Clinical Neuropsychology (Adult &Pediatric)
The Clinical Neuropsychology specialization within the Training Network in Professional Psychology provides specialty training in the application of knowledge of brain-behavior relationships and of Clinical Psychology for the benefit of patients suffering from disorder, disease, or injury to the central nervous system. The program develops postdoctoral residents’ specialty expertise in Clinical Neuropsychology and prepares them for board certification in Clinical Neuropsychology through the American Board of Clinical Neuropsychology (ABCN) in conjunction with the American Board of Professional Psychology (ABPP). This specialty area complies with the training guidelines of Division 40 of the American Psychological Association at the Houston Conference.
Clinical training occurs in a multidisciplinary setting with specialized research emphasis for each resident. In keeping with goals of the broader training program, the Clinical Neuropsychology specialization develops professionals with the specialty training necessary to accurately assess, diagnose, and recommend effective intervention to a broad age range of individuals with CNS impairment. Our program also prepares residents to direct clinical programs, educate professional Clinical Neuropsychologists, and initiate and carry out programmatic research. Opportunities to participate in faculty members' research and further develop research skills and a programmatic focus are available in the areas of adult neuromedical disorders, neurodegenerative disorders, mood disorders/neuroimaging, geriatrics and traumatic brain injury as well as pediatric neuromedical disorders.
While we were one of the founding members of the Association of Postdoctoral Programs in Clinical Neuropsychology (APPCN) and our program complies with the training guidelines of the APPCN, we will not be participating in the 2019 match.
For 2019-2021, the Michigan Medicine/VAAAHS consortium in neuropsychology will be recruiting five clinical neuropsychology residents for the following positions:
2 Adult Positions (at Michigan Medicine) with research emphases in:
- Adult Neuromedical (1 position)
- Mood Disorders (1 position)
2 Adult Positions (at VAAAHS) with research emphases in:
- Adult/Geriatric Neuropsychology (2 Positions)
1 Pediatric Position (at Michigan Medicine) with research emphases in:
- Pediatric Neuropsychology (1 Position)
MICHIGAN MEDICINE AND VAAAHS NEUROPSYCHOLOGY PROGRAMS
Michigan Medicine Neuropsychology Program
The Neuropsychology Program, under the direction of Carol Persad, Ph.D., ABPP-CN, has a rich tradition in the measurement of cognitive and behavioral characteristics of diverse patient groups and a close working relationship with other investigators in a number of departments, including Psychiatry, Neurology, Radiology, Pediatrics, Anesthesiology, Surgery, Oncology, Physical Medicine & Rehabilitation, and Internal Medicine, as well as other Medical Center programs and other University units, such as the schools of Nursing, Public Health, and Engineering and the Institute of Social Research. The Neuropsychology Program plays an integral role in many clinical research studies and clinical trials. The Program evaluates more than 3000 patients annually based on referrals for neuropsychological sequelae associated with general medical and neurological conditions, dementia, pre-surgical evaluations, mood disorders, and neurodevelopmental and learning/attention problems. The program also completes numerous research-based evaluations for investigators in the Neuropsychology Program and Department of Psychiatry, as well as for researchers throughout the medical center and through contracts with industry.
Michigan Medicine Facilities
The Michigan Medicine Neuropsychology Program is housed in over 3,000 square feet of space and located between the main medical center and the East Ann Arbor medical campus. The Program currently includes 14 faculty members (7 Board Certified in Clinical Neuropsychology), 13 masters level psychologists, 7 postdoctoral residents, research assistants, and other students and trainees. Our facility is equipped with modern psychological test instruments and computers for measurement of psychological and psychophysiological behaviors, including the latest computer-based testing devices. The laboratory facility includes sets of adjacent rooms separated by a one-way mirror for patient observation and video and sound equipment for patient monitoring, a large research area for mobility and driving simulator studies, a computer laboratory for imaging studies, and three conference rooms equipped with video-conferencing capabilities. Fourteen testing rooms are housed in the Program, along with other open laboratory space and faculty, trainee and staff offices. Permanent satellite evaluation rooms are also located at the inpatient Psychiatric Hospital, Psychiatry’s Rachel Upjohn Building, the Michigan Clinical Research Unit, and the Michigan Medicine Med Inn. The Michigan Alzheimer’s Disease Center also is located in the Commonwealth Building and shares many of the Neuropsychology Program facilities and research space. All postdoctoral residents have individual offices with desktop computers at the Commonwealth Building.
