Child and Adolescent Psychiatry
The Division of Child and Adolescent Psychiatry offers a two year accredited residency program which residents enter at the beginning of their PG-IV or PG-V year of training.
The objective of this program is to produce highly qualified specialists in child, adolescent, and family psychiatry. The focus is on developing the knowledge and skills necessary to allow our graduates to respond to the greatest number of young people suffering with the broadest range of emotional problems. To accomplish this goal, our program introduces the resident to a range of clinical modalities in a variety of clinical settings. Efforts are made to prepare our residents for their multi-faceted roles as psychiatrists who have special knowledge of the development of the child in the context of family and society: consultant, educator, researcher, health care planner, and colleague working with a vast array of other professionals.
During the first training year, the residents spend six months on the child and adolescent inpatient service. During this time they also serve as consultation/liaison resident for pediatric psychiatry concerns for other services in the Medical Center.
Throughout the remaining eighteen months of training, the residents are based in the outpatient clinic, with concomitant experiences in a variety of settings. Residents spend one half-day a week for three months, training in Pediatric Neurology with a renowned sub-specialist faculty member of the Medical Center. They work closely with children suffering from co-morbid autism and developmental disabilities during a weekly specialty outpatient clinic, supervised by a child and adolescent faculty member who is a leader in this field. Experience with school consultation is gained by evaluating children at a local public school, along with another child psychiatrist. Specific training in forensic child psychiatry is emphasized under the auspices of the Johnson County Court system. The residents receive intensive adolescent substance abuse training through a rotation with the Johnson County Community Mental Health Center treatment program. One half-day a week for one month, the residents and a faculty member evaluate and make treatment recommendations for young children (ages 3-12 years) at a local residential treatment facility.
The residents participate in carefully structured formal didactics focused on the clinical disorders of child and adolescent psychiatry in the context of developmental considerations. They also attend pertinent lectures and seminars given as part of the senior General Psychiatry curriculum. Other didactic offerings include the general departmental grand rounds which devote a significant number of sessions to child and adolescent issues. In addition to contributing to the adult program’s journal club on a weekly basis, the residents and Division faculty hold a separate monthly Child and Adolescent Journal Club. One of the trainees favorite weekly events is the weekly case conference. The staff and an assigned resident interviews patients, followed by discussion of issues related to diagnosis and management.
Medical student and general psychiatry resident education is an important part of the residents’ responsibilities, and there is ample opportunity to teach, supervise, and interact with more junior trainees.
Residents work very closely with the child and adolescent psychiatry faculty, as well as with the highly skilled and trained psychologists, nursing staff, special social workers, and occupational and recreation therapists, all of whom have special expertise with youngsters. The Child and Adolescent Division has close ties with the Pediatric Department, and has an active telepsychiatry service, providing much needed care and consultation to patients, families, and physicians in remote areas of the state.
Residents are closely evaluated by their supervisors in the context of providing appropriate autonomy for these senior trainees who have chosen to sub-specialize. More formal evaluation of their basic knowledge is undertaken in the annual administration of the general PRITE and the Child and Adolescent PRITE. Each year a mock oral experience is given jointly with the Menninger training program to help prepare the residents for the specialty board examinations, as well as to take another opportunity to assess their interviewing skills in a face-to-face interview.
The residents meet regularly with Dr. Sharon Cain, the Program Director, to discuss their progress, and are reviewed periodically by the Residency Review Committee.
The program offers two first year positions with entry each 1st of July. Applications should be made through the residency coordinator by no later than October 31 of the year prior to the planned commencement of training. PGY-I applicants who have a potential interest in child psychiatry should mention this fact when applying to the general psychiatry program.
Child & Adolescent Psychiatry Training Program
Program Director - Sharon E. Cain, M.D.
Residency Coordinator - Tammy Bosshard