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SPECIALTY CLINICS        Children playing doctor

Diabetes & Endocrinology Clinic
The Pediatric Diabetes & Endocrinology psychology service provides consultation and ongoing follow-up services for patients with diabetes and endocrine-related disorders. This service is predominately based in an outpatient specialty clinic, but opportunities to provide inpatient services are available based on trainee interest. Additionally, training opportunities are available within three subspecialty clinics that provide comprehensive, multidisciplinary care for youth with Type 2 diabetes, Turner Syndrome, and Differences/Disorders of Sexual Development.

During the Diabetes & Endocrinology rotation, trainees can expect to frequently work with pediatric patients with Type 1 and Type 2 diabetes. Trainees are also likely to gain expose to pediatric patients with a wide range of endocrine disorders, including but not limited to hypothyroidism, Turner Syndrome, and disorders of sexual development. This rotation provides frequent opportunities to utilize motivational interviewing skills to address adherence concerns with both patients and family members. Trainees will obtain experience in implementing brief consultation and intervention with pediatric patients and their families. Intervention experience will be provided in numerous areas, including, but not limited to adherence, adjustment to diagnosis, procedural anxiety, behavior management, emotional problems, school accommodations, and sleep difficulties. Supervision for these experiences is provided by Kathryn Jeter, Ph.D. 


Solid Organ Transplant / Kidney / GI

Psychology Residents seeking training or further skill-building in the Solid Organ Transplant Program will experience a variety of pediatric psychology services serving a multidisciplinary program in four settings: outpatient clinics, the Children's Hospital, the Pediatric Dialysis Unit and the Oklahoma Transplant Center. Children undergoing diagnosis, treatment, and transplantation for kidney and liver diseases are usually seen and diagnosed in outpatient clinics first, but may receive ongoing procedures including dialysis (for kidney patients) and maintenance and intervention procedures for liver and associated circulatory dysfunction prior to transplantation. The psychology service coordinates evaluations, consultations, interventions, developmental supports, adherence assistance, and developmental transition training for transplant patients. Residents will work closely with specialist physicians, surgeons, social workers, dieticians, pharmacologists, nurses and transplant coordinators. Research experience is available in these areas and additional experiences are available in the Nephrology Clinic and the Gastroenterology clinic, in which Hepatology/Liver Transplant Clinic is housed. Residents seeking experience with patients being treated for inflammatory bowel disease will find opportunity to be a part of a national clinical research and improvement program in this rotation. Supervision for these experiences is provided by Noel Jacobs, Ph.D.  A breakdown of the several clinics that serve the GI (including Liver, Kidney, and transplant) population are provided below: 

Clinic

Age Range

Schedule

Population

Common Psychology Involvement 

Hepatology Clinic at The Children’s Hospital

Infant to ~21 years of age

Tuesday
8 am – noon;
Wed 1 – 5 pm;
off campus 2nd Thursday
8 – 5 pm

Children diagnosed with genetic, congenital, or lifestyle-related liver disease

Patient education, coping with illness, medical adherence, transition to adult functioning

Liver Transplant Clinic (housed in Hepatology Clinic

Infant to ~21 years of age

1st and 3rd Mondays
1 – 5 pm

Children diagnosed with liver disease and listed for liver transplant or already transplanted

Patient education, coping with illness, pre-transplant evaluation; post-transplant living, adherence, transition to adult functioning

Hepatology Transplant Listing Meeting (Oklahoma Transplant Center)




Fridays ~
10:30 am –noon




This is a multidisciplinary meeting discussing pediatric patients undergoing the listing process to receive a transplant

Nephrology Clinic at The Children’s Hospital

Toddlers to ~21 year of age

Monday
8 – noon; Wednesday
8 – noon; occasionally Thursdays 
8 – noon

Children diagnosed with chronic kidney disease and renal transplants

Patient education, coping with illness, medical adherence, pre-transplant evaluation, transition to adult functioning

Pediatric Dialysis Unit (located inside Children’s Hospital)

Toddlers to ~21 year of age

Monday, Wednesday, and Friday
8 – 5 pm as needed

Children diagnosed with kidney disease receiving dialysis

Patient education, coping with illness, medical adherence, transition to adult functioning

Pediatric Dialysis Multidisciplinary Team Meeting


First Tuesday of every month;
1-2:30 pm

 

This is a multidisciplinary meeting discussing pediatric patients undergoing dialysis

Kidney Transplant Listing Meeting

Kidney/Pancreas Transplant Listing Meeting




1st and 3rd Thursdays Noon – 1:30 pm

2nd Friday
1 – 2:30 pm




This is a multidisciplinary meeting discussing pediatric patients undergoing the listing process to receive a transplant

GI Clinic / IBD at The Children’s Hospital

Toddlers to ~21 year of age

2nd and 4th Monday
8 - 5 pm

Children diagnosed with Inflammatory Bowel Disease (ulcerative colitis or Crohn’s disease)

Patient education, coping with illness, medical adherence, transition to adult functioning

