The Child and Adolescent Psychiatry Training Program is a rich two year curriculum. It includes a set of coursework that covers the full spectrum of areas relevant to the study and practice of child and adolescent psychiatry. While much of the focus is on the diagnosis and treatment of psychiatric disorders in children and adolescents, trainees are offered a broad based exposure to current understandings of human development, developmental psychology, developmental neuroscience and developmental psychopathology. This is combined with integrative case conferences to form a rich knowledgebase and learning process.
During the first year of training, fellows spend approximately one-third of their time at a superb residential treatment center where they work with troubled youth and their families while also learning about the systems of care in which these youth are engaged – schools, courts, etc. Trainees also begin in outpatient diagnostic clinics with a full spectrum of patients. In addition to learning the techniques and process of clinical evaluation, the trainees are also taught to utilize short-term, focused interventions. At the same time they begin to take on long-term outpatient psychotherapy cases of differing ages. For these cases, the trainees are supervised as they provide different modalities of treatment and participate in collateral work with their parents or guardians, schools and other agencies involved with their case. Second-year training activities include continuation of a variety of outpatient therapies with a range of children and adolescents, supervision of adult psychiatry residents and medical students, pediatric consultation-liaison, school consultation and consultation in community systems.
Scholarly activity is required of all trainees. A research methodology course is taught in the first year. A monthly journal club focuses on current research and research methodology. Trainees are encourage to approach child psychiatry faculty about participating in ongoing research, to speak with others in the Department who have projects that are potentially relevant to child mental health disorders, or to initiate their own projects. Areas of emphasis include aspects of diagnosis, etiology, course, and treatment of early infant-parent attachment, affective disorders, pervasive developmental disorders, Attention-Deficit/Hyperactivity Disorder, and neuropsychiatric movement disorders, such as Tourette’s Disorder and obsessive-compulsive disorders. Also of interest is treatment of early trauma and diagnostic and treatment issues pertinent to the residential psychiatric care of seriously disturbed children. Fellows are requested to present their Grand Rounds at end of each the first and second year. Mentoring is available.