Child & Adolescent Psychiatry Training Program

Child & Adolescent Psychiatry Training Program

The Child and Adolescent Psychiatry training program is a two year ACGME approved program that combines a rich acute setting experience with comprehensive ambulatory training. Residents benefit from staff that has specialized in areas such as physically ill children, pervasive developmental disorders, acute care psychiatry, as well as clinic research. Exceptional lectures, personalized supervision, research opportunities, and a large range of clinical settings provide a comprehensive training foundation for the new generation of child and adolescent psychiatrists.

Program Structure

The Child and Adolescent Psychiatry residency consists of a two year curriculum divided into month long rotations. Residents may enter anytime after completing the PGY-3 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 One

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 such as the epilepsy monitoring unit, the pediatric intensive care unit, 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 Two

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 Cleveland Clinic's Center for Autism. In these settings the resident will gain value experiences outside of the confines of Cleveland Clinic. These rotations provide a deeper connection and understanding of the system of services available to patients through multidisciplinary teams.

Research Opportunities

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

Education

Didactic conferences are held throughout the year on Mondays and Wednesdays from noon to 1 p.m. 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.

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 Cleveland Clinic as well as from the MetroHealth Healthcare System. Medical students from Cleveland Clinic's 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.

Application Process

Please apply in the July cycle through ERAS.

Training and Education Contacts

Psychosomatic Medicine Fellowship

Psychosomatic Medicine Fellowship

The Psychosomatic Medicine Fellowship at Cleveland Clinic offers a unique training opportunity at one of the most renowned medical centers in the world. Cleveland Clinic continues to rank amongst the best hospitals in the United States, placing second of all U.S. Hospitals in U.S. News and World Report’s “2016-2017 Best Hospitals.” Among Cleveland Clinic’s highly ranked programs, nine placed in the Top 5 and four are placed among the Top 2. Cleveland Clinic earned the highest ranking of any Ohio hospital in 14 categories. For the 22nd consecutive year, Cleveland Clinic’s heart program has ranked as the best in the nation, earning the No. 1 ranking.

Letter from the Program Director

Dear Residents,
The Consultation-Liaison faculty of Cleveland Clinic welcomes you to check out our program. Please browse our website, which highlights some of the many opportunities we provide for a broad array of interest in the areas of AIDS, Cardiology, Epilepsy, Movement Disorders and Multiple Sclerosis, Oncology, Transplantation and Women’s Health. There are ample opportunities to be involved in research and present your work locally and nationally through posters and oral presentations. The clinic has had the most poster presentations of any institution represented at the Annual Academy of Psychosomatic Medicine convention in the last 5 years. There are two fully funded fellowship positions for Psychosomatic Medicine.

We welcome your application and look forward to meeting you!
Christopher Sola, DO
Psychosomatic Medicine Fellowship Director


Program Highlights

Fellows will rotate through each of the following Immersion Clinics:

  • Cardiology
  • Multiple Sclerosis
  • Epilepsy
  • Movement Disorders
  • Women’s Health
  • Psycho Oncology
  • HIV
  • Transplant

Fellows will participate in two ½ day per week Continuity Clinics:

  • Specialty Immersion Clinics (8 months) and Intensive Immersion Clinic (4 months)
  • Psychosomatic Medicine Clinic (12 months)

Reasons for consultation on the inpatient CL service include:

  • Delirium and Agitation
  • Substance Dependence/Withdrawal
  • Depression and Anxiety
  • Capacity for Decision Making
  • Serotonin Syndrome/NMS
  • Catatonia
  • Conversion Disorder
  • Coping with Medical Illness

Consulting services include:

  • Medical, Surgical and Cardiac ICUs
  • Cardiology
  • Neurology and Neurosurgery
  • Epilepsy Monitoring Unit
  • Colorectal Surgery and GI
  • Internal Medicine
  • Bone Marrow Transplant/Oncology
  • Palliative Medicine

Program Leadership and Faculty

The Psychosomatic Medicine Fellowship has a distinguished faculty with expertise in a broad variety of clinical subspecialty areas.

photo

Christopher Sola, DO 

Psychosomatic Fellowship Director

Dr. Sola is Board Certified in Psychosomatic Medicine and General Psychiatry. He has published and edited for various journals including Psychosomatics, General Hospital Psychiatry, Depression & Anxiety, Circulation Arrhythmia and Electroohysiology and the Cleveland Clinic Journal of Medicine.

Leo Pozuelo, MD, FACP, FAPM
Section Head, Consultation Liaison Psychiatry
Leo Pozuelo, MD, FACP, FAPM, is Board Certified in Psychosomatic Medicine, Psychiatry and Internal Medicine. He also serves as the Clinical Vice Chair of the Department of Psychiatry and Psychology at the Cleveland Clinic.

