Primary Clinical Rotations
- Adult Outpatient/Assessment Rotation (9 months)
Train as you Fight
Training at WAMC is designed to prepare Interns for the requirements of active duty service as a psychologist including the need to practice all of the major professional skills across a given week. Instead of training each of the major skills in separate rotation experiences, Interns will learn to balance all the skills of professional psychologists during the 9-month outpatient rotation in the same way that they will be expected to work as military psychologists following training.
Interns conduct behavioral health evaluations and follow-up treatment/disposition of Active Duty patients referred for a wide variety of presenting problems. Interns carry a caseload of individual psychotherapy patients, and will also engage in supervised outpatient experiences in group therapy. Interns learn how to assess and manage risk for self-directed and other-directed aggression on an outpatient basis, as well as how and when to move patients to more intensive or controlled treatment environments.
In addition, Interns conduct military-specific evaluations for a variety of purposes. These include Security Clearances, Command-Directed Behavioral Health evaluations, Fitness for Duty evaluations, and suitability screenings for Service Members seeking specialized assignments.
Interns also provide psychological testing for Active Duty patients and gain experience in providing a wide variety of testing feedback to various referral sources.
Finally, on this rotation, Interns also receive training and supervision in evidenced-based treatment models (PE, CPT, and CBT-I) from an onsite psychologist from the Center for Deployment Psychology. Interns are expected to carry at least three cases in which those evidence-based interventions are implemented.
Upon successful completion of the Adult Outpatient/Assessment Rotation, Interns will have the option of completing one of the following three-month elective rotations:
- Traumatic Brain Injury/Neuropsychology Rotation
Interns making adequate progress in training spend three months at the National Intrepid Center of Excellence (NICoE) satellite located at Fort Bragg. Interns receive an introduction to neuropsychological principles, develop understanding of the basics of traumatic brain injury evaluation, and receive exposure to treating post-concussive symptoms for Service Members in both individual and group formats. Under the supervision of a licensed neuropsychologist, Interns also learn the fundamentals of cognitive assessment and neuropsychological report writing.
- Primary Care/Health Psychology
Interns work in a Primary Care clinic, practicing a collaborative population health approach to the treatment of various behavioral health concerns. Interns serve as consultants to Primary Care providers who rapidly evaluate patients’ symptoms and functioning. Interns address patients’ needs with regard to chronic health conditions and behavioral health concerns, and provide brief, targeted interventions and dispositional recommendations. Interns learn how to help patients increase their motivation for behavioral change. Problems addressed include anxiety, insomnia, weight reduction, treatment adherence, and lifestyle management. Optional topics include tobacco cessation, sex education, and diabetes/obesity management.
The Operational Rotation serves as an introduction to military Special Operations. This rotation provides Trainees opportunities to observe and practice the fundamentals and skills involved in three areas: (1) occupational assessment and selection, (2) leadership development and coaching, and (3) performance enhancement skills utilized in order to improve the mission and operations. This rotation consists of two days a week for six weeks, focused on understanding the literature and instruments involved in assessment and selection, instruction and training in persuasion and influence, and observation of how to utilize these skills to support operations. Interns will have the opportunity to complete a written product in each of the three areas under supervision, with verbal and written feedback. The focus in this rotation is on an exposure to the myriad of areas involved in supporting Special Operations as opposed to a mastery of these skills.