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  • Pediatric Psychology Rotation, Pediatric Hematology/Oncology and Pediatric Obesity Focus

    Dr. Karlson, Dr. Lim

    This rotation provides extensive training with pediatric populations in a variety of settings and clinics affiliated with UMMC. The Pediatric Cancer experiences take place in the Multidisciplinary Pediatric Craniofacial Clinic, Children's Cancer Outpatient Clinic, Batson Children's Hospital Pediatric Hematology/Oncology Inpatient Unit, and Multidisciplinary Pediatric Brain Tumor Clinic. Interns participate in consultation and liaison services for UMMC pediatric treatment teams, conducting supervised neuropsychology assessments and psychological interventions for inpatient and outpatient populations with a number of different presenting medical diagnoses (cancer, sickle cell, stroke, genetic conditions, craniofacial conditions, etc.). Two unique aspects of behavioral pediatrics are (1) the exceedingly wide range of problems seen by interns including internalizing, externalizing, and learning disorders, and (2) the relatively brief time frame in which assessment and treatment can take place. This aspect of the rotation emphasizes the diagnostic and treatment skills necessary for handling, in a timely manner, the wide range of cases presented in a pediatric/hospital setting. Interns have addressed problems such as adjustment, adherence to medical regimen, adaptive functioning, disruptive behavior, feeding problems, sleep problems, toileting, pain management, grief, and other areas. The clinical goals of the Pediatric Obesity experience are for residents to demonstrate adequate knowledge of child health and development, psychological co-morbidities, and cognitive behavioral theory to effectively implement evidence-based assessments and psychological treatments with children who are obese and their parents. An additional focus is to gain experience implementing psychological treatments in an outpatient multidisciplinary medical clinic with children who are obese with medical comorbidities and their parents. Interns will also develop effective communication and consultation skills while working with families and a variety of health care professionals, as well as gain exposure to the process of conducting clinically based research in an outpatient pediatric medical setting. Interns are involved in providing supervised psychological diagnostic evaluations and health and behavior focused assessments, as well as delivering evidence-based treatments to address psychological disorders to children and their families seen in the clinic. Interns have the opportunity to participate in individual and group-based treatments with patients and families, as well as opportunities to participate in providing services through the use of telehealth. Children seen in the clinic present with a wide-variety of psychological symptoms, such as internalizing and externalizing problems, coping with weight-related teasing, anxiety, depression, ADHD, and oppositional/conduct disorders. The Pediatric Psychology Rotation is offered as a full-time rotation experience.