VAAAHS Neuropsychology Section
The VAAAHS Neuropsychology Section has a long history of evaluating Veterans in acute and long-term care inpatient settings, outpatient clinics, and rehabilitation units. The Section has a major role in the diagnosis and evaluation of medical, neurological, and psychiatric conditions which affect cognitive and personality changes. The Section is widely integrated into research investigating the interaction between medical disease and injury, cognitive and personality changes in Veterans, and the early detection and non-pharmacologic treatment of cognitive and behavioral impairment. In recent years this has included studies of the effects of drugs on cognition, the influence of normal aging vs. neurological disease, interactions between depression and cognition, the role of motivation in neuropsychological test performance, and interactive effects of PTSD and mild head injury. Additional ongoing federally-funded studies investigate the impact of cognitively oriented treatments (e.g., cognitive rehabilitation, cognitive training) and non-invasive brain stimulation in older adults with cognitive impairment. The VAAAHS currently employs four post-doctoral residents in Neuropsychology.
VA Ann Arbor Hospital is a general medical and surgical hospital in Ann Arbor, MI, with 142 beds, serving Veterans from Southeastern Michigan and Northern Ohio. It is accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF). It is also a teaching hospital. Survey data for the latest year available shows that 18,184 patients visited the hospital's emergency room. The hospital had a total of 5,539 admissions. Its physicians performed 1,628 inpatient and 2,856 outpatient surgeries. It provides the full range of inpatient and outpatient services, including neurology, neurosurgery, and geriatric internal medicine in addition to other medical and surgical services. Facilities are newly updated in most areas, including Mental Health, Outpatient, and Nursing Home facilities. Offices for incoming Neuropsychology Residents are housed at our Packard Road location and have modern support facilities, with full computer access to the Michigan Medicine information systems and library, as well as VAAAHS information systems.
In addition to core curriculum, residents in the Michigan Medicine/VAAAHS Consortium in the Clinical Neuropsychology specialty area have several unique learning opportunities, ranging from targeted coursework to visiting lectures. Educational opportunities, listed below, include both mandatory training requirements, designed to ensure smooth and consistent progress throughout the training program, and optional training opportunities that can be pursued to enrich the training experience to the extent that time is available
- Weekly Michigan Medicine Didactic and Journal Club—case conferences with a fact-finding format; sample topics have included: Movement Disorders, Degenerative Conditions, Multiple Sclerosis, Epilepsy/Wada, Pediatric Neuroimaging, Cerebrovascular Disease, Toxin Exposure, Developmental disorders (i.e., ADHD, LD), Aphasias, Neuroanatomy.
- Michigan Alzheimer’s Disease Center’s Clinical Pathological Correlation Conference (once per quarter): Seminar that integrates the clinical presentation and post-mortem histopathological findings of participants seen in the Michigan Alzheimer’s Disease Center.
- Cross-cultural seminar (once per quarter): This is primarily done in case conference format, and includes video participation from Aristotle University of Thessaloniki, Greece, Chukwuemeka Odumegwu Ojukwu University – Igbariam Campus in Nigeria, Makarere University in Uganda, Michigan State University in Lansing, MI, Vytautas Magnus University in Lithuania, and the Norwegian University of Science and Technology.
- Weekly Grand Rounds in Psychiatry and/or Neurology
- Weekly Professional Development Seminar (monthly for second year residents)
- Weekly Staff Meeting (Michigan Medicine only)
- Monthly Staff Meeting (VA only)
- Bioethics Conference (Mandatory Twice Per Year)
Optional in accordance with training goals and as time permits:
- For second year residents: Neuroanatomy Course (Mon 9AM–12PM, T/Th 10 – 11:30 AM from September to December): Post-doctoral residents are offered the opportunity to participate in an audited neuroanatomy course through the University of Michigan during the first semester of their second year. This class is composed of lectures and a wet lab to assist in the integration of knowledge regarding the neurological structural underpinnings of neuropsychological functioning.
- Weekly VAAAHS Case Conference (in conjunction with the Clinical Psychology Internship Program at the VA Healthcare System)
- Neuropathology Conference (Brain autopsies)
- Lectures in Neuroanatomy
- Neuroimaging Meetings
- Neuroradiological Conference
- Refractory Epilepsy Conference
- Michigan Alzheimer’s Disease Center’s Consensus Conference (biweekly multi-disciplinary diagnostic meeting)
- There are numerous other department specific conferences, such as Surgery, Psychiatry/Depression Center, Internal Medicine, Cardiology, Radiology, Oncology, and Institute of Gerontology and can be found on the various Michigan Medicine websites. Residents are welcome to attend.
