Track 3: Pediatric Neuropsychology- Bilingual & Multicultural Emphasis
(Match Number 8125)
At Children’s Hospital Colorado, we are uniquely equipped to provide specialized training opportunities in Spanish bilingual assessment given our diverse faculty and growing multicultural populations. This track will provide training in broad-based pediatric neuropsychology, with additional training opportunities in bilingual assessment. The goal is to provide the trainee with the background and clinical experiences sufficient to conduct competent and ethical evaluations with Spanish bilingual and multicultural populations.
The rotations for this track are similar to those for the Neurology track, including the clinical expectation of completing two outpatient evaluations and participating in one interdisciplinary clinic per week. During two of the rotations (one the first year and one the second year), one of the outpatient evaluations each week will be conducted with Spanish bilingual and multicultural populations. The resident will become familiar and learn to administer appropriate Spanish assessment measures, conduct interviews and feedbacks with families in Spanish, and provide summary reports to families in Spanish (translation services available if needed). Referral questions often include diagnosing language disorders and learning disabilities in children learning English as a second language who present with medically complex conditions. Evaluations will involve determining the patient’s level of English and Spanish language proficiency and will help to provide recommendations regarding language of instruction and level of support needed for special education/ intervention in the educational environment. Throughout training, the resident will be expected to have an understanding for and incorporate cultural influences into their interpretation and formulation of diagnostic impressions. Four neuropsychologists (Drs. Berrios-Siervo, Boada, Martin, Eberle, and Connery) complete bilingual (Spanish/English) evaluations and residents will have the opportunity to work with multiple supervisors in this area.
Rotations and descriptions
Genetics and Stroke Clinic/ Emphasis on Spanish Bilingual & Multicultural Evaluations
The resident will conduct one bilingual neuropsychological evaluation per week with the focus on learning Spanish assessment measures and general multicultural issues. This evaluation will be with children with a variety of neurologic disorders. For the second outpatient evaluation, the resident will see children with genetic and metabolic disorders, including neurofibromatosis, tuberous sclerosis, PKU, 22q11.2 deletion syndrome, and XY variations. The resident will also participate in interdisciplinary clinics for children with tuberous sclerosis, neurofibromatosis, and 22q11.2 deletion syndrome. Furthermore, the resident will attend the Stroke Clinic, and will complete abbreviated neuropsychological assessments and provide consultation to neurologists, hematologists, and physiatrists prior regarding findings.
During the 6-month rehabilitation rotation, the resident will have the opportunity to work with a bilingual neuropsychologist. The rotation will include comprehensive evaluations for a variety of rehabilitation conditions (e.g., moderate/severe TBI, anoxic/hypoxic injuries, encephalitis, spina bifida, cerebral palsy), as well as neuropsychological consultation for children and teenagers with mild TBI through the multidisciplinary concussion clinic. The concussion clinic experience will focus on learning an abbreviated assessment model to evaluate post-concussive difficulties and guide treatment planning, as well as working with providers regarding return to play and school decisions. The resident will be involved in completing abbreviated, developmentally-focused assessments in the multi-disciplinary International Adoption Clinic. There may also be an opportunity to work on the hospital’s Neurotrauma/Rehabilitation Inpatient Unit and be involved in the Non-Accidental Brain Injury Care Clinic (NABICC).
The resident’s focus will be on assessing children with epilepsy. This includes pre- and post-surgical evaluations, general epilepsy and other seizure disorders, and possible participation in fMRI preparation, Wada testing, and language mapping. The resident will attend weekly epilepsy clinics and participate in neurobehavioral assessment of children and families on the Epilepsy Monitoring Unit. Residents will attend Epilepsy Conference to gain experience in providing physicians information to assist with their treatment decisions and exposure to the various modalities and issues that are considered during surgical decision making. The use of focused, specific assessment to answer discrete clinical questions is emphasized.
Neuro-Oncology/ Emphasis on Spanish Bilingual & Multicultural Assessment
The resident will complete one bilingual assessment each week with children with a variety of neurologic conditions. The second evaluation each week will focus on assessing children with hematologic/oncologic disorders, including brain tumors and leukemia. The resident will also conduct pre- and post-bone marrow transplant evaluations. In addition, the resident will have the opportunity to attend multidisciplinary clinics for newly diagnosed and long-term survivors.