Pediatric Assessment Clinic​
Residents will gain training in assessment, report writing, feedback, and behavioral therapy for patients seeking a psychological evaluation regarding possible ADHD. The General Pediatrics Clinic provides primary care services to children and adolescents. Common presentations include ADHD, behavioral management/parenting issues, and learning difficulties. Trainees in psychology are often consulted and work very closely with the providers associated with the primary care clinic in the ongoing treatment of children with ADHD. Residents on this rotation will provide services including diagnostic interviews, as well as conducting intelligence, achievement, and behavioral assessments. Behavioral Assessments will consist primarily of the use of self and parent report measures with patients and their families. Additionally, the assessment experience will include the integration of information obtained from other healthcare providers (physicians, nursing, social work, physical & occupational therapy, dieticians, etc.) and collateral reporters (teachers, school personnel) for case conceptualization and the development of treatment recommendations. This rotation is supervised by Amy Cherry, Ph.D.


Hematology / Oncology Clinics
This rotation will include training in clinical service provision in the Jimmy Everest Center (JEC) for Cancer and Blood Disorders in Children. JEC is also the site of the Pediatric Sickle Cell Disease Program, the Oklahoma Center for Bleeding and Clotting Disorders, and the Pediatric Stem Cell Transplant Program. Rotations will include participation in at least one sub-specialty clinic and may include other activities within hematology/oncology. Assessment experiences will primarily consist of diagnostic and follow-up interviews. Depending on the specific rotation options, experiences may be available to conduct developmental evaluations, psychoeducational evaluations, and/or psychosocial evaluations. Residents will obtain experience in implementing brief consultation and intervention during the comprehensive sub-specialty clinics. Diagnostic skills and implementation of appropriate recommendations/referrals will be emphasized. Intervention experience will be provided in numerous areas, including, but not limited to behavior management, emotional problems, school accommodations, toileting problems, and sleep difficulties. Consultation with other agencies, including schools or other health providers will be expected as needed. 

Comprehensive sub-specialty clinic information:

Clinic

Age range

Schedule

Common Consultations

Sickle Cell Disease Clinic

3-21

Tuesdays, 8:30-5 pm

Medication adherence, pica, enuresis, school problems

Hemophilia/Bleeding Disorders Clinics

Lifespan

Wednesdays
8:30 - 5 pm
2nd Wed of month:

Tulsa
3rd Wed of month: Adult, 8:30 - noon

Behavior management, internalizing disorders, pain management, sleep problems

Brain Tumor Clinic/ Neurocutaneous Syndromes Clinic

Infancy to age 31

1st, 3rd, and 5th Mondays,
1-5 pm
NCSC - 
4
th Monday,
1-5 pm

School problems, neurocognitive deficits, behavior management

Taking on Life After Cancer (TLC) Survivorship Clinic

Infancy to age 32

August – May,
every other Wednesday,
1-5 pm
Summer:
Every Wednesday,
1-5 pm

School problems, neurocognitive deficits, emotional concerns

Inpatient hem/onc

Birth – 21

Mon-Wed and Friday, inpatient rounds start at 9 am; Thurs. varies

Adjustment, emotional problems, disruptive behavior

JEC Outpatient Clinic

Birth – 21


Mon-Wed, 8-5 pm
Thursday, 1-5 pm
Friday 8- noon

Adjustment, disruptive behavior, sleep, emotional concerns

Multidisciplinary Tumor Board Imaging Conference

All


Wednesdays, 4:00-5:00

N/A. Meeting to review imaging patient imaging scans and treatment discussion

Healthy Futures (Pediatric Obesity)
Residents will participate in the multidisciplinary obesity clinic, which focuses on families making health lifestyle choices to improve the overall health of the pediatric patient. This rotation involves providing direct clinical care to pediatric patients/families in a multidisciplinary pediatric obesity clinic. When patients initially present to clinic, psychology conducts a diagnostic interview as well as self and parent report BASC and PedsQL. If there are co-morbid mental health issues, patient/families are referred for traditional mental health services. During all follow-up visits within the context of the obesity clinic, psychology focuses on assisting the patient and family in meeting their dietary and physical activity goals. Residents have frequent opportunities to utilize motivational interviewing skills during this rotation with both patients and family members. Communication with the multidisciplinary team and timely intervention and documentation are required from all interns. Assessment experiences will primarily consist of diagnostic interviews and use of self and parent report measures with patients and their families. Additionally, the assessment experience will include the integration of information obtained from other healthcare providers (pediatrician, dietician, physical therapist) for case conceptualization and the development of treatment recommendations. Residents will obtain experience in providing cognitive behavioral and motivational interviewing interventions within the multidisciplinary clinic focused on changing physical activity and dietary behaviors. Additionally, residents will carry individual cases accrued through the obesity clinic. These cases will consist of patients seen in the multidisciplinary obesity clinic who need additional individual or family therapy due to their co-morbid mental health issues. This rotation is supervised by ​Desti Shephard, Ph.D.