- Invited Lecturers throughout the University and VAAAHS
Residents are provided with the opportunity to perform clinical supervision of pre-doctoral practicum students and interns. Additional supervision of undergraduate students who work with faculty and residents on a wide variety of research projects is also available. In addition, residents may also provide assistance in teaching seminars with faculty members.
ADULT NEUROPSYCHOLOGY-CLINICAL TRAINING EXPERIENCES
(Clinical training experiences comprise approximately 50% of the resident’s time.)
General Neuropsychology Clinic: The adult neuropsychology resident conducts outpatient evaluations for adult and geriatric patients with a wide array of presenting cognitive, emotional, and behavioral conditions. A psychometrist model is used for the majority of the assessments, with the resident responsible for interviewing, interpreting, writing clinical reports, and providing feedback. Residents are expected, on average, to see approximately 4-6 clinic cases per week (with a psychometrist). Residents also provide inpatient consultation services on a rotating basis. A goal of this program is to ensure that all residents gain experience with patients across the entire lifespan. As such, all Michigan Medicine residents will complete a 4-month experience that involves assessment of pediatric patients.
Postdoctoral residents regularly staff interdisciplinary clinics with medical residents and attending medical staff. Required experiences for Michigan Medicine residents include Cognitive Disorders Clinic, Bariatric Clinic, and Pediatric Clinics for ADHD and neurodevelopmental disorders. These experiences include integration of neuropsychological assessment data with neurological and medical evaluations and discussion about aspects of the case along with teaching by attending staff. Additional experiences are available across institutions (Michigan Medicine and VAAAHS).
Primary Clinic Experiences:
Cognitive Disorders Clinic: This weekly clinic in neurology evaluates cognitive difficulties that can occur with aging. It provides diagnosis and comprehensive management of patients with memory loss and disorders of higher cognitive function and dementia. Neuropsychology residents observe the neurological examination and provide feedback and consultation about patients’ neuropsychological evaluation to the treatment team.
Psychological Assessment Rotation (Bariatric & Geriatric Clinics): Residents on this rotation have responsibilities for two clinics that emphasize psychological assessment. First, they conduct neuropsychological evaluations of patients being considered for bariatric surgery at Michigan Medicine. The bariatric surgery group is a multidisciplinary team consisting of neuropsychology, surgery, endocrinology, and dieticians that makes recommendations for medical, dietary, and behavioral interventions. The clinic provides experience interacting across disciplines, with an emphasis on developing psychological assessment and interview skills. Second, the resident will be responsible for one case per week referred from geriatric psychiatry. These referrals primarily involve differentiating neurodegenerative diseases from psychological disorders. The resident will work closely with the patient’s psychiatry resident treatment provider and will provide feedback to the patient while also educating the psychiatry resident regarding the evaluation and findings. In addition, residents will have the opportunity to attend the core learning series for the third year psychiatry residents if interested while on this rotation.
Epilepsy Program: The University of Michigan Adult and Pediatric Epilepsy Programs are a collaborative relationship with the Department of Neurology and Department of Neurosurgery and are recognized by the National Association of Epilepsy Centers (NAEC) as a Level 4 Certified Epilepsy Center, the highest certification available from the NAEC. Both adult and pediatric programs see patients for treatment of epilepsy, and in cases where treatments have failed, patients are evaluated for consideration of surgical relief of their seizure disorder. Each patient under consideration for surgery participates in a thorough evaluation in the Comprehensive Epilepsy Program, which includes EEGs, brain imaging (MRI, PET, SPECT), speech and language, social work, neuropsychological evaluation, and potentially Wada and fMRI procedures. Approximately 70-100 epilepsy surgeries are conducted per year. This rotation follows a lifespan model and has the following aims: 1) Pre-surgical neuropsychological evaluation to assess functional brain status (adults and peds)—assist in the lateralization and localization of seizure focus, assess for any psychiatric issues, and establish a baseline 2) Assess language lateralization and unilateral memory functions following an injection of Brevital (Wada Procedure) 3) Post-surgical neuropsychological evaluation to evaluate change over time and provide recommendations. Residents on this rotation will also attend the weekly multidisciplinary Refractory Epilepsy Conference.
