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June 22, 2016

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June 22, 2016

Neuropsychology Postdoctoral Residency ProgramJames A. Haley Veterans Hospital, TampaHeather G. Belanger, Ph.D., ABPPPsychology Training Director (116B)13000 N. Bruce B. Downs Blvd.Tampa, FL 33612 (813) 972-2000http://www.tampa.va.gov/Psychology_Training_Programs.asp

Applications due: January 1

Accreditation StatusThe two-year Neuropsychology Postdoctoral Residency at the James A. Haley Veterans Hospital, Tampa is accredited by the Commission on Accreditation of the American Psychological Association. The next site visit will be during the year 2018.

Questions related to the program’s accredited status should be directed to the Commission on Accreditation:

Office of Program Consultation and Accreditation American Psychological Association 750 1st Street, NE, Washington, DC 20002 Phone: (202) 336-5979 / E-mail: [email protected] Web: www.apa.org/ed/accreditation

Application & Selection Procedures

APPLICANT QUALIFICATIONS AND PROCEDURES

Qualifications

1. U.S. citizenship. VA is unable to consider applications from anyone who is not currently a U.S. citizen. Verification of citizenship is required following selection. All residents must complete a Certification of Citizenship in the United States prior to beginning VA training.

2. A male applicant born after 12/31/1959 must have registered for the draft by age 26 to be eligible for any US government employment, including selection as a paid VA trainee. Male applicants must sign a pre-appointment Certification Statement for Selective Service Registration before they can be processed into a training program. Exceptions can be granted only by the US Office of Personnel Management; exceptions are very rarely granted.

3. Residents are subject to fingerprinting and background checks. Match result and selection decisions are contingent on passing these screens.

4. Residents must have received a doctorate from an APA or CPA accredited graduate program in Clinical, Counseling, or Combined Psychology or PCSAS accredited Clinical Science program. Persons with a doctorate in another area of psychology who meet the APA or CPA criteria for respecialization training in Clinical, Counseling, or Combined Psychology are also eligible.

5. Residents must have completed an internship program accredited by APA or CPA or have completed a VA-sponsored internship.

This document may contain links to sites external to Department of Veterans Affairs. VA does not endorse and is not responsible for the content of the external linked websites.

http://www.apa.org/ed/accreditation

Updated June 22, 2017

Application Packet:

1. A Vita; 2. A letter of interest outlining training goals for the postdoctoral residency year and detailing future

professional goals; 3. A letter from the Internship Training Director describing the clinical experiences and overall

performance of the applicant during the internship year. (Successful completion of an APA accredited internship prior to the post-doc is required, and this letter should state if successful completion is expected.);

4. Some demonstration that the doctoral degree has been obtained from an APA accredited doctoral program or that the applicant will graduate prior to the beginning of the residency year (if all doctoral requirements are completed prior to the beginning of the post-doc, and the applicant will be awarded the doctoral degree within 4 months of the beginning of the post-doc, and the Graduate Training Director documents this in writing, then the applicant will be considered to have met this requirement);

5. Three or more other letters of recommendation, one of which must be from an internship supervisor; and

6. A brief (one paragraph minimum) statement detailing your experiences with and/or commitment to diversity.

Applications packets and letters of recommendation must be submitted electronically via the APPIC site: https://appicpostdoc.liaisoncas.com/applicant-ux/#/login

Questions to:

Jessica Vassallo, Ph.D., ABPP-CN Assistant Training Director, Neuropsychology Postdoctoral ProgramPsychology Service (116B) James A. Haley Veterans' Hospital13000 Bruce B. Downs Blvd.Tampa, FL 33612 Phone: (813) 972-2000 x 6727FAX: (813) 910-4032

Application packets must be complete by January 1st. Earlier submissions are preferred. We will not be participating in the match. Offers will be made at the conclusion of INS interviews (please note, however, that we require phone interviews).

Selection Procedures

We strongly encourage applications from candidates from underrepresented groups. The Federal Government is an Equal Opportunity Employer.

We have four postdoctoral residents and two openings per year. Each resident completes two full years. Application materials will be reviewed for completion. A selection committee composed of post-doctoral rotation supervisors and current residents will review and rank order all completed applications. The top candidates will be offered interviews (by telephone) ahead of INS. We know that finding the right fit is important and believe that applicants should be allowed to evaluate all of their options, including visiting with other sites/interviewing at INS. Offers for our program will be made following INS. However, if applicants receive offers from other training sites, but remain interested in this program, we encourage applicants to telephone for an update regarding status.

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https://appicpostdoc.liaisoncas.com/applicant-ux/#/login


Postdoctoral Residency Admissions, Support, and Initial Placement Data (This table was last updated on 6/21/2017)

Postdoctoral Program AdmissionsThe aim of the program is to promote advanced competencies in our residents such that graduates are eligible for employment in public sector medical center settings serving specialized patient populations with neurological conditions. Residents completing the program should have solid foundational preparation to initiate ABPP certification in Clinical Neuropsychology. We review applicants to our program using the following criteria: clinical experience, research experience, letters of recommendation, motivation/professional development, writing ability, commitment to and/or experience/interest in diversity, and interview/match with our program. Ideally, we are looking for individuals committed to the scientist-practitioner model and who are committed to pursuing board certification in clinical neuropsychology. The qualifications listed above in this brochure (see “Qualifications”) are required of all applicants; applicants not meeting these qualifications will not be considered.

Financial and Other Benefit Support for Upcoming Training YearAnnual Stipend/Salary for Residents $42,310 1st year

$44,597 2nd yearProgram provides access to medical insurance for resident?

Yes

-Trainee contribution to cost required? Yes -Coverage of family member(s) available? Yes -Coverage of legally married partner available? Yes -Coverage of domestic partner available? NoEligible to participate in Medical Flexible Spending Account

Yes

Eligible to participate in Dependent Care Flexible Spending Account

Yes

Hours of Annual Paid Personal Time Off (PTO and/or Vacation)

13 (vacation and sick leave accrue at the rate of 4 hours every two weeks. This amounts to 13

vacation days and up to 13 sick days.)In the event of medical conditions and/or family needs that require extended leave, does the program allow reasonable unpaid leave to residents in excess of personal time off and sick leave?

Yes

Other benefits All Federal Holidays off, 5 days authorized absence for approved professional activities (e.g.,

conferences, workshops, etc.), eligible for life insurance benefits

Initial Post-Residency PositionsTotal # Residents who are training in the program currently

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Total # Residents who were in the last 3 cohorts 5Total # From Last 3 Cohorts Working In: Employed Positions: -Veterans Affairs Medical Center 4 -Academic Health Center 1Percentage From Last 3 Cohorts Who are Employed Full-Time

100%

Percentage From Last 3 Cohorts Who are Licensed

100%

Total # From Last 3 Cohorts Who are ABPP 1

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Psychology Setting The Psychology Service is comprised of over 90 doctoral level psychology staff representing a variety of theoretical orientations and specializations. Psychologists have major leadership roles within hospital clinical and research programs and have recognized national expertise and leadership within VHA as well as psychology organizations. Many staff hold faculty appointments at the nearby University of South Florida. Staff psychologists have authored textbooks, written numerous professional articles, and developed or helped develop prominent psychological tests. In addition, psychologists have served on national VHA Work Groups, Polytrauma Task Forces, and QUERIs.

Eighteen doctoral level psychologists are involved in the neuropsychology residency, of these 15 are potential primary or secondary rotation supervisors, 5 have a diplomate in clinical neuropsychology (ABPP-CN), and 1 has a diplomate in rehabilitation psychology (ABPP-RP).

In addition to our American Psychological Association (APA) accredited two-year neuropsychology postdoctoral residency program (four residents), we also have an APA accredited psychology internship program (eight interns), a two-year Rehabilitation Psychology Postdoctoral Residency (2 residents) and a Clinical Psychology Postdoctoral Residency with an emphasis on pain/psycho-oncology (2 residents), health (1 resident) or PTSD/TBI (2 residents).

Training Model and Program PhilosophyOur philosophy is that sound clinical practice is based on scientific research and empirical support. Our training model is the Scientist-Practitioner Model of Training -- research and scholarly activities inform and direct clinical practice, and clinical practice directs research questions and activities.

Our clinical training focuses on scientifically-based and empirically-supported general psychological principles and theories for evaluation, psychotherapy, and consultation. We believe these principles and theories provide the foundation of clinical training and are essential for competent practice of psychology across settings and populations. However, we also recognize that future clinical jobs may call for specialized training. Therefore, we have structured the internship program to be a generalist training model that is scientifically-based, with opportunities for focused training within that generalist model. Thus, a Scientist-Practitioner “general-flexible” training model best characterizes our program.

Program Goals & ObjectivesThe primary goal of the program is to train residents who will become licensed psychologists prepared to assume positions in public sector medical center settings serving specialized patient populations with neurological conditions. Residents completing the program should have solid foundational preparation to initiate ABPP certification in Clinical Neuropsychology. The neuropsychology program is designed to be consistent with recommendations of the 1997 Houston Conference for Training in Clinical Neuropsychology. These overall training goals are consistent with our program’s and the VA’s mission to provide training and research opportunities which further the quality clinical care of veterans with these important needs.

Our expectation is that our residents will become licensed psychologists. In pursuit of its primary goal, the training program is designed such that six primary objectives are pursued. Specifically, journeyperson level proficiency is expected in each of 10 primary areas of competency: 1) Integration of Science and Practice; 2) Ethical and Legal Standards/Policy; 3) Individual and Cultural Diversity; 4) Professional Identity & Relationships/Self-Reflective Practice; 5) Interdisciplinary Systems/Consultation; 6) Assessment; 7) Intervention; 8) Research; 9) Teaching/Supervision/Mentoring; and 10) Management/Administration.

The Psychology Service serves an integral role in the hospital’s training function. The hospital and the Psychology Service are pleased to have the opportunity to contribute to the professional development of

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interns and residents. Their presence stimulates and enhances our services to the thousands of patients who are entrusted to us for effective and caring treatment. In return, we believe that the rich training experience at our hospital, and at our affiliated institutions, will make a vital contribution to your professional growth and development.

The psychology staff regards the training of new psychologists as a serious responsibility and this is demonstrated by a commensurate investment of staff time and energy in all facets of the training program. The didactic and clinical experiences of this program are designed to facilitate the professional attitudes, competencies, and personal resources essential to the provision of high quality patient care in contemporary psychology service settings. As mentors, psychology staff members demonstrate, and encourage resident participation in, the professional roles of clinician, consultant, team member, supervisor, evaluator, and researcher. The professional growth and development of residents is enhanced by consistent supervision, varied clinical responsibilities with diverse patient populations, and ongoing didactic training.

Program StructureTRAINING PLAN

An orientation period serves to familiarize residents with the Medical Center, the various treatment units, and the staff psychologists and their various roles. During this time, residents attend VA required New Employee Orientation sessions and also visit potential rotation sites and supervisors. Following the orientation period, the resident is requested to prepare his/her own training program proposal. The proposal indicates the rotations desired, research ideas and projects, didactic activities desired (above and beyond the required didactics), etc. The Director of Training, representing the Training Committee, reviews the proposal with the resident, taking into account the resident’s prior experience and professional goals. When mutual agreement is achieved concerning the plan, the plan is reviewed with the Psychology Postdoctoral Training Subcommittee for approval. Residents may request training plan changes at any point during the year through the Director of Training. In order to offer each resident maximal exposure to a variety of patients and settings, training plans may allow rotations through a variety of service and training areas.

There are four major components to the training program:

(a) clinical rotations(b) didactic seminars(c) ongoing research activities(d) provision of supervision

The didactic seminars are designed to provide an advanced level of training in neuropsychological and psychological assessment, interventions, advanced multivariate statistics, ethics, law, and human diversity issues. The clinical rotations allow practical application of past skills, current and prior didactic instruction, and ongoing competency development in assessment, intervention, and consultation, and the impact of ethics, law and human diversity issues on these professional activities. Postdoctoral residents also play an active role in providing first line supervision and training to psychology interns, under the overall supervision of their clinical rotation supervisor(s). This allows hands-on professional development in the areas of supervision and teaching, and furthers their professional development and sensitivity to ethical, legal, and human diversity issues. In addition, neuropsychology postdoctoral residents are responsible for co-teaching portions of a neuropsychology seminar in which they provide didactics well as arrange for others to present on selected topics. Again, this helps further their professional development in the area of supervision/teaching. Finally, research and scholarly activities are developed through required participation in a variety of research studies and involve critical literature reviews, statistical and methodological sophistication, and scholarly manuscript preparation.

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ROTATIONSDuring the two-years of training, residents complete four 6-month clinical rotations. In addition to the clinical rotations, residents attend training seminars and participate in research activities.

The Neuropsychology Residency requires that the resident complete 1) the Inpatient Clinical Neuropsychology (Acquired Brain Injury) rotation and 2) the Memory Disorder Clinic / General Outpatient Neuropsychology rotation. The third and fourth rotations may be selected from other rotation offerings, but must be approved by the Neuropsychology Postdoctoral Training Subcommittee according to the resident's training needs and goals. Residents may complete one off site (non-VA) rotation among the available rotations.

Availability & Timing of RotationsResidents in Clinical Neuropsychology Tracks normally complete their required 6-month rotations during the first year. The sequence for their remaining rotations will be mutually determined by them and the Clinical Training Committee on the basis of availability during a given rotation period.

SEMINARS The development of clinical skills requires not only day-to-day patient contact but also ongoing didactic training. To accomplish this, the neuropsychology postdoctoral training program includes seminars which focus on theoretical as well as applied aspects of clinical work. Regular attendance at two year-long seminars is required for all residents: Neuropsychology Postdoctoral Seminar and Professional Development Seminar. Residents are also welcome to participate in the seminar series offered to the psychology interns which include a Fundamentals of Neuropsychology Seminar (required for residents who have not completed it previously), a general Assessment Seminar, and a Psychotherapy Seminar. Dementia Boards, USF Medical School Psychiatry Grand Rounds, USF Department of Psychology Seminar series, brain cuttings, and additional didactic opportunities are also available.

RESEARCHA number of Psychology Service staff maintain active involvement in clinical research, provide research consultation to other services within the VA and at the University of South Florida, serve on VA and USF research committees, provide reviews for a wide variety of professional journals, and serve on journal editorial boards.

Residents are required to demonstrate competence in methods of scholarly inquiry by conducting and/or participating in a research project(s) within their special focus area. Residents are expected to participate in at least one research project. At a minimum, residents submit a scientific presentation to some annual professional meeting such as APA, INS, NAN, AACN, American Pain Society, ASCIP, etc. Typically these are then submitted to a journal for possible publication. Development of a grant proposal and submitting it for funding would also meet the research requirement. Residents wishing to do more are encouraged to do so. Several staff members are actively involved in funded research projects providing role models, research opportunities, supervision, and training for residents. Residents receive ongoing didactic seminars that integrate the scientific literature with their clinical case material and receive regular feedback on their developing competencies in critically reviewing, utilizing, and conducting scientific research. Participation in research is an expected part of the postdoctoral years.

INTERVENTIONNeuropsychology Residents are expected to spend at least 2% of their time getting intervention/therapy experience (the equivalent of at least one psychotherapy patient per week for one year). This can be accomplished by doing a rotation with an intervention component and/or picking up psychotherapy cases in addition to rotational requirements (i.e., typically, carrying a psychotherapy case for one year).

SUPERVISION RECEIVEDIn helping residents acquire proficiency in the core competency areas, learning objectives are accomplished primarily through experiential clinical learning under the supervision and mentoring of licensed psychologists. All work performed by residents during the year must be under the supervision of a licensed psychologist. Essentially, residents are involved in the day-to-day demands of a large

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psychology service. Residents work with and are supervised by psychologists who serve as consultants to medical staff members or who serve as members of multidisciplinary teams in treatment units or programs. As a consultant or team member under supervision, the resident’s core competencies are developed and the resident learns to gradually accept increasing professional responsibility. The residency is primarily learning-oriented, and training considerations take precedence over service delivery. Because residents enter the program with varying levels of experience and knowledge, training experiences are tailored so that a resident does not start out at too basic or too advanced a level.

Residents receive a minimum of four hours of supervision each week, 2-3 hours on their rotations and 1-2 hours from supervisors of ongoing therapy cases, if applicable, and other activities. Often, this is dyadic supervision of a general clinical nature and includes discussion and development of core competency areas. Complementing basic supervision, through the process of working closely with a number of different Psychology Service supervisors, residents are also exposed to role modeling and mentoring on an ongoing basis. In addition to the above supervision, residents also receive didactic seminar presentations on topics related to their training.

TIME COMMITMENTSThe postdoctoral residency is a 40 hour per week residency. Typically residents have 2-3 hours of supervision as part of their rotation and group supervision within the seminars. If they pick up therapy cases in addition to their rotational responsibilities, they will typically have an additional hour of weekly supervision.

Training Experiences ROTATION DESCRIPTIONS The following is a description of each major rotation available to residents. Other training experiences can be structured specific to the particular interests of a resident depending on availability at the clinical site, availability of adequate supervision, and approval by the Neuropsychology Postdoctoral Training Subcommittee and the Training Committee.

Required Rotations (these may be repeated in the second year with a slightly different focus) Memory Disorder Clinic / General Outpatient Neuropsychology Inpatient Clinical Neuropsychology (Acquired Brain Injury)

Optional Rotations Inpatient Clinical Neuropsychology (Acquired Brain Injury) – Required Rotation

Memory Disorder Clinic / Outpatient Neuropsychology – Required RotationAdvanced General Outpatient NeuropsychologyAdvanced Geriatric NeuropsychologyAdvanced Inpatient Neuropsychology (Advanced Diagnostics)Medical NeuropsychologyPolytrauma Transitional Rehabilitation (PTRP) NeuropsychologyPrimary Care Neuropsychology ConsultationSpinal Cord Injury/Disorders Rehabilitation (including multiple sclerosis)USF Neuropsychology / Epilepsy and Forensics

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INPATIENT CLINICAL NEUROPSYCHOLOGY – Acquired Brain InjurySupervising Psychologists:

Tracy Kretzmer, Ph.D., Rodney Vanderploeg, PhD, ABPP-CN & Marc A. Silva, Ph.D.

This inpatient rotation involves participating in an interdisciplinary approach to assessment and rehabilitation of individuals with a history of acquired brain injury, including TBI, stroke and anoxia. Two units will be covered:

POLYTRAUMA UNIT: This 18 bed unit includes patients with Polytrauma and TBI of all severities (i.e., mild, moderate, severe, disorders of consciousness). Tampa VAMC is one of five lead VAMCs TBI and Polytrauma rehabilitation centers. These lead sites are also involved in a Department of Defense funded traumatic brain injury (TBI) program, DVBIC (see website at http://www.dvbic.org/) and with TBI Model Systems. It also includes patients with a variety of neurological and physical injuries, including stroke and anoxia, and occasionally brain tumors and viral encephalopathy. Cases on this unit are typically more acute and/or severe in nature, and as a result, lengths of stay are often longer, as compared to patients on the General Rehab Unit. Following local patients as outpatients to monitor progress is also available.

