Curriculum

Brain Surgery

Neuropsychology Trainees observing neurosurgery

Brief Summary

The neuropsychology fellowship at KU School of Medicine-Wichita (KUSM-W) is a two-year training program structured to prepare trainees for practice in adult or lifespan clinical neuropsychology and eventual board certification (ABPP CN). During 1st year, fellows receive training in adult outpatient and inpatient neuropsychology, and complete additional rotations in Geriatric Inpatient, and Child Neuropsychology. During 2nd, fellows complete clinical training in epilepsy neuropsychology including consultation on a video EEG monitoring unit, pre-surgical evaluations, Wada procedures and intraoperative awake mapping. They also see patients in our clinic independently in preparation for practice at fellowship completion.

Trainees attend the neurology and neuropathology course with second year medical students, part of the medical curriculum at KUSM-W. In addition, fellows have the opportunity to attend a wide range of neuropsychology specific and multi-disciplinary didactics including clinical rounds and educational seminars in Neurology, Psychiatry, Psychopharmacology, Radiology & Neurosurgery, and other related specialties. Supervision and teaching opportunities are also available. Past fellows have supervised psychology interns and graduate students, lectured to medical students, and provided presentations to the community. Research mentorship, supervision, and collaboration are available and fellows are provided a yearly stipend to present research at national conferences.

Training is provided by four board certified neuropsychologists, with multi-disciplinary training and collaboration well emphasized across this two-year program.  The stipend at KUSM-W for the Neuropsychology Fellow is $48,000 for the first year, and $50,000 for the second year. Fellows are given a strong benefits package as well as ample vacation, educational and sick paid leave. An annual $1500 stipend is available to present research at national conferences.

 

KUSM-W Neuropsychology Fellowship

The KUSM-W neuropsychology fellowship program provides a specialized focus in clinical neuropsychology. Fellows gain experience and training in a broad array of inpatient and outpatient services including:

  • Neuropsychological evaluations across the lifespan, from infants to geriatric populations, with primary focus on adult and geriatric
  • Consultation/Liaison services at area hospitals
  • Inpatient evaluations on a geriatric psychiatric unit
  • Competency/Capacity evaluations
  • Medico-legal and forensic neuropsychology
  • Epilepsy neuropsychology including video EEG consultation, pre-surgical evaluations, Wada procedures and awake craniotomies for lobectomy and tumor removal

Additional experiences that may be available depending on patient need and funding availability include:

  • Return to Work and Fitness for Duty evaluations
  • Cognitive Rehabilitation
  • Program development and organization of new population-specific clinics

Multidisciplinary interaction is an integral part of the practice of neuropsychology in a medical environment. A strength of this program is it's collaboration and opportunities for consultation with trainees from multiple disciplines. The Department of Psychiatry and Behavioral Sciences provides training for many disciplines including:

  • Pre-doctoral internship in clinical psychology: neuropsychology emphasis
  • Pre-doctoral internship in clinical psychology: child psychology emphasis
  • Two-year neuropsychology residency
  • Post-doctoral child clinical fellow
  • Graduate training in neuropsychology and child and adolescent psychology for a local PhD program
  • Four-year general psychiatry residency
  • Psychiatry training for KUSM medical students
  • Practicum training for Advanced Practice Nurse Practitioner

The aim of this fellowship is to provide clinical experiences and didactic educational opportunities that promote the development of competencies and prepare fellows for practice and board certification in clinical neuropsychology.

Training in neuropsychology occurs in several venues under the direction of four board certified faculty adult neuropsychologists (Lyle Baade, Ph.D., ABPP CN, Robin Heinrichs, Ph.D., ABPP CN, Ryan Schroeder, Psy.D., ABPP CN, and Phillip Martin, Ph.D.) and one faculty pediatric neuropsychologist (Kelli Netson, Ph.D., ABPP CN).

Fellowship Year One

During the first year of training, the neuropsychology fellow will rotate through adult and geriatric outpatient clinics with Drs. Heinrichs and Schroeder, with additional training from Drs. Baade and Martin, along with a pediatric outpatient rotation with Dr. Netson.

Outpatient Evaluations

Adult evaluations occur with a broader-than-typical variety of neuropsychological insults and types of patients as our clinic has the only board certified neuropsychologists in the state (outside of Kansas City). Because of this, patients travel five hours or more to attend appointments in our clinic. Referrals come from general physicians, neurologists, epileptologists, neurosurgeons, psychiatrists, attorneys, insurance companies, business concerns and rehabilitation hospitals. Types of patients include:

  • Traumatic brain injury
  • Cerebrovascular disease and insult
  • Epilepsy
  • HIV
  • Parkinson's disease (including pre-surgical DBS evaluation)
  • Anoxic injury
  • Brain tumor
  • Alzheimer's disease
  • Frontotemporal dementia
  • Lewy Body disease
  • Normal pressure hydrocephalus
  • Pain disorder
  • Somatization or conversion disorder
  • Forensic evaluations
    • With legal cases, interns have the opportunity to be involved in all aspects including interview, test selection, and report writing. When available, interns are invited to sit in on deposition of neuropsychology faculty members.  Cases generally include forensic referrals involving civil litigation, Independent Medical Evaluations for insurance companies, Independent Educational Evaluations for due process in the school district, and some criminal litigation.