Pediatric Clinics: To ensure lifespan training, adult residents will complete a 4-month rotation conducting pediatric assessments. During this rotation, they will participate in the ASD and ADHD multidisciplinary clinics. These outpatient clinics are responsible for the diagnosis and treatment management of children with suspected autism spectrum disorders and attention-deficit/hyperactivity disorder as well as common psychiatric comorbidities. Observational opportunities may also be available in the Epilepsy, General Neurology, and the Hematology/Oncology Clinics.
Optional Clinic Experiences: In addition to the above clinics, residents have the opportunity to gain experience in other Neuropsychology Program-supported clinics, including the Neurosport Clinic, the Movement Disorder Clinic, and several clinics at the VAAAHS (e.g., Community Living Center, Polytrauma/TBI Clinic, Substance Abuse Clinic, Post Traumatic Clinic).
VA Ann Arbor Healthcare System
General Neuropsychology Clinic: Services are provided throughout the hospital and on the outpatient service. Referrals vary from assessment for cognitive change related to conditions such as epilepsy, head trauma, substance abuse, ADHD, neurodegenerative diseases, chronic health conditions, and psychiatric disorders. Referral sources commonly include Ambulatory Medicine, Psychiatry, and Neurology services. Residents are responsible for selecting and administering neuropsychological tests, interviewing, interpreting, writing clinical reports, providing feedback, and consulting with referring providers. Over the two-year training period, residents progress from primarily testing their own cases to a mixture of psychometrist and self-administered evaluations. Second year residents are also actively involved in pre/post deep brain stimulation (DBS) surgery evaluations. Residents provide training and tiered supervision of current neuropsychology practicum students and interns. Primary supervisors: Robert Spencer, Ph.D., Benjamin M. Hampstead, Ph.D., ABPP-CN, Michael Ransom, Ph.D., & Julija Stelmokas, Psy.D.
Primary Clinic Experiences: VAAAHS Residents will have a mixture of clinical experiences that are described below. Some experiences are available only to second year residents. During both training years, residents also have opportunities to supplement outpatient cases to provide a breath of experiences that meet their training goals and interests.
VAAAHS Polytrauma Clinic: This clinic is primarily concerned with evaluation of Veterans returning from recent theatres of action in the Middle East as well as other areas of conflict. Among more common questions for referral are concerns about cognitive and emotional effects of mild head injury, cognitive and affective correlates of post-traumatic stress disorder, and cognitive and personality changes associated with other sources of service-related physical and emotional traumas. Residents provide consultation-liaison services within the clinic, working closely with Physical Medicine & Rehabilitation, social work, and speech and language providers to deliver brief screening of performance and symptom validity and cognitive status, as well as full evaluations for appropriate cases. Residents may also have the opportunity to provide psychoeducation regarding head injury to patients and their caregivers and to follow Polytrauma Clinic veterans in individual therapy. Clinic data are also available for frequent use in related institution-approved research projects. Primary supervisor: Robert Spencer, Ph.D.
Geriatric Medicine Clinic: The neuropsychology service is integrated into the VAAAHS Geriatric Medicine Clinic, with the goal of providing accessible, timely, and coordinated assessment and intervention services to patients in an interdisciplinary framework. The resident is present in the clinic one day per week and provides assessment and intervention services, along with general curbside consultation to Geriatric Medicine residents, fellows and attendings. Assessment opportunities consists of cognitive screening and rapid neuropsychological assessment with same-day feedback to the veteran and Geriatric Medicine team. Brief behavioral interventions to veterans and caregivers are also available. Primary Supervisor: Julija Stelmokas, Psy.D.
Community Living Center (CLC): Residents also have the option of a rotation in the CLC, where they will gain exposure to assessment and intervention services for (generally) older adults admitted to a post-acute rehabilitation unit (known as the Community Living Center). CLC veterans are generally admitted for specific functional needs, often in the context of deconditioning secondary to a prolonged hospitalization, medical management (e.g., antibiotic treatment, cancer treatment, wound healing), along with other cardiac, pulmonary, or neurologic conditions. The resident will learn how to complete brief cognitive/behavioral health screens and focused neuropsychological assessments that meaningfully contribute to the Veteran’s rehabilitation and discharge planning. Residents mays find it helpful to supplement their outpatient experiences with a rotation in the CLC to gain exposure to acute presentations (e.g., delirium, post-intensive care syndrome), and other neurologic and rehabilitation samples (e.g., TBI, stroke). Intervention opportunities are also available, specifically with brief therapy and interventions focused on health behavior change (e.g., smoking cessation, engagement or adherence to rehabilitation recommendations, adjustment to medical illness). Further clinical opportunities may also include consult-liaison assessment/intervention throughout the hospital. There are also opportunities for supervision of AAVA psychology interns. Residents are also encouraged to attend a weekly geriatric and rehabilitation didactic when available. Primary Supervisor: Julija Stelmokas, Psy.D.
