Program Structure
The Child and Adolescent Psychiatry residency consists of two year curriculum divided into month long rotations. Residents may enter anytime after completing the PGY-I level. Our residency program is primarily a clinical program with opportunities with clinical research. Residents work closely with the attending psychiatrist, family and couple therapists, social workers, psychologists, and nursing to provide comprehensive patient care.
Year 1
The residents will rotate through the Child and Adolescent Psychiatric crisis intervention unit a total of six months out of the first year. The other six months of the year the resident will rotate on the child and adolescent psychiatric consult liaison service. The resident will be the primary physician for the patients while on these rotations with close staff supervision and teaching. The goals for the resident will be to master comprehensive interview techniques, understand evidence based treatment strategies for complex cases, and work in a multidisciplinary setting. While on the in-patient unit the resident will be assessing pervasive psychopathology in a multidisciplinary setting. During the consultation liaison rotation the resident will be introduced to specialty units as the epilepsy monitoring unit, the pediatric intensive care unit, as well as emergency department consultations as well as pediatric subspecialty patients in hematology, oncology, and transplant services. Also beginning in the first year is the longitudinal outpatient care track. Here the resident will develop skills in managing an outpatient clinical caseload. The resident again will be the primary contact for the family and have the autonomy to manage patients under the supervision of staff attendance. Dedicated time is given for outpatient clinical days to enhance continuity of care and the educational experience.
Year 2
The residents focus shift year two to a more ambulatory and community setting. In the second year the residents continue their longitudinal outpatient care track. Training throughout this year is focused on outpatient services. The resident will rotate through a variety of settings including; a community child and adolescent mental health service, a juvenile court diagnostic health clinic, pediatric neurology, family therapy clinic, couple’s therapy clinic, cognitive behavioral therapy clinic, neuropsychology testing clinic, child and adolescent chemical dependency, an eating disorder intensive outpatient program, Hanna Perkins (a psychoanalytic therapeutic school), and the Cleveland Clinic Center for Autism. In these settings the resident will gain value experiences outside of the confines of the Cleveland Clinic. These rotations provide a deeper connection and understanding of the system of services available to patients through multidisciplinary teams.
Didactic conferences are held throughout the year on Mondays and Wednesdays at noon to 1 PM. The Psychiatry and Psychology Departmental grand rounds are held weekly on Thursday. The didactic schedule covers basic tenets of child and adolescent development, psychopathology, biologic treatment, and psychotherapeutic interventions as well as more specialized lectures. All faculty participate in these lectures providing a breadth of exposure to different teaching styles. Case conferences are held monthly and include all residents and faculty. Supervision over all resident patient care is provided on a one-to-one basis by staff attendance. Education is given priority in all cases over service demands in our program.
Research opportunities & training
A multitude of clinical research opportunities are available throughout the Department of Psychiatry and Psychology. Each resident is required to complete an annual academic project throughout his or her tenure within this program. This consists of a poster presentation and/or journal submission. If the resident is more clinically focused he or she has the option of developing an academic didactic to present to the section. A one-half day a week protected time is provided to all trainees to pursue scholarly activities
Training
The Child and Adolescent Psychiatry Department not only participates in the training of child and adolescent psychiatry residents. We dedicate ourselves to fostering the education of general adult psychiatry residents from the Cleveland Clinic as well as from Metrohealth Healthcare System. Medical students from the Cleveland Clinic Lerner College of Medicine and Case Western Reserve University also regularly rotate through our program. Residents are actively involved and highly valued in the training and teaching of these medical students and residents.
Training and Education Contacts