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Child and Adolescent Psychiatry Fellowship Curriculum

First Year of Fellowship

The first year of training focuses on the principles of diagnosis and treatment of children and adolescents who present primarily in the hospital setting. Fellows learn specific interviewing techniques and adaptations of the principles of psychopharmacology to children and adolescents. They learn about manualized psychotherapeutic techniques (including cognitive behavior therapy, parent management training, and dialectical behavioral therapy) and non-manualized psychotherapeutic techniques (including psychodynamically informed psychotherapy, supportive psychotherapy, and family therapy), as well as the systems of care surrounding children, the interactions between development and pathology, and the obstacles to care.

First Year Rotations

  • Inpatient Unit (I) – roughly four months
  • Day Hospital Unit (DH) – roughly two months
  • Consultation-Liaison Service (CL) – roughly three months
  • Outpatient Rotation (E1, E2, ED) – roughly three months. These include child neurology, school-based psychiatry, child mobile treatment, forensics, substance abuse, eating disorders, developmental disabilities.
  • Collaborative Continuity Clinic (i.e., outpatient experience) – one half-day per week
  • Home-Call Coverage – weekends only, on average one day in every fourteen

First Year Didactics

The clinical experience is enhanced by didactics specifically tailored to the knowledge base of the first-year fellow. A Summer Session provides information about the policies and procedures for documentation, communication, the differences between working with adult patients and with child patients and their families, the initial assessment, engagement strategies when working with youth and families, skills in managing a crisis situation, and the attitude expected towards patients, families, and multidisciplinary teams. In addition, throughout the year there are didactics on critical journal reading, the consultation process, child and adolescent psychopharmacology, ethics, forensics, development, and the social determinants of health. Also, there are lectures on psychotherapy techniques including family therapy, cognitive behavior therapy, parent management training, and dialectical behavioral therapy.

Second Year of Fellowship

The second year focuses on the diagnosis and treatment of children, adolescents, and their families primarily in the outpatient setting. Fellows develop a deeper understanding of therapeutic interventions in outpatient clinics and have the opportunity to pursue a variety of electives. In addition, there are also opportunities to develop research and writing skills and participate in ongoing research with faculty guidance.

Second Year Rotations

  • Collaborative Continuity Clinic (CCC) – one half-day per week and a treatment continuation opportunity with patients from the first year
  • Scholarly Activity/Administrative Day – 1 day per week
  • Therapy experience – equivalent to one half-day per week, with six months of the year focusing on CBT and six months focusing on family therapy
  • Children’s Mental Health Clinic (CMHC) – one day per week
  • Elective/Psychotherapy clinic – one day per week
  • Kennedy Krieger Institute (KKI) Center for Autism and Related Disorders (CARD) or KKI’s Psychiatric Mental Health Program with emphasis on developmental disabilities (DD) – one half-day per week
  • Home-call coverage – on average once every fourteen evenings throughout the year

Second Year Didactics

The second year didactics focus on advanced topics of child and adolescent psychiatry and build on the material learned in the first year of fellowship. Expert faculty members are invited to speak on topics including developmental disabilities, neuropsychology, neuroscience, genetics, evidence-based practice, and psychiatric formulation.

Divisional Conference Topics

In addition to the first and second year didactics, additional teaching occurs at the Divisional Conference held on Wednesdays. This weekly conference is a combination of faculty presentations, case discussions, and lectures by invited faculty from the divisions of Pediatrics, Neurology, and the School of Public Health, as well as current second-year child and adolescent psychiatry fellows. The conference covers a variety of “hot topics”, challenging issues, and complex clinical situations.

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