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Design of Program
The predoctoral internship is a general one designed to provide practical training in clinical or counseling psychology. An emphasis area in clinical neuropsychology, which meets the INS/APA Division 40 Guidelines, and the Houston Conference Guidelines, is available within the adult track.

General Adult Track
Four predoctoral clinical interns are accepted from applicants who are doctoral candidates currently enrolled in or just completing a doctoral program in clinical or counseling psychology.  Also, one predoctoral clinical intern will be accepted for an emphasis in Clinical Neuropsychology at the Oklahoma City VA Medical Center. The interns work with an adult population at the Oklahoma City VA Medical Center, but they are also required to have some experience with child and adolescent patients as minor rotations. There are approximately 29 different rotations available either as major or minor rotations on the adult track. Please see the Veteran’s Affairs Medical Center Section in this brochure for a detailed description of each of the rotations.

Clinical Child
Two predoctoral interns are accepted each year from applicants who are Ph.D. or Psy.D. candidates currently enrolled in or just completing a doctoral program in clinical or counseling psychology to pursue a general internship program with an emphasis track in pediatric and child clinical psychology. Opportunities in the pediatric and clinical child track includes pediatric psychology/behavioral medicine, clinical child assessment and therapy, and child abuse and neglect. Adult experiences are also a part of this track.

Pediatric Psychology Track

One pre-doctoral intern is accepted each year from applicants who are Ph.D. or Psy.D. candidates currently enrolled in or just completing a doctoral program in clinical or counseling psychology to pursue a general internship program with an emphasis track in pediatric psychology. Opportunities in the pediatric psychology/behavioral medicine track include rotations in Pediatric Integrated Primary Care, Hematology/Oncology, Inpatient Consultation/Liaison, Gastroenterology/Liver, Endocrine, Weight Management, Nephrology, and Pulmonology. Additional clinical child and adult rotational experiences are also a part of this track. 

Integrated Behavioral Health-HRSA Track
Three pre-doctoral interns are accepted each year from applicants who are Ph.D. or Psy.D. candidates currently enrolled in or just completing a doctoral program in clinical or counseling psychology to pursue a general internship program with an emphasis track in Integrated Behavioral Health-HRSA. These positions are funded through the Health Services and Resources Administration (HRSA) Graduate Psychology Education (GPE) Grant (D40HP33373). Fundamental training experiences will involve training in integrated behavioral health and substance abuse prevention and treatment within the University of Oklahoma Health Sciences Center, Department of Pediatrics and the Oklahoma City VA Medical Center (OKC VAMC). Interns within this track will complete one major rotation in pediatric primary care and two additional major rotations in pediatric psychology/behavioral medicine; as well as one minor rotation in integrated primary care at the OKC VAMC, one minor rotation in substance abuse prevention and treatment services at the OKC VAMC, and one minor rotation in one of the following areas pediatric psychology/behavioral medicine, clinical child assessment and therapy, or adult clinical rotations.​

Adult Neuropsychology Track
The OU Medical Center funds two interns in the neuropsychology emphasis track, which meets the INS/APA Division 40 Guidelines, and the Houston Conference Guidelines.  Interns on the neuropsychology track will have exposure to both child/adolescent and adult populations. For a detailed description of the experiences available on adult neuropsychology track please see the Adult Neuropsychology Laboratory section at O.U. Medical Center and also the Neuropsychology Rotation at the Veterans Affairs Medical Center. Interns in this track frequently elect to take a minor neuropsychology rotation at the V.A. 

Scope of the Internship Program
The form of the internship program reflects the program's current resolution of several dichotomies.  One dichotomy is depth versus breadth of training.  For many of you this will be your last major clinical experience before you receive your doctorate and begin functioning in the profession as a clinical psychologist.  Although we offer you many learning experiences, including several types of clinical experiences, educational seminars, and opportunities to work with numerous faculty members, the year is not long enough to take advantage of all that is available.  Even if it were possible to experience all that is available within the single year, it would not serve the goal of preparing you to operate as qualified professionals by simply offering a taste of many skills. 

Currently, our program has both a rotational (breadth) and a longitudinal (depth) component.  Each intern has three major rotations and 3 minor rotations with each rotation being of four months duration.  Each major rotation involves 24 hours per week of clinical experience, while each minor rotation involves 12 hours per week. Each major and minor rotation is offered through OU Medical Center either at the VAMC, Children's Hospital, OU Physician's or through numerous clinics on the OUHSC campus.

In addition, we ask interns to devote some of their time throughout the year to (a) didactic/educational activities (6 hours/week) and (b) supervised psychotherapy with children and adults (5 hours/week).  The didactic/educational activities include three required seminars and various elective seminars in emphasis areas of psychology, psychiatry, and medicine. Each intern receives at least three hours a week of individual supervision. 

The supervised psychotherapy is in addition to other psychotherapy cases, which are part of the major and minor rotations.  The intern selects one primary supervisor for the entire year.  This long-term supervisory relationship provides you with the opportunity to develop long term therapy skills across the entire year.  The type of cases an intern may select for supervision cover a broad range of psychopathology.  This primary supervisor also serves as a mentor for the intern, helping the intern with professional and personal issues as they might arise during the course of the year. 

An intern may pursue training in one of four emphasis areas of interest (e.g., adult clinical psychology, neuropsychology, child clinical/pediatric psychology or integrated behavioral health). 

The second dichotomy addressed by the form of this internship is that of faculty-planned versus intern-planned programs.  The question about who will plan the intern's year and who will decide what the intern will do is answered by providing a program which is general in its requirements, allowing the intern to participate in designing his/her individual program.