Didactic opportunities are also available through the VA's Geriatric Research Education and Clinical Center (GRECC), including attendance at a monthly interdisciplinary clinical case conference composed of CLC providers as well as VA GRECC research conference.
Other experiences include the Substance Abuse Clinic and Post Traumatic Clinic, and several clinics at Michigan Medicine (e.g., Cognitive Disorders Clinic, Movement Disorder Clinic, Epilepsy/Wada Clinic, Neurosport Clinic, ADHD Clinic, and ASD Clinic).
Optional Training Experiences (for all residents): In addition to the above clinics, residents have the opportunity to gain other experiences, including:
Michigan Alzheimer’s Disease Center (MADC): The MADC is one of 31 Centers funded by the National Institute on Aging to study age- and disease-related cognitive and functional decline. Residents have the option of contributing to, and using data from, the MADC’s flagship study known as the University of Michigan Memory in Aging Project (UM-MAP). This study collects annual neurological and neuropsychological data on a cohort of about 400 participants who span the dementia spectrum (i.e., from “normal” cognition to advanced dementia of various etiologies including Alzheimer’s disease, Lewy Body Dementia, and Frontotemporal Dementia). An increasing number of UM-MAP participants also have biomarker data available including blood, genetics, MRI (structural and functional), and PET (amyloid and tau ligands). Residents can gain additional assessment experience with UM-MAP participants, assist in providing feedback to participants and their families, and perform research studies using MADC infrastructure. Primary Supervisors: Benjamin M. Hampstead, PhD, ABPP-CN (VA & Michigan Medicine), Annalise Rahman-Filipiak, Ph.D (Michigan Medicine)., and Bruno Giordani, PhD (Michigan Medicine).
PEDIATRIC NEUROPSYCHOLOGY-CLINICAL TRAINING EXPERIENCES
General Neuropsychology Clinic: The Pediatric Neuropsychology resident conducts outpatient evaluations for children and adolescents with a wide array of presenting cognitive and behavioral challenges. The most common referrals include children and adolescents with neurodevelopmental disorders, including learning disorders, attention-deficit/hyperactivity disorder (ADHD), and autism spectrum disorder; epilepsy; congenital heart disease; hematological/oncological conditions; genetic syndromes; sleep disorders; and other psychiatric and neurological disorders. A psychometrist model is used for the majority of the assessments, with the resident responsible for interviewing, interpreting, writing clinical reports, and providing feedback. Residents also provide inpatient consultation services on a rotating basis. One of the goals of this program is to ensure that all residents gain experience with patients across the entire lifespan. As such, all Michigan Medicine residents will complete a 4-month experience that involves assessment of adult and geriatric patients.
Postdoctoral residents regularly staff interdisciplinary clinics with medical residents and attending medical staff. Experiences for pediatric residents are offered in Autism Spectrum Disorder Clinic, Multidisciplinary Developmental Evaluation Clinic, Epilepsy Clinic, General Neurology Clinic, and Hematology/Oncology Clinic. The experience includes integration of neuropsychological assessment data with neurological and medical evaluations of patients and discussion about aspects of the case along with teaching by attending staff.
Primary Clinic Experiences:
ASD Clinic: This weekly clinic conducts diagnostic evaluations of children and adolescents ages 5 and older with autistic spectrum disorders (ASD) as well as comorbid psychiatric and behavioral disorders. Assessments follow a comprehensive multi-disciplinary team approach consisting of a neuropsychological evaluation, social work assessment, speech and language evaluation, and full medical/psychiatric examination.
Multidisciplinary Developmental Evaluation Clinic (MDEC): This weekly clinic conducts diagnostic evaluations of toddlers and young children with developmental concerns, including autism spectrum disorders (ASD). Assessments follow a multi-disciplinary team approach consisting of clinical interview and observation with neuropsychology, speech and language evaluation, and medical/neurological examination. Some patients are referred for further comprehensive developmental evaluation including ADOS-2.
