Contact Information

Cheryl Carmin, Ph.D.
Professor &
Director of Clinical Psychology Training
The Ohio State University Wexner Medical Center
Department of Psychiatry and Behavioral Health
1670 Upham Drive
Columbus, OH 43210
 
Phone: 614-293-0697
Email: Cheryl.Carmin@osumc.edu


High-quality Education and Training

Curriculum

The psychology internship is a relatively new addition to the education and training programs offered by the Department of Psychiatry and Behavioral Health. Practicum and fellowship training has long been a part of our educational mission. The recent inclusion of a formal psychology internship underscores the role that behavioral health plays in the onset, maintenance and recovery from both physical and psychological illness.
 
Our program subscribes to a clinical science model that integrates research and clinical practice. The internship is designed to provide trainees with opportunities to engage actively in the integration of clinical research and practice. We adhere to the principle that psychological practice is based on the science of psychology, which, in turn, is influenced by the professional practice of psychology. The members of our faculty are strong proponents and practitioners of evidence-based treatment, and the expectation is that trainees will share that perspective in their application of clinical science to treatment intervention, as consumers of research, as well as choose to participate in clinical research projects.

Clinical Health Psychology

The internship is composed of four rotations, each lasting six months. Interns are expected to spend 80 percent of their time engaged in clinical activities with the remaining time devoted to lectures, seminars, journal club, Department of Psychiatry and Behavioral Health grand rounds and other training opportunities such as electives.

Interns receive a minimum of two hours per week of individual supervision from your rotation supervisors. Interns also receive supervision in other settings as well, such as clinical case conferences or patient rounds and from supervisors offering elective experiences.

Below is an example of an intern's training schedule:

July-December  January-June
  Transplant Psychology     Women's Behavioral Health
  Behavioral Cardiology   Psychosocial Oncology
Electives


Rotations

Rotations

Rotations

Behavioral Cardiology

Interns will be able to spend six months working on the behavioral cardiology service, providing treatment to individuals with both acute and chronic cardiac conditions that are having a negative impact on their quality of life. Interns will round with and are part of the inter-professional Congestive Heart Failure Consult Team (faculty cardiologist, advanced nurse practitioners, cardiology fellows and a faculty psychologist). Trainees see patients who are hospitalized at the Richard M. Ross Heart Hospital. Interns will build proficiency at providing short-term interventions for inpatients and at assessing whether outpatient follow-up is needed. The use of evidence-based interventions to reduce depression and/or anxiety associated with coronary conditions will be emphasized.
 
In addition, interns will gain experience in using behavioral interventions to facilitate patients’ adherence to medical and dietary interventions aimed at promoting lifestyle change. Interns have the opportunity to observe various aspects of assessment and treatment of heart disease (e.g., interventional cardiology such as angioplasty percutaneous cardiac intervention, cardiac catheterization, ECG, treadmill testing) provided by faculty members from the Division of Cardiovascular Medicine.
 
In addition to clinical activities, interns will have the opportunity to participate in lectures and meetings offered at the Ross Heart Hospital/Division of Cardiology. Interns receive a minimum of one hour per week of individual supervision.


Transplant Psychology

During the six-month transplant psychology rotation, you will become proficient in pre-transplant psychosocial assessments for transplant recipients and living kidney donors, and in treating post-transplant patients with appropriate psychological interventions. This rotation includes a combination of inpatient and outpatient experiences.
 
Interns can participate in weekly organ transplant patient selection meetings. In addition, you may participate in ongoing research or help initiate a new project based on your interest.


Psychosocial Oncology

The six-month rotation in oncology is primarily an outpatient training experience focused on providing psychosocial oncology services to patients at the James Cancer Hospital and Solove Research Institute within the Stefanie Spielman Comprehensive Breast Center. In the outpatient setting, interns will complete initial psycho-diagnostic assessments and learn to deferentially diagnose psychological disorders in the context of medical illness.
 
