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Residency Training - Child and Adolescent Psychiatry

Clinical Rotations - Community & Public Psychiatry Track

Child and Adolescent Psychiatry Clinical Rotations

Overview of the First Year Clinical Rotations - Community & Public Psychiatry Track

6 Months at New York City Children's Center — Queens Campus (NYCCC-Queens)

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

6 Months at NYP Morgan Stanley Children's Hospital of New York (CHONY)

  • Pediatric Consultation and Emergency Services — 3 months
  • Neurology Clinic — part-time over 3 months
New York City Children's Center — Queens Campus

Adolescent Inpatient Unit: The training service treats patients ages 12-18 years old who present with severe and disabling psychopathology including anxiety, psychosis, aggression, impulsivity, hyperactivity, mood disorders, and developmental delay and deviance. The Track residents are active members of the service. They participate in the evaluation, diagnosis, and psychopharmacological management in addition to individual, family, and milieu therapy for hospitalized children and adolescents. Residents are responsible for up to 4 patients during their 6 month rotation, seeing each patient individually twice a week, co-leading a group, and participating in a team, administrative unit, and therapeutic community meetings. Child and Adolescent Psychiatry 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 per week to pursue a research project or scholarly activity under the direct mentorship by a faculty member of their choosing.

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

Pediatric Consultation and Emergency Services (Morgan Stanley Children's Hospital): The Pediatric Consultation and Emergency Service has two major components. 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. 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): Residents rotate through the Pediatric Neurology Clinic, under the direction of the Pediatric Neurology Service, while on the Pediatric Consultation/Liaison Service at NYP 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 symptoms. 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.

Overview of the Second Year Clinical Rotations - Community & Public Psychiatry Track

Two Days Per Week at Weill Cornell Westchester Division

  • Outpatient Evaluation Clinic — 12 Months
  • Outpatient Subspecialty Clinic — 12 Months
  • Social Skills Group Therapy — 6 Months
  • Psychotherapy Technique Supervision

Two Days per Week at New York City Children's Center — Queens Campus

  • School Consultation — 12 months (1 day per week)
  • Research/Scholarly Activity — 12 month (1 day per week)
  • Normal Nursery Observation — part-time over 3 months (NYP-Columbia University Medical Center)
Weill Cornell Psychiatry Westchester Division

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

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

Social Skills Group Therapy: Residents participated in a social skills group therapy program on a weekly basis under supervision for a 6 month period at Weill Cornell Westchester Division. These groups vary with regard to age range and diagnosis, but all provide residents with valuable exposure to the principles and practice of social skills training.

Psychotherapy Technique Supervision: Residents receive individual ongoing supervision in the implementation of psychodynamic psychotherapy and specific Cognitive Behavioral, Parenting Training, and Family Therapy Techniques.

New York City Children's Center — Queens Campus

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 all sites include children ages 5-18 years old who are receiving or are in need of special education services. These students often have significant behavioral and learning issues in school and/or 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 versus deviant behavioral management, and provide psychiatric assessment and treatment when indicated.

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