Pediatric evaluations are conducted for genetic, developmental, neurologic, behavioral, and emotional disorders.  Interactions with developmental pediatricians, neurologists, psychiatrists, teachers, and special educators are frequent. There is significant diversity with regard to race/ethnicity, socio-economic status, urban vs. rural dwelling, and educational background of patients and parents. Referrals come from pediatricians, neurologists, epileptologists, neurosurgeons, psychiatrists, attorneys, insurance companies and schools. Referrals include:

  • Autism-spectrum disorders
  • Fragile X Syndrome
  • 22p Deletion (i.e., velo-cardio-facial syndrome)
  • Spina bifida
  • OCD
  • Depression
  • ADHD
  • Specific learning disorders

Inpatient Consultation

First year fellows will also conduct inpatient neuropsychology consultations in local hospitals with adult and geriatric adult patients. Geriatric and consultation neuropsychology training is provided in collaboration with geriatric and consult liaison psychiatrist faculty members from KUSM-W while seeing patients at Via Christi hospitals and on the Senior Behavioral Health unit within Via Christi. Consultations are conducted with patients on:

  • General medical floors
  • Geriatric psychiatry unit
  • Adult psychiatry unit
  • Neurocritical care units
  • ICU
  • Rehabilitation units

These consultations frequently involve opinions regarding the patient's ability to make reasoned decision regarding finances, healthcare and\or management of one's estate.  Interns are trained in legal issues related to capacity and they are taught how to make decisions that will meet the burden necessary in a court of law.

Consultations also frequently involve providing recommendations regarding the level of care needed by the patient secondary to cognitive impairment, to assist with placement of the patient after dismissal from the hospital.  Special care is given to ensure the patient's safety while providing the greatest degree of independence in functioning. Some of these inpatients are subsequently seen for follow up evaluations in the outpatient clinic.

Fellowship Year Two

During the second year of training neuropsychology fellows will complete training in epilepsy neuropsychology and will see their own patients in our clinic with supervision from faculty. 2nd year experiences include:

Epilepsy

  • Inpatient consults on a video EEG monitoring unit
  • Outpatient epilepsy pre-surgical evaluations
  • Training in Wada procedures to map language
  • Observation of epilepsy surgery & training in awake mapping (as available)
  • One on one didactic training in neuropsychology of epilepsy  

Fellow's Outpatient Clinic

  • Patients will be scheduled to see the 2nd year fellow for independent neuropsychological evaluation, with faculty oversight.
  • Fellows will conduct intake interview, choose and oversee testing that is administered by Psychometricians, conduct feedback session with the patient and family members and write the final report.
  • Types of patients and reasons for referral will be chosen to meet the fellow's developmental needs, with the goal of readiness for independent practice at graduation.

Neurology and Neuropathology Course

  • Fellows will audit the Brain & Behavior course that is part of the medical student curriculum here at KUSM including lectures, labs, small group projects and standardized patients.   

Supervision

  • Fellows will have the opportunity to serve as the primary supervisor of an intern switching from another site within the WCPIP consortium on a one day per week consultation and neuropsychology experience.
  • KUSM-W will cover the expenses of obtaining a full Licensed Psychologist license for fellows at the beginning of the 2nd year after the EPPP has been taken and passed.
  • As an LP the 2nd year fellow will serve as the switch intern's primary switch supervisor and participate in the intern's goal setting and evaluation meetings.
  • Supervision of this supervision experience will be provided by a member of the neuropsychology faculty.

Training Expectations Throughout Fellowship

The purpose of this fellowship is to development the necessary core competencies that enable graduating fellows to independently practice clinical neuropsychology with adult and geriatric patients and to obtain board certification (ABPP CN). Advanced competencies are developed in:

  • Identifying how the evaluation can be most helpful to the patient, the patient's family and referring providers.
  • Selecting, administering and interpreting assessment instruments that provide the best information about a patient's functioning.
  • Oversight and utilization of Psychometrician services to obtain test data
  • Integration of all available data including developmental history, school records, social history, medical history and current factors. 
  • Detection of symptom magnification, fabrication and malingering and evaluation of the nature and quality of test responses on cognitive and psychological measures.
  • Report and inpatient consultation writing targeted for the referral source (e.g. physician, attorney, licensing board) such that our evaluation can be most helpful.
  • Ability to work collaboratively with a variety of medical practitioners to ensure the best patient care including neurologist, neurosurgeons, primary care providers, psychiatrist and others.
  • Providing feedback to the patient and family members in an accurate and therapeutic manner so that the patient's wellbeing and safety are best aided.

Didactics

The neuropsychology fellow participates in a number of neuropsychology-related seminars including:

Clinical Neuropsychology Seminar

  • This weekly didactic training focuses on preparation for board certification in neuropsychology. A rotating schedule of topical discussions led by faculty and trainees, review of written board exam preparation materials, mock oral board examinations, and guest speakers round out the experience.

