 4 or more hours per week.

Sample Schedule:

Neuropsychology Major Rotations

These experiences are in accord with the Houston Conference guidelines (Hannay, Bieliauskas, Crosson, Hammeke, Hamsher, & Koffler, 1998) for specialty training in clinical neuropsychology.

Throughout the 12 months, the intern will complete three 4-month rotations, working directly with one faculty supervisor for the four-month period. Interns conduct two evaluations per week.

Rotation 1: Adult Neuropsychology

Supervisor Dr. Liv E. Miller, PsyD ABPP-CN

 

Rotation 2: Adult Neuropsychology

Supervisor Dr. Kirk Bryant, PhD/ James Mahoney, PhD

Rotation 3: Pediatric Neuropsychology

Supervisor: Dr. Stacie Leffard, PhD ABPP-CN

The pediatric neuropsychology rotation includes evaluation of children ages 6 to 18 with neurologic and psychiatric presentations. Referrals include but are not limited to brain injury, epilepsy, prenatal substance exposure, and neurodevelopmental disorders. Exposure to assessment of younger children (Birth to 6) is also available on a more limited basis. Available pediatric didactics include monthly craniofacial team conference and pediatric grand rounds.

All three rotations will focus on the evaluation of primarily outpatients, across the age span, with neurological, medical and psychiatric disease(s). Evaluations are also performed with inpatients in the psychiatric hospital and occasionally in consultation to various services in Ruby Memorial Hospital.

Our clinic offers experience with a rich and diverse patient population, including, but not limited to, individuals with various dementias, multiple sclerosis, traumatic brain injuries, Parkinson’s disease, Huntington’s disease, strokes, ADHD and learning disorders, and patients diagnosed with severe mental illness. Exposure to neuroimaging is an integral part of the rotation, and patients' MRI, CT, and/or PET scan images are routinely reviewed during evaluations and in didactics. Limited experiences are also available to interns through the epilepsy surgery program including performing pre- and post-surgical neuropsychological evaluations, attending multidisciplinary treatment team meetings, and on occasion participating in intracarotid amobarbital (Wada) evaluations. Pre- and post-surgical DBS evaluations of patients with Parkinson's disease are also available. In addition, interns may have the opportunity to observe patient rounds and neurobehavioral evaluations in multidisciplinary clinics, as well as provide cognitive rehabilitation. Finally, the breadth and depth of clinical experiences is enhanced by didactics including Neuropsychology Case Conference, Neurology Grand Rounds, Neuroimaging Journal Club, and brain cuttings (see Didactics section for more information).

Psychiatric Intensive Care Unit Orientation Group (PICU)/ Geriatric Unit: Interns also conduct group therapy on the Psychiatric Intensive Care Unit (PICU) or Geriatric Unit one time per week.

This is a daily group therapy meeting conducted on the Psychiatric Intensive Care Unit or Geriatric Unit. The goal of the group is patient-centered and solution-focused; to provide a forum for communication and discussion among the inpatients on the unit. The group treatment experience provides interns with a chance to interact with individuals suffering from severe mental illness and a valuable service for the patients and the operations of the unit. Training in conducting the group will occur during the first month of the internship, conducted by the faculty supervisor. During the training period, new interns co-lead the group twice per week with faculty or a postdoctoral resident. Once independent, each intern will be responsible for the group one hour per week. Weekly group supervision meetings are conducted.

 

Supervision: Interns will meet with each of their supervisors for a total of 2 or more hours per week of individual supervision. Additionally, interns receive informal supervision in the course of observing therapy or conducting co-therapy with the supervisor, staffing after intake evaluations, and in multidisciplinary meetings. Supervision occurs prior to the arrival of a patient, during which time records are reviewed and an assessment strategy is planned. Supervision also occurs during the assessment day to address problems or questions as they are encountered and adjust to the assessment accordingly. Supervision totals 4 or more hours per week.

Sample Schedule:

Minor Rotations (Available for Either Track)

Interns may select a combination of Minor Rotations, adding up to 1-2 days per week total. Opportunities include a variety of settings and treatment modalities, including individual and group, inpatient and outpatient, and medical and psychiatric settings. The minor rotations are designed to complement the major rotations so as to ensure a well-rounded generalist training experience. Thus, interns will not complete minor experiences that duplicate experiences in their major area. Minor rotations are individualized, with the specific composition of the experiences determined based on the interests and training needs of the individual intern. Efforts will be made to honor the intern's preferences, but cannot be guaranteed. Experiences may last for 3 months, 6 months, or the duration of the training year, and the minor rotation plan may be modified as the training year progresses.

