Institution and Program Description


ADULT NEUROPSYCHOLOGY SERVICES

Institutional Mission
Clinical training occurs within the Augusta University Health System, which has three primary missions— patient care, education and research. The Neuropsychology Service is located on Augusta University’s Health Sciences Campus, which is composed of the Colleges of Allied Health, Dental Medicine, Graduate Studies, Nursing, and the Medical College of Georgia, which is the nation's 13th oldest and sixth largest medical school. Augusta University Health is a not-for-profit corporation that manages the clinical operations associated with Augusta University. In addition to clinical training in the hospitals and clinics, didactic training is also available through the basic science departments of the Medical College of Georgia, College of Allied Health Sciences, and College of Graduate Studies and is tailored to the individual resident's training needs.

Program Mission & Goals
The neuropsychology fellowship program's mission is to provide the necessary education and training required to produce an advanced level of competence in neuropsychology so that residents may enter the specialized practice of clinical neuropsychology at the independent practitioner level. The program will enable the resident to acquire advanced skills in neuropsychological assessment, treatment, and consultation, as well as an advanced understanding of brain-behavior relationships. The training site routinely provides access to patients referred primarily from neurology and neurosurgery, but also from the general medicine, psychiatry, and other services.

Program Administrative Structure
The adult clinical neuropsychology postdoctoral fellowship program is conducted under the auspices of the Neuropsychology Service within the Department of Neurology in the Augusta University Medical College of Georgia under the direction of one on-site clinical neuropsychologist, with consultation from one off-site board certified (ABPP-CN) clinical neuropsychology. Experience and training in pediatric neuropsychology is not available at this time.

Clinical Training Facilities
Clinical training takes place through the Augusta University Health System, which is composed of the Augusta University Medical Center (483-bed adult hospital), Augusta University Ambulatory Care Center (more than 80 outpatient clinics), Augusta University Specialized Care Center (a 13-county Level I regional trauma center), and the 149-bed Augusta University Children's Medical Center.

Neuropsychology Clinic
The Adult Neuropsychology Service's clinic is physically located in the adjunct Neurology Building, which is across the street from the AU MCG Medical Center (which houses the Neurology and Neurosurgery faculty offices, the Neurology Library and conference rooms and auditorium, the neurology resident offices and, and the Neurology/Neurosurgery inpatient beds). Our clinic shares this adjunct building, which affords comfortable and quiet testing areas and ample patient parking, with the Multiple Sclerosis Service. The Adult Neuropsychology Service occupies 5-6 offices and testing rooms, as well as a file and test storage room. The service is staffed by an office specialist, a registration specialist, and a full-time psychometrist. Resident office space is equipped with a computer and also serves as a testing room. Most AU library resources may be accessed online via computer and the Neuropsychology Service has an ever-growing library of tests and other applicable resources. Residents also enjoy full access and have borrowing privileges at the Neurology Departmental Library and the Augusta University campus library, located a short walking distance behind the hospitals.

Client Population Served
Neuropsychological evaluations will routinely be performed on adult outpatients from the neurological, surgical, general medical, and psychiatry services. Residents will be exposed to patients with neurodegenerative conditions/dementing illnesses, cerebrovascular disorders, movement disorders, epilepsy, traumatic brain injuries and head injuries, brain neoplasms, psychiatric disturbances, developmental disorders, chemotherapy/radiation treatment effects, infectious diseases, multiple sclerosis, and other chronic medical conditions. Additional training opportunities (as available) include pre- and post-surgical neuropsychological evaluation within the Epilepsy Surgery Program, involvement in intracarotid amobarbital (Wada) procedures, and pre-surgical evaluation of DBS candidates.

Evaluation Procedures
Neuropsychology residents are evaluated by their primary supervisor once every six months to monitor progress of the resident's education and training goals. Resident evaluations are reviewed during a face-to-face meeting with the resident and educational development plans are monitored and revised as necessary. The postdoctoral fellowship program in clinical neuropsychology and the resident's primary supervision are evaluated by the resident once yearly. The fellowship program conducts competency based examination in order to provide useful feedback about the resident's relative strengths and weaknesses across the major content areas important for neuropsychologists.

Grievance Procedures
The resident's faculty advisor and the Department of Neurology's Residency Program Director are available to advise/assist the resident with any grievance they may have. The Department of Neurology follows institutional policies, which require multilevel hearings, due process, timely notice and accurate records if disciplinary action is required. Residents may appeal any decision through the Residency Program Director. The response will be promptly discussed with the resident.