GENERAL REHAB UNIT: This is an 18-bed unit that admits a wide variety of medical populations for needed rehabilitation due to injuries suffered as a result of stroke (and other vascular insults), cardiac conditions, amputations, orthopedic injuries, or other medical conditions that have left them debilitated/deconditioned. While medical diagnoses are diverse, the majority of patients are male veterans ranging in age from 50-80 years old. Average length of stay is 3 weeks and local cases are often seen as outpatients to monitor continued recovery.

ASSESSMENTS: General clinical referrals typically result in an assessment of cognitive and behavioral deficits resulting from brain dysfunction, the residual cognitive strengths for rehabilitation and vocational planning purposes, and personality and emotional adjustment issues that may impact treatment participation. Interview and assessment ranges from 1- 5 hours, and varies depending on the patient’s injury severity and time since injury. Assessments can range from a brief assessment of orientation (serially tracking delirium/PTA) to comprehensive neuropsychological evaluations. Commonly employed test measures include: selected WAIS-IV subtests, MOAT/GOAT/O-LOG, California Verbal Learning Test -II, Brief Visuospatial Memory Test – Revised, subtests from the Delis-Kaplan Executive Function System, Rey-Osterrieth Complex Figure, Trail Making Tests, RBANS, and Behavioral Neurology tasks. Trainees are challenged to utilize creative ways to assess cognitive functioning, given many patients have significant motor and sensory limitations that prevent them from completing many standardized measures. Cognitive and behavioral assessments that include both qualitative and quantitative data (“process”) are key to inpatient evaluations and case conceptualizations.

In addition to neuropsychological assessment, emphasis will be placed on chart review, report writing, test selection, review of neuroimaging results, communicating feedback to an interdisciplinary team and patient/family members, and making appropriate recommendations to help improve the patient's ability to succeed during his/her inpatient stay and upon return home. Report styles vary from comprehensive to more succinct, especially given the notable change patients often demonstrate during the acute recovery phase. Turn-around time for evaluations and reports is typically expected within 48-72 hours.

Residents are expected to complete two to five evaluations each week. This involves reviewing the chart for relevant history, conducting a careful clinical interview, noting relevant behavioral observations, conducting the neuropsychological evaluation, scoring using age-and-education-adjusted norms, interpreting results, and writing integrated reports.

Residents will participate in weekly interdisciplinary treatment team meetings. There is also the opportunity to participate in various individual and group activities led by psychologists for both patients/families and staff. Opportunities to supervise interns/practicum students are sometimes available, as are opportunities for family feedback/education and behavioral management intervention experiences.

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Training objectives: By the end of the rotation the intern will be able to:

1. State the rationale underlying the selection of various neuropsychological tests and other assessment methods for use with individuals with ABI.

2. Perform neuropsychological evaluations utilizing standardized instruments in a flexible-adjusted, clinically-guided approach, and incorporate “process” observations into the interpretive endeavor.

3. Produce a journeyman's quality written, integrated neuropsychological report that provides functional and practical information to the rehabilitation team and includes appropriate recommendations.

4. Understand the course of recovery from ABI and be able to identify factors that can negatively or positively impact that course. Identify and grade TBI severity using commonly utilized measures and track recovery milestones (i.e. recovery from PTA, Rancho Scale, GCS, TBI severity).

5. Identify and describe common neurobehavioral syndromes or clinical problems that occur in individuals with ABI.

6. Cite the major literature on common cognitive, behavioral, emotional, personality, and psychosocial issues related to ABI.

7. Function effectively as a consultant to other health care providers in relation to cognitive, behavioral, social, and emotional issues associated with ABI.

MEMORY DISORDER CLINIC / GENERAL OUTPATIENT NEUROPSYCHOLOGYSupervisory Psychologists: Eric Spiegel, PhD & Jessica Vassallo, PhD, ABPP-CN

The role of the neuropsychologist and post-doctoral resident in this rotation is to provide a variety of assessment and consultation services. The neuropsychologist and postdoctoral resident attempt to determine the cognitive and behavioral deficits resulting from cerebral dysfunction secondary to disease or injury. An assessment is also made of cognitive strengths so that such information can be utilized in rehabilitation and future vocational or placement planning. This is accomplished by the rational, selective use of a variety of neuropsychological evaluation procedures (see below) as well as test instruments for personality assessment (e.g., Beck, MMPI, Geriatric Depression Scale). The general purpose of such evaluation is to determine potential disruption of general cognitive and behavioral function secondary to neurologic disease; identification of specific neurobehavioral deficits, and identification of critical areas of dysfunction which relate to rehabilitation potential. Specific questions addressed in consultation requests include (but are not restricted to) the following:

1. Documentation of symptoms in diagnosed neurological disease.2. Issues of competency.3. Delineation of vocational disabilities.4. Differentiation of neurobehavioral and psychiatric disorders.5. Differential diagnosis of dementia and pseudodementia.6. Rehabilitation/treatment planning.

The key training emphasis on this rotation is on a process-oriented, flexible/adjustive approach to neuropsychology in contrast to the fixed battery approaches. In this approach test instruments are selected to provide cognitive ability data relevant to the specific hypotheses formulated for the individual case. Commonly employed procedures include selected WAIS-IV subtests, tests of language ability, learning and memory tests, tests of visual-spatial competency, executive functioning tests, and other selected procedures and tests as indicated. Residents are expected to complete or supervise an average of 5-6 evaluations and reports each week. These will include comprehensive evaluations, memory screenings, and/or memory psychoeducation groups. Residents will also attend clinic rounds, weekly journal club and other presentations pertinent to neuropsychology services.

Rotation Learning Objectives: By the end of the rotation the neuropsychology resident will have:1. Demonstrated a thorough knowledge of standardized neuropsychological evaluation procedures

by stating rationale for selection of measures of intelligence, concept formation,

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language/aphasia, learning and memory (verbal, visual, and remote), visual-perceptual-spatial ability, executive functioning, and sensorimotor ability. The emphasis is on a core evaluation with flexible-adjustive exploration of specific neurobehavioral syndromes.

2. Demonstrated the ability to identify and describe common neurological disorders, provide brief screening evaluation procedures, and navigate the interface of psychiatric/neurologic disease by producing clinically sound conceptualizations and interpretive statements that take into account potential rule-out conditions.

3. Developed knowledge and experience in serving as consultant to various services and departments within the healthcare settings by consistently producing concise, integrated neuropsychological reports that include diagnostic impressions, prognostic indicators, and recommendations for treatment and follow-up.

4. Developed knowledge and experience relevant for maintaining a high-volume neuropsychology consultation clinic well-suited to the VA system of care through executing day-to-day administrative tasks of the clinic.

5. Developed supervisory skills by providing one-on-one supervision throughout the rotation, as available.

6. Demonstrated the interpersonal skills necessary for collaborative endeavors in both clinical and research settings.

ADVANCED GENERAL OUTPATIENT NEUROPSYCHOLOGYSupervisory Psychologist: Eric Spiegel, PhD

The Advanced General Outpatient Neuropsychology rotation seeks to provide maximum allowable autonomy of clinical and administrative activity within the context of all active general outpatient neuropsychology services and programs. The clinical focus of the rotation is intended to encompass the full range of potential outpatient activities. The resident will be encouraged to approach these activities anticipating their own preferences as relates to impending independent professional practice. Toward this end, the resident will work independently to identify and address clinic needs and challenges at both the clinical and administrative level; seeking collaborative supervision as needed.

The Advanced General Outpatient Neuropsychology rotation will also provide exposure and experience planning and implementing clinic modifications and improvements in response to external demands and various other sources of input. Toward this end, the resident will be expected to complete at least one program development project while on rotation. While this may take many forms, options include the evaluation of current services, refinement of outdated or inefficient procedures, or the development of enhancements/additions to the clinic at large. The resident will be responsible for presenting to and garnering support from the clinical team as well as leading them throughout implementation and execution. Regular supervision/consultation meetings will be scheduled twice per week (e.g. Tuesday & Friday) to discuss clinical and programmatic matters and the resident will be expected to attend regular outpatient neuropsychology staff meetings as a full participant.

This rotation requires integration of multiple skill sets developed over the course of 1st year postdoctoral rotations and is designed to emphasize development of professional identity and leadership in a busy clinical setting. Specific skills that will remain the focus of development include: 1) programmatic development and leadership of a busy, multi-faceted assessment clinic; 2) ongoing development of clinical and professional preferences and opinions; 3) ongoing exposure to and refinement of assessment strategies in response to wide-ranging general outpatient referrals; and 5) optimizing efficiency, task prioritization, and time-management in a self-directed, quota-oriented (RVUs) environment.

Residents will demonstrate proficiency in managing their workload and clinical caseload with the expectation of an average of 11 hours of face-to-face time per week, including assessments and intervention, in a combination determined by resident preference in response to clinical/program

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demands. The advanced resident will be expected to demonstrate reasonable autonomy to further refine their individualized assessment approach to address evaluation of performance validity, attention, processing speed, language, visuospatial functioning, memory, and executive functioning.

The Advanced general Outpatient rotation is geared towards preparing 2nd-year residents for independent expert practice, particularly those anticipating work in a busy general outpatient setting. To that end, residents are afforded a great deal of flexibility in how they arrange their calendars; coordinating with their supervisor’s schedule, as desired, to optimize their productivity. Informal mentorship and professional development with 1st-year residents is an expected component, with the goal of developing peer consultation and mentoring skills. Readings and didactic pursuits will be directed by the resident, as interest and need dictates.

By the end of the rotation the advanced neuropsychology resident will have:1. Honed their ability to effectively and independently prioritize multiple responsibilities as pertains to

their individual calendar while remaining cognizant of colleague’s calendars to enhance an environment of teamwork.

2. Demonstrated advanced consideration of personal professional practice preferences and communicated sound rationale for such.

3. Demonstrated advanced knowledge of a breadth of neurological conditions and syndromes, neurodegenerative disease processes, and neuroanatomical considerations necessary for independent practice in a general neuropsychological consultation setting.

4. Developed the comfort and flexibility necessary to begin work as a fully independent neuropsychologist, as evidenced by the ability to successfully manage their own time and workload, complete consultation requests in a timely manner, and manage administrative demands.

5. Demonstrated advancing knowledge and experience in meta-management and coordination of services within a larger clinic setting, including evaluation and development of programs and problem-solving efforts in the context of shifting demands and acute clinic challenges.

6. Demonstrated the interpersonal and skill-based abilities to provide informal mentoring and be available for peer supervision through a working knowledge of evidence-based models of supervision and consultation.

ADVANCED GERIATRIC NEUROPSYCHOLOGYSupervisory Psychologist: Katherine Burns, Ph.D.

This rotation aims to train advanced residents who are interested in expanding neuropsychological expertise with the geriatric population with regard to assessment, consultation, intervention, and psychiatric/pharmacological factors. This unique experience offers specialty practice with older adults – a vastly growing population increasingly requiring neuropsychological services. This rotation is designed to further hone core neuropsychological skills and provide novel exposure to related disciplines (i.e., Geropsychiatry, Geropsychology, Geriatric Medicine). By the completion of this rotation, the resident will have expert knowledge of geriatric neuropsychology; with this advanced training, they will be poised to pursue related employment opportunities.

The goal of the Advanced Geriatric Neuropsychology Rotation is to produce independently functioning neuropsychologists who have obtained a proficient level of competence to assess and offer treatment recommendations to a geriatric population. Opportunities for psychotherapeutic intervention will also be provided. Additionally, residents will take on an autonomous, junior-colleague role within an outpatient clinic to prepare for independent practice. The rotation further emphasizes collaboration and consultation with multidisciplinary and interdisciplinary systems of care. Finally, this training experience will focus on other important aspects of geriatric evaluation including the evaluation of capacity and ethical dilemmas. A patient-centered approach to evaluation (e.g., sensitive and targeted feedback, recommendations) and feedback will be heavily emphasized, as well as advocacy for patient needs.

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Neuropsychological Assessment: Typical referral questions include differential diagnosis of dementia, assessment of severity of impairment for neurodegenerative disorders of aging and their precursors (e.g., MCI, dementia, stroke, movement disorders), differentiation of dementia versus psychiatric, substance related factors (e.g., medication adherence/comprehension), delirium, or other modifiable factors affecting cognition, and assessment of cognition in the context of multiple medical comorbidities. The resident will gain exposure to dementias of varying levels of severity. Evaluations will often address issues of capacity and decision-making across various domains. The resident will develop complex decision-making skills for differential diagnosis and application of relevant recommendations and strategies to optimize cognition in older adults. The resident will focus on integrating dementia severity metrics (e.g. FAST scores) to more precisely contribute to treatment and care efforts, as well as tracking disease progression.

Intervention: The role of intervention and/or psychotherapy is flexible and will depend upon the resident’s needs and interests. Residents have the unique opportunity to observe/shadow Geriatric Psychiatry staff (e.g., Dr. Jon Stewart) and residents. Therapeutic intervention opportunities will include therapy and brief intervention with patients from the CLC in collaboration with Dr. Brian Wilson (variety of mostly elderly, medically compromised, psychiatric and/or cognitively impaired residents). Interventions will focus on a variety of presenting problems and behavioral medicine, health, and psychological intervention: smoking cessation, insomnia treatment, psychiatric disturbance (e.g., depression, anxiety, adjustment difficulties), end of life issues, implementation of strategies to improve cognition and daily functioning, etc.

Clinical Settings:As this is an advanced rotation, designed to promote independent practice, the selection of patient populations of interest and types of evaluations will be flexible and determined by the interests of the resident. The resident will take on an autonomous role in covering all clinical needs (e.g. selecting the types of cases, scheduling patients, collaborating with referral sources). Residents can expect a clinical caseload averaging 12 face-to-face hours per week. Participation in morning staff meetings is designed to facilitate broad exposure and independent practice in the context of a dynamic and collegial clinic. In addition to outpatient evaluations, residents have the opportunity to assess patients in related clinics and provide timely, relevant feedback to providers:

Consultation for Gerimedicine & Geropsychiatry (both triage and full evaluations) Community Living Center (CLC) (therapeutic intervention and NP evaluation) Geropsychiatry (shadowing residents & Dr. Jon Stewart) Outpatient Neuropsychology (walk-in and scheduled appointments)

Didactics (2 presentations required):

Residents will strive for comprehension, application, and dissemination of the geriatric neuropsychology research base. Residents may spend 2 hours (on average) per week in specialized didactics. To this end, the residents can elect to participate in the following didactics:

Geropsychiatry Resident Didactic Series (USF Psychiatry Center, weekly, Thursday @ 1:00pm) Geriatric Grand Round Series (weekly, Fridays @ 1:00pm) Dementia Boards (monthly, 2nd Wednesday @ 12:00pm) Geriatric Journal Club (article recommendations provided, but resident selection encouraged);

possible topics include psychopharmacological issues with a geriatric population, decision-making capacity in older adults, motor vehicle operation and neuropsychology, hallucinations in the geriatric population

Professional Development: In addition to development of the advanced resident’s confidence in clinical decision-making, an emphasis will be placed on development of one’s professional identity as a neuropsychologist and interdisciplinary provider. Residents will have opportunities for program development (i.e., relationship building across disciplines, novel services or processes specific to a geriatric population). This rotation will provide a warm environment that encourages discussion of clinical,

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professional, and related personal issues. Finally, residents will receive mentorship regarding preparation for job search/applications.

Training objectives: By the end of the rotation the resident will be able to:1. Perform competent neuropsychological evaluation with older adults with complex medical,

psychiatric, cognitive, and social comorbidities with an emphasis on differential diagnosis and pertinent treatment recommendations

2. Collaborate with and observe multi‐and interdisciplinary health care teams, i.e., Psychiatry3. Develop advanced working knowledge of the current literature regarding geriatric populations and

specific topics of interest, e.g., geriatric psychopharmacology, capacity evaluations4. Provide psychotherapy and/or brief interventions with older adults 5. Develop interdisciplinary consultation skills to provide optimal care for older adults6. Autonomously manage workload 7. Execute administrative aspects of NP practice in preparation for employment 8. Provide consultation and staff education on psychological/behavioral issues related to the

geriatric population

ADVANCED INPATIENT NEUROPSYCHOLOGY – Advanced DiagnosticsSupervisory Psychologists: Tracy Kretzmer, Ph.D., Risa Richardson, Ph.D.,

Tamara Mckenzie-Hartman, Ph.D. This rotation occurs within the context of multiple hospital inpatient units, with the primary focus on complex and diagnostically challenging populations. It was designed to be flexible by allowing the resident to choose specific areas of training in which they would like to gain advanced and unique experiences. Proficient practice in evaluating these complex clinical populations and their diagnostic differentials requires unique skills not often gained in graduate or post-graduate training. On this rotation you will have the opportunity to 1) see the full range of brain injury populations, including mild TBI and those with the most severe brain injuries (coma, minimally conscious), 2) serve as a consultant to the inpatient psychiatric unit, where discerning the role of advancing cognitive decline/dementia vs. severe psychiatric sequelae vs. impact of medical comorbidities is often required, 3) increase supervision of interns and first year residents, and 4) get specialized training focused on capacity evaluations, including more specific training and exposure to specific measures to assess for medical, financial and legal decision making abilities.

As a second year resident you will also be expected to gain more functional independence. Residents will provide supervision to both interns and first year residents. You will also be responsible for leading neuropsychological feedback in team staffings. By the end of this rotation you will be expected to function as independently as possible --much as a junior colleague. Finally, postdoctoral residents are also required to participate in and lead bimonthly didactics and required readings (e.g., empirically based journal articles, book chapters, journal club) in order to gain a better understanding of medical conditions, behavioral syndromes, prognostic indicators, appropriate assessment measures and brief psychological interventions associated with each of these populations.

This rotation does offer many opportunities. It is strongly recommended that your training plan be specific on this rotation to ensure that the depth of knowledge and training gained is sufficient. While postdoctoral residents may choose to focus on any combination of these units with supervisor approval, depending upon patient census, trainees may be required to see patients from several teams in order to fulfill case load requirements. This rotation may be taken on a full-time basis in your second year of training. Given the multiple options and supervisors available, you will only have two supervisors at any one time (supervisors can change over the course of the rotation as your case load changes; e.g. PREP first 3 months, EC second 3 months for example). Potential experiences are detailed below.

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INPATIENT NEUROPSYCHOLOGY (Rehab/Polytrauma/ARC)Supervisor: Tracy Kretzmer, Ph.D.

