Neuropsychology

The clinic was established in 1979 by the Department of Neurology of the Medical College Wisconsin and its affiliated hospitals. It is currently located at the MCW Clinic at Froedtert West. Consultations are also made to other hospitals, attorneys and school systems.

The purpose of the Neuropsychology Clinic is threefold:

  1. Clinical Services: To provide neuropsychological assessment and treatment where indicated to children and adults, and consultation to professional community agencies in the Southeastern Wisconsin region.
  2. Teaching: To provide instruction to medical and mental health professionals and students, and regional community agencies.
  3. Research: To initiate research on topics of neuropsychological concern. At present, research is being conducted on neurobehavioral aspects of deep brain stimulation, dementia, dyslexia, epilepsy, genetic disorders, infant and preschool development, multiple sclerosis, neuro-oncology and oncology, normal pressure hydrocephalus, spina bifida, and functional brain mapping with state of the art imaging techniques.

Our postdoctoral residency program in adult and child clinical neuropsychology is accredited by the:
American Psychological Association’s Commission on Accreditation
750 1st Street NE
Washington, DC 20002
(202) 336-5979

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  Neuropsychology Faculty
  Specialty Programs in the Neuropsychology Division

The Division of Neuropsychology is directed by Sara J. Swanson and consists of four adult and four child neuropsychologists, and a research neuropsychologist. The Division also includes clinical and research psychometrists, practicum students, and other dedicated support staff.

On the pediatric side, we offer six specialty clinics:

  1. The Comprehensive Epilepsy Program: This clinic provides an emphasis on epilepsy and children who may be candidates for resective surgery to treat intractable epilepsy.
  2. The Preschool and Infant Neuropsychological Testing (P.I.N.T.) Clinic: This clinic provides comprehensive neuropsychological evaluations for children under 6 years old.
  3. The Developmental Disorders Service: This clinic assesses children with general developmental disorders and other disabilities.
  4. The General Neurological Assessment Clinic: This clinic's emphasis is on evaluating children referred by medical professionals due neurological disorders, genetic disorders or other medical illness. We frequently see patients with epilepsy, traumatic brain injury, congenital heart disease, and brain tumor.
  5. The Autism Clinic provides evaluations for children under the age of 6 for whom the primary question is whether or not the child has an autism spectrum disorder. The assessment includes clinical interview, brief cognitive evaluation, and observation of the child in play with parents and peers. All participating providers and psychometrists participate in the observations and discussion of each patient for diagnostic clarity. The evaluation also provides detailed recommendations to help families navigate the autism treatment options.
  6. The Multidisciplinary Sports Concussion Clinic involves Neuropsychology, Orthopedics, Psychology, and Physical Therapy to evaluate and treat adolescents who experienced concussions in the acute and subacute phases of injury.

On the adult side we offer ten specialty clinics: On the adult side we have 9 specialty clinics or services:

  1. The Memory Disorders Clinic: This clinic focuses on neurobehavioral disorders of aging including a variety of neurodegenerative conditions affecting cognition. Clinical services are provided in the outpatient Neuropsychology Clinic and in the multidisciplinary IMAP (Intensive Memory Assessment Program) Clinic alongside the memory disorders neurologists and social worker.
  2. Comprehensive Epilepsy Service: This clinic provides assessments for patients with medically intractable seizure disorders to assist in selection of patients for surgical treatment of their epilepsy. Fellows on this rotation conduct pre and post-operative cognitive testing, assist or conduct intracarotid sodium amytal testing and functional MRI, assist in extraoperative stimulation mapping, and work with the multidisciplinary epilepsy surgery team.
  3. General Clinical Service: Fellows on this rotation evaluate patients with a variety of developmental, neurological, psychiatric and somatoform disorders that are associated with impairments in cognitive and emotional capacities.
  4. Medicolegal Evaluation Service: Faculty in The Neuropsychology Clinic conduct neuropsychological evaluations for medicolegal cases involving civil, criminal, and disability issues for individuals claiming cognitive impairment. Fellows work jointly with faculty on medicolegal cases and may have the opportunity to learn about the NFL Concussion Settlement Baseline Assessment Program cases, observe depositions, and trial testimony.
  5. Neuro-Oncology Cognitive (NOC) Clinic: This clinic provides evaluation of brain tumor patients at the time of diagnosis, prior to treatment in order to establish a neurocognitive baseline. These patients are then followed throughout their treatments to monitor for potential tumor and/or treatment related cognitive and emotional changes and to assist in treatment planning. Fellows will attend weekly multi-disciplinary brain tumor conference, bimonthly brain tumor journal club, and have the opportunity to observe and assist in intraoperative cognitive mapping during awake brain tumor surgery using the NeuroMapper testing platform developed at MCW. In addition to brain tumor patients, patients with other forms of cancer are seen in the clinic for evaluation and treatment planning. The clinic is staffed by a neuropsychologist who works closely with a group of neuro-oncologists, radiation oncologists, medical oncologists, and neurosurgeons. View more information on the Froedtert Hospital Neuro-Oncology Cognitive Clinic page.
  6. Mild Traumatic Brain Injury (mTBI) Clinic: The mTBI clinic provides evaluation, triage and treatment to adult patients during the subacute (3 weeks to 3 months) period following injury. The fellow works alongside the neuropsychology faculty, physiatrist, and a nurse practitioner conducting joint interviews, brief testing, reviewing neuroimaging, and providing joint feedback to patients in the early phase of recovery from TBI to facilitate return to work, school, driving and their pre-injury lifestyle.
  7. Normal Pressure Hydrocephalus (NPH) Clinic: This clinic provides testing to aid in differential diagnosis of patients being evaluated for NPH. Testing is conducted prior to and following high volume spinal taps, lumbar drains, and ventriculoperitoneal shunting. This information is used to determine which patients will benefit from shunting. This clinic employs a collaborative team including a neurologist, neuropsychologist, physical therapist for gait assessments, and neurosurgeon.
  8. Deep Brain Stimulation (DBS) Clinic: The DBS clinic involves evaluation of patients who are considered candidates for DBS treatment for movement disorders such as Parkinson’s disease or essential tremor. The aim of these evaluations is to identify any cognitive or psychiatric issues that may increase risk for poor outcome with DBS. Fellows work as part of a multi-disciplinary team that consists of neurology, neurosurgery, psychology, psychiatry, nursing, and rehabilitation.
  9. Congenital Heart Disease Clinic: Fellows provide assessments to adult patients with congenital heart conditions. Fellows work with a multidisciplinary team within the Herma Heart Program that includes cardiologists, nurses, social services, and neuropsychology.
  Postdoctoral Fellowship Program in Clinical Neuropsychology

The Division of Neuropsychology offers two-year postdoctoral residencies in child and adult neuropsychology. The residency program begins and ends around the first of July. The purpose of the training program is to provide doctoral level psychologists with sufficient clinical and research competencies to practice independently in the specialty of clinical neuropsychology. Our postdoctoral training program is a member of the Association of Postdoctoral Programs in Clinical Neuropsychology (APPCN; The Clinical Neuropsychologist, 1993, 7, 197-204) and adheres to the Houston Conference (HC) standards (Archives of Clinical Neuropsychology, 1998, 13, 160-166) for specialty training in clinical neuropsychology.

It is a goal for graduates of our program to be eligible for licensure and certification in clinical neuropsychology by the American Board of Professional Psychology. Our postdoctoral residency program in adult and child clinical neuropsychology is accredited by the:
American Psychological Association’s Commission on Accreditation
750 1st Street NE
Washington, DC 20002
(202) 336-5979

Clinical training is divided into adult and child tracks, and residents are recruited to one or the other.

Residency in Adult Neuropsychology

The four rotations are:

  1. The Memory Disorders Clinic/Normal Pressure Hydrocephalus
  2. Comprehensive Epilepsy Service
  3. General Clinical Service
  4. Traumatic Brain Injury/Medicolegal Evaluation Service.