As an essential member of a multidisciplinary team, you will provide psychotherapy for patients with a variety of cancer diagnoses (primarily breast and gynecologic tumors). Interns will complete brief cognitive screens to assess cognitive functioning and intervene to assist patients in developing skills to manage treatment-related cognitive effects.
 
Common presenting problems include depression, anxiety, end-of-life concerns, survivorship issues, pre-existing mental health diagnoses, cancer recurrence worry, difficulty managing treatment and side effects (pain, nausea, fatigue, additional medical complications such as graft versus host disease), medical decision making and communication with medical teams and family. There may also be opportunities to help co-facilitate group therapy with the oncology population including both patients on active treatments or longer-term cancer survivors.
 
Interns will have the opportunity to participate in the psychosocial oncology grand rounds on topics essential to the psychosocial care of patients with cancer. Interns can also participate in the psychosocial oncology case conference, a monthly inter-professional meeting where complex patient cases are discussed. You will be encouraged to give an educational talk on a topic of your choice as part of the James Care for Life Survivorship Programming for patients with and survivors of cancer. Research opportunities are also available depending on your time and interest.


Women's Behavioral Health

Women’s Behavioral Health is an inter-professional Academic Center of Excellence providing care to women experiencing stress or stress-related illness during life events that are unique to women. We provide state-of-the-art care for mood and anxiety disorders, sexual health and stress, with a special emphasis on pregnancy, the postpartum period, gynecologic and breast cancers, menopause and the menstrual cycle.
 
During this six-month rotation, interns will be integral members of a treatment team that includes psychologists and psychiatrists. Emphasis is on enhancing skills in sexual health interventions, psychotherapy to patients with cancer and psychotherapeutic interventions for mood and anxiety disorders in the peri-partum. Clinical experiences will be primarily outpatient, with some possibility of consultation-liaison work in Labor and Delivery.
 
Psychology interns are expected to participate in bimonthly team meetings for discussion of cases, clinical matters and research. Once you have successfully defended your dissertation, you are eligible to take part in ongoing research projects, work with existing data sets or initiate new projects at the discretion of your supervisor.

Electives

Electives

Electives vary in their duration. For example, interns can participate in time-limited groups or other activities such as Palliative Care (one month) or Consultation-Liaison Psychiatry where the duration is at the discretion of the supervisor and intern. Thus, electives are not by necessity a one-year time commitment. In most cases, the duration of the elective can be negotiated with the faculty member supervising the experience.

Mood and Anxiety Services

The emphasis of this six-month rotation is learning cognitive-behavioral assessment and innovative cognitive behavioral therapy (CBT) treatment of adults with anxiety disorders (e.g., panic, agoraphobia, obsessive compulsive disorder, generalized anxiety disorder, post traumatic stress disorder, social anxiety disorder, specific phobias) or mood disorders (e.g., depression, dysthymia). Psychology interns, as well as psychiatry residents who are also having a CBT training experience, participate in weekly group supervision. Interns also receive at least one hour of individual supervision.

 
In addition, attend a short course on CBT for anxiety disorders. Interns are part of a multidisciplinary outpatient team consisting of psychologists, psychiatrists, social workers and clinical nurse practitioners. In these bi-weekly team meetings, participants discuss shared cases, difficult cases and clinical, professional or ethical issues.


Early Psychosis Clinic

This clinic provides individuals early in the course of a psychotic illness with access to several evidence-based psychosocial interventions for psychosis: cognitive behavioral therapy, family psychoeducation and cognitive remediation. As there is significant variation in the number of services that each client completes (e.g., Client A may complete only one CBT session per week, whereas Client B may complete one CBT session and two cognitive remediation sessions per week), the size of an intern’s caseload will be based on the number of clinical services that they are providing per week.
 
Clients at the Early Psychosis Clinic also complete a clinical research assessment battery upon enrollment, and this assessment battery is repeated every six months that the client participates in clinical services. Interns will be trained in the administration and interpretation of this assessment battery and will be responsible for completing this assessment battery with all clients on their caseload.
 