This clinic will cover several inpatient units including Polytrauma/TBI, General Rehabilitation, and ARC (inpatient psychiatry). As this rotation is geared towards preparing 2nd-year residents for independent expert practice, residents will be afforded flexibility in how they arrange their work with consulting clinics and in their day-to-day activities. As a second year resident, your focus will be on more complex cases, capacity evaluations, supervision of interns and first-year residents, learning how to function more independently, and leading staffing/family feedback sessions. There will be focus on both qualitative (behavioral observations, behavioral neurology) and quantitative data to conceptualize complex cases, as individuals with limited stamina or motor/sensory deficits often require creative modifications from standardized batteries. How to elicit reliable and valid data within such a context in a key skill required for inpatient settings. As the second year resident, you will be required to provide tiered supervision to interns and first year residents. You will also lead staffing feedback and family meetings, reporting to team and family members current patient status, recommendations and concerns. In addition, second year-residents will gain extensive training and experience with capacity evaluations, as these are often requested by medical providers to assist with discharge planning.

This inpatient rotation involves participating in an interdisciplinary approach to assessment and rehabilitation of individuals with a history of acquired brain injury, including TBI, stroke and anoxia. A summary of the individual units is below:

POLYTRAUMA UNIT: This 18 bed unit includes patients with Polytrauma and TBI of all severities (i.e., mild, moderate, severe, disorders of consciousness). Tampa VAMC is one of five lead VAMCs TBI and Polytrauma rehabilitation centers. These lead sites are also involved in a Department of Defense funded traumatic brain injury (TBI) program, DVBIC (see website at http://www.dvbic.org/) and with TBI Model Systems. It also includes patients with a variety of neurological and physical injuries, including stroke and anoxia, and occasionally brain tumors and viral encephalopathy.

GENERAL REHAB UNIT: This is an 18-bed unit that admits a wide variety of medical populations for needed rehabilitation due to injuries suffered as a result of stroke (and other vascular insults), cardiac conditions, amputations, orthopedic injuries, or other medical conditions that have left them debilitated/deconditioned. While medical diagnoses are diverse, the majority of patients are male veterans ranging in age from 50-80 years old. Average length of stay is 3 weeks and local cases are often seen as outpatients to monitor continued recovery.

ARC: The ARC is an inpatient psychiatric unit with a diverse patient population. The ARC option is a unique experience and often found to be both challenging and interesting. How does one ascertain the role of advancing neurological vs. psychiatric processes vs. medical comorbidities? The Resident will be consulted to evaluate possible cognitive deficits/dementia in persons with severe mental illness, or to identify persons with neurologic injury/disease who have been misdiagnosed and mistakenly placed in inpatient psychiatric centers as a result of behavioral and personality changes.

MILD TRAUMATIC BRAIN INJURY (PREP) Supervisors: Tamara Mckenzie-Hartman, PsyD & Tracy Kretzmer, PhD The inpatient mild TBI service occurs within the context of the Post-Deployment Rehabilitation and Evaluation Program (PREP), which is housed under Physical Medicine and Rehabilitation Service in the new Polytrauma Building. PREP focuses on patients who have experienced (or suspected of experiencing) a mild TBI. Often these individuals present with a complex array of nonspecific postconcussive-like symptoms, including chronic headaches, sleep problems, balance issues, as well as comorbid PTSD and/or Depression. Patients on this team typically include both active duty and veteran males in their 20-30s, though female patients are also seen. The interdisciplinary PREP team provides a comprehensive evaluation of the individual’s medical, cognitive and psychological functioning. Weekly team staffings and patient rounds are quite interactive and psychologists often help provide an overall conceptualization of the patient's current status and guide treatment planning. Extensive chart reviews

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and thorough interviews focusing on history of concussion, daily functioning, cognitive complaints, mood disturbance and readjustment issues are conducted. Personality testing (MMPI-RF, PAI) and performance/symptom validity assessment is used routinely.

Neuropsychology Focus: Neuropsychological assessments usually take 2- 3 hours and utilize common standard neuropsychological measures (CVLT-II, WAIS-IV subtests, verbal fluency, Stroop, Trails, etc.) within a flexible/adaptive battery. Unique training experiences include appropriate utilization of validity/effort measures, understanding of postconcussive symptoms and somatoform issues, integration of psychological testing results with cognitive testing, ability to test a patient’s cognitive functioning at multiple time points during treatment (i.e., pre- and post- PTSD treatment), providing feedback to team members and patient/family members, and potentially facilitating a variety of group and individual interventions focused on sleep, headache, mild TBI education, compensatory strategies and relationship of cognitive function to mood, pain, and sleep. Given the importance of providing feedback and psychoeducation to this population, additional components of the postdoctoral resident’s training are accurate knowledge of postconcussion symptoms (PCS), the role of patient expectations on outcomes, symptom normalization, addressing effort/motivation issues while maintaining rapport, and appropriate communication styles. Report lengths vary depending upon the specific evaluation needs of each case, however, these reports often require a thorough explanation and conceptualization to help the patient's providers better understand what the patient is experiencing, the etiological factors leading to a complex symptom array, why symptoms may remain refractory and how best to approach future treatment modalities. Completed reports are expected within three working days and no later than the final Monday of the patient's 3 week stay.

EMERGING CONSCIOUSNESS PROGRAM Supervisor: Risa Richardson, Ph.D.

The resident will develop specialized knowledge in the assessment and treatment of working with the most severe form of acquired brain injury within the VA’s specialized Emerging Consciousness Program. Patients in this program are admitted with various forms of acquired brain injury (traumatic, anoxia, stroke, and other forms of encephalopathy) for a minimum of 90 days of inpatient brain injury rehabilitation. The primary diagnostic approach with patients in this program is to use serial neurobehavioral examinations with consideration of motor, cognitive, sensory, and behavioral factors that confound assessment. Post-doctoral residents become familiar with all categories of Disorder of Consciousness (Coma, Vegetative State, Minimally Conscious State), behavioral criteria for each diagnosis, and other differential diagnoses that would hasten misdiagnosis which is common in non-DOC experienced personnel (i.e., Locked-In Syndrome, Severe Encephalopathy, Cognitive, Visual, and Motor Disorders). Residents are expected to learn the standardized assessment measures that are recommended for use with this patient population including but not limited to the Glasgow Coma Scale, Disability Rating Scale, Coma Recovery Scale-Revised, and Rancho Scale. The use of quantitative behavioral assessment approaches are taught to help gauge level of responsiveness in patients with limited behavioral repertoires to guide diagnosis and help monitor response to treatment in concert with the treatment team. Residents will conduct serial examination with faculty and on their own to develop skill and confidence over time in working with this patient group. For patients that recover consciousness, competence with measures of delirium and post-traumatic amnesia are emphasized in the training experience. These measures include the Galveston Orientation Amnesia Test, Orientation Log, Agitated Behavior Scale, Delirium Rating Scale – Revised, and Confusion Assessment Protocol. Differential diagnosis between delirium and cognitive disorders are heavily emphasized. Residents will learn how to work with treatment team providers to work with patients with limited behavioral abilities through improved diagnosis and case conceptualization of limitations based on diagnosis and anticipated impairments using neuroimaging as a guide to brain-behavior relationships. A key feature of this clinical experience is delivering feedback about current functioning and prognosis to family members initially and over time as the patient’s neurobehavioral status evolves.

Inpatient rehabilitation for DOC patients is currently non-uniformly covered by private insurance thus the VA’s dedicated program is a rare training experience to work with catastrophic injury. A majority of the patients admitted awaken from DOC (i.e., emerge from a minimally conscious state) with severe cognitive

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and behavioral impairments that evolve over time. Interaction with team and family members about these deficits and environmental and rehabilitation adaptations to promote ongoing recovery and maximize independence are a key focus of the neuropsychologists working with these patients. Helping to address barriers to ongoing neurologic recovery (identifying treatable conditions such as sleep problems; minimizing use of pharmacologic restraints through behavioral management techniques used by staff) are a major focus of the treatment experience for the trainee. Many ethical issues arise working with this patient group that are part of the training experience (e.g., guardianship, Do Not Resuscitate Status, and re-acquiring decision making capacity). Finally, the resident will learn how to assist with transition plans from inpatient hospitalization through team and family education about cognitive and behavioral impairments that impact levels of supervision needed and environmental requirements. The resident will learn what factors are considered when making recommendations about community versus institutional living based on cognitive and behavioral impairments for these types of patients. The VA has published several studies showing that this slow to recover patient group can improve over time with more than three-quarters regaining independence in activities of daily living in the first five years post-injury and 20 percent returning to productive roles and independent living in society during that timeframe. Guidelines and position statements in development from the American Academy of Neurology, American Congress of Rehabilitation Medicine, and NIDILRR TBI Model System indicate psychologists trained in DOC assessment, prognosis, and treatment participate in rehabilitation programs specializing in DOC inpatient rehabilitation. As such, this rotation provides a unique opportunity to acquire this form of specialized knowledge.

For full time trainees, regardless of selected area for focus, you will be expected to carry at least 2-4 neuropsych/psych cases at a time, though due to fluctuations in census, there may be times when you have more or less cases. You will be expected to participate in weekly interdisciplinary treatment team meetings, participate in bimonthly readings and didactics focused on these specific populations, and participate in weekly (or more) scheduled supervision.

Training objectives: By the end of the rotation residents will be able to:

1. State the rationale underlying the selection of various neuropsychological tests and other assessment methods for use with individuals in these specific populations.

2. Perform neuropsychological evaluations utilizing behavioral neurology techniques and standardized instruments in a flexible-battery, clinically-guided approach, and incorporate “process” observations into the interpretive endeavor.

3. Produce a journeyman's quality written, integrated neuropsychological or psychological report that provides functional and practical information to the rehabilitation team and includes appropriate recommendations.

4. Identify and describe common neurobehavioral and psychological syndromes (e.g., postconcussion syndrome, EC, poor effort/malingering, neglect, post-stroke depression, PTSD) or clinical problems specific to these populations.

5. Function effectively as a consultant to other health care providers in relation to psychological, social, and emotional issues associated with these clinical populations.

6. Cite the major literature on common cognitive, behavioral, emotional, personality, and psychosocial issues related to these populations.

7. Demonstrate improved differential diagnostic skills.

MEDICAL NEUROPSYCHOLOGYSupervisory Psychologist: Joel Kamper, Ph.D.

The Medical Neuropsychology rotation is an advanced rotation that is designed to provide 2nd-year residents with greater ability and autonomy in working with medical populations and interfacing directly with physicians and other healthcare providers. This rotation has 3 main foci: 1) Development of advanced clinical abilities, including interdisciplinary work in a specialty medical setting; 2) Preparation for independent practice through increased autonomy; and 3) Didactic and extra-clinical professional activities.

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Clinical experiences on the Medical Neuropsychology rotation are designed to build on and integrate the skill sets developed as a 1st year resident. Specifically, residents are expected to refine their ability to quickly integrate and conceptualize cases using all available data sources, build clinical confidence both in conceptualizing cases and in working with other providers, honing feedback skills with patients, and efficiently completing administrative tasks (e.g. report writing). When appropriate, direct communication and delivery of results with referring providers and other healthcare professionals is encouraged. Given the aim of the rotation, development and incorporation of non-standardized assessments (e.g. neurobehavioral exams) into clinical practice is also encouraged. As an outpatient rotation, the bulk of cases will be drawn from the pool of outpatient referrals and walk-in patients, with focus on medically and/or neurologically-complex individuals. However, the Medical Neuropsychology resident will also be responsible for completing brief evaluations with inpatient medical and inpatient neurology referrals. Finally, this rotation is designed to satisfy the intervention requirement for residents. While flexible, intervention work in the spirit of the rotation (e.g. a once-per-week MI group for neurologically-compromised individuals) is encouraged.

A second focus of this rotation is preparation for independent expert practice. To that end, advanced residents are viewed as junior colleagues, and are afforded reasonable flexibility and autonomy in how they arrange their day-to-day activities and manage their work and caseload, with a goal of averaging ~10 (not to exceed more than 12) hours of face-to-face time per week. This will not only give residents the opportunity to move towards greater independence within the bounds of a supportive training environment, but will also allow for the ability to further refine their individualized approach to neuropsychological practice. Advanced residents are additionally encouraged to participate in weekly neuropsychology staff meetings.

A third component of this rotation is didactic and extra-clinical professional activities, including the following:

1) Weekly didactic discussions with the supervisor contingent on the needs and interests of the resident and/or recently seen cases. Available topics include advanced discussion of medical and neurological conditions that impact cognition (e.g. paraneoplastic conditions, hypertensive encephalopathy/PRES), professional practice issues, or other topics of the resident’s choosing.

2) The resident is encouraged to participate in weekly grand rounds with neurology residents, and is given reasonable latitude to pursue or schedule other educational opportunities (e.g. special lectures through USF, observation of TMS or other outpatient procedures) at their discretion.

3) Protected time will also be given for involvement in brain cuttings as they are available, and the resident is encouraged to coordinate directly with the pathology residents and fellows.

4) Presentation of at least one clinical case during neurology grand rounds. 5) Other opportunities (e.g. further development of supervision skills, clinical research) may also be

available.

By the end of the rotation the advanced neuropsychology resident will have:

1. Developed the ability to quickly and effectively conceptualize cases, as evidenced by provision of an average of 10 hours of face-to-face clinical care per week, timely completion of administrative tasks (e.g. report writing), and comfort working in inpatient medical and other fast-paced settings.

2. Demonstrated the ability to integrate and work with physicians and other health care professionals by developing comfort with medical terminology and concepts and providing concise and tailored feedback both in person and in writing.

3. Developed the comfort and flexibility required for an independent neuropsychologist in expert practice, as evidenced by the ability to successfully manage their own time and workload, complete consultation requests in a timely manner, interact with other staff neuropsychologists, and manage administrative demands.

4. Demonstrated competence in brief, focused interventions with neuropsychologically relevant populations.

5. Gained exposure to brain cuttings and other educational opportunities to enhance knowledge of brain-behavior relationships.

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6. Demonstrated the comfort and ability to collegially interact with neurology residents and other professional colleagues.

7. Demonstrated a working knowledge of behavioral neurology, functional neuroanatomy, and neuropsychologically relevant neurological and related syndromes (e.g., types of aphasia, seizure disorders, paraneoplastic conditions, hepatic encephalopathy) through clinical cases and professional activities.

POLYTRAUMA TRANSITIONAL REHABILITATION (PRTP)NEUROPSYCHOLOGY

Supervisory Psychologist: Jennifer Duchnick, PhD, ABPP-RP

This rotation will provide an opportunity for postdoctoral neuropsychology trainees to gain: 1) enhanced clinical skills related to assessment and intervention with post-acute polytrauma/brain injury patients; 2) experience with the multiple roles of rehabilitation neuropsychologists, such as team consultation, therapy provision, cognitive rehabilitation, assessment of family needs & provision of feedback regarding cognitive and behavioral functioning to patients and families; and 3) exposure to a holistic model of interdisciplinary treatment. This rotation occurs within the context of the Polytrauma Transitional Rehabilitation Program (PTRP) which is housed in the Physical Medicine & Rehabilitation Service. PTRP is a CARF-accredited interdisciplinary rehabilitation program for soldiers and military veterans who sustained severe trauma to multiple systems. It consists of both outpatient day treatment and a residential program. Moderate to severe brain injury is the most common injury, with most program participants also having sustained orthopedic trauma, amputation(s), spinal cord injury, and/or burn injuries. Many were exposed to combat trauma and have psychological disorders related to war experiences or injury-related events. Primary transitional program goals are to aid participants': 1) return to community living with maximum independence; and 2) return to productive community roles, with an emphasis on work, volunteer, or formal education programs. Psychoeducation and supportive services are offered to participants' family members.

The PTRP residential treatment is a 10-bed residential unit and treatment space on the hospital campus. This building includes patient residences, treatment clinics, and common areas for patient use. Therapeutic activities are scheduled 5 to 7 days per week, including group and individual therapeutic activities for patients and families. Areas targeted include cognitive skills, functional living skills, home management skills, community reintegration skills, and management of emotional and behavioral symptoms post brain injury. Therapeutic work/volunteer activities may be available and educational guidance is provided through vocational rehabilitation. The outpatient day program has been in existence since 2006. Therapeutic activities are similar to those of the residential component, with sustained, intense and coordinated treatment from multiple disciplines focused on assisting the patient to return to productive community life with maximum independence. Transitional program psychologists function as members of the interdisciplinary treatment team and provide a full range of psychological and neuropsychological rehabilitation services within both component programs. Participants are typically in their 20s or 30s with moderate to severe brain injuries. Length of time since injury ranges from a few months to several years. The typical length of stay ranges from a few months to over 1 year.

At program admission, the psychologists conduct evaluations to help the team conceptualize the nature of cognitive, emotional, personality, and psychosocial issues that may affect the individual's progress in continuing rehabilitation, adjustment to injury, and quality of life issues. The trainee will be involved in a mix of general psychological assessment, neuropsychological assessment, and intervention. Neuropsychology evaluations may occur at program admission, discharge, or at periods during the program where updated evaluation of cognitive functioning is useful to inform treatment planning. On average, 2-3 opportunities for neuropsychological evaluation occur per month. These evaluations tend to be brief in nature (typically 2-4 testing hours). Evaluation instruments are selected based on clinical questions and on consideration of the individual's current behavioral repertoire. Recommendations are typically generated to address areas such as: level of supervision necessary for safety, ability to engage in work or volunteer activities, ability to participate in educational activities, capacity for independence with

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IADLs, or readiness for return to motor vehicle operation. Trainees will gain skill in providing therapeutic feedback to the patient and the family (if applicable), as well as to the rehabilitation treatment team. Psychological evaluations are conducted at admission for every patient, and typically include interview and questionnaire measures. Instruments assessing emotional state and personality/ psychopathology may also be included.

The postdoctoral trainee is expected to learn and utilize multiple treatment formats directed toward cognitive rehabilitation, behavioral improvement and psychological adjustment, such as individual, group, and family interventions. The trainee will be expected to lead or co-lead at least one of the weekly interdisciplinary groups and carry an individual caseload of 1-3 patients. Individual case load will vary depending upon the complexity of the patient/family needs and the time demands of assessment and group involvement. The trainee will lead 1-2 presentations in the Healthy Lifestyles psycho-educational group over the course of the rotation. Involvement in at least one team in-service presentation over the course of the rotation is expected. Opportunities also exist for involvement in co-treatment with other disciplines and for development of programming. At times, opportunities are also available for involvement in supervision of intern trainees.

The trainee will learn to function at an increasingly independent level with regards to provision of consultation to other disciplines, coordination of interdisciplinary interventions, and education of rehabilitation staff. Various components of a holistic treatment model will be utilized for case conceptualization, including the focus on the adjustment process and compensatory management of TBI-related cognitive deficits. Pertinent readings on holistic cognitive rehabilitation will be assigned to further develop the postdoctoral trainee's knowledge regarding neuropsychological and psychological issues associated with the specific patient population served. Participation in monthly journal club is also expected.

By the end of rotation the neuropsychology postdoctoral trainee will have:

1. Obtained advanced knowledge of common cognitive, behavioral, emotional, and psychosocial issues related to brain injury and polytrauma, with an increased appreciation of common behavioral manifestations of brain injury symptoms.