Electives include the Deep Brain Stimulation (DBS) Clinic and Neuro-oncology Clinic

Residency in Child Neuropsychology

Four primary rotational assignments include:

  1. The Comprehensive Epilepsy Program
  2. The Preschool and Infant Neuropsychological Testing (P.I.N.T.)
  3. The Developmental Disorders Service
  4. The Neurological/Medical Rotation

See the Residency Brochure (PDF) for further details.

Application information for the 2018-2020 fellowship program (PDF)

  Postdoctoral Fellowship Due Process Procedure

MCW Trainee Policy

Complaints and Grievances by Non-ACGME Trainees Regarding the Educational or Professional Environment

Purpose

We are committed to providing a professional learning environment and supportive culture for all trainees. This policy describes the procedure to use regarding trainee concerns that may arise during training regarding unfair treatment by the faculty, staff or other trainee. Such complaints and grievances include, but are not limited to, evaluations, probation, non-promotion to the next level of training or the professional environment.

Definitions

Complaint: An oral statement provided by a trainee member to the Program Director or other member of the staff expressing dissatisfaction with some aspect of the program, a faculty member, another trainee member or other program related issues which has resulted in a negative impact to the complainant.

Grievance: A written statement provided by a trainee member to the Program Director or Department Chair expressing dissatisfaction with some aspect of the program, a faculty member, another trainee member or other program related issue which has resulted in a negative impact to the complainant.

Policy

Trainee may assert a complaint or grievance as outlined below. Retaliation against trainee for asserting a complaint or grievance will not be tolerated. Every effort will be made to resolve the complaint or grievance fairly and promptly.

Complaint and Grievance Process

Trainee concerns, complaints and grievances regarding the work environment, evaluations, probation, or non-promotion to the next level of training should be addressed using the following process:

  1. Trainee should address concerns or complaints with the appropriate person(s) in a professional manner.
  2. Trainee may raise concerns either verbally or in writing to his/her Program Director. If the complaint is provided verbally, it is the responsibility of the individual receiving the complaint to summarize the complaint in writing and request the Trainee member to confirm that the summary accurately reflects the substance of their concern.
  3. If the trainee does not feel comfortable raising an issue with his/her Program Director, or if there is dissatisfaction with the Program Director’s response or action, the trainee should contact the Division Chief or Department Chair.
  4. If the complaint remains unresolved after taking the above steps, the trainee should report his/her complaint or grievance to the Associate Dean of Graduate Medical Education or the MCW Ombuds office. In this case, an alternate person may be identified to review the matter who may consult with other faculty, the Program Director, the Chair of the Department or other senior leaders of the Medical College of Wisconsin to gain additional insight and to facilitate a resolution of the complaint.

MCW Neuropsychology Due Process

Should the fellow disagree with components of the Competency Development Plan, the fellow has the opportunity to appeal what is in the competency development plan.

In New Innovations, the fellow completes an open text box to initiate an Appeal.

This appeal should include a detailed description of the trainee’s rationale for disagreement. At minimum, it should list the items the fellow disputes and include a description as to why for each item.

A notification of appeal is sent to the appointed faculty member (whoever has taken ownership of the competency development plan).

Details of the disputed items in the appeal (including descriptions for each item) go to assigned mediator (i.e., Amy H. for adult faculty and Sara S. for peds faculty).

The mediator reviews the Competency Development Plan and the Appeal. An individualized plan is then established to resolve the dispute.

The proposed plan of action for dispute resolution is then reviewed with the fellow and involved faculty as necessary. Revisions will be made to the Competency Development Plan as appropriate.

Should a resolution for the Competency Development Plan not be reached, the fellow and faculty are responsible for contacting the MCW Ombuds Office at (414) 266-8776 (Confidential Line) mcw.edu/Ombuds

Download a copy of the Due Process Procedures (PDF)

  Postdoctoral Fellowship Qualifications, Benefits, and Outcomes
  Current Postdoctoral Fellows

2nd Year

Kathleen Elverman (Adult)
Sara Pillay (Adult)
Erin Quasney (Adult)
Brian Shields (Pediatric)

1st Year

Bridget Dolan (Pediatric)
Lauren Haisley (Pediatric)
Katherine Reiter (Adult)

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