The fellowship begins on or about July 1, though a later start date can be negotiated for applicants coming from internships ending later in the year. The program is structured around a contractual one-year agreement, with a 2nd year anticipated contingent upon available funding and performance; we intend for all fellows to complete a two-year program. The two-year experience will provide in-depth training for individuals with strong interests in specialization in neurodegenerative disease and geriatric neuropsychology. Primary patient populations are referred from neurology and include dementia (e.g., Alzheimer’s disease, dementia with Lewy-bodies, frontotemporal dementia), movement disorders (e.g., Parkinson’s disease, Huntington’s disease, atypical Parkinsonism syndromes), and multiple sclerosis. Clinical services are delivered entirely on an outpatient basis and are primarily assessment oriented, though opportunities for intervention are available.
Research opportunities exist with all of the clinical patient populations, as well as retired professional athletes. Fellows are also expected to participate in research, either on independent projects or by integrating into existing faculty research. Clinical trial opportunities may also be available. For senior fellows in their second year of training, supervision of practicum students is also expected. Additional time is spent in clinical supervision and weekly didactic offerings, including multi-disciplinary case conferences, seminars, journal clubs, and consensus conferences.
The fellowship program is built around 4-month rotations, allowing the fellow to work with each member of the supervising faculty; rotations are not disease-specific. Each rotation places emphasis on skill building and refinement in the areas of test administration, test interpretation, interviewing, and report writing. Fellows are expected to function with increasing autonomy with the ultimate goal of preparing trainees for their initial professional position.
Our clinical evaluations strive to integrate medical, neurological, and behavioral data with neuropsychological test findings to answer any of a number of referral questions. Our referrals often consist of, but are not limited to, questions concerning:
- Differential diagnoses (e.g., Lewy-body dementia vs. Parkinson’s disease, Alzheimer’s disease vs. Frontotemporal dementia)
- Delineation of spared and impaired cognitive functions secondary to known central nervous system dysfunction
- Establishment of a neuropsychological baseline against which to monitor recovery or progression of central nervous system dysfunction
- Comparison of neuropsychological functioning prior to and following a variety of pharmacological, surgical, and behavioral interventions as part of ongoing treatment outcome evaluations and standard clinical care
- Assessment of cognitive/behavioral functions to assist with rehabilitation, management strategies and/or educational or employment placement
The Neuropsychology service at LRCBH has adopted an evidence-based flexible battery, though the assessment battery is tailored as needed for specific patient populations or referral questions. The clinical neuropsychology service has a strong internal referral base and close collaborative relationships with our referring neurologists. Our service model is centered on a basic premise of evidence-based practice with emphasis on efficient service delivery and maximization of service utility. This approach has led to a steady service expansion and establishment of a sustainable practice, with clear plans for future growth.
Clinical service provision will account for a minimum of 50% of the fellow’s time, which will be adjusted on an individual basis in an effort to ensure that the fellowship meets personal training goals. Fellows will be responsible for comprehensive case management, including completion of supervised interviews, testing, scoring, report writing, communicating with referring providers, and delivering feedback to patients. During their second year of training, they will have the opportunity to co-supervise advanced practicum students. The anticipated caseload is approximately 4 cases per week. It is anticipated that this assessment experience will provide the fellows with the opportunity to enhance their existing knowledge and experience with a variety of neuropsychological assessment procedures.
Assessment is only one component of the fellow’s clinical duties. The primary goal of the fellows’ clinical activities is to expand their expertise in clinical interpretation and reporting of neuropsychological data. Report writing and consultation with patients and other health-care professionals are, therefore, central to this postdoctoral experience. The fellows will also be expected to integrate with other treatment providers within the LRCBH on a regular basis via case conferences and case consultation.
Formal clinical supervision is provided on an individual basis, typically one to two hours weekly with additional supervision provided informally on a regular basis. Group supervision in the form of weekly neuropsychology case conference meetings to review topics of interest, ethical issues, noteworthy cases, research data, etc. generally accounts for approximately one hour weekly. Practice management issues, such as scheduling patients, managing technical support services, and billing and coding practices are discussed, though fellows are not responsible for these aspects of professional practice while in training.