2. Demonstrated sound clinical rationale for assessment methods and intervention techniques in postacute brain injury rehabilitation. The trainee will have developed clinical intervention skills specific to the patient population and will have provided interventions with increased independence.

3. Developed familiarity with the multiple roles of a neuropsychologist in a rehabilitation setting. 4. Demonstrated a journeyman's ability to produce integrative written reports of neuropsychological

and psychological test findings, with recommendations. The trainee will have achieved high-level assessment skills, including test selection, administration, and integration of information from patient report, collateral sources, and the medical record.

5. Demonstrated a journeyman's ability to share findings and recommendations with relevant stakeholders, including patients, family members, and treatment team members.

6. Demonstrated advanced ability in providing consultation to interdisciplinary treatment team members regarding the implications and/or management of cognitive, behavioral, or emotional status of patient.

PRIMARY CARE NEUROPSYCHOLOGY CONSULTATION Supervisory Psychologist: David Ritchie, Psy.D.

General Description of Setting: The Primary Care Annex (PCA) is located at the Hidden River CBOC and consists of 5 primary care teams consisting of physicians, RNs, NPs, PAs, psychiatrists, behavioral health psychologists, case managers, social workers, nutritionists, dieticians, medical residents, and psychiatry residents.

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Referral questions will typically stem from patient concerns regarding memory, attention/concentration, and/or language functioning, while presenting diagnoses are likely to vary widely and may include neurological (e.g., stroke, epilepsy, MS, dementia), medical (e.g., MI, DM, chronic pain, HTN/HLD, HIV, hepatitis, thyroid dysfunction, lupus, and vitamin B deficiency), psychiatric (e.g., mood disorders, anxiety, PTSD, psychosis, adjustment problems related to medical conditions, and substance abuse) and/or behavioral health issues (e.g., management of chronic illness, dysfunctional communication between veteran and provider, poor medical literacy) .

Clinical interactions typically will include relatively brief consults and assessments lasting 10-30 minutes with the goal of conducting a functional interview and then providing feedback to the veteran and treating provider or team in regard to neuropsychological diagnostic impressions and/or the need for further comprehensive evaluation. The fellow is encouraged to follow the veteran from initial screening at the PCA, to a full neuropsychological evaluation (when necessary), to follow-up with the treatment team.

Responsibilities of the fellow On-site clinic

o The fellow on this rotation will be responsible for covering the walk-in/curbside consult clinic housed at the PCA, working alongside the neuropsychology staff supervisor and the on-site treatment team. The goal is for the fellow to assume a junior staff role, working semi-independently, providing exceptional and timely veteran centered care within a fast-paced primary care team. The fellow can expect to complete 2-6 brief cognitive screenings for veterans per week while they are at the PCA for other appointments. The fellow will supplement their workload with 1-2 scheduled full neuropsychological evaluations and being the primary provider for covering the Walk-In Clinic at the Memory Disorder Clinic (not to exceed 12 hours of face-to-face clinical time). The expectation is that the fellow will attempt to schedule their PCA screens for themselves if they require full neuropsychological evaluation and potentially follow-up with that veteran at the time of their next PCA appointment (if necessary).

Screen/Assessmento The fellow will learn how to use appropriate screening measures for assessing cognitive

functioning and/or capacity for medical decisions in a fast paced medical model setting.

Consult with Providerso When necessary, the fellow will effectively and efficiently communicate with treating

providers in verbal and written formats in a clear and concise manner through warm hand-offs.

Interventiono In addition to the neuropsychological screening component noted above, the fellow will

provide brief psychological interventions focused on altering behavioral health and/or mental health behaviors potentially underlying cognitive dysfunction aimed at symptom reduction.

PCA Behavioral Health Seminaro Responsible for completing one didactic presentation within Thursday morning

Behavioral Health Seminar series during the course of the rotation. Eligible topics will be based upon area of interest related to providing neuropsychological services within a primary care setting (i.e., normal vs. abnormal aging/MCI, cognitive sequelae of various medical diagnoses, cognitive screening in primary care, etc.).

Clinic Administrative Taskso Assisting with administrative tasks as needed, such as attending PACT team meetings,

scheduling PCA patients at the PCA clinic and the MDC, meeting with providers regarding patient or clinic matters.

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o Fellows will also have an integral role in the administrative tasks running the clinic’s daily functions, including program development surrounding future clinic initiatives and managing programmatic resources.

o Fellow will take priority position in scheduling consults placed through the PACT teams for themselves to supplement their workload through the MDC/neuropsychology outpatient clinic.

By the end of the rotation, the fellow will demonstrate:1. Demonstrate increased knowledge regarding medical syndromes, terminology, and procedures

germane to the primary care setting2. Demonstrate increased knowledge of interplay between medical disorders and

neuropsychological diagnoses and complaints3. Increased proficiency in ease of communicating with medical providers and the treatment team4. Greater proficiency in regard to quickly evaluating for cognitive disorders5. Learn basic MI for incorporating into feedback with veterans regarding health behaviors impacting

cognitive functioning6. Develop a proficiency in appropriately triggering patient needs and recommending referrals to

hospital specialty clinics7. Conduct brief chart reviews to aid in competent screening and assessment8. Provide clear and concise feedback to providers through face-to-face consultation, via email and

formal report writing

SPINAL CORD INJURY/DISORDERS REHABILITATIONSupervisory Psychologist: Michael Pramuka, Ph.D., CRC

This rotation occurs within the context of the Spinal Cord Injury/Disorders (SCI/D) Service. The SCI/D Service provides clinical care to individuals who have sustained spinal cord injuries or who suffer from other causes of spinal cord dysfunction, such as multiple sclerosis or spinal stenosis. The service is located in a newly constructed wing dedicated to the care of individuals with SCI/D. The inpatient component is comprised of 100 beds, including 10 beds for individuals weaning off ventilators and 30 long-term care beds (10 of which are for individuals dependent on ventilators). The SCI/D Inpatient Rehabilitation Program is CARF-accredited. Annually, it provides acute and sustaining care to more than 500 individuals through a multidisciplinary team model of health care delivery. Patient characteristics vary considerably from the older WWII and Korean War veteran to young active duty individuals injured in the Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn.

SCI/D neuropsychologists and residents function as members of the multidisciplinary teams and provide a full range of psychological rehabilitation services. The resident may work with veterans and active-duty individuals through both the inpatient and outpatient components of the SCI/D Service but the primary experience will be with the inpatient Acute Rehabilitation Team. The SCI/D neuropsychologist helps to identify and conceptualize the nature of cognitive, personality, and psychosocial issues that may affect the individual's progress in rehabilitation, adjustment to SCI/D, and quality of life. Common findings include cognitive impairment from concomitant head injury, hypoxia, or premorbid neurological disorder; mood and adjustment disorders; substance abuse/dependence. Personality disorders/characteristics, grief and loss, and changes in primary relationships are common areas of focus. Psychotherapeutic interventions may include relatively brief series of problem-focused interactions, longer-term treatment of adjustment to disability, education/interventions with treatment staff, and couples or family therapy. Residents will be involved in co-facilitating supportive group therapy and/or a psychoeducational group. Residents may conduct cognitive rehabilitation under the aegis of our Speech and Language Pathology Service. Close involvement and consultation with the treatment team, including attendance at weekly team meetings and team rounds, is expected.

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Opportunities for involvement in outpatient referrals are diverse. The J. A. Haley SCI/D program is part of the VA Multiple Sclerosis Centers of Excellence and actively treats individuals with MS. In addition, the SCI/D program provides treatment to a large cohort of individuals with amyotrophic lateral sclerosis (ALS). The resident will conduct neuropsychological evaluations for those individuals requiring baseline evaluations and evaluations following MS exacerbations. The resident will provide feedback and education regarding neuropsychological status and the behavioral expression of those deficits. Outpatient evaluations can also include participation in conducting the psychosocial needs assessment, which is part of the Comprehensive Annual Medical Examination.

A clinically-oriented, flexible/adaptive approach is used for conducting cognitive and psychological evaluations. Evaluations involve chart review for relevant history, clinical interview, collateral interview (when available), administration and scoring of appropriate tests, interpretation of test performance, and the production of a written report of the findings and recommendations. Evaluation instruments are selected based on clinical questions and on consideration of the individual's current behavioral repertoire. Regardless of the specific instruments selected, evaluations typically include assessment of intellectual ability, learning and memory abilities, visuospatial abilities, reasoning/concept formation ability, attentional control and other executive functions, and emotional state and personality/psychopathology.

Participation in the weekly meeting of the SCI/D psychologists and the monthly SCI/D Psychology journal club is also expected. Experience in supervision of psychology interns who are completing the SCI/D internship rotation is possible.

By the end of the rotation, the resident will demonstrate:1. A sound knowledge of the etiology and physical sequelae of SCI/D.2. An advanced knowledge of the cognitive and psychosocial sequelae of SCI/D. 3. Sound clinical rationale for test selection and administration of cognitive and psychological

assessment instruments with this specialized population.4. A journeyman's ability to produce integrative written reports of psychological test findings with

recommendations for treatment and rehabilitation.5. Advanced ability in providing psychotherapeutic interventions that address the broad range of

psychological and psychosocial sequelae of SCI/D.6. The interpersonal skills necessary for consultative and collaborative endeavors in both clinical

and research settings.

USF NEUROPSYCHOLOGY / EPILEPSY & FORENSICSSupervisor: Michael Schoenberg, Ph.D., ABPP-CN & Michelle Mattingly, Ph.D., ABPP-CN

This rotation will involve working closely with attending neuropsychologists completing both outpatient and inpatient neuropsychological assessments with children and adults at either the downtown Tampa outpatient center (STC building) or at USF Affiliated Hospital, including Tampa General Hospital and FL Hospital-Tampa. Residents will work with a broad number of neuropsychological and psychological measures. Focused experiences are provided in the neuropsychology of epilepsy, bedside neurobehavioral assessment on an inpatient rehab and neurological care unit as well as forensic neuropsychology.

Epilepsy/Neurosurgical Neuropsychology: Experiences in the neurosurgical neuropsychology focus on epilepsy surgery as well as surgical evaluation for DBS and normal pressure hydrocephalus. Residents will be exposed to outpatient neuropsychological evaluations, intracarotid methahexital (Wada's) testing, and assessments completed during long-term video monitoring on an inpatient consult service. Additional experiences, including observing aspects of neurological surgery including resection and stereotaxic surgical procedures as well as electrocorticography (ECoG) can be negotiated. Residents will be provided with hands on training in conducting Wada's testing with attending neuropsychologist as well as neurology and interventional radiology faculty. Residents will be expected to attend and participate in weekly Epilepsy case conferences. Residents will review neuropsychology, neurology, and neurosurgical

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literature in epilepsy to provide a framework for consulting with neurology and neurosurgery faculty on providing input to guiding surgical decision making process. Opportunities for research in the neuropsychology of epilepsy and/or pseudo nonepileptic seizures/attacks is also available to motivated residents. Goals of the rotation include continued development of assessment skills, diagnosis, and recommendations. Functional neuroanatomy is discussed in depth. Training will emphasize gaining competence to identify neuropsychological features that, when combined with neurological and/or radiological data, have implications for predicting surgical outcome, and consulting in multidisciplinary treatment teams to provide input for neuropsychological indications and contra-indications for surgical treatment. Evidence-based neuropsychology practice is emphasized. Residents will also participate in didactic neuropsychology programmatic activities within the USF Health, Dept. of Neurosurgery and Brain Repair as well.

Forensic Neuropsychology: Experiences in forensic neuropsychology practice will include exposure to civil case neuropsychology services. Cases will include personal injury, independent neuropsychological (medical) evaluations (IME), worker's compensation cases, and long-term disability cases. Residents will obtain experience in civil aspects of forensic neuropsychology practice (allowed by parties involved), including record review, neuropsychological assessment, interviewing skills, and developing integrative reports to answer referral questions. Additional experiences, including observing depositions and court testimony of neuropsychology attending may also be possible. Residents will review relevant literature for particular cases to provide input to guiding the assessment and interpretation process. Opportunities for research are available to motivated residents. Goals of the rotation include continued development of assessment skills, diagnosis, and means to practice neuropsychology in a medicolegal arena. Evidenced-based neuropsychology research and practice is emphasized. Residents will also participate in didactic experiences as detailed above for the epilepsy neuropsychology service.

Training expectations:

1. Perform a minimum of 4-8 evaluations each month in either epilepsy and/or forensic neuropsychology. Forensic neuropsychology caseloads vary as does extent residents may be allowed to participate depending upon agreement from parties involved; however, every effort will be made to assure Resident’s involvement in at least 1 forensic case each rotation. Residents may be involved in testing patients/claimants, scoring data, and assisting in conceptualization and decision making.

2. Review medical/legal records and integrate into report. 3. Write/complete full reports within 1 week of the completed assessment. 4. Participate in weekly division meetings. 5. Participate in bi-monthly readings and didactics focused on these specific populations.6. Participate in weekly Epilepsy case conference meetings 7. Participate in weekly (or more) scheduled supervision. 8. Attend Neurosurgery Grand Rounds, Neurology Grand Rounds and Radiology Grand Rounds as

may be possible. Training objectives:

By the end of the rotation the post-doctoral trainees will be able to

1. State the rationale underlying the selection of various neuropsychological tests and other assessment methods for use with individuals in specific populations.

2. Perform neuropsychological evaluations utilizing standardized instruments in a flexible-battery, clinically-guided approach.

3. Perform the neuropsychological or cognitive portion of the Intracarotid methahexital (Wada’s) tests independently.

4. Produce a written, integrated neuropsychological report that provides diagnostic and interpretive summary to address referral question.

5. Identify and describe common neuropsychological and psychological syndromes (e.g., TBI, poor effort/malingering, PTSD) or clinical problems specific to these populations.

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6. Cite the major literature on common cognitive, behavioral, emotional, personality, and psychosocial issues related to these populations.

7. Demonstrate improved differential diagnostic skills.8. Demonstrate ability to consult with neurologists and neurological surgeons on pre-surgical

planning for patients with medication refractory epilepsy using evidence-based neuropsychology.

Requirements for CompletionThe postdoctoral training program requires two years of full-time training to be completed in no less than 24 months. Residents must complete 4000 hours of supervised on-duty time during the postdoctoral years. Residents will average at least 14 hours/week in direct patient contact (i.e., “face-to-face” contact with patients or families for any type of group or individual therapy, psychological testing, assessment activities or patient education). This experience meets Florida psychology licensing requirements (i.e., at least 900 hours of activities related to direct client contact).

To successfully complete the residency, residents are expected to demonstrate an appropriate level of professional psychological skills and competencies in the core areas (all competency areas rated at High Intermediate/Occasional supervision needed or Advanced Skills) and successfully complete the research requirement. However, it is expected that by the end of the 2-year program the majority of competency areas will be rated at level of competence of "Advanced/Skills comparable to autonomous practice at the licensure level".

EVALUATION PROCEDURES Competency-Based Evaluation System: It is our intention that evaluation of postdoctoral resident’s progress be open, fair, and part of the learning process. Residents are involved in all phases of evaluation from the initial concurrence with training goals through the final evaluation. Ongoing feedback during supervisory sessions is presumed and residents should request clarification from supervisors if there is uncertainty about progress.

To assist in our postdoctoral training and evaluation process, and to document the attainment of basic core competencies and outcomes, competency evaluations are conducted for the resident’s clinical activities. The program utilizes a behaviorally-based model of evaluation with ratings based on the amount of supervision required for the resident to perform the task competently. In general, this rating scale (described below) is intended to reflect the developmental progression toward becoming an independent psychologist. Expectations for Postdoctoral Residents are as follows:

_____ Goal for post-doctoral evaluations done at 12 months (completion of 1st year)The majority of competency areas will be rated at a level of 4 (described below):

Proficiency is emerging even in non-routine cases. Supervisor oversees trainee’s activities, but trainee manages day-to-day activities with emerging autonomy. Supervision resembles peer consultation with in-depth supervision necessary only in unusually complex situations.

_____ Goal for post-doctoral evaluations done at 24 months (completion of residency)The majority of competency areas will be rated at level of competence of at least a 6 (described below):

Proficiency even in non-routine cases is routinely demonstrated at an early-career specialist level. While potentially licensed, supervision is maintained due to trainee status. Supervision devoted primarily to advanced, expert topics and trainee maintains autonomy in all but exceptional circumstances. Competency in all global competency areas at full VA psychology staff privilege level is maintained.

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At the end of each rotation, in the judgment of his/her supervisor and the Postdoctoral Training Subcommittee, the resident is evaluated in each of the core competency areas and their components, with an expectation of satisfactorily progressing. The core competency areas are: 1) Integration of Science and Practice; 2) Ethical and Legal Standards/Policy; 3) Individual and Cultural Diversity; 4) Professional Identity & Relationships/Self-Reflective Practice; 5) Interdisciplinary Systems/Consultation; 6) Assessment; 7) Intervention; 8) Research; 9) Teaching/Supervision/Mentoring; and 10) Management/Administration. To successfully complete the residency, residents are expected to demonstrate an appropriate level of professional psychological skills and competencies in the core areas as described above. Competency based ratings are as follows:

7 Advanced proficiency is demonstrated with skills comparable to autonomous practice in a specialized field. This is a rare rating that reflects collegial level of autonomy and proficiency at the expert level despite maintenance of required trainee role and expectations.

6 Proficiency even in non-routine cases is routinely demonstrated at an early-career specialist level. While potentially licensed, supervision is maintained due to trainee status. Supervision devoted primarily to advanced, expert topics and trainee maintains autonomy in all but exceptional circumstances. Competency in all global competency areas at full VA psychology staff privilege level is maintained.

5 Proficiency in advanced skills or area of specialty interest is developing. Competency in all global competency areas at full VA psychology staff privilege level is achieved; however, as an unlicensed trainee, supervision is required while in training status. Supervisor remains responsible for trainee’s activities, but trainee demonstrates autonomy in all routine day-to-day activities. In-depth supervision is required infrequently and occasional discussion of advanced topics.

4 Proficiency is emerging even in non-routine cases. Supervisor oversees trainee’s activities, but trainee manages day-to-day activities with emerging autonomy. Supervision resembles peer consultation with in-depth supervision necessary only in unusually complex situations.

3 Competency attained in all but non-routine cases, though supervisor provides overall management of trainee’s activities. Trainee demonstrates increasing ease and integration of advanced skills and proficiency is emerging in routine cases or area of specialty interest. Supervision/consultation may be necessary in non-routine situations, though depth of supervision varies as clinical needs warrant. While the trainee may not possess the specific skill set required for independent practice in a specific rotation setting, this level represents the achievement of minimal competency for independent general psychological practice.

2 Basic skills are implemented with ease and more complex skills are emerging, particularly in a specialty area of interest. Trainee demonstrates emerging competency in routine cases. Routine supervision of most activities, thought depth of supervision varies as clinical needs warrant.

