Postdoctoral Fellowship in Clinical Neuropsychology and Brain Imaging Research
Training Director: Laura A. Flashman, PhD, ABPP-CN
The Neuropsychology Program at Dartmouth, founded in 1992, is an APPCN accredited program that provides advanced training in neuropsychological services, research, and teaching. The training model and objectives are in general conformance with the Houston Conference guidelines for specialty training in clinical neuropsychology, the APA Division 40 guidelines for postdoctoral training in neuropsychology, and the APPCN domains and standards.
The overarching goal of the fellowship program is preparation for advanced practice in clinical neuropsychology. It is our intention to produce outstanding scientist-practitioners who are rigorously trained and who also have a broad-based foundation in assessment, intervention, consultation, and research. To achieve these ends, all fellows participate in supervised neuropsychological service delivery to a wide range of patient populations, and an organized sequence of educational experiences, including seminars, colloquia and workshops on clinical research, clinical neuropsychology and professional ethics. In addition, fellows participate in individual and group supervision where they have the opportunity to interact with senior faculty and interdisciplinary teams. As a small, highly individualized program, the fellowship provides continuous evaluation and feedback. Periodic meetings with the individual’s supervisors and the program director offer more structured, mutual evaluation and opportunities to discuss professional development issues. Each fellow has a minimum of two faculty neuropsychology supervisors for individual supervision, including a diplomate in Clinical Neuropsychology (ABPP-CN). The supervisor has professional responsibility for all services provided to patients.
Active participation in ongoing clinical research is also considered an integral component of the program. Within the timeframe of a two-year fellowship, all fellows are expected to develop and prepare at least one report suitable for publication based on close involvement in a research project under the guidance of one of the faculty. Instruction occurs through conferences, seminars, course work, individual and group supervision, and day-to-day collaboration with faculty and other staff members.
Trainees in our program may complete either a Postdoctoral Fellowship in Clinical Neuropsychology or a Postdoctoral Fellowship in Clinical Neuropsychology & Brain Imaging Research. Those desiring to complete the latter need not have prior imaging experience, but will be expected to complete additional training experiences and meet additional skill level and scientific productivity requirements related to human brain imaging research during the two-year postdoctoral training period. Fellows are asked to identify a faculty mentor and project, and declare their track within four months of entry into the training program.
CLINICAL NEUROPSYCHOLOGY ROTATIONS
The neuropsychology fellowship sites provide a wide array of patient populations and considerable resources within which the fellow can advance his or her interests while gaining a broad spectrum of experience. Supervised direct service delivery responsibilities include interviewing, test administration, report writing, consultation with various departments and medical personnel, and provision of feedback to patients, families, and referral sources. Fellows’ typical caseload includes approximately three neuropsychological cases per week, consultation with referral sources, feedback with patients and families, and where appropriate, participation in intervention planning and monitoring. Fellows also participate in clinical case conferences and attend Grand Rounds in Neurology and Psychiatry, as well as other conferences (such as Neuropathology and Neuroradiology) according to interests. Opportunities for developing supervisory skills are available.
The program is a member of the Association of Postdoctoral Programs in Clinical Neuropsychology (APPIC). Fellows complete one to two rotations including the Neuropsychology Service at Dartmouth-Hitchcock Medical Center in Lebanon, the Neuropsychology Laboratory at New Hampshire Hospital in Concord, and/or the Neuropsychology Service at Hanover Psychiatry in Hanover. All sites offer opportunities for assessment of child, adult, and elderly patients.
Dartmouth-Hitchcock Medical Center (DHMC) in Lebanon NH: The Neuropsychology Service at DHMC serves as the primary training site for fellows. Outpatients make up the bulk of referrals, though Inpatients are also seen occasionally. Referrals come from a wide variety of sources including the clinical services of Neurology, Neurosurgery, Psychiatry, and Internal Medicine as well as other medical units at DHMC, as well as sources in the regional communities including school systems, health care providers, community mental health centers, and medical-legal practices. Fellows also gain experience with the intracarotid sodium amobarbital language and memory assessment.
New Hampshire Hospital (NHH) in Concord NH: NHH is the state’s primary psychiatric inpatient facility, and is a teaching hospital is staffed by the Psychiatry Faculty of Dartmouth. As such, it represents a unique example of public sector-academic liaison. The Neuropsychology Laboratory is housed in the Acute Psychiatric Services facility. Neuropsychological consultation is provided on referral to patients from admissions and longer-term units, including Adult Psychiatry and Geriatric units.