Formal written evaluations of the postdoctoral fellows’ progress are prepared by the supervising Staff Neuropsychologist(s) at the conclusion of each rotation and semi-annually by the program director. Information is forwarded to the Cleveland Clinic's Graduate Medical Education (GME) office. In the course of these regularly scheduled evaluations, fellows are asked to evaluate the program and their supervisors.
Performance is also assessed via a clinical fact-finding exercise modeled after that portion of the American Board of Clinical Neuropsychology (ABCN)’s Oral Exam. This is conducted at the beginning of the first and second training years, and may be repeated more frequently if needed to monitor fellows’ clinical skills. Fellows whose performance is not at an expected level of competence will be advised regarding the problem areas, and a specific plan to remediate those weaknesses will be developed per GME policies.
Research will be an integral and required component of the postdoctoral experience. The neuropsychology service is a leader in investigator-led research at LRCBH and we maintain a substantial repository of clinical and neuroimaging data. We are additionally involved in a number of ongoing collaborative research projects both within and outside the institution, including main campus. Current areas of research interest include studies assessing relationships between cognitive tests and neuroimaging, sports neuropsychology in professional athletes, cognitive interventions in Parkinson’s disease, biomarker profiles in neurodegenerative disease, and ongoing psychometric studies.
Cleveland Clinic is highly supportive of research activities, and provides excellent statistical, computer, graphic art, photography and editorial support services. It is expected that the fellows will become involved in one or more of the existing research projects within the Service, with the minimum expectation of preparing at least one first-author paper for publication and/or presentation at a national meeting. Independent and/or new collaborative research projects will be encouraged, and grant activity is highly supported. Travel time is provided to make presentations at professional meetings, and some financial support for travel may be available, especially for first-authored papers based on work accomplished at Cleveland Clinic.
Terms & Conditions
Fellows must have completed all of the formal requirements for the doctorate degree before beginning postdoctoral training; appointments begin in July or September as negotiated at time of acceptance. Although the Cleveland Clinic's Clinical Neuropsychology Fellowship is designed as a two-year program, contracts are made on a year-to-year basis and contingent upon available funding, with renewal for the second year being made by mutual consent.
Note: Cleveland Clinic employees must be drug and tobacco-free.
The fellowship currently carries a 12-month, first year salary of $53,000, which typically increases prior to the second year (current second year salary is $55,000). Fifteen days of vacation and five personal days of paid time away are provided each academic year. Comprehensive health, dental and vision insurance (fellow and immediate family) at minimal cost to the fellow are among the benefits provided. Salary determination, grievance process, allotment of vacation and meeting time, and other institutional procedures occur in accordance with the General Policies for Graduate Medical Education. Please see GME for additional details.
The Neuropsychology Section on Main Campus was organized in 1985 and officially established as a formal patient care center within the department of Psychiatry and Psychology at Cleveland Clinic in 1986. The service in Las Vegas was established in 2011 and has close collaborative ties with the division on main campus. As neuropsychologists, we are members of the Professional Staff. Several staff members have academic appointments or pending appointments with Cleveland Clinic Lerner College of Medicine (CCLCM).
Las Vegas Faculty
Sarah J. Banks, PhD, ABPP/CNS (Head, Neuropsychology Program) established the neuropsychology service at LRCBH in 2011. Her primary clinical interests are in neurodegenerative disease and progressive movement disorders. Her current research interests include the relationship between neuroimaging and neuropsychological test performance.
Justin B. Miller, PhD, ABPP/CN (Director of Neuropsychology Training) joined the service in 2013, bringing additional expertise in neuropsychological assessment and rehabilitation. His primary clinical interests are in differential diagnosis of neurodegenerative disease and sports neuropsychology. Current research interests focus on evidence-based neuropsychology and the psychometric study of cognitive assessment practices.
(Note: Cleveland faculty may be available for research collaboration, but will not be available for clinical supervision to Las Vegas fellows)
Aaron Bonner-Jackson, PhD, ABPP-CN joined the Section in 2011 bringing expertise in neuropsychological assessment of dementia syndromes. His primary appointment is in the Center for Brain Health and he sees patients in Neuropsychology at least one day per week. He has dedicated time for research and this involves longitudinal studies of progressive neurological conditions.