1 Competency not demonstrated in routine cases. Remediation plan clearly indicated.

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Residents receive a formal evaluation (electronically completed and stored) from their rotation supervisor at the end of each rotation, as well as an intermediary evaluation at the mid-point of each rotation. The rotation mid-point evaluations are intended to be a progress report for residents to ensure they are aware of their supervisor’s perceptions and to help them focus on specific goals and areas of work for the second part of the rotation. Final rotation evaluations will also provide specific feedback and serve to help the resident develop as a professional. Residents also provide a written evaluation of each rotation and supervisor upon completion of the rotation. This and the supervisor’s evaluation of the resident are discussed by the resident and supervisor to facilitate mutual understanding and growth.

Upon completion of each rotation, copies of the resident’s and the supervisor’s final rotation evaluations are stored electronically.

Facility and Training ResourcesResidents have individual office space as well as individual workstations with computers. Residents also have access to other offices for therapy and evaluations. The offices are all equipped with networked computers that allow access to the computerized medical record system, productivity software, internet/intranet, and email. The psychology programs are integrated into the Mental Health and Behavioral Sciences Service, and, in addition to the training program administration, the staff and trainees have some additional clerical and administrative support from the service.

The libraries of the James A. Haley Veterans’ Hospital provide a wide range of evidence-based resources for Psychology staff, interns, and trainees. Hospital librarians provide:

Professional and prompt assistance, including expert research and bibliographic searching, reference assistance, instruction on database use, interlibrary loans, etc.

More than 50 databases, including 9 directed specifically to the needs of mental health professionals (PsychiatryOnline.com, PILOTS, Health & Psychosocial Instruments, PsycINFO, PsycARTICLES, PsycBOOKS, PsycTESTS, Mental Measurements Yearbook, Psychology & Behavioral Sciences Collection).

Resources are IP-authenticated for immediate access on any VA networked computer. Remote access is provided using Athens authentication.

The Medical Library has 3,400 print books and more than 20,000 ebooks. The Library also has unique collections of ebooks on PTSD and TBI.

The Medical Library’s collection includes more than 7,000 print and electronic journals, including 13 ‘clinical psychology’ and 10 ‘mental health’ titles.

The Patient Library provides access to more than 7,000 consumer health education books and DVDs to assist clinicians in providing patient education and meeting informed consent guidelines. A small consumer health library, the PERC, is located at the Primary Care Annex (13515 Lake Terrace Lane, Tampa).

The Medical Library is open 24/7 for staff and trainees. It has 12 computers, and is conveniently located near the cafeteria and auditorium of the main hospital.

The main library at the University of South Florida houses over 1,500,000 volumes including 4,900 journal subscriptions. In addition, the USF College of Medicine library, which is directly across the street from the VA medical center, maintains over 88,000 books including over 1,400 journal subscriptions. Literature searches and complete bibliographies with abstracts are available upon request.

Commonly used and essential tests and related materials are maintained by the rotation supervisors and are available to the resident for assessment of the veteran. In addition, the residents maintain a smaller library of assessment instruments for their own use. In addition, many computerized assessments are available through the computerized medical record’s Mental Health Assistant (e.g., MMPI2, MMPI2-RF, PAI, BDI2, BAI, etc.).

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Administrative Policies and Procedures

ANNUAL AND SICK LEAVEAccumulated according to standard VA policy: 4 hours of sick leave and 4 hours of vacation leave earned every two-week pay period.

DUE PROCESS: GRIEVANCE PROCEDURES

Although rare, differences of opinion do sometimes arise between residents and a supervisor or other staff member. If this occurs, the following procedures will be followed:

(1) The trainee should request a meeting with the supervisor or staff member to attempt to work out the problem/disagreement. The supervisor will set a meeting within 2 working days of the request. It is expected that the majority of problems can be resolved at this level. However, if that fails:

(2) The trainee should request to meet with the Director, Psychology Training Programs and the Assistant Training Director of the program. A meeting will be arranged within 2 working days to work out the difficulty. In cases involving disagreement with the Assistant Training Director, the trainee may address their case directly to the Director, Psychology Training Programs. In cases involving disagreement with the Director, Psychology Training Programs, the trainee may address their case directly to the Psychology Service Chief for appropriate action. In unusual and confidential instances, the trainee may address their case directly to the Psychology Service Chief. If that fails:

(3) The Training Director, Assistant Training Director, trainee, and supervisor or staff member meet within 2 working days of Step 2. If a consensual solution is not possible:

(4) The trainee, Psychology Service Chief, Training Director, and the trainee's supervisor or staff member meet to resolve the problem within 5 working days of Step 3. If that fails:

(5) The issue will be brought before the Affiliations Subcommittee of the Continuing and Hospital Education Committee for resolution. This is the final step of the appeal process.

UNSATISFACTORY OR DELAYED PROGRESS

Most issues of clinical or professional concern are relatively minor and can be addressed in open and ongoing assessment of knowledge, skills, and abilities by the resident and the immediate supervisor. However, the following procedures are designed to advise and assist residents performing below the program's expected level of competence when ongoing supervisory input has failed to rectify the issue:

(l) If competency areas are not improving to expected levels with routine supervision, the resident will receive a hearing (with the supervisor, Assistant Training Director, and Training Director) to detail the specific areas of concern, share her/his perspective on the areas of concern, as well as have the opportunity to invite an advocate of their choice. The Neuropsychology Training Committee will develop recommendations for revised goals and specific remedial activities for the resident. The resident will be informed by the Training Director and/or Assistant Training Director as to the specific goals, expectations, and implementation plan. Monitoring of subsequent progress will occur through the Rotation Supervisor(s), Research Supervisor(s), and Training Directors. If performance improves such that training goals for that rotation are substantially met, the resident will proceed with subsequent rotation(s) as planned.

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Monitoring of new/continued goals will occur routinely by the new Rotation Supervisor and Training Directors to identify any additional remediation needs.

(2) If, by the end of the rotation where the problems/training need has been identified, the resident's improvement in performance is unsatisfactory, the resident will again receive a hearing (with the supervisor, Assistant Training Director, and Training Director) to detail the specific areas of concern. The Neuropsychology Training Committee will meet again to identify additional remediation strategies, including possible extension of the current rotation or alteration in rotation sequence.

(3) If at any time, the resident disagrees with the evaluation of progress, an appeal may be made, following the Grievance Procedures outlined above.

(4) If, at the end of the subsequent rotation, the resident's performance deficiencies have not improved substantially, the Neuropsychology Training Committee may enact one or more of the following options:

a. If correction of the problem is possible with additional months of training or by adding additional training experiences, such may be recommended. The resident may be placed in a non-pay status (without compensation) for the duration of the extension.

b. If the training deficiency is determined to be so severe that the Neuropsychology Training Committee believes it cannot be remedied in a timely manner, they will request that the issue be brought before the Affiliations Subcommittee of the Continuing and Hospital Education Committee for purpose of review of the circumstances by an independent hospital body. The Neuropsychology Training Committee will accept guidance from the Affiliations Subcommittee regarding actions that may occur at this time, which may include termination of the residency experience without completion.

COLLECTION OF PERSONAL INFORMATION

We collect no personal information from you when you visit our website. If you are accepted as a resident, some demographic descriptive information is collected and sent in a de-identified aggregate manner to the American Psychological Association as part of our annual reports for accreditation.

Training StaffAll members of the Psychology training staff have clinical responsibilities. In addition, they all serve in a variety of other professional roles: as faculty members in the College of Medicine and other university departments, as office holders in professional organizations, in administrative roles within the hospital, and as researchers. In the following pages, we provide a brief description of potential primary and/or secondary supervisors. They are listed alphabetically with information regarding their doctoral training program, primary clinical responsibility, faculty appointments, and clinical interests.

Heather G. Belanger – Ph.D., ABPP-CN, University of South Florida, 2001Training Director, Internship and Postdoctoral Residency ProgramsClinical Neuropsychologist, Polytrauma Rehabilitation CenterAssociate Professor, Department of Psychiatry and Behavioral Neurosciences, USFClinical Interests: Assessment, mild TBI, TBI interventions

Katherine Burns – Ph.D. George Washington University, 2014Clinical Neuropsychologist, Outpatient Neuropsychology ClinicsCourtesy Faculty, Department of Psychiatry and Behavioral Neurosciences, USFClinical Interests: Geriatric neuropsychology, Stroke, Dementias

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Ann Cradit, Ph.D. – Michigan State University, Counseling Psychology, 1996Rehabilitation Psychologist, Polytrauma Transitional Rehabilitation ProgramClinical Interests: Acquired Brain Injury, Cognitive Rehabilitation, Family adjustment, Program

Development and Outcomes.

Jennifer J. Duchnick - Ph.D., ABPP-RP, Auburn University, 2001Assistant Training Director, Rehabilitation Psychology Postdoctoral ProgramRehabilitation Neuropsychologist, Polytrauma Transitional Rehabilitation ProgramClinical Interests: Neuropsychology, Rehabilitation Psychology, TBI, SCI, Clinical Intervention,

Adjustment to Injury, Trauma

Joel E. Kamper – Ph.D., Loma Linda University, 2013Clinical Neuropsychologist, Memory Disorder/General Neuropsychology ClinicsClinical Interests: Neuropsychology, TBI, Dementias, Instrument Development

Tracy S. Kretzmer - Ph.D., University at Alabama, Birmingham 2006Clinical Neuropsychologist, Polytrauma Rehabilitation ProgramAssistant Professor, USF Department of PsychologyClinical Interests: Neuropsychology, TBI, Mood-related Cognitive Dysfunction, Stroke

Michelle Mattingly – Ph.D., ABPP-CN, Florida State University, 1999Clinical Neuropsychologist, USF Dept of NeurosurgeryAssociate Professor, Depts. of Pediatrics, Neurology, and Neurosurgery, USFClinical Interests: Forensic Assessment, Dementias, Mild Cognitive Impairment.

Tamara McKenzie-Hartman– Psy.D., Argosy University, Washington DC, 2012Clinical Neuropsychologist, Defense & Veteran’s Brain Injury Center, Post-Deployment Rehabilitation and Evaluation Program (PREP)TBI Clinic at MacDill AFBClinical Interests: Neuropsychology, TBI, Rehabilitation

Risa Nakase-Richardson, Ph.D. West Virginia University, 1999Clinical Neuropsychologist, Polytrauma Rehabilitation ProgramAssociate Professor, USF Department of Medicine, Pulmonary & Sleep Medicine DivisionClinical Interests: Acquired Brain Injury, Emerging Consciousness, Rehabilitation, Sleep

Michael Pramuka, PhD., CRC, University of Pittsburgh 1998Clinical Neuropsychologist and Rehabilitation Psychologist, JAHVH SCI/D CenterAdjunct Assistant Professor, Department of Rehabilitation Science, University of PittsburghClinical Interests: TBI, MS, ALS, Cognitive Rehabilitation, Functional Assessment

David Ritchie – Psy.D., Nova Southeastern University, 2013Clinical Neuropsychologist, Outpatient Neuropsychology ClinicsClinical Interests: Neuropsychological integration within primary care settings.

Mike R. Schoenberg – Ph.D., ABPP-CN, Wichita State University, 2001Chief, Neuropsychology Division, USF Dept of NeurosurgeryAssociate Professor, Depts. of Psychiatry and Neurosciences, Neurology, and Neurosurgery, USFClinical Interests: Epilepsy, TBI, Mild Cognitive Impairment, Neuroanatomic Organization of

Language and Memory, Forensic Assessment

Marc A. Silva – Ph.D., Marquette University, 2011Clinical Neuropsychologist, Polytrauma Rehabilitation Program

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Courtesy Faculty, University of South Florida, Department of PsychologyClinical Interests: Assessment, Brain Injury

Eric P. Spiegel – Ph.D., Fuller Graduate School of Psychology, 2007Clinical Neuropsychologist, Memory Disorder Clinic Clinical Interests: Neuropsychology, Dementia, Movement Disorders

Holly Villareal Steele - Ph.D. University of South Florida, Tampa 1990Clinical Psychologist, Polytrauma Rehabilitation ProgramAdjunct Professor & Supervisor, USF Department of PsychologyClinical Interests: Behavioral Interventions, Assessment and Enhancement of Functional Abilities,

Self-Injurious Behavior

Christina Thors - Ph.D., Fordham University, 2000 Clinical Psychologist, Polytrauma Rehabilitation Program Clinical Interests: Mild Traumatic Brain Injury, PTSD, Post deployment Adjustment

Rodney D. Vanderploeg - Ph.D., ABBP-CN, Fuller Graduate School of Psychology, 1982Psychology Supervisory Program Leader: Section of Brain Injury Rehabilitation and

Neuropsychology.Clinical Neuropsychologist, Polytrauma/Traumatic Brain Injury Program. Clinical Professor, Departments of Psychiatry and Psychology, USFClinical Interests: Neuropsychology, Traumatic Brain Injury, Cognitive Rehabilitation, Instrument

Development

Jessica L. Vassallo – Ph.D., ABBP-CN, Fairleigh Dickinson University, 2004Assistant Training Director, Neuropsychology Postdoctoral Residency ProgramClinical Neuropsychologist, Memory Disorder/General Neuropsychology ClinicsClinical Interests: Dementia, Epilepsy, Neuropsychological Interventions, Healthy Aging

TraineesPast Residents are listed below by year of beginning the program, graduate school, type of graduate program, degree earned, and prior internship site.

Resident Graduate University Area of Prof Degree Internship Site2006 Univ. of Alabama Clinical Ph.D. Birmingham VA2007 Fuller Graduate School Clinical Ph.D. Tampa VA2007 Louisiana Tech Clinical Ph.D. VA Gulf Coast Care 2008 Univ. of Alabama Clinical Ph.D. Boston Consortium2009 San Diego State Univ Clinical Ph.D. Univ of Florida2009 Washington State Univ Clinical Ph.D. Palo Alto VA2010 Univ of Florida Clinical Ph.D. Tampa VA2011 Marquette University Counseling Ph.D. Tampa VA2011 Florida Institute of Technology Clinical Psy.D. Brooke Army Medical 2012 Univ of Illinois at Urbana-Champaign Counseling Ph.D. Tampa VA2013 Wayne State University Clinical Ph.D. Univ of Alabama2013 Loma Linda University Clinical Ph.D. Detroit VA2014 George Washington University Clinical Ph.D. Tampa VA2014 California School of Prof Psychology Clinical Ph.D. Gainesville VA2015 Roosevelt University Clinical Psy.D. Tampa VA2015 Univ. of Houston Clinical Ph.D. Univ. AL - Birmingham2016 Roosevelt University Clinical Psy.D. Tampa VA2016 Wayne State University Clinical Ph.D. Tampa VA

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2017 Kent State University Clinical Ph.D. Tampa VA2017 University of Florida Clinical Ph.D. Emory University

Recent Staff and Trainee Research Publications (2010 to present)Intern or Postdoc Names are bolded

PUBLICATIONSAjao, D.O., Pop, V., Kamper, J.E., Adami, A., Rudobeck, E., Huang, L., Vlkolinsky, R., Hartman, R.E.,

Ashwal, S., Obenaus, A., & Badaut, J. (2012). Traumatic brain injury in young rats leads to progressive behavioral deficits coincident with altered tissue properties in adulthood. Journal of Neurotrauma, 29(11), 2060-74.

Arciniegas, D.B., Zasler, N.D., Vanderploeg, R.D., & Jaffee, M.S. (Editors). (2013). Clinical Manual for the Management of Traumatic Brain Injury. Arlington, VA: American Psychiatric Publishing, Inc.

Armistead-Jehle, P., Cooper, D.B., Vanderploeg, R.D. (2016). The role of performance validity tests in the assessment of cognitive functioning after military concussion: A replication and extension. Applied Neuropsychology. 23(4), 264-273. 2015 Nov 16. [Epub ahead of print]. doi: 10.1080/23279095.2015.1055564.

Armistead-Jehle, P., Soble, J.R., Cooper, D.B. & Belanger, H.G. (2017). Unique aspects of traumatic brain injury in military and veteran populations. Physical Medicine & Rehabilitation Clinics of North America, 28, 323-337. http://dx.doi.org/10.1016/j.pmr.2016.12.008

Belanger, H.G., Barwick, F.H., Kip, K.E. Kretzmer, T. & Vanderploeg, R.D. (2013). Postconcussive symptom complaints and potentially malleable positive predictors. Clinical Neuropsychologist, 27(3): 343-55.

Belanger, H.G., Barwick, F., Silva, M.A., Kretzmer, T., Kip, K.E., & Vanderploeg, R.D. (2015). Web-based psychoeducational intervention for postconcussion symptoms: A randomized trial. Military Medicine, 180, 192-200.

Belanger, H.G., Donnell, A.J., & Vanderploeg, R.D. (2014). Special Issues with Mild TBI in Veterans and Active Duty Service Members. (pp. 389 - 412). In Sherer, M. & Sander, A. (Eds.), Handbook on the Neuropsychology of Traumatic Brain Injury. New York: Springer Press.

Belanger, H.G., Kretzmer, T., Vanderploeg, R.D., French, L.M. (2010). Symptom complaints following combat-related TBI: Relationship to TBI Severity and PTSD. Journal of the International Neuropsychological Society, 16(1): 194-9.

Belanger, H.G., Lange, R.T., Bailie, J., Iverson, G.L., Arrieux, J.P., Ivins, B., Cole, W.R. (2016). Interpreting change on the Neurobehavioral Symptom Inventory and the PTSD Checklist in military personnel. The Clinical Neuropsychologist, 30(7), 1063-73. doi: 10.1080/13854046.2016.1193632

Belanger, H.G., Powell-Cope, G., Spehar, A.M., McCranie, M., Klanchar, S.A., Yoash-Gantz, R., Kosasih, J.B., & Scholten, J. (2016). The Veterans Health Affairs’ traumatic brain injury clinical reminder screen and evaluation – Practice patterns. Journal of Rehabilitation Research and Development, 53(6), 767-780. http://dx.doi.org/10.1682/JRRD.2015.09.0187

Belanger, H.G., Proctor-Weber, Z., Kretzmer, T., Kim, M., French, L.M., Vanderploeg, R.D. (2011). Symptom Complaints following Reports of Blast versus Non-Blast Mild TBI: Does Mechanism of Injury Matter? The Clinical Neuropsychologist, 25, 702-715.

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Belanger, H.G., Silva, M.A., Donnell, A., McKenzie-Hartman, T., Lamberty, G.J., Vanderploeg, R.D. (2017). Utility of the Neurobehavioral Symptom Inventory (NSI) as an outcome measure: A VA TBI Model System study. Journal of Head Trauma Rehabilitation. 32(1), 46–54. 2015 Dec 24. [Epub ahead of print]. doi: 10.1097/HTR.0000000000000208

Belanger, H.G., Spiegel, E., Vanderploeg, R.D. (2010). Neuropsychological performance following a history of multiple self-reported concussions: A meta-analysis. Journal of the International Neuropsychological Society, 16(2): 262-7.

