The Division of Rehabilitation Neuropsychology is an integral part of the interdisciplinary Department of Rehabilitation Medicine in the Emory University Medical School. Based largely in the Emory Rehabilitation Hospital (ERH), it is part of Emory Healthcare, which is the largest most-comprehensive health system in Georgia with more than seven hospitals and 1,800 hospital beds. As an academically based medical treatment center and a division of the world-renowned Emory University School of Medicine, we have access to state-of-the-art technologies and the collaborative resources of a full range of specialty and sub-specialty physicians. As the ERH is located on campus of Emory University, the resident has access to exciting opportunities at both Emory University Hospital and Emory University. It includes a 56-bed adult inpatient facility that offers comprehensive inpatient services for Adults with Stroke, Brain Injury, Neurological Disorders, Spinal Cord Injury, Amputation, and other orthopedic conditions. Additionally, ERH offers comprehensive outpatient rehabilitation services for individuals following inpatient rehabilitation. Consults are received from various departments within the Medical School including Rehabilitation Medicine, Neurology, the Emory Epilepsy Center, Psychiatry and Behavioral Sciences, Neurosurgery, and Cardiac Surgery. Services include neuropsychological assessment, cognitive rehabilitation, individual psychotherapy, behavioral health interventions, and amobarbital testing and cortical mapping in seizure surgery candidates. Faculty provide consultation to interdisciplinary teams on cognitive and behavioral disorders and play a vital role in developing rehabilitation programs for persons recovering from stroke, traumatic brain injury, tumor surgery, and other conditions affecting the central nervous system. Rehabilitation neuropsychology faculty also maintain an active research program and serve as project directors or consultants on a number of federal grants.
Adult Neuropsychology. The postdoctoral residency in adult neuropsychology meets International Neuropsychological Society/American Psychological Association Division 40 training guidelines. The program has been approved for affiliation by APPCN. Neuropsychology residents only participate in the Emory University School of Medicine Postdoctoral Residency Program in Health Service Psychology during the second year of their residency.
The residency provides two years of intensive training and supervised clinical experience in neuropsychological diagnosis, cognitive rehabilitation, and team consultation. Neuropsychological assessments incorporate both quantitative and qualitative approaches to testing and are focused on the diagnosis of cognitive syndromes, the specification of functional strengths and weaknesses, and the development of detailed and practical recommendations for patient rehabilitation. The approach to cognitive rehabilitation emphasizes the enhancement of real world performance using compensatory aids and strategies. Residents conduct neuropsychological examinations (including Wada testing and corticol mapping assessments), provide feedback to patients and family members, provide consultation to rehabilitation teams, develop and carry out cognitive rehabilitation programs, and acquire supervisory skills as they work with practicum students and technicians. Optional supervised psychotherapy experiences also are available.
In addition to receiving individual supervision, residents participate in a variety of conferences and seminars including Rehabilitation Medicine, Neurology, and Psychiatry Grand Rounds, as well as Neuropsychology Case Seminar, Epilepsy Case Conference, and Neuropathology Rounds. Residents are involved in research and are expected to develop a research idea by the end of the first year and to conduct a study during the second year. Residents are provided with supervised grant writing experience.
Rehabilitation Psychology Residency. The Division of Rehabilitation Neuropsychology also offers one full-time training opportunity in Rehabilitation Psychology at ERH. The fellowship’s main objective is to educate and prepare the resident to function independently as a Rehabilitation Psychologist. The fellowship prepares the resident to incorporate a broad range of cultural issues associated with treatment of injuries and illnesses through psychological/neuropsychological assessment and treatment. The position aims to develop the resident’s competencies recognized by ABPP-RP: assessment and intervention skills with individuals and their families adjusting to physical and/or cognitive impairment, clinical consultation, multidisciplinary collaboration, and ethical and professional issues. The resident will complete the majority of the fellowship by providing inpatient rehabilitation services and outpatient Cognitive Rehabilitation Therapy. The inpatient rehabilitation services conducted will include conducting cognitive assessments; providing assessments and interventions to assist patients with coping and adjusting to medical condition; addressing substance use issues; providing pain management; facilitating better communication with the patient and the medical team; implementing behavior management plans; providing family supportive services; providing education to the patient and their family; and consulting to the team. The resident will attend multidisciplinary rounds and provide psychological/neuropsychological findings to the medical team. In conjunction with providing inpatient rehabilitation services, the resident will be conducting Outpatient Cognitive Rehabilitation Therapy. This will be a major focus of their training. The resident will also have the opportunity to provide outpatient rehabilitation psychological services to patients referred post-rehabilitation discharge. Additionally, the resident will have the opportunity of completing minor rotations based on approval from the supervisor and availability of that rotation. These minor rotations include Adult Outpatient Neuropsychological Evaluation, and Brain and Sports Injury. The resident is expected to complete one program development project on each rotation, in consultation with the resident’s supervisor. Additionally, a case presentation will be required periodically during the weekly Neuropsychology Case Seminar. The resident will be provided with a unique opportunity to collaborate with ERH health professionals regarding research. The resident is expected to collaborate on one program evaluation or research project for the year.