Fellowship  >  Division of Child and Adolescent Psychiatry - Rotations - Second Year

Rotations - Second Year

Second Year Rotations:

As during the first year, four weeks of vacation may be taken. The fellow should distribute these evenly amongst the rotations, coordinating with attendings at the sites.

CARAT

The Child and Adolescent Rapid Assessment and Treatment Center

In the second year of the fellowship, the fellows will rotate through the Child and Adolescent Rapid Assessment and Treatment (CARAT) Center. Carmen Harlan, M.D., is the medical director of the CARAT Center. The CARAT Center was developed by Drs. Edelsohn and Rabinovich in collaboration with the Office of Mental Health as a brief (eight to twelve weeks) hospital diversion program for children and families that needed urgent intervention. At the CARAT Center, the fellow will work with a multidisciplinary treatment team, including a child and adolescent psychiatrist, doctoral psychologist, master’s level social worker and clinical nurse specialist. In addition to medication evaluations, the fellow will collaborate with the CARAT team to perform individual and family interventions, as well as home and school evaluations.

Council for Relationships

Here you will take a class in family therapy, taught by Steven Treat, D.Min. Class occurs on Monday mornings from 9 – 12 pm from September through November. The class is open seminar format, with optional readings.

Devereaux Residential Treatment Facility

Our department also has a relationship with a Residential Treatment Facility (RTF). The RTF’s are intensive treatment programs for children who require long term, intensive intervention below an acute level of care. Fellows will carry their own patients at the RTF and supervision is provided on site for the RTF patients. Patients remain at the RTF anywhere from one to eight months. During this time, the fellow will participate with the treatment team either one or two days weekly during a block.

During this rotation, you will care for approximately ten patients at a residential treatment facility. You will round with the team and learn about residential treatment, and further home pharmacology skills. You will take occasional home call by pager (generally no need to return to the site when on call). On site supervision by a child and adolescent attending psychiatrist is also provided.

Outpatient Clinic at Jefferson

Throughout the second year, the fellow will establish an outpatient caseload of child and adolescent patients and their families. Fellows are responsible for arranging new patient evaluations with the Intake Coordinator and are responsible for managing their own schedules.

This rotation takes place throughout the second year, limited only when you are at the CARAT rotation. You will maintain your own schedule. This permits child psychiatry fellows to cultivate a “private practice” and develop the skills necessary to maintain such a practice after graduation. During this time, fellows schedule and manage your own patients, adding to the outpatients accumulated during the first year of training. In addition to addressing HMO or private pay scale issues and managing the patient’s payment, fellows can determine which modality of treatment will best suit the patient and implement a long or short term treatment strategy, from cognitive therapy, to medication management to dynamic cases.

Pediatric Neurology Clinic

During one block, in order to fulfill ACGME requirements, fellows will participate in a pediatric neurology clinic one morning. One morning a week, fellows rotate through the Pediatric Neurology clinic from 9 am – 12 noon. The Pediatric Neurology attending is Michael Goodman, M.D. During the Pediatric Neurology clinic, we participate as observers, and Mary Yonker M.D. as the clinic is part of A.I. DuPont.

Child Psychiatry-Pediatric Continuity Clinic

The purpose of the Pediatric Consultation-liaison clinic is twofold. First we hope to improve communication between the Departmental of Pediatrics and the Department of Psychiatry and Human Behavior Division of Child and Adolescent Psychiatry. Our second goal is to assist the pediatric department in managing patients with psychiatric issues and aid in referral to psychiatry when appropriate.

During the clinic, a child psychiatry attending will be available.