Belanger, H.G., Tate, D., & Vanderploeg, R.D. (in press). Mild Traumatic Brain Injury. (Chapter 18, pp. xxx-xxx). In Morgan, J.E. & Ricker, J.H. (Eds). Textbook of Clinical Neuropsychology, 2nd Edition. New York: Taylor & Frances.

Belanger, H.G., Vanderploeg, R.D., & McAllister, T. (2016). Subconcussive blows to the head: A formative review of short-term clinical outcomes. Journal of Head Trauma Rehabilitation, 31(3):159-66.

Belanger, H.G., Vanderploeg, R.D., & Sayer, N. (2016). Screening for remote history of mild TBI in VHA: A critical literature review. Journal of Head Trauma Rehabilitation, 31(3): 204-14.

Belanger, H.G., Vanderploeg, R.D., Silva, M.A., Cimino, C.R., Roper, B.L., Bodin, D. (2013). Postdoctoral recruitment in neuropsychology: A review and call for interorganizational action. The Clinical Neuropsychologist, 27, 159-175.

Belanger, H.G., Vanderploeg, R.D., Soble, J.R., Richardson, M. & Groer, S. (2012). Validity of the Veterans Health Administration’s TBI Screen. Archives of Physical Medicine & Rehabilitation, 93(7), 1234-9.

Brenner, L.A., Vanderploeg, R.D., & Terrio, H. (in press). Assessment and Diagnosis of Mild Traumatic Brain Injury, Posttraumatic Stress Disorder, and Other Polytrauma Conditions: Burden of Adversity Hypothesis. (pp. xxx-xxx). In Giordano, J. (Ed.). Brain Injury and Stroke: Spectrum Effects and Implications. Arlington, VA: Potomac Institute Press.

Caplan, L.J., Ivins, B., Poole, J., Vanderploeg, R.D., Jaffee, M.S., Schwab, K. (2010). The Structure of Postconcussive Symptoms in Three U.S. Military Samples. Journal of Head Trauma Rehabilitation, 25(6), 447–458.

Castro A, Anderson WM, Nakase-Richardson R. (in press). Actigraphy. In C. Kushida’s Encyclopedia of Sleep, 1st edition, Elsevier (Atlanta).

Cernich, A.N., Belanger, H.G., Pramuka, M. & Brim, W.S. (2016). Rehabilitation in military and veteran populations: The impact of military culture. (Chapter 9, pp. 231-252). In Uomoto J.M. (Ed). Multicultural Neurorehabilitation: Clinical Principles for Rehabilitation Professionals. New York: Springer.

Cooper, D.B., Bowles, A.O., Kennedy, J.E., Curtiss, G., French, L.M., Tate, D.F. Vanderploeg, R.D. (2017). Cognitive rehabilitation for military service members with mild traumatic brain injury: A randomized clinical trial. Journal of Head Trauma Rehabilitation. 32(3), E1-E15. 2016 Nov 9. [Epub ahead of print] doi: 10.1097/HTR.0000000000000254

Cooper, D.B., Mercado-Couch, J.M., Critchfield, E., Kennedy, J., Vanderploeg, R.D., DeVillibis, C., & Gaylord, K.M. (2010). Factors influencing cognitive functioning following mild traumatic brain injury in OIF/OEF burn patients. Neurorehabilitation, 26, 233-238.

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Cooper, D.B., Vanderploeg, R.D., Armistead-Jehle, P., Lewis, J.D., & Bowles, A.O. (2014). Factors associated with neurocognitive performance in OEF/OIF service members with post-concussive complaints in post-deployment clinical settings. Journal of Rehabilitation Research and Development, 51, 1023 – 1034. doi.org/10.1682/JRRD.2013.05.0104

Crawford, E. F., Wolf, G. K., Kretzmer, T., Dillon, K. H., Thors, C., & Vanderploeg, R. D. (2017). Patient, therapist, and system factors influencing the effectiveness of prolonged exposure for veterans with comorbid posttraumatic stress disorder and traumatic brain injury. The Journal of nervous and mental disease, 205(2), 140-146

Dahdah, M.N., Barnes, S., Buros, A., Dubiel, R., Dunklin, C., Callender, L., Harper, C., Wilson, A., Diaz-Arrastia, R., Bergquist, T., Sherer, M., Whiteneck, G., Pretz, C., Vanderploeg, R.D., Shafi, S. (2016). Variations in inpatient rehabilitation functional outcomes across centers in the Traumatic Brain Injury Model Systems (TBIMS) study and the influence of demographics and injury severity on patient outcomes. Archives of Physical Medicine and Rehabilitation. 97, 1821-1831. 2016 doi.org/10.1016/j.apmr.2016.05.005

Daniels, B. D., Nakase-Richardson, R., Silva, M. A., Critchfield, E., Midkiff, M., Kretzmer, T., … McGarity, S. (2012, August). Relationship between sleep, posttraumatic amnesia (PTA), and agitation in acute traumatic brain injury (TBI). Oral presentation at the 120th annual convention of the American Psychological Association, Orlando, FL.

Dillahunt-Aspillaga, C., Nakase-Richardson, R., Hart, T., Powell-Cope, G., Dreer, L.E., Eapen, B.C., Barnett, S.D., Mellick, D.A., Haskin, A., & Silva, M.A. (2017). Predictors of employment outcomes in Veterans with traumatic brain injury: A VA Traumatic Brain Injury Model Systems study. Journal of Heath Trauma Rehabilitation. Advanced online publication. doi: 10.1097/HTR.0000000000000275

Dillahunt-Aspillaga, C., Pugh, M.J., Cotner, B., Silva, M.A., Haskin, A., Tang, X., Saylors, M.E., & Nakase-Richardson, R., (2017). Employment Stability in Veterans and Service Members with Traumatic Brain Injury: A VA Traumatic Brain Injury Model Systems Study. Archives of Physical Medicine and Rehabilitation. Advance online publication. doi: 10.1016/j.apmr.2017.05.012

Donnell, A.J., Belanger, H.G., Vanderploeg, R.D. (2011). Implications of Psychometric Measurement for Neuropsychological Interpretation. The Clinical Neuropsychologist, 25, 1097-1118.

Donnell, A. J., Kim, M. S., Silva, M. A., & Vanderploeg, R. D. (2012). Incidence of postconcussive symptoms in psychiatric diagnostic groups, mild traumatic brain injury, and comorbid conditions. The Clinical Neuropsychologist, 26, 1092-1101.

Duchnick, J. , Ropacki, S., Yutsis, M., Petska, K., & Pawlowski, C. (2015). Polytrauma Transitional Rehabilitation Programs: Comprehensive Rehabilitation for Community Integration after Brain Injury. Psychological Services, 12(3).

Eastvold, A.D., Belanger, H.G. & Vanderploeg, R.D. (2012). Does a third party observer affect neuropsychological test performance? It depends. The Clinical Neuropsychologist, 26(3): 520-541.

Eastvold, A.D., Walker, W.C., Curtiss, G., Schwab, K., and Vanderploeg, R.D. (2013). The differential contributions of posttraumatic amnesia duration and time since injury in prediction of functional outcomes following moderate-to-severe traumatic brain injury. Journal of Head Trauma Rehabilitation, 28, 48-58.

Eichstaedt, K.E., Soble, J.R., Kamper, J.E., Bozorg, A.M., Benbadis, S.R., Vale, F.L., & Schoenberg, M.R. (2015). Sex differences in lateralization of semantic verbal fluency in temporal lobe epilepsy. Brain and Language 141, 11-15.

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Farrell-Carnahan L, Barnett S, Lamberty G, Hammond F, Kretzmer TS, Franke L, Geiss M, Howe LL, Nakase-Richardson R. (2015). Insomnia and behavioral health problems in veterans one year after traumatic brain injury: A USA veterans affairs polytrauma rehabilitation center traumatic brain injury model system program study. Brain Injury, 29(12), 1400-1408.

Flanagan S, Bell K, Dams-O’Connor K, Arciniegas D, Hammond F, Fann J, Watanabe T, Nakase-Richardson R. (2015). Developing a medical surveillance for traumatic brain injury. Brain Injury Professional, 12, 8-11.

Greenwald BD, Hammond FM, Harrison-Felix C, Nakase-Richardson R, Howe LLS, Kreider S. (2015). Mortality following traumatic brain injury among individuals unable to follow commands at the time of rehabilitation admission: A NIDRR TBI model systems study. Journal of Neurotrauma 32(23), 1883-1892.

Hart T, Brenner L, Clark AN, Bogner JA, Novack TA, Chervoneva I, Nakase-Richardson R, Arango-Lasprilla JC. (2011). Major and minor depression following traumatic brain injury. Archives of Physical Medicine and Rehabilitation, 92(8),1211-9.

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Holcomb, E.M., Towns, S., Kamper, J.E., Barnett, S., Sherer, M., Evans, C., & Nakase-Richardson, R. (2016). The relationship between sleep-wake cycle disturbance and trajectory of cognitive recovery during acute TBI. Journal of Head Trauma Rehabilitation, 31(2), 108-116.

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King, E.G., Kretzmer, T.S., Vanderploeg, R.D., Asmussen, S.B., Clement, V.L. & Belanger, H.G. (2013). Pilot of a novel intervention for postconcussive symptoms in Active Duty, Veteran, and Civilians. Rehabilitation Psychology, 58(3), 272-9.

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Lamberty GJ, Nakase-Richardson R, Farrell-Carnahan L, McGarity S, Bidelspach D, Harrison-Felix C, Cifu DX. (2014). Development of TBI model systems within the VA polytrauma system of care. Journal of Head Trauma Rehabilitation, 29(3), E1-E7.

Lange, R.T., Brickell, T.A., Ivins, B., Vanderploeg, R.D., & French, L.M. (2013). Variable, not always persistent, postconcussion symptoms following mild TBI in U.S. military service members: A 5-year cross-sectional outcome study. Journal of Neurotrauma, 30(11), 958-969.

Lew, H.L., Hsu, P., Pogoda, T.K., Cohen, S., Amick, M.M., Vanderploeg, R.D. (2010). Impact of the “Polytrauma Clinical Triad” on Sleep Disturbance in a Department of Veterans Affairs Outpatient Rehabilitation Setting. American Journal of Physical Medicine and Rehabilitation, 89(6), 437-445.

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McNamee S, Howe L, Nakase-Richardson R, Peterson M. Treatment of disorders of consciousness in the Veterans Health Administration Polytrauma Centers. (2012). Journal of Head Trauma and Rehabilitation, 27(4):244-252.

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PRESENTATIONS

Armistead-Jehle, P, Cooper, DB, Kennedy, JE, Bowles, AO, Curtiss, G, Tate, DF & Vanderploeg, RD. (2016, October). Concussion Frequency Affects Symptom Reporting but not Objective Test Performance following mild Traumatic Brain Injury in Military Service Members. Poster presentation at the National Academy of Neuropsychology annual conference, Seattle, WA. (Abstract). Archives of Clinical Neuropsychology, (2016) 31(6), p. 627. doi: 10.1093/arclin/acw043.112

Bailey EK, Nakase-Richardson R, Dillahunt-Aspillaga C, Patel NR, Ropacki SA, Sander A, Stevens L., Tang X. Supervision needs following Veteran and Service Member traumatic brain injury: A VA TBIMS Study. Clinical Neuropsychologist (abstract). Oral presentation at: Annual American Psychological Association Convention; August 2016; Denver, Colorado. Division 40 Blue Ribbon Award for Best Research 2016

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Bashem, J.B., Rapport, L.J., Kanser, R.J., Billings, N.B., Vermillion, B.J., Krohner, S., Hanks, R. A., Keelan, R. E., Whitman, R.D., 3, & Siple, P. 1 (2017, February). Performance Validity Assessment of Bona Fide and Malingered Traumatic Brain Injury Using Novel Eye-Tracking Systems. Poster presented at the 45th annual Meeting of the International Neuropsychological Society, New Orleans, Louisiana.

Belanger, H.G. (August 4, 2013). Web-Based Intervention for PCS Symptoms in Active Duty, Veteran, and Civilian Participants Following concussion. Presentation at the American Psychology Association annual convention. Symposium organized by Jennifer Vasterling on “Traumatic Brain Injury in Military Populations---Clinical Outcomes and Interventions.”

Belanger, H., Barwick, F., King, E., Kretzmer, T., & Vanderploeg, R. (2013, February 9). Psychoeducation interventions for postconcussive symptoms: Computer and web-based administrations. Paper presented as part of a Symposium at 41st Annual Meeting of the International Neuropsychological Society (INS), Waikoloa, Hawaii. Chaired by Dr. Elizabeth Twamley, Rehabilitation of Mild to Moderate TBI Symptoms in Service Members and Veterans (Abstract). Journal of the International Neuropsychological Society, 19 (S1), 292.

Belanger, H.G. (2010, March 14). Neuropsychology of Blast-Related TBI. Invited address by Defense and Veterans Brain Injury Center (DVBIC) at International Brain Injury Association (IBIA)’s Eighth World Congress on Brain Injury, Crystal City, MD.

Belanger, H.G., King, E., Kretzmer, T., Stirling, E., Clement, V., Neff, J., Asmussen, S., Paula, R., & Vanderploeg, R.D. (2011, August). Intervention for Postconcussion Symptoms in Active Duty, Veteran, and Civilian Participants With a History of MTBI: Pilot Study. Paper presented at the annual meeting of the American Psychological Association, Washington, DC.

Belanger, H.G., Klanchar, S.A., Spehar, A.M., Powell-Cope, G. (July 8, 2015). VHA TBI Screen and Comprehensive Evaluation: Practice patterns data. Poster presented at the 2015 HSR&D/QUERI National Conference: Health Service Research for a Veteran-Centered Learning Organization, Washington, DC.

Belanger HG, Silva MA, Donnell A, Lamberty G, Vanderploeg RD. The concurrent and predictive validity of the Neurobehavioral Symptom Inventory (NSI): A VA Traumatic Brain Injury Model System Study. Clin Neuropsychol. 2015; 29(3): 328-329. Poster presented at: the 13th Annual Meeting of the American Academy of Clinical Neuropsychology; June 2015; San Francisco, CA.

Belanger, H.G., Silva, M.A., McKenzie-Hartman, T., Vanderploeg, R.D. (August 18, 2015). Is the Neurobehavioral Symptom Inventory (NSI) a Good Outcome Measure? A Chronic Effects of Neurotrauma Consortium (CENC) and VA TBI Model System Study. Poster presented at the Military Health System Research Symposium in Fort Lauderdale, FL.

Belanger, H.G., Smith, D., Wang, K. & Wilde, E. (2011, June 14). Blast-related vs non-blast Mild TBI: Pathophysiology, biomarkers, imaging, and outcome. Symposium organized by Harvey Levin, Presented at the Federal Interagency Conference on Traumatic Brain Injury, Washington, DC.

Belanger, H.G., Stirling, E., Kretzmer, T., Clement, V., Walker, R., Hickling, E., Neff, J., Paula, R., Watts, D. & Vanderploeg, R. (2010, July 14-15). Web-based Mild Traumatic Brain Injury Rehabilitation. Invited poster for HSR&D/VERC National Field-Based Meeting: Quality Improvement in Parallel Circuits, Indianapolis, IN.

Belanger, H.G. & Vanderploeg, R.D. (August 18, 2015). Population Screening for TBI: What is the Evidence? Poster presented at the Military Health System Research Symposium in Fort Lauderdale, FL.

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Belanger, H.G., Vanderploeg, R.D., Soble, J.R., Richardson, M., Groer, S. (2012, July 16). Validity of a population-based screen for TBI: Comparing the VA’s TBI Screen to follow-up evaluation. Poster presented at: the VA HSR&D / QUERI National Meeting, Washington, DC.

Belanger, H.G. (Chair), Vanderploeg, R.D., Lacy, M., Thombs, B.D. (August 7, 2015). Mass Screening in Clinical Settings: Is There Evidence? Collaborative program presented at the annual convention of the American Psychological Association (APA) in Toronto, Canada.

Bentley, J. A., Silva, M. A., Nakano, E. V. & Vanderploeg, R. D. (2011). Post-acute neuropsychological functioning in a veteran with Kernohan’s notch phenomenon following a boxing-related traumatic

brain injury [Abstract]. Archives of Clinical Neuropsychology, 26, 522. Poster presented at the annual meeting of the National Academy of Neuropsychology, Marco Island, FL.

Bowles, A.O. & Vanderploeg, R.D. (presenters), Cornis-Pop, M (moderator). (2016, March 23). SCORE: Randomized Controlled Trial of Cognitive Rehabilitation for Service Members with Mild Traumatic Brain Injury. Invited presentation. VA Rehabilitation Grand Rounds webinar. March 23, 2016.

Burns, K.M., Garofano, J.S., Schwartz, D., Silva, M.A., & Nakase-Richardson, R. (2015). Self-reported sleepiness and relationship to objective sleep quality measures using actigraphy in acute TBI [Abstract]. Archives of Physical Medicine and Rehabilitation, 96, e64. Poster presented to the American Congress of Rehabilitation Medicine Annual Conference, Dallas, TX

Burns, K.M., Vanderploeg, R.D., Belanger, H.G., Towns, S.J. & Scott, S.G. (February 13, 2014). Mild TBI and chronic pain associations with post-deployment mental health outcomes. Poster presented at the 42nd annual meeting of the International Neuropsychological Society, Seattle, WA.

Cantor J, Modarres M, Nakase-Richardson R, Yablon SA, (October, 2012). Wrestling with hypnos: Sleep, wake, and fatigue after TBI. Symposium Presentation at 2012 American Congress of Rehabilitation Medicine Annual Conference, Vancouver, CA.

Cicha, R., Abrigo, E., & Duchnick, J. (2014, February). The Mayo-Portland Adaptability Inventory: Measurement of Rehabilitation Outcomes for Military Service Members with Traumatic Brain Injuries. Poster session presented at the annual APA Division 22/ ABRP Rehabilitation Psychology Meeting, San Antonio, TX.

Cooper, DB, Armistead-Jehle, P, Kennedy, JE, Bowles, AO, Curtiss, G, Tate, DF & Vanderploeg, RD. (2016, October). Number of Concussions Does not Effect Treatment Response to Cognitive Rehabilitation Interventions following mild Traumatic Brain Injury in Military Service Members. Poster presentation at the National Academy of Neuropsychology annual conference, Seattle, WA. (Abstract). Archives of Clinical Neuropsychology, (2016) 31(6), p. 624. doi:10.1093/arclin/acw043.105

Cooper, DB, Bowles, AO, Primus, J., Kennedy, JE & Vanderploeg, R. (2013, February). A randomized controlled trial of cognitive rehabilitation for service members with mild traumatic brain injury (mTBI): Insights from the SCORE trial. Poster presented at the 41st annual meeting of the International Neuropsychological Society, Waikoloa, Hawaii. (Abstract). Journal of the International Neuropsychological Society, 19 (S1), 292.

