Clinical Rotations at
Naval Medical Center, San Diego
Four unique rotations
support Balboa Hospital's overall mission. The head of each rotation
and the Internship training director tailor rotations to each intern's
educational needs.
Adult Outpatient
Mental Health Clinic Rotation
Interns provide
outpatient assessment and therapy to active duty members, their dependents,
and retirees.
Typically, interns
provide assessment, individual psychotherapy, and group psychotherapy.
Also included is a focused "mini-rotation" in psychological
testing with intense exposure to assessment and psychometric interpretation.
Although psychometric
testing is a vital part of all four rotations, instruction and training
on the administration and interpretation is concentrated in this mini-rotation.
Health Psychology
and Consultation/Liaison Rotation
Interns respond
to health psychology consults from other inpatient and outpatient services.
Consults may be from cardiology, neurology, oncology, dentistry, among
others. The nature of the consults varies. Some of the more common are
sleep disorders, chronic pain, poor adherence to prescribed medical
regimens, and anxiety disorders. Interns treat these problems with behavioral
and health psychology interventions such as biofeedback, stress-management
techniques, and cognitive behavioral strategies.
In addition, interns
spend 1-2 days a week responding to crisis-oriented consults as part
of a multi-disciplinary team of physicians, psychiatrists, social workers,
and other mental-health professionals. During these emergency consults,
the intern will learn how to work quickly with emergent issues and combine
data from numerous sources into a well-developed picture of current
client functioning.
Operational
Mental Health Clinics
Interns work off-site
with active duty Navy and Marine Corps personnel who are stationed on
ships or nearby Navy and Marine Corps bases. The intern will spend 10
weeks each at the Fleet Mental Health Clinic and at the Marine Corps
Recruit Depot Mental Health Clinic.
Interns experience
the working life of a Navy psychologist who operates outside the traditional
hospital setting.
At Naval Station
San Diego, active duty members will be seen for problems ranging from
adjustment disorders to active psychosis. At the Marine Corps Recruit
Depot San Diego, Marine recruits are seen for problems that may range
from mild depression to full-scale schizophrenia.
Inpatient
Service Rotation
In a psychological
inpatient ward with its unique demands, interns work daily with psychiatrists,
social workers, psychologists, and hospital corps staff.
Experience is gained
with admission, diagnosis, treatment and disposition of patients with
mental health disorders of a severity that requires hospitalization.
The intern will
stand an average of one overnight, in-house watch per week during the
Inpatient Rotation. During watch, interns work with a psychiatry resident
in responding to psychiatric emergencies in the Emergency Medical Department,
on the inpatient psychiatric wards, or elsewhere in the hospital.

Trans-Rotational Cases
In addition to normal
rotation caseloads, interns will follow 2-3 longer-term cases (over
4 months) over the course of the internship year.

Additional NMCSD Opportunities
Several other educational
components expose interns to new developments in psychology and to career
opportunities that follow a completed internship. Each offers a unique
opportunity to round-out the internship experience and help interns
achieve their educational goals:
Didactic
Training Presentations
Seminars and other
workshops present contemporary information and training relevant to
the effective functioning of a psychologist.
The presentations
vary in scope and content, however, the focus is primarily on the issues
that would be of concern to a Navy psychologist (such as post-deployment
recovery from PTSD). Frequently, presenters are distinguished colleagues
from the Navy or civilian clinical/academic communities.
Operational
Experiences
Numerous operational
experiences are offered to interns such as participating in Marine Corps
Recruit graduation ceremonies, weapons training, and acting as Officer
of the Day (OOD).
The primary operational
experience is a "working cruise" aboard a major Navy combatant
vessel (often an aircraft carrier). Interns will interact with sailors,
learn the duties of the ship's psychologist, and develop an appreciation
for the demands on the personnel who maintain and operate these vessels.
The secondary operational
experience is with the First Marine Division at Camp Pendleton, CA.
Emphasis is placed on gaining familiarity with the operational plans
and stresses unique to the Marine Corps, and, on developing skills for
effective consultation with Marine Corps Commands.
Supervision
Interns are supervised
weekly by the head of their primary rotation and by the training director.
For trans-rotational
cases, interns are supervised by either the training director or the
director's designated psychologist.
At minimum, interns
receive 3-4 hours of direct supervision a week. An "open-door"
policy enables supervision or consultation as needed.