Interns at the Early Psychosis Clinic will also have the opportunity to participate in the delivery of two group interventions: group cognitive behavioral therapy for psychosis and multifamily group psychoeducation.

Consultation-Liaison Psychiatry

The consultation-liaison psychiatry service is a inter-professional team staffed by faculty psychiatrists, psychiatry residents, a social worker, and medical students. Interns will have the opportunity to provide consultations to hospitalized individuals who have been referred to the Department of Psychiatry and Behavioral Health based on the referring physician’s assessment that there is a need for a mental health intervention. Interns will learn to differentiate between delirium and other cognitive deficits that may be causing treatment interfering behaviors. They will play a major role in assessing if there is a need for pharmacological and/or psychological intervention and learn to prioritize those treatments that are available during a patient’s hospital stay.
 
Depending upon logistics, interns may have the opportunity to follow patients who were seen during their hospitalization as outpatients. Each patient who is seen on the service is staffed the same day by the team, providing the opportunity for inter-professional group supervision. Interns will also receive individual supervision from a faculty psychologist for those patients for whom they are the assigned mental health professional. This experience can be structured for up to six months or for a shorter period of time.


Neuropsychology

The purpose of this six-month elective rotation is to educate interns regarding the utility of outpatient neuropsychological assessment in an academic medical center. Interns will specifically learn how to administer and interpret standard neuropsychological tests, conduct diagnostic interviews with psychologically/medically complex adults and write informative clinical reports with tailored recommendations. Common referrals include the assessment of cognitive concerns secondary to neurodegenerative diseases, major medical illnesses or developmental disorders. We also commonly assess transplant and deep brain stimulation patients.
 
This rotation will be most useful for future psychologists who plan to work with medically ill and/or older adults. Specialized training opportunities may be available for interns on this rotation if they express an interest in neurology or neuropsychiatry.

Outpatient Psychotherapy

The general outpatient psychotherapy clinic services a variety of patient populations in terms of gender, sexual orientation, race, SES and level of education. Patients present with a variety of mental health issues (anxiety, OCD, phobias, depression, grief, work-related stress, college-related stress, stage of life issues, assimilation and acculturation issues, chronic pain, bi-polar disorders).Two more specialized services are also set up:
  • Collaboration is set up with the Sleep Center to deliver specialized behavioral therapy for insomnia
  • 12-sessions group therapy for adult ADHD runs twice a year following the CBT for adult ADHD model
Interns will be offered an opportunity to provide individual and group therapy in the outpatient setting with exposure to both specialized approaches (CBT-I, PET, CBT for ADHD) and more general CBT.


Eating and Weight-Related Disorders

As an elective opportunity, there are several groups associated with disordered eating and obesity that may be of interest to interns. Opportunities include a dialectical behavior therapy group for eating disorders, a CBT-based body image group and a support group for patients who are preparing for or who have already undergone bariatric surgery. An intern would act as co-facilitator.

Palliative Care

The palliative care elective lasts one month and is offered every other year. Interns work with patients with significant symptom burdens as well as with those at the end of life. Working alongside the psychosocial oncology fellow, you can focus either on oncology or hospitalized cardiology patients in our hospice program, depending on the timing of the elective. You will learn to complete a comprehensive palliative care assessment, perform opioid risk assessment, diagnose psychological disorders in the context of advanced disease and assist patients and families with anticipatory grief and advanced care planning

Pain and Substance Use

This elective will provide interns with an opportunity to increase knowledge and skills related to the epidemiology, assessment, diagnosis, conceptualization and treatment of chronic pain and related psychiatric and substance use comorbidities. Interns will work alongside a team that includes physical medicine and rehabilitation physicians, physical therapists, radiologists, neurologists and pain specialists/anesthesiologists to integrate brief psychotherapy, relaxation and behavior modification into patients’ pain management. The assessment and treatment goals aim to restore function in physical and social areas as well as to decrease use of narcotic medications.
 