Cooper, DB, Vanderploeg, RD, Kolodziej, M, Fox, C, Manning, RK, Wilken, J. & Bowles, AO. (2011, February). Relationship between mechanism of injury and neuropsychological functioning in OEF/OIF Service Members with mild traumatic brain injuries. Poster presented at the 39th annual meeting of the International Neuropsychological Society, Boston, MA. (Abstract). Journal of the International Neuropsychological Society, 17 (S1), 244.

Cooper, DB, Vanderploeg, RD, Manning, RK, Kolodziej, M, Fox, C, Wilken, J. & Bowles, AO. (2011, February). Factors associated with neuropsychological functioning in OEF/OIF Service Members in

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post-deployment settings. Poster presented at the 39th annual meeting of the International Neuropsychological Society, Boston, MA. (Abstract). Journal of the International Neuropsychological Society, 17 (S1), 243-244.

Critchfield, E., Nakase-Richardson, R., Sherer, M., Barnett, SD, Evans CC. (2012) Does Early Neuroimaging Predict Duration of PTA Among Neurorehabilitation Admissions? The Clinical

Neuropsychologist, 26 (5):744.

Czipri, S.L., Kamper, J.E. & Belanger, H.G. (June 10, 2016). Reduction in postconcussion symptom severity is associated with self-efficacy and attributions in those with mild TBI histories. Poster presented at the 14th Annual Meeting of the American Academy of Clinical Neuropsychology; June 2016; Chicago, IL.

Daniels, B.J., Nakase-Richardson R, Midkiff, M., Silva, M.A., Critchfield, E., Kretzmer T, Barnett S.D., Schwartz D., Modarres, M., Donnell, A., McGarity, S. (2012). The relationship between sleep, post-traumatic amnesia (PTA), and agitation in acute traumatic brain injury. Oral presentation at the 2012 American Psychological Association Annual Conference for Division 22.

Dean, P. & Vanderploeg, R.D. (2010, August). Effects of depression, anxiety and their comorbidity on cognitive functioning. Poster presented at the annual meeting of the American Psychological Association, San Diego, CA. (Abstract). The Clinical Neuropsychologist, 24, 933-934.

Duchnick, J. & Daniels, B. (2011, February). Challenges of TBI/Polytrauma Intervention. Presentation at the annual APA Division 22/ABRP Rehabilitation Psychology Meeting, Fort Worth, TX.

Duchnick, J. & Letsch, E. (2013, September). Using Coping Effectiveness Training to Increase Adaptation Following SCI. Invited workshop, Annual convention of the Academy of Spinal Cord Injury Professionals, Las Vegas, NV.

Duchnick, J. Nassar, S., & Mauntel, G. (2016, February). Adapting Evidence Based Treatment for Brain Injury: Case Examples with ACT, CBTi and PE. Presentation at the annual American Psychological Association (APA) Division 22/ABRP Rehabilitation Psychology Meeting, Atlanta, GA.

Dunnam, M., Donnelly, K.T., King, P., Guyker, W., Vanderploeg, R.D. (2011, February). We Use Them, But Should We? Psychometric Properties of the VA TBI Screening Tool, NSI, and Combat Experiences Scale. Paper presented at the 39th annual meeting of the International Neuropsychological Society, Boston, MA.

Eastvold, A., Dean, P., Belanger, H., & Vanderploeg, R.D. (2010, August). Third Party Observers and neuropsychological test performance: A meta-analysis. Poster presented at the annual meeting of the American Psychological Association, San Diego, CA. (Abstract). The Clinical Neuropsychologist, 24, 939.

Edhe, D., Ashman, T., Duchnick, J., & Niemeier, J. (2011, February). Trials of Social-Behavioral

Rehabilitation Clinical Trials. Panel presentation at the annual APA Division 22/ABRP Rehabilitation Psychology Meeting, Fort Worth, TX.

Eichstaedt, K.E., Soble, J.R., Kamper, J.E., Benbadis, S.R., Bozorg, A.M., Rodgers-Neame, N.T., Mattingly, M.L., Vale, F.L., & Schoenberg, M.R. (2015, February). Verbal fluency performance in temporal lobe epilepsy: General verbal ability accounts for lateralizing effect of phonemic but not semantic fluency. Poster session presented at the annual meeting of the International Neuropsychological Society, Denver, CO.

Eichstaedt, K.E., Sever, R.W., Rum, R., Kamper, J.E., Soble, J.R., Brown, C.D., Foster, S.M., Benbadis, S.R., & Schoenberg, M.R. (2015, June). Asking for more: Baseline data of a randomized controlled trial to evaluation neuropsychology outcome within a comprehensive epilepsy center. Poster session

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presented at the annual meeting of the American Academy of Clinical Neuropsychology, San Francisco, CA.

Estevis, E., Basso, M.R., Purdie, R., Candilis, P., Kamper, J.E., Combs, D. (2015, February). Neuropsychological dysfunction and informed consent capacity among depressed inpatients. Poster session presented at the annual meeting of the International Neuropsychological Society, Denver, CO.

Haskin, A.C., Dillahunt-Aspillaga, C.T., Silva, M.A., Schmitt, M.M., Pugh, M.J., & Nakase-Richardson, R. (2015). Employment stability in veterans and service members with TBI: A VA brain injury model systems study [Abstract]. Archives of Physical Medicine and Rehabilitation, 96, e20-21. Poster presented to the American Congress of Rehabilitation Medicine Annual Conference, Dallas, TX.

Hinds S, Helmick K, Brickell, T, French L, Lange R, Nakase-Richardson R. Defense and veterans brain injury center (DVBIC) longitudinal research on traumatic brain injury (TBI) in military service members and veterans. Symposium presented at: The International Brain Injury Association Meeting; February 2016; The Hague, Netherlands.

Holcomb, E., Nakase-Richardson, R., & Kamper, J.E. (2015, February). Assessment of sleep disturbance in acute rehabilitation: implications for clinical practice. Symposium given at the 17th annual meeting of APA Division 22: Rehabilitation Psychology, San Diego, CA.

Holcomb, E., Kamper, J.E., Nakase-Richardson, R., & Silva, M. (2015, October). Measurement and treatment of sleep disorders with unexpected outcomes in veterans with severe brain injury. Symposium given at the 92nd annual meeting of the American Congress of Rehabilitation Medicine, Dallas, Tx.

Kamper, J.E., Ajao, D., Hartman, R.E., & Badaut, J. (2011, November). The long-term persistence of cognitive and motor deficits following TBI in juvenile rats. Oral presentation given at the annual meeting of the Society for Neuroscience, Washington, D.C.

Kamper, J.E., Nakase-Richardson, R., Schwartz, D., McCarthy, M., Kretzmer, T., Garofano, J., Geck, R., & Anderson, W. (2015, February). The validity of actigraphy as a sleep correlate in the TBI population. Oral presentation given at the 43rd annual meeting of the International Neuropsychological Society, Denver, CO.

Kamper, J.E. & Czipri, S. (2016, March). Assessment of traumatic brain injury: a neuropsychological perspective. Invited lecture given to the 6th Medical Group, MacDill AFB, Tampa, FL.

Kanser, R.J., Rapport, L.J., Bashem, J.B., Krohner, S., Vermillion, B.J., Keelan, R. E., Billings, N.B., Woodard, J.B., & Hanks, R.A. (2016, February). Detection of simulated versus bona fide traumatic brain injury using response time on a performance validity test. Poster presented at the 44th annual Meeting of the International Neuropsychological Society, Boston, Massachusetts.

Kean J, Nakase-Richardson R, Brenner L, Bahraini N, Dams-O’Connor K, Hammond F. Rehospitalization following brain injury in veterans: perspectives from the VA and the private sector. Symposium presented at: The American Congress of Rehabilitation Medicine Meeting; October 2015; Dallas, TX.

Keelan, R. E., Rapport, L.J. Krohner, S., Kanser, R.J., Billings, N.M., Bashem, J.R., Vermilion, B., Hanks, R.A., Lumley, M.A., & Langenecker, S.A. (2017, February). The role of experienced affect on facial emotion perception accuracy in moderate to severe traumatic brain injury. Poster presented at the 45th annual Meeting of the International Neuropsychological Society, New Orleans, Louisiana.

Keelan, R. E., Rapport, L.J. Krohner, S., Kanser, R.J., Hanks, R.A., Lumley, M.A., & Langenecker, S.A. (2016, February). Diminished auditory emotion perception accuracy in moderate to severe traumatic

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brain injury. Poster presented at the 44th annual Meeting of the International Neuropsychological Society, Boston, Massachusetts.

Kim, M. S., Silva, M. A., & Vanderploeg, R. D. (2011). Postconcussion syndrome frequencies in psychiatric diagnostic groups versus mild traumatic brain injury [Abstract]. The Clinical Neuropsychologist, 25, 889. Poster presented at the annual meeting of the American Psychological Association, Washington, DC.

Kim, M.S., Bentley, J.A., Belanger, H.G., Proctor-Weber, Z., Kretzmer, T., French, L., & Vanderploeg, R.D. (2011, August). Symptom Complaints Following Blast Versus Nonblast Mild TBI: Does Mechanism of Injury Matter? Poster presented at the annual meeting of the American Psychological Association, Washington, DC.

Lange, R.T., Brickell, T.A., Ivins, B., Vanderploeg, R.D., Parkinson, G., & French, L.M. (2012, June). Variable, not persistent, postconcussion symptoms following mild traumatic brain injury in U.S. Military Service Members: A 4-year cross-sectional cohort study. Poster presented at the 2012 meeting of the American Academy of Clinical Neuropsychology, San Diego, CA. (Abstract). The Clinical Neuropsychologist, 26, 409.

Letsch, E., Kuemmel, A., & Sylvester, M. (2010, February). Interview Skills for Internship and Postdoctoral Applicants: Mock Interview Workshop. Invited presentation at the Rehabilitation Psychology Annual Conference, Tucson, AZ.

Lew, H.L., Pogoda, T.K., Hsu, P-T., Cohen, S., Amick, M.M., Baker, E., Meterko, M.M., Vanderploeg, R.D. (2010, April). Impact of the “Polytrauma Clinical Triad” on Sleep Disturbance in a VA Outpatient Rehabilitation Setting. Poster presented at the annual meeting of the Association of Academic Physiatrists (AAP), Bonita Springs, FL.

McDonald, S. D., Law, W., Lew, H., Terrio, H., & Vanderploeg, R. (2010, November). The Polytrauma Clinical Conundrum: Conceptualization, Assessment, and Treatment of Complex Post-Deployment Symptoms. Symposium conducted at the Annual Meeting of the International Society for Traumatic Stress Studies (ISTSS), Montreal, Quebec, Canada.

McKenzie-Hartman, T., & Silva, M. A. (2016, June 10). Exercise and Cognitive Functioning Following TBI: Findings from the Tampa VA Traumatic Brain Injury Model Systems (VA TBIMS). Poster presented at the 14th Annual meeting of the Academy of Clinical Neuropsychology (AACN) Abstracts from the, Chicago, IL. (Abstract). The Clinical Neuropsychologist, 30 (5), pp 695-805.

Medeiros, M.G., Vanderploeg, R.D., Belanger, H.G., Scott, S.G. (October 20, 2016). Symptom profiles in Florida National Guard: Postconcussive and PTSD symptom profiles. Poster presented at the National Academy of Neuropsychology Conference, Seattle, WA.

Midkiff, M., Kretzmer, T., Donnell, A., Belanger, H.G. (2013, Nov 14). The impact of self-efficacy on post concussive symptom reporting in a mild TBI military population. Poster at the Annual Meeting of the American Congress of Rehabilitation Medicine. Orlando, FL.

Midkiff, M., Silva, M.A., Kretzmer, T. (2015). Neuropsychological performance and symptom reporting in a chronic post-concussive military population [Abstract]. Archives of Physical Medicine and Rehabilitation, 96, e72. Poster presented at the 92nd American Congress of Rehabilitation Medicine Annual Conference, Dallas, TX.

Moore, D.H, Powell-Cope, G., Belanger, H.G. & Mutolo, S.J. (2013, Oct 21). Perceptions of the Mild Traumatic Brain Injury Screening Program for Returning Combat Veterans. Presentation at the Joining Forces to Restore Lives: Nursing Education and Research in Veterans Health Conference, Tampa, FL.

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Nakase-Richardson R. (2010). Behavioral intervention for persons with severe TBI. Invited presentation at the “Managing Challenging Behaviors in Older Adults Conference” co-sponsored by VHA VISN 6 and Duke University, Durham, NC.

Nakase-Richardson R. (December, 2012). Severe TBI and Disorders of Consciousness: Rehabilitation Update. Presentation at the DOD DVBIC/SOMA TBI Symposium, Tampa, FL.

Nakase-Richardson R. (April, 2012). Syndromes of impaired consciousness: An introduction and update. Brooke Army Medical Center Polytrauma Grand Rounds Invited Talk, San Antonio, TX.

Nakase-Richardson R, (April, 2012). Syndromes of impaired consciousness: An introduction and update. Department of Neurosurgery/Neurology Grand Rounds, University of Mississippi Medical Center, Jackson, MS.

Nakase-Richardson R, (August, 2011). Early neurobehavioral recovery from impaired consciousness. Invited Speaker, Division 40, American Psychological Association Annual Conference, Washington, DC.

Nakase-Richardson R. (May 2014) Brain injury and sleep-wake cycle disorders. Invited Presentation at: The Mayo Clinic’s Neurorehabilitation Summit Conference; Rochester, MN.

Nakase-Richardson R. Sleep and TBI. (March 10, 2016) Webinar sponsored by Journal of Head Trauma and Rehabilitation and Brain Injury Association of America.

Nakase-Richardson R, Holcomb E, Kamper J, Silva M. (October 2015) Measurement and treatment of sleep disorders with unexpected outcomes in veterans with severe brain injury. Symposium presented at: American Congress of Rehabilitation Medicine Meeting; Dallas, TX.

Nakase-Richardson R, Eastridge D, Kupfer J. (Presenters). (January 2015) Neurobehavioral Functional Analysis: Paradigms for Treatment. Invited presentation at: The Brain Injury Summit; Vail, CO.

Nakase-Richardson R, Fins J., Giacino JT, Katz D, Greenwald B, Yablon SA, Whyte J, Wilson C, (October, 2012). Management conundrums among patients with severe TBI: Ethical considerations and practice. Four Hour Instructional Course at 2012 American Congress of Rehabilitation Medicine Annual Conference, Vancouver, CA.

Nakase-Richardson, R., Haskin, A.H., Lynn, C., Silva, M.A., Finn, J., Ropacki, S., Jung, C., Cotner, B., Stevens, L., Amos, T., & Crocker, J. (2016). Development of the TBI Rehabilitation Needs Survey for Veterans and Service Members in Post-Acute Stages of TBI [Abstract]. Archives of Physical Medicine and Rehabilitation, 97, e127–e128. Poster presented at the American Congress of Rehabilitation Medicine Conference, Chicago IL.

Nakase-Richardson, R. & Horn, LJ (May, 2011). Early neurobehavioral recovery from impaired consciousness. Symposium Presentation at the Brain Injury Association of Michigan Annual Conference, Lansing, MI.

Nakase-Richardson R, Kretzmer T, McGarity S, (August, 2012). The role of sleep in maximizing rehabilitation outcomes: experience of three VHA programs. Symposium presentation at the American Psychological Association Annual Conference for Division 22, Orlando, FL.

Nakase-Richardson R, Makley M. Syndromes of impaired consciousness: Diagnostic distinctions and rehabilitation. (January 2015) Invited presentation at: The Brain Injury Summit; Vail, CO.

Nakase-Richardson R., Schwartz D., Jenkins B, Pastorek N. (May 2015) Sleep and traumatic brain injury. Presentation at: The VA National Polytrauma Conference; Hyattsville, MD.

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Nakase-Richardson R, Whyte J, Katz D, Giacino J, Arciniegas D. (February 2016) Disorder of consciousness SIG evening session to introduce minimal competency guidelines for rehabilitation of disorders of consciousness. Invited session at: The International Brain Injury Association Meeting; The Hague, Netherlands.

Nakase-Richardson R, Whyte J, Giacino JT, Katz DI, Greenwald BD, Sherer M, Weintraub A, Zafonte RD, Hammond F, Arciniegas D, Kothari S. (October 2015) Building capacity in the assessment, treatment, and ethical management in severe TBI. Instructional course presented at: The American Congress of Rehabilitation Medicine Annual Meeting; Dallas, TX.

Nakase-Richardson R (Organizer), Zafonte R, Makley M, Bell K. (October 2014) Conceptual Framework for The Study Of Sleep Disturbance Following Acute Neurologic Injury. Symposium Presentation at: The American Congress of Rehabilitation Medicine Annual Conference; Toronto, CA.

Nakase-Richardson R, Whyte J, Greenwald B., Horn LJ (Organizer). (November 2012). Rehabilitation of persons with disorders of consciousness Part I. Symposium Presentation at the American Academy of Physical Medicine and Rehabilitation Annual Conference, Atlanta, GA.

Nakase-Richardson R, (Organizer). Whyte J, M.D., Giacino JT, Scott S, Greenwald B., Horn LJ, McCarthy M, Hammond F, McNamee S, Kalmar K, (October, 2011). Medical and behavioral complexity of persons with DOC. Two-Part Symposium Series at the American Congress of Rehabilitation Medicine Annual Conference, Atlanta, GA.

O’Dell, K.M., Vanderploeg, R.D., Ramanathan, D.M., Donnell, A.J., Groer, S. (2013, February). Anger and guilt in US Veterans with traumatic brain injury: Who is vulnerable and what are the relationships with subjective psychological functioning and general well-being? Poster presented at the 41st annual meeting of the International Neuropsychological Society, Waikoloa, Hawaii. (Abstract). Journal of the International Neuropsychological Society, 19 (S1), 118.

Powell-Cope, G., Belanger, H.G., Spehar, A., McCranie, M., & Barnett, S. (2013, October). Clinical Practice Patterns for Screening Veterans for Mild Traumatic Brain Injury. Presentation at the Joining Forces to Restore Lives: Nursing Education and Research in Veterans Health Conference, Tampa, FL.

Proctor-Weber, Z. & Vassallo, J.L. (2014, July). Parkinsonism to Parkinson’s Plus: The Co-existence of Parkinsonism and Cognitive Impairment. Workshop presented at the annual meeting of the Florida Psychological Association, Bonita Springs, FL.

Ramanathan, D.M., Vanderploeg, R.D., O’Dell, K.M., Donnell, A.J., Groer, S. (2013, February). Factors associated with resiliency following traumatic brain injury in a military population. Poster presented at the 41st annual meeting of the International Neuropsychological Society, Waikoloa, Hawaii. (Abstract). Journal of the International Neuropsychological Society, 19 (S1), 118.