We offer approximately 29 major and minor rotational settings from which the intern may choose.  The intern's funding source partly affects the choice of rotation.  That is, interns funded by University Hospital or by the Veteran's Affairs Medical Center spend their three major rotations at their respective funding agency.  We give major consideration to intern preference with regard to rotation selection.  We make every attempt to give priority to your training needs.  Most interns are able to get the 3 major and 3 minor rotations of their personal choice.  We do not determine minor rotations by funding source so minor rotations can be taken anywhere the intern chooses with a few exceptions mentioned later. 

Major vs. Minor Rotations
Providing interns with as much flexibility as possible in determining their internship experiences is a very high priority for us. With such a wide variety of choices, there are very few major areas in psychology which are not represented among the rotation placements.  One of the frustrations of being in such a large comprehensive training center is certain choices must be made.  By choosing one rotation, one must give up another rotation and this can be a frustrating experience, we have referred to this problem as a "kid in a candy store phenomenon".  In fact, there are enough different possible rotations to fill several years’ training experience.  As an aside, we also have approximately 10 full-time psychology residents at OUHSC. A total of 4 of these ​Residents are in Clinical Neuropsychology, 3 in Child and Pediatrics, and 3 in the VA. The interested applicant can check out our two websites for APA-accredited Residency in Clinical Neuropsychology or our Residency in Clinical Psychology (which includes Adult and Child Clinical Psychology). The website address for the Residency in Clinical Psychology ​is; https://www.oumedicine.com/psychiatry/training-programs/residency-in-clinical-psychology and the Residency in Clinical Neuropsychology website is https://www.oumedicine.com/psychiatry/training-programs/residency-in-neuropsychology .

We try to give interns as much flexibility as possible in choosing which rotations they want.  However, in any system there must be certain constraints.  Although it is not possible to list all the constraints here, we will list the more important ones.

Following a description of the available rotations during orientation week, the interns will have the option to select rotations.  In the majority of cases, the intern class opts to meet together to work through desired rotation choices.  At this meeting, the interns would discuss their preferences for the 3 major and minor rotations.  Subsequent to this meeting, the first rotation is officially determined.  Although the interns have discussed their preferred options for 2nd and 3rd rotations, these will not be officially determined until just prior to the start of these rotations (October for 2nd rotation & February for 3rd rotation).  In this way, the interns reserve the right to make changes to their original selections due to new information obtained, feedback from other interns or faculty, or personal preference changes.

On most rotations only one intern is present at any given time, although a few rotations can take more than one intern simultaneously. 

As mentioned previously, an intern's funding source determines where the three major rotations will be.  For example, if you are funded through the Pediatric and Child Clinical Psychology program, your three major rotations will be in the child area.  Similarly, if you are funded by the Veteran's Administration, your three major rotations would be at the Veteran's Administration.  As stated earlier, minor rotations are not determined by your funding source.  You can choose minor rotations anywhere in our system. 

You will make a request for a particular funding source (i.e. program code) on selection day when you make your computer match request.  You could request, for example, that you only be considered for one particular funding source.  You may say, “I only wish to be considered for a VA funded position.”  You could also request to be considered for two funding sources.  You might indicate for example, “I want to be considered for either Pediatric and Child Clinical Psychology or the V.A. position.”  Obviously, an intern's choice of a funding source is an extremely important decision and is done when you submit your ranking list to the National Matching Service. Our program has​ 6 different program codes corresponding to our ​five funding sources (VA Medical Center, VA Medical Center - Neuropsychology, Pediatric Psychology, Child Clinical Psychology, Adult Neuropsychology, and Integrated Behavioral Health). You could rank any combination of the six program codes depending on your interest. 

Notice again you have 12 hours per week for minor rotation experiences.  These minor rotation experiences can be taken anywhere within our consortium.  Thus, if you are a VA funded intern and you want experiences in Pediatric and Child Clinical Psychology, you could obtain this during the 12-hour minor rotations. 

We consider ourselves a general internship and think interns should have both adult and child experiences. Remember we specifically define a general internship as one that has therapy/intervention and assessment activities with both adult and children.  To receive both adult and child experience, each VA funded intern and adult neuropsychology funded intern will have to take sufficient minor rotations to meet the criteria of having child assessment and therapy/intervention experience. Similarly, each pediatric and child funded intern will have to meet the criteria of having adult assessment and therapy/intervention experience.   

How Interns Spend Their Time
A question interns frequently ask is "Well, this sounds like a wonderful program with many opportunities, but how would I spend my time if I came to Oklahoma?"  In order to summarize this information visually, we have presented below a diagram.

 

Weekly Activity




Major Rotation 

Minor Rotation

Seminar

Total Hours

 Hours per week

 24

12

6

42

Note: Major and Minor Rotations will change every 4 months (July-Oct; Nov-Feb; March-June)

Please note, for all three rotations, an intern has major rotation experiences for 24 hours a week and a different minor rotation experience for 12 hours a week.  Also note, throughout the whole year, approximately five hours a week are spent in psychotherapy experiences beyond what is obtained on major or minor rotations.  The intern will spend approximately s​ix hours a week in seminars.  The total amount of time formally scheduled each week is roughly 42 hours; however, our time studies revealed the interns typically work between 42 to 44 hours per week. These hours also includes time spent in clinical activities, preparation, supervision, report writing/charting and reading.  With so many opportunities, interns find it hard to pass up valuable learning experiences.  Approximately three hours of individual supervision per week is included within the hours allotted to major rotation, minor rotation, and psychotherapy.