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Residency Training - Child and Adolescent Psychiatry
The NYPH Child and Adolescent Residency Training Program complement the clinical experiences of residents with a comprehensive didactic curriculum in both the first and second year of training. Didactics take place each week throughout the academic years, and residents rotate between the Columbia and Weill Cornell sites. Residents in the Community & Public Psychiatry track join the other residents on didactic days. And with the exception of Child and Adolescent Psychiatry Grand Rounds, the didactic courses that comprise the curriculum are ordered sequentially throughout the training experience.
First Year Didactic Curriculum
Introductory Summer Course
This course provides a foundation of knowledge and skill in child psychiatry, covering topics like assessment, diagnosis, classifications, developmental principles, education and child abuse law, psychological testing, and principles of pediatric psychotherapy and psychopharmacology. Residents use these interactive sessions to prepare for their clinical rotations and to help further develop a super fund of knowledge.
This course serves as a review of normal development by age and stage, offering a more in-depth exploration of topics like attachment, language, and cognition. The principles of development are also paired with a guided analysis of the range of disorders seen during childhood and adolescence as well as an overview of therapeutic interventions. Faculty expertise lends clinical wisdom to these courses where residents review current literature and discuss clinical vignettes.
Fundamentals of Child and Adolescent Psychiatry
This course exposes residents to the basic therapeutic processes common to all child and adolescent psychotherapies. Through both experiential and didactic learning, residents develop a familiarity and comfort managing common clinical elements and dilemmas that arise in work with children and young adults. Guided by an atheoretical framework, residents become familiar with key issues that arise in treatment such as initial contact, observation, assessment, establishing therapeutic alliances, engaging patients of varying ages, impasses, no-shows, confidentiality, and treatment termination. Residents also practice self-monitoring and reflection as they further develop clinical acumen and expertise.
Fundamentals of Pediatric Psychopharmacology
This course reviews the major classes of psychiatric medications used in pediatric populations. Residents explore psychiatric indications of various medications and enhance their skill in medical evaluation and medication management with children and adolescents.
Introduction to Family Therapy
This seminar exposes residents to the different approaches to family therapy, and under faculty guidance, they explore how various strategies work for families and can be utilized in the care of children and adolescents.
Developmental Neuroscience Seminar
This seminar provides an introduction to translational developmental neuroscience as taught by experts from the Sackler Institute for Developmental Psychobiology. Residents review topics such as the adolescent brain and risk for depression, affective neuroscience, and imaging and genetics of autism and ADHD.
Community & Public Psychiatry I
This lecture series exposes residents to relevant issues affecting urban, culturally diverse, and special populations of children and adolescents.
Second Year Didactic Curriculum
Introduction to Research Methods and Statistics
This summer course provides second year residents with a foundation in statistics and research methodology. Residents prepare for their own scholarly inquiry through skill development and critical evaluation of current literature.
This course combines a didactic series with courtroom observation and participation in mock trial experiences that extend throughout the second year of training. Residents review literature on forensic psychiatry, child custody, civil litigation, and the juvenile justice system. Residents observe normative family court proceedings in Rockland County, New York under the supervision of a forensic psychiatrist.
Adolescent Substance Abuse
This lecture series explores substance abuse alongside observational experience in a program for adolescents with addiction. Residents learn about rehabilitative strategies in adolescent populations.
Professional Development Series
This series provides the second year fellow with panel discussions regarding academic, administrative, research and clinical practice careers as well as didactics on risk management provided by the ARA PRMS expert panel.
Psychodynamic Psychotherapy with Children and Adolescents
This course teaches advanced second year residents how to conduct psychodynamic psychotherapy with children and adolescents. In this interactive seminar, residents learn to recognize and classify defenses, work with common developmental challenges, and conduct developmentally appropriate psychotherapy. Residents also hone their skills in using a developmental perspective in case formulation and treatment planning by choosing age-appropriate therapeutic modalities like imaginative play, structured play, and talk therapy. Throughout the course, residents also explore how to work effectively with caregivers, identifying and managing countertransference, and integrating psychodynamic psychotherapy with other interventions such as medication, family therapy, and cognitive behavior therapy.
Empirically Supported Therapies
This course provides an analysis of the major studies of psychotherapy for pediatric psychiatric disorders including anxiety, depression, and disruptive behavior disorders. Residents explore the principles of behavior therapy, cognitive behavior therapy, interpersonal psychotherapy, and dialectical behavior therapy. Residents also become familiar with the indication for and the use of relaxation techniques, systematic desensitization, exposure/response prevention, interpersonal inventory, and affective regulation and problem-solving techniques.
Culturally Diverse and Special Populations II
This course invites experts and practitioners to address relevant issues affecting urban, culturally diverse, and special populations of children and adolescents. Residents develop an awareness of issues of culture, assessment, and policy incentives that affect these populations. Residents also explore the body of literature regarding specific clinical and research interventions for diverse cultural and ethnic populations.
Advanced Pediatric Psychopharmacology Seminar
This course reviews the neurobiology of pediatric disorders and the pharmacological targets of psychotropic medications. Residents review and discuss all of the major pediatric psychopharmacology clinical trials and the application of their results. Residents also present on assigned papers to colleagues and faculty facilitators.
This seminar offers residents the opportunity to present and discuss a peer-reviewed journal article with colleagues and faculty discussants. Each journal club meeting is thematically organized around the discussant's area of expertise. Residents further enhance their fund of knowledge through a critical appraisal of the current literature in child and adolescent psychiatry.