Neuropsychological Testing/Psychometric Assessment in MS

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Cattius
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Neuropsychological Testing/Psychometric Assessment in MS

Post by Cattius » Tue Dec 14, 2010 4:35 pm

I have an interview for an AP role in Neuropsychology specifically MS patients (it's tomorrow - I was on the reserve list - just got the call)

Other than WAIS and WMS, are there any frequently used measures I should brush up on? NART perhaps?

Got some good starting points from h2eau from a previous post and this website

I've found an article on the Rivermead Mobility Index and the MS Impact Scale compared with Rasch analysis - wondering if this is relevant to current practices.

I've also printed out some general info on MS and the common problems (memory).

Any other suggestions of good things to spend a couple of hours reading up on would be greatly appreciated!

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Post by Gilly » Tue Dec 14, 2010 4:45 pm

to assess premorbid IQ, we used the WTAR (Weschler Test of Adult Reading) in our service rather than the NART - hold this space, ill have a look when i get home and add something to this thread about what might be good to have a look at (im from a TBI/Stroke/Dementia background though)
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Post by Cattius » Tue Dec 14, 2010 4:48 pm

Great! Thanks Gilly. Much appreciated!

Cat
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Post by charley » Tue Dec 14, 2010 8:16 pm

I specialise in MS assessment but i hope this isn't too late for you!! you would normally have a special 'battery' of tests for MS that cover the cogntive profile (sub cortical) - these are normally selected by a neuropsych based on their preferences but you wouldn't need to be able to select them yourself. Everyone uses different ones. Big batterys of tests like the WAIS and WMS wouldn't normally be used as they are too long (fatigue huge problem in MS) adn wouldn't give you the specific info you need. i would think less about specific tests and more about the considerations of testing like functional problems (eyesight, numbness in hands etc) and fatigue. Good luck!

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Post by Gilly » Tue Dec 14, 2010 10:07 pm

roooooight

so, general neuropsych things to take into account, suitability of tests (are they too old for the norms, are they only normed on american white people, have they been normed on people with this condition etc..)

- as Charley said, are the tests going to be suitable - if a patient is fatigued, then doing something like 'coding' on the WAIS (requiring constant small writing) will be hard, and may "show" attention problems, instead that they were tired.

be aware of issues surrounding mood as well, mood change is common in neurological conditions, espescially if in MS if their type is primary progressive/secondary progressive, and so theyre going to get worse quite quickly. So some knowledge of screens/scales like the Beck Depression Index, Hospital Anxiety Scale and Beck Anxiety/Hopelessness Index.

Hope thats a decent start :) good luck
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Post by Cattius » Tue Dec 14, 2010 11:26 pm

Gilly. Charley; you guys are awesome. Thanks so much for taking the time to get back to me. I feel a bit calmer now too! Great tips. Thanks.

I'll let you know how I get on!!
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Post by Cattius » Wed Dec 15, 2010 8:39 pm

The interview went brilliantly!!

Of course... they didn't ask me a thing about tests and stuff! But they did ask me about patients emotions; so all the thinking and googling I did about MS and symptoms really helped - which was because Gilly. mentioned mood and charley mentioned fatigue and numbness.

Anywho, the prep I did really paid off, I felt like I couldn't have done better really, only a few things I forgot to mention. The interview questions were great, very vague and open. I felt like I really got a chance to show off my experience and skills (5 and a half years of jobs to get experience to do this job!!). AND the reading up I'd done on MS. Weaved it in to a few answers! Also, the panel were lovely and lots of nods and smiles.

My very first AP interview... I was so giddy! Been for pizza to celebrate

Anyway, they said they'll let me know by Friday. I'm not holding my breath, as at the moment there's ALWAYS someone with more experience. Obviously I don't need to explain to any of you how competitive AP posts are. So we'll see.

Watch this space. Fingers crossed. Got a PCMHW interview tomorrow too! Interviewed out!

Thanks again for the pointers :D
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Post by Mesa34 » Wed Dec 15, 2010 9:36 pm

Good to hear it went well Cattius, hope you get good news on Friday!

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Post by Cattius » Fri Dec 17, 2010 12:34 pm

Totally gutted, didn't get the job :cry: AND they called me about an hour before another interview :(

Great feedback tho. They said I was a very strong candidate and that it was a very very difficult decision between me and another person.

They also told me to keep my eye out for more posts in their department.

Still, so sick of being told "I'm employable" and "you got down to the final two" and someone else had more or better experience!!!!

Anyway, I really appreciate all your help guys!

Yesterday's PCMHW interview went really well, and I do have to admit that I want this one more... so fingers crossed!!! I should find out today.
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Post by chixta » Fri Dec 17, 2010 1:06 pm

Aww Cattius what a shame, it sounded like you gave a really good interview. All the best of luck for the PCMHW interview. :)

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Post by Cattius » Mon Dec 20, 2010 5:29 pm

Drum roll please....


I GOT THE PCMHW JOB!!!!!!! :D :D :D :bounce: :D :D :D

:sunny:

I'm so excited, and so pleased and so relieved! It's full-time, it's permanent, and I get the do the PG Cert. Less money than I'm on now, but I couldn't care less!!
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Post by Ruthie » Mon Dec 20, 2010 6:52 pm

Congratulations!!! :thumleft:

Definitely a major milestone along the way!!

Ruthie

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Post by Cattius » Mon Dec 20, 2010 11:44 pm

Thanks Ruthie! I'm hoping it'll lead to HIW in a few years... if not, it's definitely something I can live with for a while :D

I'm so excited! :bounce:
Cattius.

"Go away, I'm alright" The last words of HG Wells.

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