The Neuropsychology fellowship offered in the University of Kentucky College of Medicine Department of Neurology is committed to patient care, teaching, and scholarship. The ultimate goal of the fellowship is to prepare fellows for independent, skilled, and ethical practice in the field of clinical neuropsychology. Our training corresponds to Houston Conference guidelines and emphasizes both depth and breadth of knowledge in brain-behavior relationships. Continuing commitment to scholarship is fostered through complementary, carefully chosen didactic and clinical learning opportunities designed to provide motivated fellows with the opportunity to deepen their understanding of functional neuroanatomical correlates in addition to original scholarly activity. Opportunities for research are rich, allowing fellows to prepare manuscripts for submission and to actively participate in local, regional, national, and international conferences and seminars. Finally, fellows are given ample opportunity to develop teaching and supervisory skills with the talented, dedicated practicum students training the Neurology department.
The Neuropsychology fellowship is a two-year program in which the primary emphasis is on the development of clinical skills and knowledge. Approximately 60 to 70% of the fellow's time is spent engaging in direct patient care, report writing, and clinical supervision. Fellows are provided with both adult and pediatric clinical experience. 15 to 20% of the fellow's time is dedicated to didactic learning experiences with the remaining 10 to 25% dedicated to research and professional development. Some flexibility is available in the structure of the program to support the professional growth and goals of individual fellows. Provision of the second training year is contingent on first-year performance.
The training approach is largely an apprenticeship model conforming to Houston Conference guidelines, in which the fellow is supervised closely during the first year with increasing autonomy as the fellow gains the skills and knowledge to function independently. Training begins with close supervision and assessment of the fellow’s skills in interviewing, test administration and scoring, and report writing. Performance feedback is provided on a case-by-case basis in supervision and more formally on a quarterly and annual schedule. As the fellow demonstrates proficiency, greater autonomy is granted with the goal of achieving readiness for strong, independent entry-level practice in clinical neuropsychology. By the end of the second year, the fellow is expected to be an independent practitioner with licensure in the commonwealth of Kentucky.
The fellow's first year is structured to provide breadth of exposure to numerous patient populations and neurological conditions seen through the aforementioned multidisciplinary teams practicing in the UK Medical Center. During the fellow's second year, he or she may begin specializing in a particular clinical concentration with focus on a particular patient population or populations. The fellow will work closely with supervisors at the end of the first year to individually tailor a second-year training plan befitting the career goals and training needs of the fellow.
Fellows are offered experience in a variety of medical settings including outpatient and inpatient neurology such as general neurology, epilepsy monitoring, neurosurgery, psychiatry, physical medicine and rehabilitation, sports medicine, trauma surgery, and behavioral sciences. Fellows also observe and/or take part in ISAP/Wada procedures, acute stroke rounds, Temporary Balloon Occlusion (TBO) tests, brain mapping and intracranial grid placement, and medicolegal capacity evaluations, in addition to numerous other specialty areas and procedures.
Clinical Expectations: Fellows are typically scheduled three to four patients per week and are responsible for every aspect of the evaluation, including interviewing, testing and scoring, interpretation, and report writing. Each evaluation requires approximately 4 to 5 hours of interviewing and testing.
Clinical Supervision: Supervision is provided weekly for case discussion and professional needs. Additional opportunities for supervision are ample, with frequent supervisory contact during clinic operations. In addition, formal supervision is provided for quarterly and annual feedback and goal-setting throughout the fellowship.
Research: Neuropsychology faculty members are extensively involved in many areas of research. Fellows are also expected to participate in research during their training. Many opportunities in a variety of topic areas are available, including (but not limited to) dementia, stroke, epilepsy, movement and neuromuscular disorders, and brain injury. Fellows may have the opportunity to participate in secondary analyses of large data sets or design their own study and pursue grant funding to support that project. There is also a wealth of clinical data available that could be utilized for a number of original analyses. Past fellows' research endeavors typically resulted in 2 to 5 publications by the end of their two-year residency. Such opportunities exist with collaboration with Sanders-Brown Center on Aging, Spinal Cord and Brain Injury Research Center, UK Multidisciplinary Concussion Program, and the UK Stroke Affiliate Network.
Didactics: It is expected that fellows attend clinically oriented didactics weekly. The Neuropsychology Division hosts two seminar series, including a weekly Neuropsychology Seminar focused on case presentations and assessment issues, and a monthly Functional Neuroanatomy Seminar examining the neuroanatomical correlates of cognitive systems and neurocognitive disease. Fellows will be expected to participate actively in these seminars. Clinical-translational and bench-based neuroscience didactics are also strongly encouraged. Based on individual interests and training needs, fellows are expected to choose other didactics to attend regularly within the neurosciences and related departments, including (but not limited to):
Neurology Grand Rounds
Child Neurology Conference
Psychiatry Grand Rounds
Neurology & Neurosurgery Stroke Conference
Neurosurgery Grand Rounds
Neurology Chairman's Conference
Refractory Epilepsy Conference
Clinical Neuroscience Conference
Bluegrass Area Neuropyschology Group (BANG) Meetings
Neuropathology Sessions/Brain Cuttings
Salary and Benefits
This position will be employed under the postdoctoral scholar designation identified by University of Kentucky's Human Resources guidelines. Health insurance along with other benefits will correspond to this designation. Salary is competitive with similar training sites and will be comparable to the application year's NIH postdoctoral fellow stipend rates.
The applicant must be trained from an APA-accredited clinical doctoral program and predoctoral internship. Dissertation must be completed. The applicant also must be eligible for temporary licensure in the commonwealth of Kentucky by the time fellowship begins. More details are available through the Kentucky Board of Examiners of Psychology website.
All fellowship slots have been filled through 2018. Information regarding upcoming openings will be posted as fellowships become available. Application questions should be sent to: NeuroEducation@uky.edu.