Neuropsychology Postdoctoral Fellowships in Pediatric Neuropsychology and Adult Neuropsychology

The Geisel School of Medicine at Dartmouth Neuropsychology Program, founded in 1992, provides advanced training in clinical neuropsychological services, research, and teaching. The training model and objectives conform to the Houston Conference guidelines for specialty training in clinical neuropsychology, the APA Division 40 guidelines for postdoctoral training in neuropsychology, and the Association of Postdoctoral Programs in Clinical Neuropsychology (APPCN) domains and standards. The program is a member of the APPCN and the Association of Psychology Postdoctoral and Internship Centers (APPIC).

The overarching goal of the fellowship program is preparation for advanced practice in clinical neuropsychology. It is our intention to produce outstanding scientist-practitioners who are rigorously trained and who also have a broad-based foundation in assessment, intervention, consultation, and research. To achieve these ends, all fellows participate in supervised outpatient and inpatient neuropsychological service delivery to a wide range of patient populations, and an organized sequence of educational experiences, including seminars, colloquia and workshops on clinical research, clinical neuropsychology, professional ethics, and professional development. In addition, fellows participate in individual and group supervision where they have the opportunity to interact with senior faculty and interdisciplinary teams. As a small, highly individualized program, the fellowship also provides continuous evaluation and feedback. Periodic meetings with the individual's supervisors and the program director offer more structured, mutual evaluation and opportunities to discuss professional development issues. Each fellow has a minimum of three faculty neuropsychology supervisors for individual supervision, including a diplomate in Clinical Neuropsychology (ABPP-CN). The supervisor has professional responsibility for all services provided to patients.

CLINICAL NEUROPSYCHOLOGY ROTATIONS

The Neuropsychology Program offers separate postdoctoral tracks for adult neuropsychology and pediatric neuropsychology. Nonetheless, fellows may obtain some experience with patients across the lifespan from early childhood to elderly. Fellows complete one to two rotations including the Neuropsychology Service at Dartmouth-Hitchcock Medical Center (DHMC) in Lebanon, the Neuropsychology Laboratory at New Hampshire Hospital (NHH) in Concord, and/or the Neuropsychology Program (which includes an Adult ADHD Program) at Hanover Psychiatry in Hanover. Other clinical training opportunities are also available, as indicated below.

The neuropsychology fellowship sites provide a wide array of patient populations and considerable resources within which the fellow can advance his or her special interests while gaining a broad spectrum of experience. Fellows' typical caseload includes approximately three neuropsychological cases per week, consultation with referral sources, feedback with patients and families, and where appropriate, participation in intervention planning and monitoring. Fellows also participate in clinical case conferences and attend Grand Rounds in Neurology, Neurosurgery and Psychiatry, as well as other conferences (such as Neuropathology and Neuroradiology) according to interests. Opportunities for teaching and developing supervisory skills are available.

Adult Services

Dartmouth-Hitchcock Medical Center (DHMC): The Neuropsychology Service at DHMC serves as the primary training site for fellows. Outpatients make up the bulk of referrals, though Inpatients are also seen occasionally. Referrals come from a wide variety of sources including the clinical services of Neurology, Neurosurgery, Psychiatry, and Internal Medicine as well as other medical units at DHMC, as well as sources in the regional communities including school systems, health care providers, community mental health centers, and medical-legal practices. Fellows also gain experience with the intracarotid sodium amobarbital language and memory assessment. Furthermore, we are developing a number of specialized neuropsychological services in concussion, multiple sclerosis, and neuro-oncology that may provide clinical training opportunities for interested fellows.

New Hampshire Hospital (NHH): NHH in Concord NH is the state's primary psychiatric inpatient facility, and is a teaching hospital is staffed by the Psychiatry Faculty of Dartmouth. As such, it represents a unique example of public sector-academic liaison. The Neuropsychology Laboratory is housed in the Acute Psychiatric Services facility. Neuropsychological consultation is provided on referral to patients from admissions and longer-term units, including Adult Psychiatry, Geriatric, and Pediatric/Adolescent Psychiatric Units.

