- At St. Christopher’s Children’s Hospital, each fellow completes this two-month block rotation in Pediatric Neurology either in Y1 or Y2. Fellow learns to evaluate and treat a wide range of neurological conditions in the diverse patient populations in the outpatient continuity clinic as well as in the inpatient unit with onsite faculty neurologists. As well as, a two-month rotation either in Y1 or Y2 seeing diverse and unique patient populations with medical and psychiatric needs presenting with complex neuropsychiatric presentations. The fellow is part of a multi-disciplinary team and provides consults to medical floors and emergency room with direct supervision from onsite child psychiatrist faculty. Also at St. Christopher’s Hospital for Children, each fellow will complete a two-month block in Consultation Liaison. Fellows will earn how to provide consultation to medical teams for psychiatric aspects of various physical illnesses in children and adolescents. They also will provide crisis management and assess dangerous behaviors in pediatric care settings as well as learn how to help the medical team and the family deal with the emotional aspects of chronic or acute illness, developmental disability, including the impact of illness on the child, family, medical and other professional staff.
- Each fellow completes a two-month block on the Partial Program and a one-month block on the Inpatient Child Unit either during Y1 or Y2. For this Acute Care Adolescent rotation, Fellows will be at Devereux Advanced Behavioral Health. Fellow learns to provide short-term psychiatric care to acutely ill youth ages 4 through 17. There are 2.0 FTE faculty members onsite who provide direct supervision and a multidisciplinary team with whom the fellow works closely.
- One-month, 100% effort, block rotation either in Y1 or Y2 in Woods Services. Fellow learns to treat patients with various neurodevelopmental disabilities with comorbid psychiatric conditions in a residential facility. Onsite, direct supervision from four child and adolescent psychiatrist faculty. Fellow learns about OT, sensory integration therapy, PT, behavior analysis, working in interdisciplinary teams, complex involvement of multiple systems, and complex psychopharmacology.
- Each fellow completes a two-month block rotation at Horsham Clinic Y1 or Y2. It is a 24-bed acute care psychiatric unit with a diverse patient population, aged 13-17 years. Fellow learns to assess and manage severely ill adolescents and works with an interdisciplinary team including direct supervision by child psychiatrist faculty. Fellow provides individual, group, and family therapy as well as medication management and crisis intervention. The fellow also develops the necessary knowledge and skills for disposition planning.
- Fellows will complete a 2-month block at The Renfrew Center during Y1 or Y2 which is a Residential facility specializing in the treatment of anorexia, bulimia, and binge eating as well as the full range of eating disorders. During this rotation, Fellows will learn the various diagnostic assessment modalities used in an eating disorder setting. They also will develop knowledge of multimodal interventions used to ameliorate eating disorder symptoms in all levels of care settings. Fellows will build an understanding of the roles and functions of various treatment team members and other agencies in providing service across the continuum of care.
- Fellows will complete a twelve-month longitudinal rotation, they will provide comprehensive care to patients in the outpatient setting. Treatment will include initial evaluations, and longitudinal care via pharmacotherapy and various modalities of psychotherapy.
Our fellowship program philosophy recognizes the importance of both knowledge of and basic skills in the practice of evidence-based psychotherapies for child, adolescents, and their families. The two-year psychotherapy innovative curriculum emphasizes the integration of evidence-based practices into general psychiatric care of children and adolescents. The emphasis is on learning the many skill elements that comprise modern psychotherapies and that child and adolescent psychiatrists are likely to use in their clinical practice. In year one, case-based discussions (Psychotherapy 101A) engage the Fellows in using the basic techniques of the therapeutic relationship to treat children and families with complex presentations. Also, in year one (Psychotherapy 101B), Fellows learn a modular approach to using basic CBT practice elements with children and teens.
The Second Year Psychotherapy Seminar (Psychotherapy 201) builds upon the foundations in psychotherapy training offered during the first year by focusing on specific psychotherapy approaches and empirically supported treatments for use with particular clinical conditions, including complex cases. The emphasis is on the integration of these treatment approaches with clinical outcome assessment that will have pragmatic use for the busy practicing child and adolescent psychiatry.
In both years of training, fellows are assigned psychotherapy cases and receive at least one hour of individual supervision each week. Fellows may spend additional second-year elective time learning more detailed psychotherapy protocols.
Intensive Orientation (including “crash course”); Fundamentals of Assessment and Treatment Lectures (Introductory Clinical Lectures) Diversity and Cultural Competency
Child Psychiatry and Law Adolescent Addictions Mortality and Morbidity Conference (monthly, presenters rotating between services)
The core didactic seminars in our child and adolescent psychiatry fellowship are an integrated series designed to cover child development, developmental neuroscience, and mental health topics from the historical to the most contemporary. They draw upon the resources of the Drexel University College of Medicine Department of Psychiatry.
Child and Adolescent Development Developmental and Descriptive Psychopathology and Therapeutics Principle of Behavior Modification and Behavior Therapy Psychotherapeutic Interventions for Child and Adolescent External Behaviors The ABC Studies in Child and Adolescent Psychiatry Human Sexuality in Child and Adolescent Psychiatry Psychopharmacology Psychological and Neuropsychological Evaluation Cognitive and Behavioral Outcome of Neurological/Medical Conditions Research Literacy Neurology Seminar Ethics in Child and Adolescent Psychiatry Family Therapy Career Developmental/Transition to Independent Practice/Consultant Role/Financial Planning What is Attending Reading? CBT Patient Safety and Quality Improvement Seminar Psychodynamic Psychotherapy Clinical Manifestations of Psychoanalytic Process