Epilepsy Clinic: Residents may participate in the weekly epilepsy conference for pre-and post-surgical consultation. The multidisciplinary team consists of neuropsychology, neurosurgery, neuroradiology, social work, and speech and language pathology. Opportunities for observation of Wada testing are also available.
General Neurology Clinic: Residents may participate in the weekly pediatric neurology clinic to observe neurological examination and treatment of a variety of neurological disorders (i.e. headaches, seizure disorder, global developmental delay).
Hematology/Oncology Clinic: Residents may participate in the weekly pediatric hematology/oncology clinic for team consultation for children and young adults who are survivors of childhood cancer (e.g. ALL, AML, brain tumor, sickle cell disease). The neuropsychologist meets with the patient in conjunction with the team educational specialist to review educational concerns and provide input regarding neuropsychological evaluation and/or follow-up on results from recently completed neuropsychological evaluation if available.
ADULT– RESEARCH EXPERIENCES
Applicants with strong research interests are encouraged to apply, as the resident is expected to participate in the development and execution of research in collaboration with the neuropsychology faculty. Residents will be selected for one of the following areas of research. Current research in the Program involves multidisciplinary projects focused in the following areas:
Adult Neuromedical: (1 Position Available for 2020)
The Neuropsychology Program has strong ties with a number of departments in the Medical School including Neurology, Neurosurgery, Oncology, Psychiatry, Cardiology and Obstetrics/Gynecology. The Neuromedical research emphasis is on interdisciplinary research with a translational focus. The opportunities for training will be based upon interest and available research projects at the time of residency. The primary Neuropsychology faculty mentor is Carol Persad Ph.D., ABPP-CN, with additional mentorship provided by other training faculty as appropriate and aligned with the resident’s interests.
Below is a sample of research projects that are currently ongoing:
- In conjunction with the Departments of Oncology and Internal Medicine, research is being conducted to longitudinally explore the cognitive and psychological changes associated with bone marrow transplant in order to tailor treatment planning and identify risk factors associated with cognitive decline. The Primary Mentor for this project is Kristen Votruba, Ph.D., ABPP-CN.
- As part of the UM STIM Program (Surgical Therapies to Improve Movement), research is aimed at developing models that will improve successful outcomes as well as the ability to identify risk of cognitive or functional declines after Deep Brain Stimulation Surgery in patients with Movement Disorders. Primary Mentor for this project is Carol Persad, Ph.D., ABPP-CN.
- In conjunction with Ob/Gyn and Psychiatry, research is currently underway to understand cognitive and neuroactivation changes associated with estrogen replacement therapy (ERT) in peri- and post-menopausal women. Neuropsychological outcomes, PET and fMRI data are combined to assess risks and benefits of ERT in this population. Primary Mentor for this project is Carol Persad, Ph.D., ABPP-CN.
- In collaboration with the Department of Surgery, research is currently investigating the relationship between cognitive and psychological variables pre- and post- bariatric surgery. Primary mentors are Elise Hodges, Ph.D., David Marshall, Ph.D., ABPP-CN, and Kristen Votruba, Ph.D., ABPP-CN.
- In collaboration with the Departments of Neurology and Neurosurgery, research is currently investigating the cognitive correlates of epilepsy and outcome of surgery. Primary mentors are Elise Hodges, Ph.D., David Marshall, Ph.D., ABPP-CN, and Gus Buchtel, Ph.D.
- In collaboration with the Departments of Neurology and Internal Medicine, the Neuropsychology Program is conducting evaluations of patients with metabolic syndrome and obesity prior to and throughout the course of different treatment approaches in order to better understand cognitive and behavioral change in these patients over time. Primary Mentors for this project are Bruno Giordani, Ph.D. and Kristen Votruba, Ph.D., ABPP-CN.
