You are admitted to one of three specialty practice programs in the Medical Psychology Fellowship. In each specialty, you receive advanced, focused and in-depth training opportunities encompassing assessment, psychodiagnostics, research and evidence-based clinical practice.
This fellowship has six core training objectives that apply to all fellows: clinical skills, consultation skills, scholarly activities, administrative and organizational skills, professional conduct, and individual diversity skills.
In addition, fellows in each specialty are expected to possess knowledge and demonstrate specific skills in areas of assessment, treatment and therapy, consultation, scholarship and research, and administration that are specified by each of the specialty practice programs.
Clinical Child Psychology
The primary purpose of training in this specialty program is to provide the fellow with a depth and breadth of assessment, intervention, educational, consultative and research experiences in clinical child psychology and pediatric psychology, which results in advanced professional practice competency.
Brief (one month) required rotations include the inpatient Child and Adolescent Psychiatry Unit, Pediatric Psychology Consultation/Liaison Service, and assessment. The remainder of the fellow's time is based on his or her professional goals and areas of interest so that fellows graduate with the breadth required of a child psychologist as well as subspecialty expertise.
Training takes place primarily in three clinical areas:
Clinical child psychology. Fellows develop expertise in diagnosing and treating child and adolescent emotional and behavioral problems. Fellows complete a major rotation on the inpatient child and adolescent psychiatry unit, where they join a multidisciplinary team that includes psychiatry, psychology, social work, nursing and other pediatric subspecialties. A second multidisciplinary experience is offered in the two-week hospital day treatment program for children and teenagers with mood disorders.
Within the outpatient setting, fellows join multidisciplinary teams within the Pediatric Anxiety Clinic, Pediatric Mood Clinic, ADHD Clinic and Eating Disorders Program. Fellows also maintain an outpatient caseload (four to six patients a week) that is tailored to meet their individual needs and includes supervised experiences in both individual and group modalities.
Pediatric psychology. Fellows develop expertise in consultation, diagnostic assessment and treatment of children and adolescents within a medical setting. Fellows complete a rotation on the Pediatric Psychology Consultation/Liaison Service within the Mayo Eugenio Litta Children's Hospital.
Fellows may elect to participate on a multidisciplinary team within the Pain Rehabilitation Center, an intensive three-week, hospital-based day treatment program. They may also elect rotations in a number of other multidisciplinary clinics, including the Pediatric Pain Clinic, the Behavior Medicine Clinic, the Craniofacial Clinic and the Weight Management Clinic. These clinics include outpatient consultation as well as brief interventions.
Child psychological assessment. Fellows may elect to participate in the Learning Disorders Clinic, where they conduct clinical interviews and coordinate testing of cognitive functioning, academic achievement, attention regulation and executive functioning, and behavioral and emotional regulation.
Fellows may also participate in a pediatric neuropsychology experience, where they are exposed to pediatric patients with more-complex medical presentations, assessing multiple neurocognitive domains. Finally, fellows may also participate in a multidisciplinary assessment clinic for patients with complex psychiatric disorders.
Clinical Child Psychology training is consistent with guidelines outlined by the American Psychological Association (APA) Commission for the Recognition of Specialties and Proficiencies in Professional Psychology and recommendations from the Society of Pediatric Psychology Task Force Report.
Clinical Child Psychology specialty program goals and objectives
Clinical Health Psychology
The primary purpose of training in this specialty program is to provide you with focused and in-depth assessment, intervention, educational, consultative and research experiences in clinical health psychology, which results in advanced professional practice competency.
You have a primary major clinical concentration (rotation) and mentor and may have several minor clinical concentrations (rotations). A major concentration extends over the two years of the fellowship (50 percent of clinical experience), and minor concentrations are flexible in duration. Major Clinical Health Psychology rotations include:
- Behavioral Medicine Program (BMP). An interdisciplinary program that provides consultation and intervention for patients who are at the interface between medical and psychological conditions referred from medical and neurological specialties. The major focus includes assessment and management of unexplained physical symptoms, somatization disorders, depression and health anxiety in the medically ill, and psychological and behavioral factors contributing to gastrointestinal and neurological conditions. Faculty: Richard J. Seime, Ph.D., ABPP, L.P.