Scott, S.G., Belanger, H.G., & Vanderploeg, R.D. (2011, June). Sorting through the contributions to health outcomes from the Florida National Guard Survey Study: Blast and TBI Effects. Symposium presented at the 3rd Federal Interagency Conference on TBI, Washington, DC.

Schoenberg, M.R., Kamper, J.E., Eichstaedt, K.E., Tabak, A., Clifton, W.E., Benbadis, S.R., Bozorg, A.M., Rodgers-Neame, N.T., Mattingly, M.L., & Vale, F.L. (2015, February). Improved surgical treatment for temporal lobe epilepsy? Neuropsychological outcome following the inferior temporal gyrus approach for selective amygdalohippocampectomy. Poster session presented at the annual meeting of the International Neuropsychological Society, Denver, CO.

Schwartz DJ, Nakase-Richardson R. Traumatic Brain Injury and Sleep. (September 2015) Invited presentation at: The Current Concepts in Sleep Medicine Conference; St. Petersburg, FL.

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Silva, M. A. (2015, October). Outcomes following OSA diagnosis during post-acute rehabilitation for severe brain injury: A report on 2 cases. In R. Nakase-Richardson (Chair), Measurement and treatment of sleep disorders with unexpected outcomes in veterans with severe brain injury. Symposium conducted at the American Congress of Rehabilitation Medicine Annual Conference, Dallas, TX.

Silva, M. A., Barwick, F. H., Kretzmer, T. S., Vanderploeg, R. D., & Belanger, H. G. (2013). Reliable change indices for the Neurobehavioral Symptom Inventory and Brief Symptom Inventory-18 in a mild traumatic brain injury sample [Abstract]. The Clinical Neuropsychologist, 27, 601. Poster presented at the 11th Annual Meeting of the American Academy of Neuropsychology, Chicago, IL.

Silva, M. A., Critchfield, E., & Nakase-Richardson, R. (2012). Charles Bonnet Syndrome following penetrating TBI in an OEF/OIF/OND active duty service member [Abstract]. Archives of Clinical Neuropsychology, 27, 577-578. Grand Rounds presented at the 32nd annual meeting of the National Academy of Neuropsychology, Nashville, TN.

Silva, M.A., Haskin, A.C., Schwartz, D., & Nakase-Richardson, R. (2015). Unexpected improvement following OSA treatment during post-acute recovery from brain injury and minimally conscious state. Archives of Physical Medicine and Rehabilitation, 96, e28. Poster presented to the American Congress of Rehabilitation Medicine Annual Conference, Dallas, TX.

Silva, M.A., Martinez, K.M., Schmitt, M.M., Lynn, C.A., Dillahunt-Aspillaga, C., Garofano, J.S., & Nakase-Richardson, R. (2015). VA TBIMS study of mental health and functional characteristics of military/veterans returning to school [Abstract]. Archives of Physical Medicine and Rehabilitation, 96, e21. Poster presented at the American Congress of Rehabilitation Medicine Annual Conference, Dallas, TX.

Silva, M.A., Mckenzie-Hartman, T., Belanger, H.G., Drasher-Phillips, L., M. & Nakase-Richardson, R. (2016, August). PTSD predicts tobacco smoking after TBI: A VA TBI Model Systems Study. Poster presented at the Military Health System Research Symposium, Kissimmee, FL.

Silva, M.A., Mckenzie-Hartman, T., Belanger, H.G., Tang, X., Dams-O’Connor, K., & Nakase-Richardson, R. (2016). Prevalence and Predictors of Tobacco Smoking 1-year after Traumatic Brain Injury: A VA TBI Model Systems study. [Abstract] Archives of Physical Medicine and Rehabilitation, 97, e119. Poster presented at the American Congress of Rehabilitation Medicine Annual Conference, Chicago, IL.

Silva, M. A., Kim, M. S., & Vanderploeg, R. D. (2011). Neurological signs in veterans with mild traumatic brain injury versus PTSD. [Abstract]. The Clinical Neuropsychologist, 25, 889. Poster presented at the annual meeting of the American Psychological Association, Washington, DC.

Silva, M.A., Nakase-Richardson, R., Critchfield, E., Kieffer, K, & McCarthy, M. (2012). Syndrome of Trephine Presentation in a Minimally Responsive Patient: In search of Measures Sensitive to Neurologic

Decline. Archives of Clinical Neuropsychology, 27(6), 628.

Silva, M. A., Nakase-Richardson, R., Sherer, M., Yablon, S. A., Evans, C. C., & Barnett, S. D. (2011). Posttraumatic confusion predicts poor treatment cooperation in TBI rehabilitation therapies. Poster resented at the annual meeting of the American Psychological Association, Washington, DC.

Soble, J.R., Donnell, A.J. & Belanger, H.G. (2012, August 5). TBI and Design Fluency performance: Effects of frontal injuries on nonverbal executive functioning. Poster presented at the American Psychological Association Division 40 Conference, Orlando, FL.

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Sol, K., Curtiss, G. & Belanger, H.G. (February 7, 2015). Somatization predicts self-efficacy in mTBI, and both predict post-concussion symptom reporting. Poster presented at the 43rd annual meeting of the International Neuropsychological Society, Denver, CO.

Sol, K., Nassar, S., & Duchnick, J. (2015, February) Proportion of Bodily Systems Affected in Military/Veteran Brain Injury and Impact of Complexity on Rehabilitation Outcomes. Poster session presented at the annual APA Division 22/ABRP Rehabilitation Psychology Meeting, San Diego, CA.

Tate, D.F., Wade, B.S., Bigler, E.D., Velez, C.S., Abildskov, T.J., York, G.E., Taylor, B.A., Jaramillo, C., Eapen, B., Scheibel, R.S., Belanger, H., Walker, W., Stone, J., Tustison, N., Newsome, M.R., Agarwal, R., Steinberg, J., Lennon, M., Villasante, J., Betts, A., Levin, H.S., & Wilde, E.A. (August, 2017). Interim analysis of volumetric and diffusion imaging findings from 287 Veterans participating in the Chronic Effects of Neurotrauma Consortium (CENC) Study. Military Health System Research Symposium, Kissimmee, FL.

Towns, S. J., Belanger, H. G., Vanderploeg, R. D., Silva, M. A., Kretzmer, T. S., & Burns, K. M. (February 13, 2014). Subjective sleep quality and postconcussion symptoms in mild TBI. Poster presented at the 42nd annual meeting of the International Neuropsychological Society, Seattle, WA.

Towns, S.J., Garofano, J., Kamper, J.E., Holcomb, E., Silva, M.A., Schwarz, D.J., Zeitzer, J., &Nakase-Richardson, R. (2016, June). Feasibility of actigraphy in acute TBI neurorehabilitation admissions: A VA model systems study. Poster session presented at the 2016 James A Haley VAMC Research Conference.

Toyinbo, P., Vanderploeg, R.D., Belanger, H.G., Spehar, A.M., Lapcevic, W.A., Scott, S.G. (July 9, 2015). Exploring blast exposure effects using Bayesian Network (BN) Modeling. Paper presented at the 2015 HSR&D/QUERI National Conference: Health Service Research for a Veteran-Centered Learning Organization, Washington, DC.

Trudel, T.M. (moderator), Willer, B., Cicerone, K., Vanderploeg, R.D. (2013, September). Affect Related Disorders Post-TBI. Platform Symposium at the North American Brain Injury Society (NABIS) Annual Conference on Brain Injury, New Orleans, LA.

Uomoto, J., Webbe, F., Duchnick, J., & Dreer, L. (2012, August). MTBI: Moving Forward - Perspectives from Sport, Military, and Rehabilitation Psychology. Panel presentation at the annual convention of the American Psychological Association (APA), Orlando, FL.

Vanderploeg, R.D. (2016, April). Treatment of Comorbid TBI and PTSD: Lessons Learned. The North American Brain Injury Society (NABIS) 13th Annual Conference on Brain Injury, Tampa, FL.

Vanderploeg, R.D. (2013, September). Mild TBI and Suicidal Ideation. Platform oral presentation at the North American Brain Injury Society (NABIS) Annual Conference on Brain Injury, New Orleans, LA.

Vanderploeg, R.D. & Belanger, H.G. (June 26, 2014). Sensitivity and specificity of the VA’s TBI Screening Tool. Poster presented at the 12th Annual Conference of the American Academy of Clinical Neuropsychology, New York, NY. (Abstract). The Clinical Neuropsychologist, 28, 366.

Vanderploeg, RD, Cooper, DB, Kennedy, JE, Bowles, AO, Curtiss, G & Tate, DF. (2016, October). Factors Associated with Treatment Response to Cognitive Rehabilitation Interventions following Mild Traumatic Brain Injury (mTBI) in Military Service Members. Poster presentation at the National Academy of Neuropsychology annual conference, Seattle, WA. (Abstract). Archives of Clinical Neuropsychology, (2016) 31(6), p. 628. doi:10.1093/arclin/acw043.116

Vanderploeg, R.D. & Kretzmer, T.S. (2014, March). The post-deployment conundrum of mild TBI plus other polytrauma conditions: developing an informed approach to treatment. Platform oral presentation at the Tenth World Congress on Brain Injury, San Francisco, CA.

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Vassallo, J.L. (2011). Current standards in sports-related concussion. Invited address for the Neuropsychology Division meeting at the Annual Convention of the Florida Psychological Association.

Vassallo, J. L. & Hammond, N. (2016, April). Uncovering the Leader in You. Workshop presented at the 2016 Florida Psychological Association Southwest Region Conference, St Petersburg, FL.

Vassallo, J. L. & Proctor-Weber, Z. (2013, July). Advances in Alzheimer’s Disease: Where is Neuropsychology’s Seat at the Table? Workshop presented at the annual meeting of the Florida Psychological Association, Palm Beach Gardens, FL.

Wallace T, Morris J, Gore R, and Nakase-Richardson R. (October 2016) Novel Applications of Technology for Brain Injury Rehabilitation of Military Service Members. Symposia presentation at the American Congress of Rehabilitation Medicine Conference, Chicago IL.

Weintraub A, Arciniegas D, Malec J, Nakase-Richardson R, Seaton D, Ziejewski M. (April 2016) Severe traumatic brain injury TBI: Case presentations and panel discussion. Presentation to: North American Brain Injury Society’s 13th Annual Conference on Brain Injury; Tampa, FL.

Whyte J, Giacino J, Nakase-Richardson R, Lovstad M, Estraneo A, Maurer P, Laureys S. (March 2014) Clinical management of disorders of consciousness: Toward an international consensus. Invited workshop at: The International Brain Injury Association Conference; San Francisco, CA.

Whyte, J, Nakase-Richardson, R (Interviewees), Babbage, DR (Interviewer/Producer). (October 2013) Disorders of consciousness. Archives of Physical Medicine and Rehabilitation [audio podcast]. Available at: http://archives-pmr.org

Wilson, C., Steele, H., Evardone, M. (2012, May). Psychosocial Aspects from the Patient, Family, and Caregiver Perspectives. Paper presented at Perspectives: A focus on Veterans with ALS (Amyotrophic Lateral Sclerosis). Clearwater, FL.

Wolf, G., Crawford, E., Vanderploeg, R.D., Kretzmer, T., Wagner, D.R., Dillon, K. (2015, November). Effectiveness of Prolonged Exposure for Comorbid PTSD and Traumatic Brain Injury. Symposium conducted at the Annual Meeting of the International Society for Traumatic Stress Studies (ISTSS), New Orleans, Louisiana.

Yelland, S., Wolf, G., Vanderploeg, R.D. (2015, November). Symptom Attribution in Veterans Diagnosed with Posttraumatic Stress Disorder and Comorbid Traumatic Brain Injury Undergoing Prolonged Exposure Treatment. Poster presentation at the Annual Meeting of the International Society for Traumatic Stress Studies (ISTSS), New Orleans, Louisiana.

Zasler, N.D., Walker, W.C., Vanderploeg, R.D., Helmick, K.M. (2011, June). Patient Self-Report Information In The Diagnosis Of Mild Traumatic Brain Injury: State Of The Art And Emerging Research. Symposium presented at the 3rd Federal Interagency Conference on Traumatic Brain Injury, Washington, DC.

Local Information

JAMES A. HALEY VETERNS HOSPITALThe James A. Haley Veterans Hospital (Tampa VAMC), a JCAHO accredited hospital, is a 415 bed facility that provides comprehensive inpatient, primary, secondary, and tertiary care in medical, surgical, neurological, rehabilitation, and short-term psychiatric modalities, primary and specialized ambulatory care, and rehabilitation nursing home care through its 180 bed nursing home care unit.

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Specialized programs are offered in treatment of chemical dependency, post-traumatic stress, comprehensive rehabilitation, and women’s health. The Tampa VAMC also has an established Clinical Center of Excellence in Spinal Cord Injury/Disease. In addition, the medical center has five outpatient clinics that are located in Orlando, New Port Richey, Brooksville, Palm Bay and Bartow, Florida. Our medical center provides healthcare services to Veterans’ and TRI-CARE patients in central Florida. From 1996 to the present, the medical center was the busiest in the VA healthcare system of 150+ hospitals, treating 10,534 inpatients and providing care for 450,187 outpatient visits.

The facility has a national reputation for excellence. In 1997, the hospital was awarded the Robert W. Carey Award for quality as well as the National Partnership Award for staff/leadership relationships. In 1998, we received a Merit Achievement for the President’s Quality Award. These are the highest awards bestowed upon a VAMC.

The medical center is affiliated with the University of South Florida (USF) and its College of Medicine. The university is the 16th largest educational center in the nation and provides all facilities and resources typical of a large metropolitan university. The medical center's dynamic and progressively expanding postgraduate teaching program encompasses most of the healthcare specialties. Approved programs are conducted in Audiology and Speech Pathology, General Surgery, Internal Medicine, Nursing, Ophthalmology, Orthopedics, Otolaryngology, Psychiatry, Psychology, Radiology, Pathology, Social Work, and Urology.

A wide range of supportive resources is available to Psychology staff, residents, interns, and trainees. The hospital maintains its own professional library listing of approximately 4,000 volumes of books and 2,500 bound volumes of journals (361 journal subscriptions including 16 psychological journals). Terminals for direct access to MEDLINE, PSYCHLIT, and other databases are available. Many electronic journal subscriptions are available. The main library at the University of South Florida houses over 678,000 volumes including 4,500 journal subscriptions. In addition, the USF College of Medicine library maintains over 88,000 books including over 1,400 journal subscriptions. Literature searches and complete bibliographies with abstracts are available upon request.

Most of the commonly used psychological tests are included in our file of more than 125 instruments. Among these are numerous specialized neuropsychological tests in the areas of language/verbal abilities, learning and memory, executive functioning, attention, mental control, visuoperceptual/sensorimotor functioning, and abstract problem-solving.

THE TAMPA ENVIRONMENT

The James A. Haley Veterans' Hospital is located in Tampa, Florida. Tampa is a growing metropolitan area, the county seat of Hillsborough County, and the second most populous city in the state. The city is situated on the west coast of Central Florida, 266 miles northwest of Miami and 197 miles southwest of Jacksonville. With a population of over 825,000, the county is composed of several residential, industrial, and agricultural communities, which are interspersed with orange groves and cattle ranches. The climate is generally mild with an average annual temperature of 73 degrees (annual average high: 82; annual average low: 65). Freezing temperatures are rare, as are those of more than 95 degrees.

Because of its climate, opportunities for outdoor recreational activities abound. The coastal waters of the Gulf of Mexico and Tampa Bay offer a broad spectrum of water sports - swimming, deep-sea fishing, paddle boarding, power boating, water skiing, sailing, and scuba diving. Freshwater fishing is also available in the numerous local lakes. Residents enjoy year-round facilities and activities because there is little change in the seasons. There are several running and cycling clubs in the Tampa Bay area, and various organized group races are held throughout the year (http://www.runtampa.com/events). Golf is a popular sport with many public and private courses available. Also found in the area are horse racing, dog racing, and the famed Jai-Alai. For sports fans, there are 10 major league baseball spring training camps within 20 miles of Tampa. The Tampa Bay area is also home to several professional sport franchises, including the Rays, the Buccaneers, the Lightning, and the Rowdies.

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http://www.runtampa.com/events


A variety of educational facilities are available in the Tampa Bay area. The University of South Florida has an enrollment of over 36,000 students and is composed of 10 colleges: Architecture, Arts and Letters, Business Administration, Education, Engineering, Fine Arts, Medicine, Natural Sciences, Nursing, and Social and Behavioral Sciences. The University of Tampa, located in downtown Tampa, has an enrollment in excess of 2,400 students. In addition to the higher educational facilities, there are excellent public, parochial, and technical school systems. Both Hillsborough and Pinellas Counties have well-regarded community colleges.

A variety of arts and cultural activities can be found in the Tampa Bay area. Because of Florida’s early history in the exploration of the “New World,” Tampa has a large population of Hispanic and Latino residents (23.1% of the population). The African-American population is also well represented. Events celebrating the heritage and contribution of various ethnic cultures to the area occur throughout the year. For example, the Tampa Bay Black Heritage Festival, Festival del Sabor, Asia Fest, and the Tampa International Gay & Lesbian Film Festival are all popular annual events that highlight the region’s diversity.

The University of South Florida, located just across the street from the hospital, has an active and acclaimed drama and fine arts program. Film, dance, stage productions, and repertory companies are regular offerings of the Tampa Theater and Straz Center for the Performing Arts (www.strazcenter.org) (both located in downtown Tampa) and the world-famous Asolo Theater (located approximately 50 miles south of Tampa, in Sarasota). Tampa has also become a popular stop for touring musicians. The Amphitheater and the Tampa Bay Times Forum are popular venues for contemporary music and have hosted artists such as Journey, Yes, Dave Mathews Band, Counting Crows, Maroon 5, Jimmy Buffett, Toby Keith, Taylor Swift, Motley Crue, Radiohead, and Coldplay to name a few. Downtown Tampa also hosts a free monthly music concert series held at Curtis Hixon Park (https://www.facebook.com/RockThePark). Across Tampa Bay, St. Petersburg is home to the Dale Chihuly glass museum, the Salvador Dali museum, which is the only exclusive museum of this artist’s works in the world, and the St. Petersburg Bayfront Center for performing arts. See http://cltampa.com/ for current cultural events in the Tampa/St. Pete area.

Well-known tourist attractions also lie in close proximity to Tampa. Busch Gardens and Adventure Island Water Park are only 3 miles from the hospital. The various Disney World theme parks and Universal Studios are 75 miles east of Tampa in Orlando, and the Ringling Brothers Museum is located in Sarasota. Tampa itself is home to a world-class aquarium (the Florida Aquarium) in downtown Tampa harbor and an award-winning zoo, Lowry Park Zoo.

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http://cltampa.com/

https://www.facebook.com/RockThePark

http://www.strazcenter.org/

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