SUCCESSFULLY MATCHING, TRAINING AND GRADUATING INTERNATIONAL PSYCHOLOGY INTERNS AND POSTDOCS - Bong Joo Hwang, Arizona State University Counseling ...

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SUCCESSFULLY MATCHING, TRAINING AND GRADUATING INTERNATIONAL PSYCHOLOGY INTERNS AND POSTDOCS - Bong Joo Hwang, Arizona State University Counseling ...
SUCCESSFULLY MATCHING, TRAINING AND
     GRADUATING INTERNATIONAL
 PSYCHOLOGY INTERNS AND POSTDOCS

 Bong Joo Hwang, Arizona State University Counseling Services &
                       Health Services
           Daniel Hurley, Hennepin Healthcare/HCMC
SUCCESSFULLY MATCHING, TRAINING AND GRADUATING INTERNATIONAL PSYCHOLOGY INTERNS AND POSTDOCS - Bong Joo Hwang, Arizona State University Counseling ...
LEARNING OBJECTIVES

Participants will be able to

 1. identify the training needs of international applicants.

 2. identify 1-2 possible ways to improve their training program’s
 readiness.

 3. describe challenges encountered in matching with
 international trainees and solutions that other programs have
 used to address these effectively.
LET US KNOW YOUR THOUGHTS

 Successfully matching with international trainees is _____________
 Successfully training international trainees is ______________
 Successfully graduating international trainees is ______________
INTERNATIONAL INTERNS & POSTDOCS:
DEMOGRAPHICS
 Who are they?
   In 2007, 8.2 % of Counseling Psychology Students are international
    (Forrest, 2010)
 Typical characteristics of International Counseling Students(Akkurt, Ng, &
  Kolbert, 2018)
   Unconditional respect for authority
   Perceiving professors as the ultimate source of knowledge
   Speaking English as a second language
   Presenting more collectivist behaviors
   Unfamiliarity with the US academic system
CHALLENGES THAT INTERNATIONAL
STUDENTS FACE
 International students’ issues (Yi, Lin, & Kishimoto, 2003 )
    Academic
    Physical health
    Financial
    Vocational,
    Personal/social
 Overlooked Challenges Faced by International Students (Lee, 2013)
   Language Barriers
   Financial Problems
   Challenges Relating to Legal Status in Predoctoral Settings
   Challenges Relating to Legal Status in Postdoctoral Settings
UCC TRAINING DIRECTORS’ UNDERSTANDING ON
INTERNATIONAL INTERNS CHALLENGES (HWANG,
SUDARSKY-GLEISER, TAYWADITEP, & TAYLOR, 2013)

  Adjustment
    language competence – verbal & written; intolerance from
     staff
    language confidence
    culture – culture shock; personal hygiene; how emotions are
     expressed in home culture vs US culture; deference to
     authority and more passive learning style; different cultural
     expectations re: relationships and supervision feedbacks;
    isolation,
    developing relationship with other interns
 Visa and immigration
   getting sponsored for internship
   slower HR process
   Curricular Practical Training (CPT) requirement: having less
    than 365 days of internship
   Optional Practical Training (OPT) requirement
   job search
 Finance
 Biases/racism/prejudice/micro-aggression
   clients want to be transferred because of accent/mannerism
INTERNATIONAL INTERNS STRENGTHS (HWANG,
SUDARSKY-GLEISER, TAYWADITEP, & TAYLOR,
2013)

 Cultural diversity/richness
 Resiliency/adaptability/flexibility
 Enthusiasm
 Good work ethic
 Intelligence
 Good observation skills
 More empathy toward minority students
 Global perspective
 Openness to new perspectives and approaches
TRAINING PROGRAM’S READINESS

 TD’s knowledge on the challenges and needs of international interns &
  postdocs
 Multicultural Competence of the staff
 Available resources
RESPONSIBILITIES FOR TD

