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Residency Training - Child and Adolescent Psychiatry

Clinical Rotations - Community & Public Psychiatry Track

Overview of First Year Clinical Rotations

6 Months at Queens Children's Psychiatric Center

• Adolescent Inpatient Unit
• Research/Scholarly Activity - part time over 6 months

6 Months at NewYork-Presbyterian Hospital Morgan Stanley Children's Center

• Pediatric consultation and Emergency Services - 4 months
• Neurology Clinic - part time over 4 months
• Pain Clinic - part time over 4 months

Queens Children's Psychiatric Center (QCPC)

Adolescent Inpatient Unit: The training service treats patients ages twelve to eighteen years who present with severe and disabling psychopathology including anxiety, psychosis, aggression, impulsivity, hyperactivity, mood disorders, and developmental delay and deviance. The CAP Track residents are active members of the service. They participate in the evaluation, diagnosis, as well as individual, family and milieu therapy, and psychopharmacological management of hospitalized children and adolescents. Residents are responsible for up to 4 patients during their 6 month rotation, seeing each patient individually twice weekly, co-leading a group, as well as participating in team meetings, administrative unit meetings and therapeutic community meetings. Child and adolescent residents from another training program, psychology interns and social work interns may also participate.

Research/Scholarly Activity: Each resident has the equivalent of one half day a week to pursue a research project or scholarly activity under direct mentorship by a faculty of their choosing.

Columbia University Medical Center - Morgan Stanley Children's Hospital of New York (CHONY)

Pediatric Consultation and Emergency Services (Morgan Stanley Children's Hospital of New York): The Pediatric Consultation and Emergency Service has two major components. In the first, residents provide consultation to hospitalized children and adolescents and liaison services to selected subspecialty teams including cardiac transplant, ICU, pain management, hematology/oncology, neurology and renal. In the second, residents provide consultation to the emergency room and brief outpatient treatment to children and adolescents in crisis.

Neurology Clinic (Morgan Stanley Children's Hospital of New York): Residents rotate through the Pediatric Neurology Clinic, under the direction of the Pediatric Neurology Service, while on the Pediatric Consultation/Liaison Service at NewYork-Presbyterian Morgan Stanley Children's Hospital. The clinic population is culturally diverse, with a variety of neurological disorders, including neuromuscular disorders, seizure disorders, tumors, movement disorders, degenerative neurological diseases, strokes, and other neurological syndromes. Many disorders are complicated by neuropsychiatric problems or include a differential diagnosis of a conversion disorder, somatization disorder, or psychiatric factors complicating a neurological condition.

Pain Clinic (Morgan Stanley Children's Hospital of New York): Each child psychiatry fellow rotates for four weeks in the outpatient Pediatric Pain Management Center at NewYork-Presbyterian Morgan Stanley Children's Hospital. The fellow participates in the evaluation of children and adolescents with diagnoses such as functional abdominal pain, chronic daily headache, complex regional pain syndrome type I (reflex sympathetic dystrophy), and chronic pain associated with life-threatening illness.

Overview of Second Year Clinical Rotations

2 days a week at Payne Whitney Westchester

• Outpatient Evaluation Clinic - 12 months
• Outpatient Sub-Specialty Clinics - 12 months
• Social Skills Group Therapy - 6 months
• Psychotherapy Technique Supervision

2 days a week at Queens Children's Psychiatric Center

• School Consultation - 12 months (one day)
• Research Scholarly Activity - 12 months (one day)
• Normal Nursery Observation - part time over 3 months (Columbia University Medical Center)

Weill Cornell Psychiatry at NYP Westchester Division

Outpatient Evaluation Clinic: Residents perform psychiatric evaluations of children and adolescents under direct supervision. Evaluations include interview with the child, as well as parents/caretakers, and acquisition of collateral history. Differential diagnosis, risk assessment, and disposition of patients are done with a supervisor.

Outpatient Sub-Specialty Treatment Clinics: Residents treat children with a variety of diagnoses in specialized treatment clinics throughout the year. Faculty with expertise in specific psychopathologies provide ongoing supervision to the residents.

Social Skills Group Therapy: Residents participate in a social skills group therapy program on a weekly basis, under supervision, throughout their four-month rotation at The Westchester Division. These groups vary with regard to age range and diagnosis, but all provide the residents with valuable exposure to the principles and practice of social skills training.

Psychotherapy Technique Supervision: Each resident receives ongoing supervision in the implementation of psychodynamic psychotherapy and of specific Cognitive Behavioral, Parent Training and Family Therapy techniques.

Queen's Children's Psychiatric Center

School Consultation: This rotation provides an experience in structured and therapeutic special education classroom settings at the Robert F Kennedy and Roberto Clemente Schools. The target population varies with school site but includes children ages 5 to 18 who are receiving or are in need of special education services. These students often have significant behavioral and learning issues in school or/and at home. The range of diagnosis includes Attention Deficit Hyperactivity Disorder, Oppositional Defiant Disorder, Learning Disorders, Anxiety and Mood Disorders, and Pervasive Developmental Disorder, NOS. Residents observe children in the classroom, consult with teachers about normal vs. deviant development, behavioral management, and provide psychiatric assessment and treatment when indicated.

Research/Scholarly Activity: Each resident has one day a week to pursue a research project or scholarly activity under direct mentorship by a faculty of their choosing.

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