This training experience has chosen to follow the APPIC Postdoctoral Selection Guidelines.
CHILD & ADOLESCENT HEALTH SERVICE PSYCHOLOGY TRACK - OUTPATIENT CARE: Postdoctoral Fellowship positions are available within the Division of Child & Adolescent Psychiatry at University of Rochester Medicine. Our fellowship offers a wide variety of opportunities and allows for significant customization of the training experience. Applicants should clearly identify which major and minor rotations are of interest in their application materials. Fellows typically engage in 1 major rotation and 1-2 minor rotations during the training year.
Fellows will provide supervised clinical care and conduct program development/research in our state-of-the-art outpatient settings, integrated pediatric care settings, and/or our expanded school mental health program. Fellows in this track participate in clinical research as members of the Innovation in Child Mental Health Care Delivery Lab.
Additional responsibilities for all fellows include participation in didactics and at least 2 hours of weekly individual supervision. Fellows also provide clinical supervision of junior trainees and/or multidisciplinary clinical staff. Fellowships are designed so that fellows can pursue careers in patient care, teaching, research, and administration and be eligible for NY state licensure. In addition, the Child & Adolescent Psychiatry Division anticipates faculty opportunities for graduating fellows over the next 5 years.
MAJOR ROTATIONS
Major rotations are designed for fellows seeking to develop advanced proficiency and expertise in a specific area. Fellows are expected to demonstrate a foundational understanding or prior experience in these domains to maximize their training. Fellows typically spend 2-3 days/week in their major rotation.
(1) UR-Supporting Our Students (UR-SOS) Comprehensive School Mental Health: UR-SOS provides advanced training for psychologists interested in school mental health, community-engaged care, implementation science, and systems-level intervention. Fellows engage in interdisciplinary school-based clinical services, consultation with school teams, and care coordination across educational and healthcare settings. They may also contribute to professional development for K-12 educators while working with urban, suburban, and rural school communities throughout the Finger Lakes region, including the Rochester City School District.
A distinctive feature of the UR-SOS fellowship is the opportunity to contribute to multiple federally funded initiatives designed to strengthen school and community behavioral health systems, particularly in rural and underserved communities. These include Connecting for Kids (C4K), a cross-sector model that strengthens collaboration among schools, healthcare providers, and families, as well as the Mental Health in Schools Project ECHO, a tele-mentoring model that supports dissemination and implementation of evidence-based practices. Fellows will contribute to project implementation, evaluation and publication, and training or technical assistance. Additional opportunities included youth mental health promotion, substance use prevention, and efforts to expand evidence-based practices across school and community settings. More information is available at www.ursos.org.
(2) Pediatric Gastroenterology (GI): The GI Psychology service provides outpatient evaluation and treatment to patients diagnosed with a variety of GI conditions. Common referrals to the service include Disorders of Gut-Brain Interaction (DGBIs; e.g., irritable bowel syndrome, functional abdominal pain, rumination, functional constipation/encopresis), inflammatory bowel disease (IBD: including Crohn's disease and ulcerative colitis), and celiac disease. Fellows will have the opportunity to consult and collaborate with a multidisciplinary team including GI providers, dietitians, child life specialists, social workers, and pelvic floor physical therapists. By the end of the training year, fellows will understand a variety of GI presentations and demonstrate advanced competence in the delivery of evidence-based treatment methods (e.g., gut-directed CBT)
(3) Integrated Pediatric Medical Specialty Clinics at Golisano Children's Hospital: Fellows obtain specialized pediatric psychology training in one or more medical specialties, including: Neurology (e.g., FND treatment), Endocrinology (e.g., diabetes), Hematology/Oncology (e.g., BMT and gene therapy), Nephrology (e.g., kidney transplant), and Behavioral Sleep Medicine. Other specialties may be available depending on applicant's interest. Fellows provide consultation and direct outpatient care within these divisions and collaborate with multidisciplinary care teams.
(4) Autism Spectrum Disorders (ASD)/Developmental Disabilities (DD) - Testing & Treatment: This major rotation requires prior experience in conducting independent autism evaluations. Fellows will gain advanced proficiency in both the diagnostic assessment and evidence-based treatment of Autism Spectrum Disorder and other Developmental Disabilities.
(5) Pediatric Behavioral Health & Wellness (PBH&W) Outpatient Services: Fellows in this major rotation will develop advanced proficiency in providing outpatient care. Fellows can specialize their patient caseload to focus on specific populations (e.g., LGBTQ+ youth, early childhood), specific disorders (e.g., anxiety disorders, mood disorders, PTSD), and/or specific treatment approaches (e.g., individual, group, caregiver-focused).
MINOR ROTATIONS
Minor rotations offer opportunities for fellows to gain exposure and foundational experience in areas where they may have very little to no prior experience. Fellows typically spend 1/2-1 day/week in their minor rotation.
School Mental Health (Clinical/Consultation): Focuses on direct patient care and consultation within school settings, distinct from the grant-funded initiatives, providing exposure to the practical application of school mental health services.
Infant and Early Childhood Mental Health (IECMH): Provides foundational exposure to Infant and Early Childhood Mental Health principles and practices, including early childhood outpatient therapy and consultation. May also include training in and provision of early childhood outpatient therapy including Parent-Child Interaction Therapy, RUBI parent management training, Reflective Parenting, and consultation with caregivers in breast feeding and lactation medicine.
Integrated Primary Care (IPC): Offers experience in providing mental health services within a pediatric primary care setting that serves patients and families who reside in suburban and rural communities.
Pediatric Specialty Clinics at Golisano Children's Hospital: Fellows can gain exposure to various pediatric subspecialty clinics, including Neurology, Endocrinology, Behavioral Sleep Medicine, Nephrology, Adolescent Medicine, and Consultation-Liaison (CL) services. This involves providing consultation and direct patient care within these divisions and collaboration with multidisciplinary care teams. The specific focus can be tailored to the fellow's interests.
Gastroenterology (GI): Offers an introduction to the psychological aspects of pediatric gastroenterology, including treatment of common GI conditions and multidisciplinary collaboration.
Autism Spectrum Disorder (ASD)/Developmental Disabilities (DD) - Treatment: Focuses on the treatment aspects of Autism Spectrum Disorder and Developmental Disabilities for fellows who may not have extensive prior experience in independent evaluations.
Pediatric Behavioral Health & Wellness (PBH&W) Outpatient Services: Provides broad exposure to outpatient clinical care, allowing fellows to work with a variety of presenting concerns and populations. Fellows have the opportunity to specialize their caseload based on their training goals.