 Being knowledgeable about international interns and postdocs issues and
  needs.
 Providing the international interns and postdocs with appropriate support
  and resources.
 Training the center staff on MC related to working with international
  students and interns.
 Communicating well and clearly with international interns and postdocs
  before, during, and upon completion of the training about their training
  experiences including their needs.
RESPONSIBILITIES FOR INTERNATIONAL
INTERN & POSTDOC

 Communicating with academic program (for interns) and with the training
  site on their needs related to CPT and OPT.
 Being knowledgeable about the process of getting CPT and OPT.
DIFFERENT VISAS THAT INTERNATIONAL
INTERNS OR POSTDOCS MIGHT HAVE
 F-1 Student Visa: Typical visa for international students
   In order to work, you need to get CPT while pursing a degree or OPT after
    completing a course work/degree
 J-1 Exchange Visitor Visa:

 Visas need employers sponsorship
   TN
   H-1B
CASE EXAMPLES AT AN UNIVERSITY
COUNSELING CENTER
 What I did:
   Soon after the match day, I contacted the 2 international interns to have them start figuring out the
    procedure of getting CPT. Both of them received CTP, which allowed them to work 11 days less than
    365 days. Technically, CPT can be any duration as long as it is less than a “full year.” For example, my
    CPT was 354 days.
   Through out the training year, during my meetings with them, their CPT status was checked. In
    particular, one intern’s CPT had to be renewed every semester after registering for an internship
    class at the student’s academic institution.
   In the spring semester, their OPT application was checked.
 International intern A
   ASU student: still needs CPT, hiring process was slightly different than Non-ASU students (e.g.
    internship started during the summer session, but the CPT start date was the first day of the fall
    semester. The university HR considered this intern’s internship position was an on-campus
    employment, and did not need TD signature to get CPT.)
   Partner of another F-1 student
   Mother of 2 children
 International intern B
   Non-ASU student: CPT from the student’s academic institution, CPT was renewed every semester.
   Partner (F-2 Visa holder) & infant child
THOUGHTS, QUESTIONS, OR
  LEARNINGS TO SHARE?
CASE EXAMPLE OF INTERNATIONAL
INTERN FROM CANADIAN PROGRAM
WHAT HAPPENED…

• Prepping for 2016-2017 training year
 • Matched with trainee from a CPA accredited program
 • No existing visa (so no CPT)
• No recent history of trainees coming without an already
  existing visa
• Immediately started working with HR and our contracted
  immigration attorney
 • Hospital has some experience in this area given residencies
• Immediate Goal: figuring out what visa would work
INITIAL VISAS CONSIDERED

• H-1B visa: temporary work visa for foreign workers in specialty
  occupations
 • Immigration attorney decided against as they could not figure out if our
   stipend would be in line with a wage survey
 • It was also expensive!
• TN visa: meant for Canadian and Mexican citizens under NAFTA
 • Cannot be used with permeant intent
 • Psychologist on list of approved position, so we thought we were good
 • Also it was less expensive
 • Much faster
BOMBSHELL – 3 WEEKS PRIOR TO INTERNSHIP

•Canadian Council of Professional Psychology Programs
 (CCPPP) email
•A matched intern from a Canadian program with an
 American internship was turned away at the border for
 not having right visa
•Could not try again
 •Possible 5 year ban
•Was unable to attend matched internship, left
 apartment lease, got new car for time in US
ISSUES CCPPP IDENTIFIED FOR VISAS

• TN visa
   • Requires a license
   • Though seemingly not uniformly enforced
     • Has created some significant confusion and frustration
• J1 visa
 • Meant to be an exchange visitor program to train and expand skills
 • Not eligible because direct patient care not permitted
• H3 visa
 • Nonimmigrant visa which allows foreign nationals to enter the U.S. to
   receive training in a U.S. company
 • Training cannot be available in home country
 • Not available for graduate medical training
• “Perfect storm of US visa ineligibility”
NEXT STEPS

•Emergency communication with myself, HR rep,
 immigration lawyer, intern, DCT, and Chief
•Most helpful step: immigration lawyer directly contacted a
 Customs and Border Patrol officer
• CBP officer suggested using the B-1 rather than planned TN
  •Lesson: knowing right resources and contacts is imperative
  •Lesson: Pembina, ND is a good place to get info and to
   have contact with a human being!
B1 TO THE RESCUE