Depending upon logistics of this new opportunity, interns will be involved in the initial intake and treatment planning, and possibly providing treatment through individual and group modalities.

Smoking Cessation

Interns will have the opportunity to assess, diagnose, conceptualize and treat tobacco use disorders and any related psychiatric conditions. Interns will learn to adapt interventions based on related physical health comorbidities and will increase knowledge of the latest tobacco products as well as nicotine replacement therapies. Treatment modalities are grounded on cognitive behavioral therapy and MI Principles and may include coaching patients’ use of web and mobile-based interventions. Delivery of treatment may include both individual and group therapy.

Clinical Research

Interns are strongly encouraged to participate in research activities, as research and grant writing are major activities for psychologists pursuing careers in academic and academic medical settings. Clinical psychology interns may choose to participate in research that is being conducted as part of the ongoing clinical programs. This could be integrated into part of their clinical duties.
 
Or, clinical psychology residents may choose to independently investigate a research question under faculty supervision. This can involve secondary analysis of existing/archival data or with their supervisor’s consent, adding a component to an existing project. Interns are also able to work as part of a faculty member’s research team.

Nisonger Center Evaluation Clinics

The Nisonger Center provides diagnostic and evaluation services for individuals with suspected developmental disabilities (including autism) aged 12 months through 22 years of age. Interns will have the opportunity to participate in an interdisciplinary diagnostic interview and observe standardized assessments and feedback sessions. The nature of the observation can be flexible based on the interest and experience of the intern. In this elective, interns will have the opportunity to observe interdisciplinary evaluations in one of three clinics. The Interdisciplinary Diagnostic Clinic, which evaluates children 12 months through 5 years of age meets in Wednesday mornings (2nd. 3rd, 4th Wed) and afternoons (1st Wed). The School Age Autism and Developmental Clinic, which provides interdisciplinary evaluations for individuals 5 up to 12 years of age meets on Thursday afternoons. The Transition-Age Clinic, serves individuals aged 13-22 years of age meets on Thursday mornings.


Completion of Internship

Completion of Internship and Evaluation

The director of Clinical Psychology Training communicates with her counterpart at the intern’s graduate department. A letter summarizing each intern’s goals and progress toward those goals will be sent at mid-year and at the end of the internship year. To successfully complete the internship, a psychology intern must:
  • Attend and complete all required new hire and orientation activities:
    • OSU Wexner Medical Center orientation
    • Electronic medical record keeping (IHIS training)
    • Background check, including fingerprinting
    • Drug screening
    • Unit and department orientation meetings
    • Selection of benefit plans within the required time frame
    • CITI research training
    • Required computer-based learning (BuckeyeLearn) courses (e.g., HIPAA regulations)
  • Complete a minimum of 1,800 training hours:
    • Request time away and arrange appropriate coverage duties in a timely manner
    • Keep records of vacation and time away from OSU
    • Presentations and/or attendance at professional meetings are considered academic leave and part of training
    • Submit a summary of clinical contact time twice a year
  • Perform at a satisfactory level on all rotations:
    • Supervisor evaluations indicate that the intern’s performance in each area of training is satisfactory and all requirements have been met
    • Satisfactory performance is defined as having 100 percent of the items in a category scored at a 3 or 4 by the end of internship
    • Members of the faculty formally meet twice during the academic year to review supervisor’s evaluations and intern’s progress
  • Complete proper documentation of all clinical activities:
    • All patients seen throughout the internship will have termination or transfer summaries completed in a manner consistent with departmental and medical center standards
    • All patient documentation in the medical records is co-signed by the appropriate supervisor
    • There are no outstanding concerns with respect to medical records
  • Present at clinical case conferences.
  • Attend and actively participate in learning activities such as seminars, grand rounds and conferences

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