Available experiences are listed below:

Primary Care Behavioral Health

Supervisors: Alison Vargovich, PhD; Kimberly Foley, PhD

Location: Clark K. Sleeth Family Medicine

Behavioral health care is integrated into our primary care clinics within the patient-centered medical home model. The goal of this rotation is to increase the intern’s proficiency within the primary-care model; this includes the provision of population-based goal oriented short-term treatment. Primary intern responsibilities include: consulting with physicians and residents to screen, diagnose, and treat patients with various DSM diagnoses, providing brief (4-6 sessions) evidence-based psychotherapies, developing treatment plans to increase adherence to prescribed treatment regimens, and assisting with triage and referral to appropriate resources. Common presenting problems in this setting may include comorbid medical/ psychological concerns, insomnia, medication compliance, adjustment disorders, insomnia, relationship stressors, depression/ anxiety.

Family Medicine Inpatient Rounds/ Consultation
Supervisors: Kimberly Foley, PhD; Alison Vargovich, PhD

Location: Ruby Memorial Hospital

Family Medicine patients can continue to receive care by their primary care providers when they are admitted to Ruby Memorial Hospital. The intern has the opportunity to participate as a member of this multidisciplinary inpatient team, providing consultation regarding psychological or adherence concerns or delivering brief psychological interventions.

Family Medicine Specialty Clinics

Supervisors: Kimberly Foley, PhD; Alison Vargovich, PhD

Location: Clark K. Sleeth Family Medicine/ Physician’s Office Center

The Department of Family Medicine offers several clinics to provide patients with specialty care to address their specific need. These clinics include Discharge Clinic, Diabetes Clinic, and COPD clinic. The intern, as a member of these multidisciplinary team(s), provides education and treatment of patients’ conditions, including management of psychosocial issues that often co-occur with chronic illnesses. The goal of this team approach is to improve patient outcomes, mainly, quality of life, while also reducing hospital readmissions and increasing adherence to prescribed treatment regimens). The intern provides consultation and brief assessment or intervention as needed.

Behavioral Sleep Medicine/ Supervision Training

Supervisors: Amy Fiske, PhD

Location: Clark K. Sleeth Family Medicine

This 12-month rotation offers the opportunity for the intern to become proficient in Cognitive-Behavioral Therapy for Insomnia (CBT-I). Additionally, this team is organized as a vertical model of training, in which the intern functions as the supervisor for WVU Clinical Psychology graduate students, and also receives training regarding their own supervision skills (“supervision of supervision”).

Hospital-Based Psychiatry Consultation and Liaison

Supervisors: Patrick Marshalek, MD & Michael Ang-Rabnes, MD

Location: Chestnut Ridge Center/ Ruby Memorial Hospital

The psychiatry consultation and liaison team assists in diagnosis and treatment of psychiatric disorders in medically ill patients, who are currently admitted to the hospital. This rotation is an excellent opportunity to increase the intern’s knowledge of psychosomatic medicine and assist in the management of psychiatric disorders within the hospital setting.

Inpatient Substance Use Disorders- Dual Diagnosis Unit

Supervisors: Psychiatry Attending- James H. Berry, DO

Location: Chestnut Ridge Center

The intern participates in treatment team rounds on the Dual Diagnosis Unit, a 12-bed inpatient unit for patients who require inpatient detoxification from drugs or alcohol. Interns also have the opportunity to provide psychoeducation and brief treatments to patients while they are hospitalized, which may include teaching relaxation/stress management techniques, relapse prevention skills, and providing assistance with discharge/outpatient treatment planning.

Pediatric Clinic

Supervisor: Jennifer Ludrosky, PhD

Location: Chestnut Ridge Center

The intern will receive training in the provision of outpatient psychological treatment with children, adolescents, and parents. Cognitive Behavioral Therapy, play therapy techniques, and family systems and biopsychosocial theories will be utilized with patients with a variety of ages and presenting problems.

 

Child and Families Multidisciplinary Training Clinic

Supervisor: Jennifer Ludrosky, PhD

Location: Chestnut Ridge Center

The intern will participate in the MDT clinic, which is a team-based, observational and experiential treatment clinic for treating complex children and families. The MDT clinic offers opportunities to work with psychiatrists, social workers, psychologists and practicum students from all three disciplines. MDT trainees work under direct observation through the one-way mirror and have the opportunity to observe faculty and trainees conducting individual and family therapy as well. The MDT clinic also partners with the WVU Medical Legal clinic, offering interns the opportunity to observe and consult with law students and professors regarding the intersection between medical needs and legal issues. 

