Diabetes & Endocrinology Clinic
The
Pediatric Diabetes & Endocrinology psychology service provides
consultation and ongoing follow-up services for patients with diabetes
and endocrine-related disorders. This service is predominately based in
an outpatient specialty clinic, but opportunities to provide inpatient
services are available based on trainee interest. Additionally, training
opportunities are available within three subspecialty clinics that
provide comprehensive, multidisciplinary care for youth with Type 2
diabetes, Turner Syndrome, and Differences/Disorders of Sexual
Development.
During the
Diabetes & Endocrinology rotation, trainees can expect to frequently
work with pediatric patients with Type 1 and Type 2 diabetes. Trainees
are also likely to gain expose to pediatric patients with a wide range
of endocrine disorders, including but not limited to hypothyroidism,
Turner Syndrome, and disorders of sexual development. This rotation
provides frequent opportunities to utilize motivational interviewing
skills to address adherence concerns with both patients and family
members. Trainees will obtain experience in implementing brief
consultation and intervention with pediatric patients and their
families. Intervention experience will be provided in numerous areas,
including, but not limited to adherence, adjustment to diagnosis,
procedural anxiety, behavior management, emotional problems, school
accommodations, and sleep difficulties. Supervision for these
experiences is provided by Kathryn Jeter, Ph.D.
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.
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.
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.
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 Desti Edwards, Ph.D.