Training Program

The Consult/Liaison Child and Adolescent Psychiatry Rotation will provide Residents/fellows an opportunity to learn how to best evaluate child and adolescent patients in the general hospital setting and how to best triage these patients for further care including inpatient psychiatric care, day treatment, outpatient follow-up and referral to other community resources. Resident/fellows will gain experience in assessment and treatment of emergency presentations such as suicidal ideation, homicidal ideation, delirium, serotonin syndrome, neuroleptic malignant syndrome, and prescribed and illicit substance overdose. In addition, residents/fellows will engage in treatment teams regarding psychiatric sequelae of acute and chronic illness. Residents/fellows are expected to work with the referring physicians and ward teams, and to collaborate with them in the delivery of comprehensive patient care.

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The Pediatric Neurology Rotation includes and inpatient consultation and outpatient clinical experience involving the work up of new patients referred by community providers, and the follow-up of known patients. There will be emphasis on prevention, counseling, and screening for neurological pathology, normal v. abnormal neurological development, undifferentiated neurological signs, and common presenting neurological conditions and their treatment.

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The Adolescent Medicine Rotation is mainly an outpatient clinical experience involving the work up of new patients referred by community providers, and the follow-up of known patients. There will be emphasis on eating disorders, menstrual disorders, mental health, family planning assistance, sports medicine, and issues related to gender identity and sexual orientation. Limited inpatient clinical experience involving medical stabilization of patients with anorexia nervosa, and consultations on patients with abnormal vaginal bleeding.

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The Child Protection Pediatrics program offers forensic evaluation, preventive education, multidisciplinary reviews, and expert medical testimony for children who may have been abused or neglected. Our services strengthen the foundation of subsequent legal and protective action and facilitate necessary treatment and follow-up for children who are victims of physical, sexual, emotion or medical abuse.

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The Developmental and Behavioral Pediatrics Rotation is mainly an outpatient clinical experience involving the work up of new patients referred by community providers, and the follow-up of known patients. There will be emphasis on prevention of developmental and behavioral pathology, distinguishing normal from abnormal development and behavior, anticipatory guidance for appropriate development, undifferentiated signs of developmental pathology, and commonly referred developmental diagnoses. Two days will be scheduled at the Burkhart Center for Autism Education and Research to gain more experience in diagnosis and therapeutic management of Autism Spectrum Disorders including observation of Applied Behavioral Analysis. Prior to attending this experience, the resident/fellow will be expected to complete the Center for Disease Control module on Autism Case Training web-based continuing education course. Time will be provided on this rotation to complete this module.

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The objective of this rotation is to provide experience the design, implementation and dissemination of a research project. Research projects may be in the basic sciences, clinical sciences, medical education or translational (including quality improvement and health services research).

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The Child and Adolescent Day Treatment Psychiatry rotation will facilitate diagnostic assessment and treatment in collaborative team model for children and adolescents experiencing moderate-to-severe psychiatric symptoms warranting stabilization in a day treatment setting. Residents/fellows will learn how to address psychiatric symptoms as the present and various treatment modalities employed in a day treatment setting. Residents/fellows will engage with families to improve care outcomes and with the patient's social system as relevant to the patient's experience in order to facilitate successful transition to an appropriate level of care.