Group Psychiatric Inpatient Treatment

Supervisors: Kevin Larkin, PhD, ABPP

Location: Chestnut Ridge Center

The intern receives supervision and training in providing an inpatient Stress Management group with patients with a broad range of mental illnesses and substance use disorders. Interventions taught by the intern includeProgressive Muscle Relaxation, Guided Imagery, and Mindfulness.

VA Medical Center-Psychosocial Residential Rehabilitation Treatment Program

Supervisors: Angelo Giolzetti, PsyD, Amanda Charlton-Fryer, PsyD

Location: Louis A. Johnson VA Medical Center, Clarksburg WV

Programs: Psychosocial Residential Rehabilitation Treatment Program (PRRTP)

Interns have the opportunity to gain experience in residential treatment of PTSD, substance use disorders, or depression.  Interns will provide individual and group psychotherapy, consultation, assessment, treatment planning, and crisis evaluations.  Interns will have the opportunity to co-lead and lead groups on topics such as coping skills and cognitive restructuring. Interns will also have the opportunity to learn about Motivational Interviewing and Motivational Enhancement Therapy. In addition, interns will be involved in interdisciplinary morning rounds.

 

Additional Minors for the Adult/ Behavioral Medicine Intern:

Neuropsychology

Supervisors: Dr. Liv Miller, PsyD ABPP, Kirk Byrant, PhD

Location: Chestnut Ridge Center

Interns can receive training in neuropsychological assessment of adult patients with a wide variety of neurological and psychological disorders. The rotation is available at either an introductory or advanced level depending on the intern’s level of experience. The intern can also participate in didactics/ seminars specific to neuropsychology.

Psychiatric Intensive Care Unit Orientation Group (PICU)/ Geriatric Unit Group:

Supervisors: Dr. Liv Miller, PsyD ABPP, Kirk Byrant, PhD, Stacie Leffard, PhD, ABPP, or Christina Wilson, PhD

Location: Chestnut Ridge Center

Daily group therapy meetings are conducted on the Psychiatric Intensive Care Unit and Geriatric Unit. The goal of these groups is to provide a forum for communication and discussion among the inpatients on the units. The group treatment experience provides interns with a chance to interact with individuals suffering from severe mental illness and provides a valuable service for the patients and the operations of the units.

Additional Minors for the Neuropsychology Intern:

The Neuropsychology intern has the option to participate in any of the Adult Rotations as a Minor experience:

Adult Outpatient Psychology/ Psychiatry

Supervisors: Cassie Brode, PhD, Stephanie Cox, PhD, or Richard Gross, PhD, ABPP

Location: Chestnut Ridge Center

Interns provide assessment and evidence-based treatment to patients with a wide range of presenting problems including those with co-morbid medical and psychiatric concerns. Interns will have regularly scheduled intakes and new patient evaluations throughout the rotation. Interns are encouraged to have a mixture of both short-term and long-term therapy cases. Interns receive supervision primarily from a Cognitive- Behavioral orientation, although interns may also receive training in other evidence-based approaches such as Acceptance and Commitment Therapy and Motivational Interviewing. We are able to select specific patient populations or disorders of interest in order to advance an intern’s training in a specific area or to address any gaps in training.

Chronic Pain

Supervisor: Richard Gross, PhD, ABPP

Location: Chestnut Ridge Center/ Pain Management Center

The goal of the rotation is to increase intern’s knowledge of various chronic pain disorders often encountered in behavioral medicine settings including low back pain/ disk disease, radicular pain, neuropathic pain syndrome, fibromyalgia, and pain associated with malignancy, etc. Assessment is a primary focus of this rotation including evaluations to determine risk for opioid abuse/ misuse. The intern will also participate in treatment for chronic pain patients including both individual and group treatment, including a CBT for chronic pain group. Opportunities to work across disciplines with various medical sub-specialties and to work within an interdisciplinary pain center also exist.

Bariatric Surgery

Supervisors: Stephanie Cox, PhD or Cassie Brode, PhD

Location: Chestnut Ridge Center/ Department of Surgery

WVU Bariatrics offers a comprehensive surgical weight loss program including bariatric- trained surgeons, mid-level providers, dieticians, and psychologists. The intern has the opportunity to work as part of this multidisciplinary team in both assessment and intervention capacities. Interns receive training in pre-surgical psychological evaluations to determine a patient’s appropriateness for surgery. Additionally, interns can provide treatment to patients both pre and post surgically. Concerns commonly addressed include engagement in behavioral changes, treatment of disordered eating behavior, stabilization of psychiatric symptoms, etc. The intern also has the opportunity to attend team case review meetings and observe surgical procedures. The intern will also have the opportunity to lead and/or co-lead a monthly support group for pre- and postoperative patients.