Consultation-Liaison Psychiatry Team

  • Brain Health: Kasia Rothenberg, MD, PhD 
  • Cardiology: Leo Pozuelo, MD
  • Chronic Pain: Xavier Jimenez, MD
  • Epilepsy: George Tesar, MD
  • HIV: Michael Rosas, MD
  • Medical Outcomes: Adele Viguera, MD
  • Multiple Sclerosis: Elias Khawam, MD
  • Psycho-Oncology: Isabel Schuermeyer, MD
  • Transplant: Kathy Coffman, MD
  • Women’s Health: Lilian Gonsalves, MD
  • Social Work: Karen E. Salerno, MSSA, LISW-S
  • CL Coordinator: Tracy Sluka

Curriculum Overview

Inpatient Consultation Liaison
Fellows rotate on inpatient consultation liaison psychiatry for 11 months of the year. The majority of that time is spent on the Cleveland Clinic Main Campus, where fellows perform advanced-level consults, are actively involved in teaching, and have the opportunity to run a team as an acting attending. The main campus consultation liaison service consists of three attending-led teams, residents, medical students and a dedicated licensed clinical social worker to ensure wrap-around services. In addition to work on Main Campus, fellows will spend one month at one of the Cleveland Clinic Health System regional hospitals, where they will be exposed to consultation liaison psychiatry in the smaller hospital setting.

Outpatient Consultation Liaison
Fellows are exposed to both general and specialty consultation-liaison clinics throughout the year. One half-day per week is spent in the Psychosomatic Clinic, where fellows see follow-up patients from the inpatient CL service, pre-operative referrals for high-utilizing patients or patients with significant psychiatric pathology, second opinion cases, and referrals from specialty clinics. For the first 8 months of the year, fellows spend another half-day rotating through immersion specialty clinics, including: cardiology, transplant, multiple sclerosis, epilepsy, movement disorders, women’s health, psycho-oncology and HIV. Fellows will then refine their expertise by spending the final four months in a single specialty immersion clinic.

Didactics and Conferences
Weekly conferences include: case conference, journal club, psychiatry grand rounds and psychosomatic didactics.

Research
Fellows will have one month of dedicated research time split into two 2-week blocks during the year. Our fellows have presented their research locally, regionally and nationally, including poster, oral and workshop presentations at the Cleveland Consultation Liaison Society, American Psychiatric Association and Academy of Psychosomatic Medicine annual meetings.


How to Apply

The Psychosomatic Medicine program is one-year in length and offers 2 positions annually. All positions are offered through the National Residency Match Program (NRMP) as part of the Psychiatry Fellowship Match. All applicants must have successfully completed an ACGME-accredited Psychiatry Residency in the United States or an RCPSC-accredited Psychiatry Residency in Canada. For a comprehensive guide to the Psychosomatic Medicine Fellowship Match process, please visit the Academy of Psychosomatic Medicine website:

Interested applicants must provide the following documentation:

  • Application Form available online: Fellowship Application
  • Curriculum Vitae
  • Personal Statement
  • Letter from Residency Program Director
  • At least 2 letters of recommendation from physicians who have supervised you in a clinical setting
  • USMLE/COMLEX Score Reports
  • Medical School Diploma
  • Certified copy of your currently valid ECFMG certificate (applicable for International Medical Graduates only)

Important Dates:

  • July 15, 2017: Applicants may begin submitting applications
  • September – November: Interviews at Cleveland Clinic
  • November 8, 2017: NRMP Ranking opens
  • November 8-11, 2017: Meet our Faculty at the Annual Meeting of the Academy of Psychosomatic Medicine, Palm Springs, CA
  • December 13, 2017: NRMP Rank Order List Deadline
  • January 3, 2018: Match Day

Please email all application materials to Megan Nieuwoudt (nieuwom@ccf.org) Psychosomatic Medicine Program Coordinator

Visa Sponsorship: The Cleveland Clinic sponsors H1-B and J-1 visas.


Benefits

A comprehensive description of trainee benefits can be found at the Cleveland Clinic Graduate Medical Education website.

Salary Rate Sheet
Please refer to the table below for new salary rates, effective April 1, 2017:

Grade Level New Annual Rate
1  $54,590
2  $56,650
3  $58,195
4  $59,397
5  $61,673
6  $64,069
7  $66,222
8  $67,318
9  $68,611

Time Away

  • Vacation: 3 weeks (15 paid working days)
  • Maternity: 6 weeks‐paid leave for natural childbirth or adoption; 8 weeks for cesarean section.
  • Paternity: 2 weeks paid leave (10 working days). Additional time off unpaid up to a maximum of 12 weeks under FMLA.
  • The Family Medical Leave Act (FMLA): entitles all employees up to 12 weeks off, unpaid, after one year of employment. See Graduate Physicians Manual for further information.
Current Fellows

Current Fellows

2016-2017 Clinical Fellows

Child Psychiatry

Year Five

Raj Kannali, MD

Medical School: Sri Venkatesvara Medical College

Sara Shadaram, MD

Medical School: University of Oklahoma College of Medicine

Year Four

Onoriode Edeh, MD

Medical School: St. Matthew’s University School of Medicine (Grand Cayman), Cayman Islands
Residency: Psychiatry M.D. Residency, University of Connecticut Health Center, Farmington, Connecticut

Rabeea Mansoor, MD

Medical School: Dow Medical College, Pakistan
Residency: Psychiatry M.D. Residency, MetroHealth Medical Center-Case Western Reserve University, Cleveland, Ohio

Mood Disorders

Yasin Bez, MD

Medical School: Marmara University School of Medicine, Istanbul, Turkey
Residency: Psychiatry Residency, Marmara University Hospital, Istanbul, Turkey

Psychosomatic Medicine

Swapnil Khurana, MD

Graduate Schoo: Maulana Azad Medical College, New Delhi, India
Fellowship: Psychoanalytic Fellowship, Michigan Psychoanalytic Institute, Ann Arbor, Michigan
Residency: Psychiatry, St. Mary Mercy Hospital, Livonia, Michigan