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Pediatric psychology trainees will have the opportunity to carry a case-load of ongoing outpatient therapy cases. The focus of the outpatient therapy cases can vary across mental health and medical diagnoses. Most cases have a health psychology or medical component. Common presenting concerns include adjustment to illness or a change in functional status, non-adherence to medical or dietary regimens, sleep disturbances, difficulty with pain management, and internalizing or externalizing disorders that occur among patients with other health concerns. This rotation provides an opportunity for application of the bio-psycho-social model as well as empirically supported treatment modalities. Therapy may include individual and/or family therapy interventions. Pain related outpatient cases may also involve biofeedback assisted interventions.

Common presentations of medical diagnoses include feeding difficulties, elimination disorders, asthma, cystic fibrosis, pain, obesity, diabetes, gastro-intestinal problems and various forms of pediatric cancer. Supervision is provided on a case-by-case basis by Ryan Blucker, Ph.D., Carrick Carter, Psy.D., Amy Cherry, Ph.D., Stephen Gillaspy, Ph.D., Jon Hart, Ph.D., Noel Jacobs, Ph.D., Kathryn Jeter, Ph.D., Sunnye Mayes, Ph.D., and Rebecca Wallace, Psy.D.  

Inpatient Consultation & Liaison – General Pediatrics
Pediatric psychology trainees will participate in consultation and liaison services throughout The Children’s Hospital at OU Medical Center. This rotation involves weekly attendance during inpatient rounds to discuss current patients and any potential contributions by psychology to their medical care. When consulted, fellows will provide an assessment and treatment plan to address presenting concerns and coordinate follow- up care in preparation for discharge as necessary. Interventions for this service are often brief, highly structured, and targeted to specific problems. Communication with the medical and nursing staff and timely intervention and documentation are required from all trainees. Common consultations include pain management, procedural distress, internalizing disorders, assisting communication, and non-adherence to medical regimens. This rotation is supervised by Rebecca Wallace, Psy.D.

Inpatient Consultation & Liaison – Pediatric Hematology/Oncology
Fellows will also participate in consultation and liaison services specific to pediatric hematology/oncology. This rotation involves weekly attendance during inpatient rounds to discuss updates with ongoing patients (hematology and oncology) and information regarding patients newly diagnosed with pediatric cancer. Fellows work closely with patients who are newly diagnosed with cancer, conducting screening assessments and facilitating multidisciplinary services as needed. The inpatient hematology/oncology unit serves patients from infancy through young adulthood. Common consultations include adjustment to diagnosis, pain management, sleep disturbances, anticipatory nausea, and treatment of internalizing and externalizing disorders. This rotation is supervised by Sunnye Mayes, Ph.D.

Inpatient Consultation & Liaison – Solid Organ Transplant (Kidney & Liver)
Fellows will also have the opportunity to provide inpatient services to children and their families preparing for transplant or coping with medical difficulties post-transplant. This rotation involves staffing with multi-disciplinary team members including physicians, nurses, and social workers. Due to the presence of Psychology in comprehensive kidney and liver clinics, the majority of the consults for inpatient transplant patients will include continuity of care. Some consults will include adjustment to new treatment regimen and any specific issue that may be preventing quality care while inpatient. This rotation is supervised by Noel Jacobs, Ph.D.