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SPECIALTY CLINICS        Children playing doctor

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 8am – 12noon; Wed 1pm – 5pm; off campus 2nd Thursday 8am – 5pm

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 1pm – 5pm

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 ~10:30am – 12noon

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 8am – 12noon; Wednesday 8am – 12nooon; occasionally Thursdays 8am – 12noon

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 8am – 5pm 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; 1-2:30pm

This is a multidisciplinary meeting discussing pediatric patients undergoing dialysis

Kidney Transplant Listing Meeting

Kidney/Pancreas Transplant Listing Meeting

1st and 3rd Thursdays 12noon – 1:30pm

2nd Friday 1pm – 2:30pm

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 8am - 5pm

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.

Pediatric Pain Management Clinic

The Pediatric Pain Management Clinic provides specialty services to children and adolescents who are experiencing chronic and acute pain disorders. Residents may provide services including brief assessment and intervention or ongoing treatment services based on empirically-supported techniques for pain management, including biofeedback assisted techniques. Residents also address mood or behavioral concerns as indicated. Trainees work closely with the other providers in this clinic to provide appropriate recommendations and referrals. Common presentations include headaches, complex regional pain syndrome, sickle cell pain, abdominal pain, recovery from acute injury, and as well as some additional mood and behavioral concerns. The Pediatric Pain Management clinic serves children from school-age to 18; the most common consultations are for adolescents.

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

Medication adherence, pica, enuresis, school problems

Hemophilia/Bleeding Disorders Clinics

Lifespan

Wednesdays 8:30 -5

2nd Wed of month: Tulsa

3rd Wed of month: Adult, 8:30-12

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

NCSC, 4th Monday, 1-5

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

Summer: Every Wednesday, 1-5

School problems, neurocognitive deficits, emotional concerns

Inpatient hem/onc

Birth – 21

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

Adjustment, emotional problems, disruptive behavior

JEC Outpatient Clinic

Birth – 21

Mon-Wed, 8-5

Thursday, 1-5

Friday 8-12

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 Stephen Gillaspy, Ph.D.