Geriatric/Dementia: (Possibly recruiting for 2020)
The Neuropsychology Section maintains a strong research program related to the early identification of disorders involving cognitive impairment (e.g., Mild Cognitive Impairment, Alzheimer’s disease and related disorders). The program is closely related to the Michigan Alzheimer’s Disease Center (MADC – see above description) housed in the same building as the Neuropsychology Section. The MADC aims to: a) conduct and promote research on Alzheimer’s disease and related disorders; b) enhance the clinical care of patients and families affected by Alzheimer’s disease and related dementias; and c) provide information and education on Alzheimer’s disease and related disorders. In close collaboration with the MADC, the Neuropsychology Section conducts and supports innovative memory and aging research to enhance our understanding of a) biomarkers used for early detection; b) disease modifying treatments; c) basic disease mechanisms in AD and other dementias; and d) effective strategies to help individuals with memory loss and family members cope with memory or thinking changes. Several large databases provide numerous opportunities for research on already collected data and provide well characterized, potential research participants for postdoctoral resident and faculty-initiated research projects. Recent and ongoing projects in the Neuropsychology Section include comparisons of healthy controls, MCI, Alzheimer’s, and other related dementia patients on a) techniques to enhance driving performance using the Section’s driving simulator, b) simple and complex walking conditions involving increasing cognitive load using the Section’s Mobility Laboratory, c) the relationship of neuropsychological performance and positron emission tomography measures, d) studies of caregiver burden and service utilization, and e) the utility of neuroimaging, ERP measures, and computer-based neuropsychological screening batteries in the early identification of cognitive difficulties in community dwelling African Americans. Ongoing federally funded studies investigate the effects of cognitively oriented treatments (e.g., Cognitive Rehabilitation, Cognitive training) and/or non-invasive brain stimulation on cognition and functional connectivity in older adults.
Residents also participate regularly in scholarly publication related to aging-related topics such as general overviews of cognitive aging, investigation of aging differences in age of onset and prognosis of both neurological and psychiatric disorders, and the interaction between cognitive psychological change in older individuals. Primary research mentors are Linas Bieliauskas, Ph.D., ABPP, Bruno Giordani, Ph.D., and Benjamin M. Hampstead, Ph.D., ABPP-CN, with additional mentorship provided by Elise Hodges, Ph.D., Carol Persad, Ph.D., ABPP, and Kelly Ryan, Ph.D.
Mood Disorders/Bipolar Disorder (1 Position Available for 2020):
The entering resident will receive partial support through the Heinz C. Prechter Bipolar Research Program (https://medicine.umich.edu/dept/prechter-program) and research will focus on the clinical neuropsychology of bipolar illness and other mood disorders. The Longitudinal Study of Bipolar Disorder ascertains, evaluates, and follows over 1300 individuals with Bipolar Disorder or other conditions. The resident will participate in diagnostic interviews including writing psychiatric summary reports and other related activities to facilitate research in bipolar illness, including generation of and assistance with scientific posters, papers, grants, and related work. They will also participate in consensus diagnosis meetings. The resident will have access to the large longitudinal database to pursue their own research themes of interest. The resident will also assist in the training and supervision of neuropsychology research associates and other trainees working on bipolar and related projects, including data management/integrity, database management, etc, as well as supervision of doctoral-level practicum students. Current projects of bipolar disorder include examining longitudinal trajectories of cognitive functioning, the influence of psychiatric and medical comorbidities on cognitive performance, neuropsychological aspects of certain features that influence mood disorders (e.g., substance use, trauma, etc.), and using novel-technologies to capture real-time assessments of mood and cognition. Prior projects completed by postdoctoral trainees working with this team have included investigations of the influence of personality, comorbid diagnoses, and cardiovascular risk factors on neuropsychological outcomes, the role of cognitive reserve in bipolar illness, cognitive trajectories over time, discrimination of mood disorders based on neuropsychological task performance, and performance validity testing among individuals with various affective disorders. David Marshall, Ph.D., ABPP-CN and Kelly Ryan, Ph.D., ABPP-CN will provide mentorship to this resident.
VA Ann Arbor Healthcare System
Adult/Geriatric Neuropsychology: (2 Positions Available for 2020)
Both residents will have similar clinical opportunities but will vary in terms of research focus. An academic/research track is available for trainees with interests in geriatrics and spend up to 50% of training engaged in research. Residents can participate in ongoing federally funded research studies investigating the effects of cognitively oriented treatments (e.g., Cognitive Rehabilitation, Cognitive training) and/or non-invasive brain stimulation on cognition and functional connectivity in older adults across the dementia spectrum. Residents will have access to a growing database of neuropsychological and neuroimaging data (both structural and functional MRI; amyloid and tau PET data collection began in Fall 2018). Opportunities for both prospective and retrospective neuromodulation and neuroimaging work are available and will be developed based on mutual interests. Residents will be expected to present research at national or international meetings and to publish study results. The primary supervisor is Benjamin M. Hampstead, Ph.D., ABPP-CN.
