The Houston Conference on Specialty Education and Training in Clinical Neuropsychology PDF

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The Houston Conference on Specialty Education and Training in Clinical Neuropsychology -

no widely recognized and accepted description of integrated education and training in the speciality of clinical neuropsychology aim of conference to advance an integrated model of speciality in clinical neuropsychology

Introduction -

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training of the specialist in clinical neuropsychology must be scientist-practitioner based scientist-practitioner model = all aspects of general neuropsychology and profession education and training should be integrated o horizonal dimension of education and training = doctoral education o vertical dimension = residency education and training integrated education and training in the speciality of clinical neuropsychology = programmatic and competence based exit criteria for the completion of specialty training met by the end of residency program program level at which exit criteria meet may vary but not the content learned

Who is a Clinical Neuropsychologist? -

Professional psychologist trained in the science of brain-behaviour relationships Studies human behaviour across a lifespan as it related to normal and abnormal functioning of the central nervous system 1. Engage in speciality practice of clinical neuropsychology or supervise the specialty practice of clinical neuropsychology 2. Call themselves “clinical neuropsychologists” or designate themselves as engaging in the speciality practice of clinical neuropsychology 3. Psychologist who engage in educating or supervising trainees in the specialty practice of clinical neuropsychology

Professional and Scientific Activity -

Clinical neuropsychologist’s activities included within the 7 core domains delineated in the Petition for the Recognition of a Specialty in the Professional Psychology  vary widely Core domains: assessment, intervention, consultation, supervision, research and inquiry, consumer protection and professional development

Knowledge base 1. Generic Psychology Core a. Statistics and metrology b. Learning, cognition and perception c. Social psychology and personality d. Biological basis of behaviour e. Life span development f. History g. Cultural and individual diversity 2. Generic Clinical Core a. Psychopathology

b. Psychometric theory c. Interview and assessment techniques d. intervention techniques e. professional ethics 3. Foundations for the study of brain-behaviour relationships a. Functional neuroanatomy b. Neurological and related disorders (etiology, pathology, course and treatment) c. Neuroimaging and other neurodiagnostic techniques d. Neurochemistry of behaviour (e.g., psychopharmacology) e. Neuropsychology of behaviour 4. Foundations for the Practice of Clinical Neuropsychology a. Specialized neuropsychological assessment techniques b. Specialized neuropsychological intervention techniques c. Professional issues and ethics in neuropsychology d. Practical implication of neuropsychological conditions Skills 1. Assessment a. Information gathering b. History taking c. Selection of tests and measures d. Administration of tests and measure e. Interpretation and diagnosis f. Treatment planning g. Report writing h. Provision of feedback i. Recognition of multicultural issues 2. Treatment and Intervention a. Identification of intervention targets b. Specification of intervention needs c. Formulation of an intervention plan d. Implementation of the plan e. Monitoring and adjustment to the plan as needed f. Assessment of the outcome g. Recognition of the multicultural issues 3. Consultation (patients, families, medical colleagues, agencies, etc.) a. Effective basic communication (e.g., listening, explaining, negotiating) b. Education of referral sources regarding neuropsychological services (strengths and limitations) c. Communication of evaluation results and recommendations d. Education of patients and families regarding services and disorder(s) 4. Research a. Selection of appropriate research topics b. Review of relevant lit. c. Executive of research d. Monitoring of progress e. Evaluation of outcome

f. Communication of results 5. Teach and Supervision a. Methods of effective teaching b. Plan and design of courses and curriculums c. Use of effective educational technologies (assessment, intervention and research) d. Relative weighting of dimensions vary from one program to another Doctoral Education in Clinical Neuropsychology -

Specialization begins at doctoral level, provides generic psychology and clinical core Include foundations for the study of brain-body relations and practice of clinical neuropsychology Entry and exit criteria depend on program

Internship Training in Clinical Neuropsychology -

Complete training in general practice of professional psychology and extend speciality preparation in clinical neuropsychology % of time in clinical neuropsychology determined by training needs of individual intern Entry criteria = completion of graduate education and completion of doctoral dissertation

Residency Education and Training in Clinical Neuropsychology -

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Provide clinical, didactic and academic training to produce advanced level of competence in the speciality of clinical neuropsychology and complete education and training necessary for independent practice in specialty Postdoctoral residency required component in specialty education in clinical neuropsychology

Residency Program Assurances: 1. Faculty comprised of board-certified clinical neuropsychologists (and other professional psychologists) 2. Training provided at fixed site or on formally affiliated and geographically proximate training sides (with prim. on-site supervision) 3. Access to clinical and training programs in medical specialities and allied professions 4. Interactions with other residents in medical specialties and allied professions 5. Resident spends sig. % of time in clinical service and clinical research and educational activities, appropriate to individual resident’s training needs - entry in clinical neuropsychology residency program = completion of APA or CPA accreted doctoral education and training program + completed APA or CPA accreted internship Exit Criteria for Residency 1. advanced skill in neuropsych. evaluation, treatment and consultation to patients + professionals suff. to practice on independent basis 2. advanced understanding of brain-behaviour relationships; 3. scholarly activity e.g., submission of a study or literature review for publication, presentation, submission of a grant proposal or outcome assessment 4. eligibility for state or province licensure or certification for the independent practice of psychology 5. eligibility for board certification in clinical neuropsychology by the American Board of Professional Psychology

Nature and Place for Subspecialties within Clinical Neuropsychology -

many neuropsychologists concentrate professional and scientific activities in relatively focused areas of the clinical neuropsychology speciality residencies may emerge that reflect subspecialties

Continuing Education in Clinical Neuropsychology -

specialities in clinical neuropsychology are expected to engage in annual continuing education meant to enhance or maintain already established competence of clinical neuropsychologists by updating previously acquired knowledge and skills or acquiring new knowledge or skills

*different degrees of specialty knowledge and skills (horizonal dimension) are acquired at various levels of training (vertical dimension) *...