Nonimmigrant visa for those who want to enter the
United States temporarily for business purposes
B-1 CHALLENGES

• Intern could not apply for SSN
 • Had to be paid through Accounts Payable
• Technically not being paid (only provided with allowance for
  room/board/incidental costs of training)
 • One of few reasons to be happy about lower stipends for trainees
• Contractor status - no benefits
• Required letter from home country employer
 • Approve of the training AND
 • Intern will have a job to return to where they can use those skills
B1 CHALLENGES

Prove there are reasons to return to home country (e.g.,
 spouse, property, children, etc.)
You cannot obtain this training in home country
  • Level 1 trauma center
  • Designated psychiatry emergency facility
  • Pediatrically focused primary care integration rotation
Attestation that training is under supervision of licensed
 psychologists
  • Thus no benefit to the site for having you there
    • i.e., no free labor or taking jobs from citizens/residents
COORDINATION REQUIRED WITH…

•Contracting Department        •Financial Services
 • Contract between intern’s    •Check requests to be sent
   home program and our           every other week
   own                         •Immigration Attorneys
 •Contract with intern and     •DCT of home program
  institution
                               •Psychology/Psychiatry
 •Amendments for                department
  increasing salary for
  benefits and overtime        •Tangentially many others
                                including CCPPP and APPIC
•Human Resources
SO, WHAT HAPPENED?

 After close communication and collaboration, intern got across
  border!
 Highly recommended to not leave US during internship
 Visa only valid for 1 calendar year
   So had to be thoughtful about saving PTO
 Had to do own tax withholdings as differences with contractor status
 Intern and DCT shared experiences on CCPPP listserv
 Worked with HR to increase stipend for benefits
 Eventually successfully completed internship and returned to
  Canada for job
SUGGESTIONS/RECOMMENDATIONS

 Gain knowledge of the        Connect international
  overall international         interns/postdocs with helpful
  student/intern/postdoc        mentors, perhaps former
  experiences & needs.          international trainees.
 Be aware of the              Be aware of job search
  visa/immigration laws and     limitations due to visa status.
  regulations for              Timely address of job/career
  international interns.        options considering the job
                                search limitations.
SUGGESTIONS/RECOMMENDATIONS

 Actively support your trainee      Equity between trainees was a
 Communicate early and often!        key focus
                                      Salary increase, overtime, PTO
 Pull in all of your resources
                                     Expand your view of TD roles
 Don’t assume that what               Information provider,
  lawyers plan will actually work       coordinator, documentation
 Try to have a plan B and C            creator/approver
 Be prepared to feel like a         Share your successes and
  beginner again                      challenges with the training
                                      community
REFERENCES

Akkurt, M. N. , Ng, K.-M., & Kolbert (2018). Multicultural Discussion as a Moderator of
        Counseling Supervision-Related Constructs. International Journal of Advancement
        of Counseling , 40, 60-71, https://doi.org/10.1007/s10447-018-9337-z.
Forrest, L. (2010). Linking international psychology, professional competence, and
         leadership: Counseling psychologists as learning partners. The Counseling
         Psychologist, 38, 96-120.
Hwang, B. J, Sudarsky-Sleiser, C., Taywaditep, J., & Talor, K. M. (2013). Social Justice Isses in
       the Supervision of International Student Interns. Workshop presented at the annual
       conference of Association of Counseling Center Training Agencies.. New Orleans,
       LA.
Lee, K. C. (G.). (2013). Training and educating international students in professional
         psychology: What graduate programs should know. Training and Education in
         Professional Psychology, 7(1), 61-69.
Yi, J. K., Lin, J.-C. G., & Kishimoto, Y. (2003). Utilization o f counseling services by
           international students. Journal o f Instructional Psychology, 30 (4), 333-342.
QUESTIONS/COMMENTS/
EXPERIENCES TO SHARE?
THANK YOU!
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