Neuropsychology Journal Club

  • Neuropsychology trainees are given a clinical scenario for which they must source relevant and recent journal articles to present to the group, with the goal of improving knowledge of current neuropsychology literature, and applying current research to clinical cases.

Psychiatry & Behavioral Sciences Grand Rounds

  • Held bi-weekly, this seminar offers a variety of local and national speakers offering expertise on a range of mental health, medication, and medical topics.

Geriatric/Consultation Seminar 

  • This interdisciplinary seminar meets weekly and includes psychiatry residents, residents from other disciplines, medical students and pharmacology doctoral students along with neuropsychology, psychiatry, and pharmacy faculty members.

 Neuroscience Conference

  • The Neuroscience Conference is a biweekly interdisciplinary meeting for all practitioners in neuro-related practice that is attended by neurologists, neurosurgeons, otolaryngologists, radiologists, residents, medical students and the neuropsychology team. Presentations are made by participants from the various fields of medical practice and typically include a clinical case.

 Journal Club

  • This monthly meeting includes an article presentation by psychiatry residents with opportunities for neuropsychology trainees to collaborate and share their research expertise. It is attended by neuropsychology trainees, medical students, psychiatry residents, and faculty members.

 Psychiatry Case Conference

  • Psychiatry residents present unique cases for discussion during this monthly meeting attended by residents, medical students, neuropsychology trainees, and faculty members.

 Neurology and Neuropathology Medical Course

  • Fellows will audit the Brain & Behavior course that is part of the medical student curriculum here at KUSM including lectures, labs, small group projects and standardized patients

Additional didactics include annual conferences in Neurology, Stroke and Geriatrics. These meetings provide the fellow with multiple opportunities to present clinical cases and research projects to a variety of audiences.

Research

Neuropsychology faculty members are involved in multiple ongoing research projects and fellow involvement throughout both years of training is encouraged. Resources for research include existing databases with adult and geriatric clinical neuropsychological data, ongoing studies and a large amount of data available for use in studies conceptualized by fellows.

  • Fellows are expected to submit posters or presentations at national conferences and are encouraged to submit research for publication during fellowship.
  • Funding of $1500 per year is available to fellows who present research at a national neuropsychology conference on behalf of KUSM-W.

Visit our Research Page for current and ongoing research.

 

Fellowship Stipend and Benefits

  • The stipend at KUSM-Wichita for the Neuropsychology Fellow is projected to be $48,000 for the first year and $50,000 for the second year (pending budget approval).
  • Individual health insurance is provided with a waiting period of 30 days accruing from the beginning of the first full month after hire.
  • FICA and income tax will be withheld; sick leave and administrative leave are provided and accrue at a rate of 3.7 hours per 80 hours worked (every two weeks).
  • During the fellow's second year, contribution to a state-sponsored retirement account is mandatory with a generous corporate match.
  • The fellow is provided with an individual desk, telephone and computer. Standard MS Office, PASW (formerly SPSS), and Dragon dictation programs are available to fellows.
  • Administrative support staff manage all billing, insurance, and scheduling. 
  • Funding of 1,500 per year is available to fellows who present research at a national neuropsychology conference on behalf of KUSM-W.

 

Neuropsychology Faculty

Lyle E. Baade, Ph.D., ABPP CN
Professor and Chair
Department of Psychiatry & Behavioral Sciences
Licensed Psychologist, State of Kansas
Florida State University, 1973
Primary Interests:

  • Clinical Neuropsychology
  • Forensic Neuropsychology
  • Geriatric Neuropsychology

 

Robin J. Heinrichs, Ph.D., ABPP CN

Director of Neuropsychology Training & Laboratory
Associate Professor
Licensed Psychologist, State of Kansas
Wichita State University, 2007
Primary Interests:

  • Clinical Neuropsychology
  • Forensic Neuropsychology
  • Geriatric Neuropsychology 

Kelli L. Netson, Ph.D., ABPP CN
Director of Psychology Clinic
Assistant Professor
Licensed Psychologist, State of Kansas
University of Alabama at Birmingham, 2008
Primary Interests:

  • Pediatric Neuropsychology
  • Clinical Neuropsychology
  • Medical Psychology

 

Ryan Schroeder, PsyD., ABPP CN
Associate Professor
Licensed Psychologist, State of Kansas
Argosy University - Twin Cities, 2010

Primary Interests:

  • Clinical Neuropsychology
  • Forensic Neuropsychology
  • Geriatric Neuropsychology

 

Phillip K. Martin, Ph.D.
Assistant Professor
Licensed Psychologist, State of Kansas
Nova Southeastern University, 2014

Primary Interests:

  • Adult Clinical Neuropsychology
  • Geriatric Clinical Neuropsychology

Contact Dr. Heinrichs rheinrichs@kumc.edu or (316) 293-3850 for further information or with application materials.

Last modified: Nov 03, 2017
ID=x30049