- Obesity Program. Evaluation and treatment of patients with medically complicated obesity in a multidisciplinary bariatric surgery program. Services include assessment of bariatric surgery candidates, individual and group cognitive behavioral therapy (CBT) for obesity and binge eating, weight management and weight loss maintenance, and post-bariatric surgery support groups. Participation in National Institutes of Health (NIH)-funded and internally funded obesity research is possible. Faculty: Karen Grothe, Ph.D., ABPP, L.P., and Matthew M. Clark, Ph.D., ABPP, L.P.
- Pain Rehabilitation Center. An interdisciplinary three-week intensive outpatient treatment program for patients with intractable pain. There is also a two-day program and a family program. Training is provided in the delivery of evidence-based practice for chronic pain, including group-delivered CBT and mindfulness techniques, physical and occupational therapies focusing on restoring function, and reduced medication use. Opportunities for fellows include individual and group therapy, team-based interventions, assessments, and clinical outcomes and studies. Participation in NIH-funded and internally funded research is possible. Faculty: Jeannie A. Sperry, Ph.D., ABPP, L.P., and Karen E. Weiss, Ph.D., ABPP, L.P.
- Primary Care Psychology. Integrated and collaborative primary care in primary care clinics. Evaluation and treatment of anxiety, depression and somatization in close collaboration with primary care physicians. The emphasis is on short-term evidence-based intervention, co-management with primary care and disease self-management. Major focus on depression management and treatment of anxiety disorders. Faculty: Kristin S. Vickers Douglas, Ph.D., ABPP, L.P.; Craig N. Sawchuk, Ph.D., ABPP, L.P.; and Cesar A. Gonzalez, Ph.D., ABPP, L.P.
- Psycho-Oncology Service. Participation in both inpatient and outpatient multidisciplinary clinical rotations and participation in NIH-funded research are available. Primary sources of referral include blood and marrow transplantation, breast clinic and radiation oncology. Training provided in the delivery of CBT to cancer patients and their families and in the use of psychometric screening of cancer patients. Research examining psychological and lifestyle factors among cancer patients, tobacco use and physical activity interventions for underserved populations, community-based participatory research, and quality of life interventions for cancer patients are available. Faculty: Matthew M. Clark, Ph.D., ABPP, L.P.; Shawna L. Ehlers, Ph.D., ABPP, L.P.; and Christi A. Patten, Ph.D.
Wellness. Participation in clinical, administrative, educational and research activities in a variety of wellness areas. Examples of opportunities include leading wellness classes, training wellness coaches and editing wellness written materials. Fellows are also expected to carry a clinical caseload of patients with wellness concerns, emphasizing use of motivational interviewing and third-generation evidence-based psychotherapies. Faculty: Matthew M. Clark Ph.D., ABPP, L.P., and Kristin S. Vickers Douglas, Ph.D., ABPP, L.P.
Women's Health Clinic. Participation in multidisciplinary outpatient care for women with menopause-related, cancer treatment-related or other sexual health concerns. Evaluation and short-term individual and couples CBT or sexual functioning concerns. Co-management with internal medicine physicians and physical therapists. Training provided by AASECT-certified sex therapist. Research examining women's sexual functioning in midlife and menopause is available. Faculty: Jordan E. Rullo, Ph.D., L.P.
Clinical health psychology training is based upon education and training guidelines as endorsed by the Council of Health Psychology Training Directors and adopted by the APA Council of Representatives as the "Archival Description of Clinical Health Psychology."
Clinical Health Psychology specialty program goals and objectives
The primary purpose of this specialty program is to provide you with a depth and breadth of assessment, educational, consultative, intervention and research experiences in adult clinical neuropsychology, which results in advanced professional practice competency.
The principal training site during the first year is the Psychometric Assessment Laboratory, which evaluates both inpatients and outpatients referred by Mayo physicians for neurocognitive evaluations.
You also spend a minimum of two months during the first year in Physical Medicine and Rehabilitation.
During your second year, you can choose elective rotations in:
- Adult neuropsychology
- Behavioral neurology
- Dementia behavior and response team
- Healthy Action to Benefit Independence & Thinking (HABIT) Program
- Inpatient general neurology and stroke services
- Inpatient psychiatry service
- Pain Rehabilitation Program
- Pediatric hematology and oncology
- Pediatric neurology
- Pediatric neuropsychology
- Sleep medicine
- Speech pathology
The Clinical Neuropsychology specialty program is based on educational guidelines of APA Division 40 and the Houston conference and is a member program of the Association of Postdoctoral Programs in Clinical Neuropsychology. Rehabilitation psychology training is based on the APA Division 22 (Rehabilitation Psychology) Postdoctoral Training Guidelines.