A generalist track is also available for trainees who are interested in general neuropsychology and geriatric rehabilitation. In recent years, this has included studies evaluating factors predicting cognitive performance in polytrauma, psychometrics, and sleep. Additional studies have also focused in geriatric rehabilitation. Specifically, studies have broadly focused on various rehabilitation outcomes in hospitalized older adults, including the prediction of functional status, level of care needs, and falls. Primary supervisors include Robert Spencer, Ph.D. and Julija Stelmokas, Psy.D.
PEDIATRIC– RESEARCH EXPERIENCES
Pediatric Neuropsychology: (1 Position Available for 2020)
Applicants with strong research interests are encouraged to apply, as the resident is expected to participate in the development and execution of research in collaboration with the pediatric neuropsychology faculty. Current research in the division involves multidisciplinary projects focused on autism spectrum disorder, oncology, cardiology, and sleep disordered breathing in children. Primary research mentors are Kimberley Heinrich, Ph.D. (email@example.com), Elise Hodges, Ph.D. (firstname.lastname@example.org), Annette Richard, Ph.D. (email@example.com), Bruno Giordani, Ph.D., and Carol Persad, Ph.D., ABPP-CN. Interested applicants are encouraged to contact Drs. Heinrich and Hodges for more specific information. Below is a sample of research projects that are currently ongoing:
- The characterization of risk and resilience factors in children who have undergone Bone Marrow Transplantation (BMT). The project is being conducted in collaboration with Pediatric Oncology. Primary research mentors Kimberley Heinrich, Ph.D. and Elise Hodges, Ph.D.
- Neuropsychological correlates in HIV and malaria in African children. Primary research mentor for this project is Bruno Giordani, Ph.D.
- The neurodevelopmental outcome of children with a history of congenital heart disease. Projects are being conducted in collaboration with the Congenital Heart Center Neurodevelopmental Follow-Up Clinic, which includes Pediatric Cardiology and Pediatric Psychology. Primary research mentor is Kimberley Heinrich, Ph.D. with additional mentorship provided by Bruno Giordani, Ph.D., Elise Hodges, Ph.D., and Carol Persad, Ph.D., ABPP-CN.
- Neurodevelopmental outcomes of intensive speech therapy intervention in young children with ASD. Primary research mentor for this project is Annette Richard, Ph.D.
Neuropsychological Profiles of Developmental disorders. We are currently taking advantage of a large dataset examining profiles for children who have been referred for consensus diagnosis of ADHD and ASD. We are particularly interested in neuropsychological profiles in these groups as well as influential covariates. Primary mentors on this project are Elise Hodges, Ph.D., Kimberley Heinrich Ph.D., and Annette Richard, Ph.D.
Residents beginning their Residency in 2018
- Ariana Tart-Zelvin, Ph.D. Michigan Medicine-Mood Disorders; Idaho State University (Ph.D.); University of Washington School of Medicine (Internship)
- Amanda (Cook) Maher, Ph.D. Michigan Medicine-Neuromedical Neuropsychology; Northwestern University (Ph.D.); Emory University School of Medicine (Internship)
- Kaitlin Oswald, Ph.D. Michigan Medicine-Pediatric Neuropsychology; Eastern Michigan University (Ph.D.); University of Mississippi Medical Center (Internship)
- Brian Gradwohl, Ph.D. VA-TBI/Geriatric Neuropsychology; Fuller Graduate School of Psychology (Ph.D.); VA Ann Arbor (Internship)
- Ryan Mangum, Ph.D., VA-TBI/Geriatric Neuropsychology; Fuller Theological Seminary (Ph.D.); Phoenix VA (Internship)
Residents beginning their Residency in 2019
- Kyler Mulhauser, Ph.D. Michigan Medicine-Neuromedical; Saint Louis University (Ph.D.); University of Alabama Birmingham/VA Consortium (Internship)
- Anson Kairys, Ph.D. Michigan Medicine-Geriatric; University of Colorado Denver (Ph.D.); Rush University Medical Center (Internship)
- Bryant Duda, Ph.D. Michigan Medicine-Geriatric; University of Georgia (Ph.D.); Dartmouth Medical Center (Internship)
- Spencer Liebel, Ph.D. Michigan Medicine-Pediatric/Lifespan; University of Georgia (Ph.D.); Milwaukee VA (Internship)
- Amber Rochette, Ph.D. VA-TBI/Geriatric Neuropsychology; Kent State University (Ph.D.); VA Ann Arbor (Internship)
- Ketrin Lengu, Ph.D. VA-TBI/Geriatric Neuropsychology; Eastern Michigan University (Ph.D.); VA Ann Arbor (Internship)