CAP Year 1-2 Rotations
- 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 diverse patient population in outpatient continuity clinic as well as on inpatient unit with onsite faculty neurologists. As well as, two-month rotation either in Y1 or Y2 seeing diverse and unique patient population with medical and psychiatric needs presenting with complex neuropsychiatric presentations. 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.
- Each fellow completes two-month block on Partial Program and one-month block on Inpatient Child Unit either during Y1 or Y2. 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 this two-month block rotation at Horsham Clinic Y1 or Y2. It is a 24-bed acute care psychiatric unit with 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. Fellow also develops necessary knowledge and skills for disposition planning.
- The clinic is among the largest child psychiatric community mental health centers in the entire state of PA for underserved, socioeconomically disadvantaged children, and adolescents on public insurance. Patient volume base is large, with broad, diverse, and complex presentations and multiple psychiatric comorbidities. Fellow learns the outpatient psychiatric assessment, medication management, and systems-based care of youth ages 3-18 (and up to age 21 for developmentally disabled patients) and their caregivers. Fellow also conducts various psychotherapies. Three child psychiatrist faculty provide direct supervision. Faculty provides indirect supervision.
- Fellow works in collaboration with multi-disciplinary treatment team providers including onsite 50 therapists, case managers, dependency workers, behavior specialists, therapeutic staff support workers, etc. Regular didactic presentations of various formats occur onsite under direct supervision of child psychiatrist faculty.
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
- 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?
- Patient Safety and Quality Improvement Seminar
- Psychodynamic Psychotherapy
- Clinical Manifestations of Psychoanalytic Process
- 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)
Our fellowship program philosophy recognizes the importance of both knowledge of and basic skills in the practice of evidenced-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.