Hanover Psychiatry in Hanover NH: Hanover Psychiatry is a psychiatric and psychological practice of the Department of Psychiatry at Dartmouth. The Neuropsychology Service at Hanover Psychiatry offers comprehensive (neuropsychological, personality, psychodiagnostic) evaluations for individuals with a wide range of clinical issues. In addition, the Adult ADHD Program, directed by a faculty neuropsychologist (comprised of a team of psychotherapists and psychiatrists), offers psychodiagnostic and neuropsychological assessment, as well as multiple treatment approaches including medication management, cognitive-behaviorally based therapy, and compensatory strategy training. Fellows attend weekly staff meetings which address issues related to working in a clinical practice, as well as discuss clinical cases and scientific topics. Please note that we are not accepting applications for this position for the coming academic year.
The pediatric neuropsychology postdoctoral fellowship program at Dartmouth involves numerous activities designed to provide a well-rounded learning experience.
In addition to the clinical outpatient service that evaluates children with neurological, metabolic, developmental and learning problems, we participate in 4 interdisciplinary clinics with developmental pediatrics, neurology, and psychiatry:
- Autism and Communications Disorders clinic evaluating children ages 2 to 7 years old;
- Neurodevelopmental/Psychiatric/Neuropsychology Clinic for children and adolescents ages 6 and up;
- Autism Spectrum Disorders diagnostic clinic; and
- Interdisciplinary Developmental Disabilities Clinic.
Sports neuropsychology experiences are also extensive, including participation in a school-based concussion management intervention program, as well as consultation to many regional schools and programs on sport-related TBI cases.
Participation in intracarotid sodium amobarbital (WADA) procedures and epilepsy surgery planning conferences are also available.
Rotation at New Hampshire Hospital’s Anna Philbrook Center provides neuropsychological testing and team-based consultation experiences within an inpatient psychiatric population. Pediatric fellows also evaluate adults to round out their experience.
Specific questions about the pediatric fellowship may be directed to Jonathan Lichtenstein, Psy.D., MBA, Interim Director of Pediatric Neuropsychological Services (Jonathan.D.Lichtenstein@Hitchcock.org).
Fellows are encouraged to become involved in ongoing studies with an identified faculty mentor. Our research primarily uses neuropsychological and neuroimaging approaches, including structural and functional MRI. This includes fMRI studies of cognition, reward, pharmacologic fMRI, pain fMRI, imaging genetics, and morphological studies of volume, shape and density of selected brain regions. In addition, we are developing research using EEG, near-infrared spectroscopy (NIRS), and transcranial magnetic stimulation (TMS). Active funded projects include studies of co-occurring schizophrenia and cannabis use, treatment-resistant depression, and multiple sclerosis. Additional patient populations, including adult ADHD, traumatic brain injury and sports concussion, brain tumor, epilepsy, and other patient groups, are potentially available. Neuroimaging research is conducted through the Brain Imaging Laboratory (BIL), directed by a member of the neuropsychology faculty, and the Advanced Imaging Center at DHMC, which houses a research dedicated 3T Philips MRI system.
Selected Neuropsychology Faculty Publications
Please visit our website for additional details about our research and staff.
EDUCATIONAL AND TRAINING OPPORTUNITIES
As noted above, instruction occurs through conferences, seminars, course work, individual and group supervision, and day-to-day collaboration with senior staff members.
Required seminars include:
Psychiatry Department Grand Rounds (1 hour): Held weekly throughout the academic year and centered around a formal presentation by a visiting speaker or faculty member.
Professional Development seminar (1 hour): This monthly seminar focuses on clinical research, techniques to facilitate application for grant funding, preparation and practice for a job search, and other topics of interest to the fellows. In addition, psychology interns attend and the seminar provides a forum to obtain advice on their dissertation work (e.g., stats, practice defense).
Neuropsychology Seminar (1-1.5 hour): Meets weekly to discuss difficult or interesting patients or clinical syndromes, do ABPP fact finding practice, discuss issues in neuropsychology, neuroimaging and other issues related to specific illnesses. Faculty, fellows, and visiting speakers present.
Lab Meetings (1 hour): The research groups within our lab (e.g., TBI, MS, Psych) meet weekly to review ongoing research projects, research methods, outcomes, and propose new studies.
Multidisciplinary Epilepsy Surgery Case Conference (1.5 hours): Neurologists, neurosurgeons, neuropsychologists, nurses, residents and fellows meet weekly to discuss pre-surgical findings and surgical planning.