Robyn Busch, PhD, ABPP-CN joined the Section in 2005 with an appointment in the Epilepsy Center. A significant portion of her time is dedicated to research in surgical epilepsy patients; a primary interest is in identifying potential genetic factors that underlie cognitive dysfunction in adults with epilepsy. Retrospective research is focused on improving prediction of cognitive outcome after epilepsy surgery and investigating contributing factors contributing to mood and anxiety disorders in patients with epilepsy. She provides clinical services to adults, primarily patients with epilepsy.
Darlene Floden, PhD, ABPP-CN joined the Section in 2007 and has appointments in the Center for Neurological Restoration (CNR) and Cerebrovascular Center. She primarily provides services to adult patients seeking deep brain stimulation for the treatment of movement disorders, and patients with acute and chronic stroke. Part of her time is devoted to research related to frontostriatal function and deep brain stimulation.
Jennifer Haut, PhD, ABPP-CN joined the Section in 2001 and provides clinical coverage to the pediatric neuropsychology service. She is Director of the Clinical Neuropsychology Post-Doctoral Fellowship Program. Her current research is focused on assessment of reliable cognitive change after pediatric epilepsy surgery.
Patricia Klaas, PhD joined the Section in 2004 with clinical responsibilities in pediatric neuropsychology. Her research interests involve memory, mood and adjustment issues in pediatric epilepsy surgery patients. Current research is focused on the use of MEG to assess evoked responses in epilepsy patients.
Cynthia Kubu, PhD, ABPP-CN joined the Section in November 2001 to provide clinical services to adult patients, primarily candidates for deep brain stimulation. Her research interests are related to deep brain stimulation and neuroethics. She serves is active in the CCLCM.
Richard Naugle, PhD, ABPP-CN joined the section in 1987 and serves as the Section Head. He maintains a broad-based adult clinical practice with a portion of his time devoted to the Epilepsy Center. Dr. Naugle serves as a long-standing member of Cleveland Clinic’s Institutional Review Board.
Michael Parsons, PhD, ABPP-CN joined the section in 2007 as an adult neuropsychologist and has an appointment to the Rose Ella Burkhardt Brain Tumor Center (BBTC). His clinical caseload includes the full range of neuropsychological referral questions; he consults throughout the clinic and community. His research involves the use of functional and structural brain imaging techniques to study learning and memory in cognitively intact individuals and patient populations.
Kelly Wadeson, PhD joined the section in 2012, adding expertise in rehabilitation. Her primary appointment is in Physical Medicine & Rehabilitation and she sees patients in Neuropsychology at least one day per week. Her clinical neuropsychology practice includes school-age children through adults.
The Clinical Neuropsychology Postdoctoral Fellowship Program at LRCBH does NOT participate in the APPCN Matching Program operated by National Matching Services (NMS; www.natmatch.com). Application materials will be accepted after December 1 and the deadline for receipt of all materials is January 1. Completed applications will be reviewed by all supervising neuropsychologists as received, with invitations for interviews to be extended by January 31. Interviews will be completed remotely (e.g., via Skype) or in-person as feasible; on-site interviews are not required. Applicants are strongly encouraged to contact program faculty for information or clarification of the program’s description and current research opportunities. Please note that offers of admission to the fellowship program may be extended at any time.
All application materials should be directed to (electronic PDF submissions are strongly encouraged):
- Justin B. Miller, PhD, ABPP/CN
Cleveland Clinic Lou Ruvo Center for Brain Health
888 W. Bonneville Ave.
Las Vegas, Nevada
- Submit electronic materials to Susan Farris, education coordinator: firstname.lastname@example.org
Please provide the following (incomplete applications will not be reviewed):
- A letter of interest describing relevant academic and training experiences, desired postdoctoral training objectives, perceived “fit” with this program, and future professional goals (please limit to 2 pages)
- Current curriculum vitae
- Three letters of reference, including at least two from individuals familiar with the applicant's academic and clinical training in neuropsychology (please have letter writers submit directly to the Training Director)
- A statement from the applicant's graduate school clinical training director indicating the applicant's status in the program and probability of completing the requirements for the doctorate prior to the fellowship year (waived for those already holding the doctorate)
- An official graduate transcript(s)
- Two deidentified clinical work samples
- Completed application form: Fellowship Application