Updated September 23, 2024
such variables as age, gender, race, ethnicity, religion, sexual orientation, education level, SES, physical and cognitive dis/abilities, and generational/cohort differences can influence physical and mental health, access to health care, quality of care, and quality of life. Trainees will be supported in developing cultural competence in delivering interventions, assessments, and consultations. Trainees will have the opportunity to experience and reflect on how privilege, bias, and power differentials affe ct care, given HBPC’s clinical practice in a Veteran’s home, outside the stimulus control of the hospital setting. Trainees will also develop cultural competence in team functioning. They will have the opportunity to help enhance patient-provider relationships and ensure a Veteran is receiving Patient-Centered Care by providing education and cultural context to a Veteran’s treatment plan during interdisciplinary team meetings and through consultation with team members.
Note: This rotation is hybrid (virtual and in-person); some responsibilities require Intern to be on campus.
6. Medical Psychology/Consultation & Liaison (C&L) Supervisor: Kristina Moncrieffe, Psy.D.
Program: The Medical Psychology Service consists of two services: outpatient rotation and Consultation and Liaison (C&L) inpatient rotation where both rotations provide interns with the opportunity to work with Veterans experiencing psychological distress in the context of chronic medical conditions. Patient referrals come from a variety of medical teams in the VA, including internal medicine, oncology, orthopedics, cardiology, palliative/hospice care, transplant services, pulmonology, etc. The patient population is diverse with medical conditions such as recent amputations, cancer, stroke, heart attack, ESRD, ALS, post-Covid complications, and more. Patient concerns are predominantly adjustment to illness or injury, coping with/processing terminal diagnoses, experiencing depression/anxiety in response to co-occurring medical conditions and surgeries, and managing complex treatment side effects. Interns have the opportunity to provide pre-surgical transplant (kidney, lung, stem cell) mental health/cognitive evaluations on an outpatient basis. Interns also have the opportunity to work as a consultant to Acute Medicine teams doing exciting, fast-paced consult-liaison work with medical inpatients and their multidimensional care teams, consisting of physicians, psychiatrists, nurses, social workers, physical therapists, occupational therapists, dieticians, and chaplains. Opportunities through C&L include a balance of brief interventions, cognitive assessments, capacity evaluations, behavioral management, and interdisciplinary team consultation with a focus on assisting issues that are actively interfering with patients' hospital stay and discharge planning. Psychology Training Provided : The intern will obtain experience in observing, evaluating, and facilitating the adjustment of individuals with chronic medical illnesses, disabilities, and end-of- life issues. The intern will learn to promote coping strategies and assist reintegration into meaningful life activities and roles. The intern will gain valuable experience working within interdisciplinary medical teams and also within a consultation-liaison framework. The intern will be exposed to mental health readiness evaluation, brief cognitive assessments, evaluations of decision-making capacity, adapting psychotherapy interventions, providing psychological services to patients and families at the end of life, consulting with complex systems (i.e.,
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