Other available didactics include Neurology Grand Rounds and Case Conference, Brain Cutting, Radiology Grand Rounds, Cognitive Neuroscience lecture series, Summer Neuroscience Institute lectures, etc.
Electives (Seminars Available):
Fellows may elect to participate in any of the seminars in the psychiatric residency program including: Basic Psychopathology; Phenomenology; Diagnosis and Treatment of Psychiatric Disorders; Neuropsychiatry; Psychopharmacology; Neurology; Sexual Dysfunction; Organic Mental Disorders; Substance Abuse; Psychosomatic Medicine and Principles of Psychodynamic Psychotherapy. Fellows also attend regular departmental continuing education programs and medical center conferences in such areas as neurology, consultation and clinical research.
The faculty of the Neuropsychology postdoctoral training program and their respective clinical and research interests are:
Laura A. Flashman, Ph.D., ABPP-CN, Professor of Psychiatry
Director, Neuropsychology Program and Training Program
Clinical interests: Neuropsychology of adults and elderly with neurological and neuropsychiatric disorders; epilepsy; dementias.
Research interests: Unawareness of illness and neurobiological correlates of unawareness of illness in neuropsychiatric disorders; functional/structural MRI of memory and attention in psychiatric illness, traumatic brain injury, Mild Cognitive Impairment and Alzheimer’s disease.
Heather A. Wishart, Ph.D., Associate Professor of Psychiatry
Director, Brain Imaging Laboratory
Clinical interests: multiple sclerosis; neuro-oncology
Research interests: Multiple Sclerosis: Imaging-genetics; cognitive genetics; pain imaging; pharmacologic fMRI; cognition/cognitive rehabilitation; neuro-oncology: tumor segmentation; cognition.
Jonathan D. Lichtenstein, Psy.D., MBA Clinical Instructor in Psychiatry
Interim Director, DHMC Pediatric Neuropsychological Services
Clinical interests: Neuropsychology of children and adolescents; sports neuropsychology; concussion management consulting; interdisciplinary medicine.
Research interests: Test administration of computerized instruments; issues of administration and interpretation in baseline and post-concussion assessment; factors of recovery in sport-related concussion; cost effectiveness of consulting programs; genetic disorders and cognitive functioning; the construct of effort in pediatrics; pediatric performance validity tests.
Robert M. Roth, Ph.D., Associate Professor of Psychiatry
Director, DHMC Adult Neuropsychology Services
Director, Adult ADHD Program & Neuropsychology Service at Hanover Psychiatry
Clinical interests: Neuropsychology of psychiatric and complex neuropsychiatric disorders; executive functions; adult ADHD; OCD.
Research interests: Executive functions and motivational systems in psychiatric and neurological disorders; ADHD; neurobiological and other risk factors for alcoholism and substance use in psychiatric disorders (especially ADHD and schizophrenia); obsessive-Compulsive Disorder; test development.
Each fellow has an office with a computer, as well as access to shared spaces such as testing rooms and the Brain Imaging Laboratory (with several workstations). The computer services at Dartmouth allow the fellows to connect, from any desktop computer to programs (e.g., statistical packages) on the mainframe, e-mail, and the internet. There is also a broad array of assessment instruments available in the department and the fellows have access to Dartmouth, New Hampshire Hospital, and Dartmouth College libraries.
Postdoctoral Fellow I approximately $ 42,000 stipend
Postdoctoral Fellow II approximately $ 43,680 stipend
Stipends are based on NIH training guidelines. The benefits package includes health insurance, sick leave, time for professional development, and $125 for professional development (e.g., conference registration, books, etc.).
We anticipate 1-2 adult openings and 1 pediatric opening for a 2 year fellowship consistent with Houston Conference guidelines.
Education/training qualifications: Requirements include prior neuroscience courses, internship in neuropsychology, commitment to clinical research, and completion of doctoral requirements. Prior experience with neuroimaging techniques is desirable but not necessary. Prior to appointment as a postdoctoral fellow, individuals must provide evidence of completion of all requirements for the doctoral degree from a regionally accredited university or professional school program, including completion of internship training which meets APPIC standards; official transcript, copy of diploma, or official letter from the Department Chair or Graduate Advisor will be acceptable. Typically, postdoctoral fellows are appointed to full time positions for one year, renewable for an additional year. A total of 2000 hours of training are provided in each year, exceeding the 1500 postgraduate hours required for licensure in New Hampshire.