Hanover Psychiatry: Hanover Psychiatry is a psychiatric and psychological practice of the Department of Psychiatry at Dartmouth. The Neuropsychology Service at Hanover Psychiatry offers comprehensive (cognition, personality, psychodiagnostic) evaluations for individuals with a wide range of clinical issues. In addition, the Adult ADHD Program, directed by a faculty neuropsychologist (and including a team of psychotherapists and psychiatrists), offers psychodiagnostic and neuropsychological assessment, as well as multiple treatment approaches including medication management, cognitive-behaviorally based therapy and compensatory strategy training, as well as computerized cognitive training.

Pediatric Neuropsychology Services

The pediatric neuropsychology program provides outpatient service at DHMC evaluating children with neurological, metabolic, medical, developmental and learning problems. We participate in 2 multi-disciplinary clinics with developmental pediatrics: an Autism and Communications Disorders clinic evaluating children ages 2 to 7 years old, and a Neurodevelopmental - Psychiatric - Neuropsychology Clinic for children and adolescents ages 6 and up. We conduct ADOS-2 evaluations for an Autism Diagnostic Clinic with the Child and Adolescent Psychiatry service. Sports concussion evaluations and consulting to regional schools and programs on sports related TBI cases, including supervision of concussion management programs are also provided. Services at NHH include inpatient neuropsychological assessment of children and adolescents. We frequently consult to schools on learning issues and topics of their interest and provide case consultations. Research studies are conducted in TBI and sport-related concussion, learning disabilities, and test development.

RESEARCH

In addition to the many clinical opportunities, the fellowship emphasizes active involvement in clinical neuropsychological and/or neuroimaging research. Fellows have an opportunity to become involved in ongoing studies, as well as participate in the design and implementation of new studies. Ongoing research populations include multiple sclerosis, traumatic brain injury, adult ADHD, schizophrenia and addictions. Many other patient groups are potentially available, including epilepsy, aging/mild cognitive impairment and Alzheimer's disease, and others. Alternatively, a fellow can opt to develop a new project in conjunction with a faculty supervisor in another available clinical population or area of interest (e.g., memory and aging, epilepsy, structural or functional MRI, neurogenetics, assessment, or memory, executive and other cognitive functions more generally). Within the timeframe of a two-year fellowship, fellows are expected to develop and prepare at least one report suitable for publication based on close involvement in one or more of our ongoing research programs. During their fellowship, previous fellows have presented papers and posters at scientific conferences and/or published papers based on their work in the program.

The major research focus of the Neuropsychology Section and Brain Imaging Laboratory is multi-departmental collaborative integration of brain imaging (structural and functional MRI) with cognitive and behavioral data. The Neuroimaging Research Center at the Advanced Imaging Center at Dartmouth houses a research dedicated 3T Philips MRI system. We are currently performing fMRI activation studies of cognition, emotion, and motor functions, and morphological studies of selected brain regions in various patient populations. The association between neural integrity and genes (e.g., APOE, D2D4) is also being actively investigated. Excellent computer facilities are available in the Neuropsychology Section for word processing and scientific applications, including IBM-compatible PC systems, LINUX systems, and image processing workstations.

Please visit our website for additional details about our research and staff.

APPLICATION PROCESS

We anticipate 1 to 2 openings each year for a 1 to 2 year fellowship consistent with APA Div. 40 and Houston Conference guidelines for our APPCN accredited Adult Postdoctoral Fellowship in Neuropsychology and Brain Imaging, and one opening each year for our Postdoctoral Fellowship in Pediatric Neuropsychology (which does not participate in the APPCN match).

Education/training qualifications: Requirements include prior neuroscience courses, internship in neuropsychology, commitment to clinical research, and completion of doctoral requirements. Prior experience with neuroimaging techniques is desirable but not necessary. Prior to appointment as a postdoctoral fellow, individuals must provide evidence of completion of all requirements for the doctoral degree from a regionally accredited university or professional school program, including completion of internship training which meets APPIC standards; official transcript, copy of diploma, or official letter from the Department Chair or Graduate Advisor will be acceptable. Typically, postdoctoral fellows are appointed to full time positions for one year, renewable for an additional year. A total of 2000 hours of training are provided in each year, exceeding the 1500 postgraduate hours required for licensure in New Hampshire.

Applications should be sent (by 12/15/2013) to:

Laura A. Flashman, Ph.D., ABPP
Director, Neuropsychology Program
Professor of Psychiatry
Department of Psychiatry/HB 7750
Dartmouth Hitchcock Medical Center
One Medical Center Drive
Lebanon, NH 03756-0001