Clinical Neuropsychology specialty program goals and objectives
You gain the skills and experience necessary to independently evaluate and treat complex psychological problems. This fellowship offers you a unique opportunity to participate in several multidisciplinary teams and to participate in their approach to psychological problems. Fellows also work in close collaboration with physicians providing consultative recommendations and intervention.
Mayo Clinic offers a unique interprofessional practice environment in which you are intimately involved in clinical decision-making with many opportunities to develop your assessment and intervention skills. There is an emphasis on the integration of science and practice with training in empirically supported interventions.
Medical Psychology Fellowship goals and objectives
You may rotate through inpatient and outpatient experiences. The duration of rotations and other educational experiences depends on how central a rotation is to your specialty program and your previous background and experience.
A number of primary clinical rotations and supplementary educational experiences are available. Each specialty program has rotations that are specific to the program. Fellows may elect to have clinical experiences that are in another specialty program to broaden or enhance their skills. In each of the substantive specialty practice areas, you devote more than 50 percent of your time to clinical and consultative activities and 30 percent of your time to research activities.
There also are opportunities for experience in other clinical settings based upon your educational and training needs. You can complete rotations with other departments when consistent with your training goals (for example, Neurology, Women's Health Clinic, Wellness, Medical Oncology). External rotations are arranged at Mayo Clinic's campuses in Arizona or Florida consistent with an individual fellow's training goals and plan.
You may have the opportunity to teach psychiatry residents through clinical instruction or the psychiatry residency didactics (for example, cognitive behavioral therapy seminar). Fellows may provide seminars or lectures to other departments. There also are opportunities to collaborate with department faculty in teaching students in the Mayo Medical School.
Psychotherapy supervision opportunities
You may participate in training designed to develop your competence in delivery of clinical supervision. Interested fellows may supervise or provide consultation to psychiatry residents in learning and delivering evidence-based psychotherapies under the supervision of clinical faculty.
You are assigned to a range of committees to promote administrative training. Options include the departmental research committee, fellowship training committee, division meetings and work group meetings. Fellows also have the opportunity for a three-month rotation as a member of the department's Clinical Practice Committee.
To ensure that you acquire adequate knowledge, training and supervision to develop your skills, your performance is evaluated and you are given feedback during the course of this fellowship. You are evaluated formally by your supervising faculty members after each rotation and at least semiannually. The Medical Psychology Fellowship Training Committee meets monthly, and progress of fellows is discussed and feedback to the fellows is given by the specialty program director. In addition, you evaluate the fellowship program and the faculty.
You meet periodically with various faculty members, your specialty program director and the program director to discuss your career goals and ways your fellowship training can be tailored to help you achieve those goals.
Didactic seminars and conferences
Clinical conferences, seminars, small discussion groups and one-on-one supervision are all an integral part of the Medical Psychology Fellowship. Grand Rounds in Psychiatry and Psychology are held on a weekly basis. The Medical Psychology Seminar Series for fellows across the three specialties is held monthly with a focus on professional development, diversity and research issues. Additionally, each specialty program has a didactic series, case conference or journal club.
During your second year of training, you prepare and make a presentation about your research interests or a pertinent clinical topic at the department's Grand Rounds.
Topics during Tuesday's weekly Grand Rounds at noon have included post-traumatic stress disorder, brain stimulation, suicide, child and adolescent disorders, geriatrics, women's health, addiction, mood disorders, sleep disorders, somatoform disorders, anxiety disorders, eating disorders, psychopharmacology, psycho-oncology, genetics, neuroimaging, and cross-cultural issues. Speakers are selected from within Mayo Clinic and from psychiatry and psychology departments nationally and internationally.
Your research opportunities at Mayo Clinic are outstanding. Due to the wealth of patient data, prospective or retrospective investigations in either basic science or clinical studies are possible.
You have the opportunity to work with established clinical researchers on ongoing projects, as well as develop independent research projects. Several faculty members are involved in externally funded research projects.
You are assigned a research mentor and encouraged to participate in the development of at least one research project resulting in at least one presentation at a national meeting and two manuscript submissions (at least one in a peer-reviewed journal) by the end of the fellowship. Workshops focusing on grant writing skills and publishing articles are offered during the fellowship.
Several fellows in the Medical Psychology Fellowship have received internal or external grant funding for their research applications.
If you desire a more intensive research experience following your postdoctoral training, a Clinician-Investigator Training Program is available.