Child & Adolescent Psychiatry Fellowship
The Child and Adolescent Psychiatry training program is a two year ACGME approved program that integrates experience in a rich acute setting with comprehensive ambulatory training. Our staff have specialized expertise in many areas, such as complex medical issues, autism, acute care psychiatry, LGBT, mood disorders, and clinical 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.
Diversity, Equity, and Inclusion Statement
Cleveland Clinic values a culture where caregivers integrate diversity and inclusion throughout the enterprise. We respect and appreciate our similarities and differences; they enable us to better serve our patients, one another, and our global communities. Our program mission is to provide a robust, diverse educational experience for our fellows, which will allow them to become broadly trained, ethical, and professional psychiatric providers, knowing it is important to understand the community whom they serve and how to deliver healthcare in a meaningful way. We value diversity of patients and caregivers with regards to race, ethnicity, age, socioeconomic status, religion, ability, gender identity/expression, and sexual orientation.
Program Structure
The Child and Adolescent Psychiatry fellowship consists of a two year curriculum divided into modules lasting four weeks each. Residents may enter any time after completing the PGY-3 level. Our program is primarily a clinical program with opportunities with clinical research. Fellows work closely with the attending psychiatrist, family and couple therapists, social workers, psychologists, and nursing to provide comprehensive patient care. In a rapidly changing world, our program strives to adapt to innovative access to care, including telepsychiatry and consultation within primary care clinics. Our program structure is well developed but also able to be adapted to the needs of each fellow.
PGY-4
During the first year, fellows will alternate six modules on our acute child and adolescent inpatient psychiatric inpatient unit and six modules on our child and adolescent consult liaison service with time for shadowing and exposure to psychotherapy. The goals for the fellow will be to master comprehensive interview techniques, understand evidence based treatment strategies for complex cases, and work in a multidisciplinary setting. While on the inpatient unit, the fellow will be assessing complex psychiatric disorders and improving ability to integrate evidence based psychopharmacology with supportive therapy in a multidisciplinary setting. During the consultation liaison rotation, the fellow will be introduced to inpatient pediatric units, including the epilepsy monitoring unit, the pediatric intensive care unit, emergency department consultations as well as pediatric subspecialty patients in hematology, oncology, and transplant services. Throughout the first year, fellows participate in a longitudinal outpatient care track where the fellow will develop skills in managing an outpatient clinical caseload. The fellow 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.
PGY-5
The focus shifts in year two to a more ambulatory and community setting. In the second year, the fellows continue their longitudinal outpatient care track through their continuity clinic. Training throughout this year is focused on outpatient and specialized services. Fellows spend time each week working in school mental health and/or psychotherapy, longitudinal outpatient clinic within a Cleveland Clinic Family Health center, and a longitudinal outpatient clinic through a community based service. The fellow will receive exposure to pediatric neurology, intensive outpatient program, neuropsychology testing clinic, child and adolescent chemical dependency, an eating disorder intensive outpatient rotation, Hanna Perkins (a psychoanalytic therapeutic school), and Cleveland Clinic's Center for Autism. In these settings the fellow will gain valuable experiences outside of the Cleveland Clinic campus. These rotations provide a deeper connection and understanding of the system of services available to patients through multidisciplinary teams. There is also dedicated elective time for subspecialties of the fellow’s choice.
Research Opportunities
A multitude of clinical research opportunities are available throughout the Department of Psychiatry and Psychology. Each fellow 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 fellow is more clinically focused, he or she has the option of developing an academic didactic to present to the section.
Education
Fellows have dedicated time for didactics ½ day a week. These didactics alternate between psychiatry and psychology staff and include participation by psychology trainees. 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 regularly and include all fellows and faculty. Supervision over all trainee 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. Additionally, the last module of first year is dedicated board prep time for the adult psychiatry board exam and the last module of the second year is dedicated board prep time for the child psychiatry board exam.
Training
The Child and Adolescent Psychiatry Department not only participates in the training of child and adolescent psychiatry residents, but also fosters the education of general adult psychiatry residents from Cleveland Clinic and the MetroHealth Healthcare System. Medical students from Cleveland Clinic's Lerner College of Medicine and Case Western Reserve University and Ohio University College of Medicine also regularly rotate through our program. Fellows are actively involved and highly valued in the training and teaching of these medical students and residents. We believe strongly that child psychiatry must become integrated with primary care. Our fellows and staff are often asked to provide didactics for other programs, including pediatrics, family medicine, etc.
Application Process
Please apply in the July cycle through ERAS.
Training and Education Contacts
- Program Director: Kelly Davidson, MD
- Associate Program Director: Jason Lambrese, MD
- Program Coordinator: Alexis Harris
Consultation-Liaison Psychiatry Fellowship
The ACGME-accredited Consultation-Liaison Psychiatry Fellowship at Cleveland Clinic offers a unique training opportunity at one of the most renowned medical centers in the world. Cleveland Clinic is recognized in the U.S. and throughout the world for its expertise and care.
Program Leadership and Faculty
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Leo Pozuelo, MD, MBA, FACP, FACLP |
Consultation-Liaison Psychiatry Team
- Brain Health: Kasia Rothenberg, MD, PhD.
- Cardiology: Leo Pozuelo, MD.
- Epilepsy: Anna Shapiro-Krew, MD.
- COVID ReCOVery Psychiatry Clinic: Jack “Jay” Owens, MD.
- Transgender Clinic: Murat Altinay, MD.
- Multiple Sclerosis: Elias Khawam, MD.
- Psycho-Oncology: Kaleena Chilcote, MD.
- Transplant: Kathy Coffman, MD and Erin Dean, MD.
- Women’s Health: Adele Viguera, MD.
- Social Work: Karen E. Salerno, MSSA, LISW-S.
- CL Section Coordinator: Tracy Sluka.
- CL Fellowship Program Manager: Natalie Douglass.
Curriculum Overview
We work on a module schedule. A module is made up of a 4-week block, and there are 13 modules throughout the year.
Inpatient Consultation Liaison
Fellows rotate on inpatient consultation liaison psychiatry for 10.5 modules of the year. The majority of that time is spent on 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. The teams see over 3,000 consults per year. In addition to work on Main Campus, fellows will spend one module at one of the Cleveland Clinic Health System regional hospitals, where they will be exposed to consultation liaison psychiatry in a busy tertiary care hospital setting. They will also spend two weeks on a palliative medicine consult service.
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 CL Fellows' Consultation Clinic (for 12 modules), where fellows see pre-operative referrals for high-utilizing patients or patients with significant psychiatric pathology, second opinion cases, and referrals from specialty clinics. For six modules of the year, fellows spend another half-day rotating through the core immersion specialty clinics, including: cardiology, transplant, epilepsy, brain health, COVID ReCOVery psychiatry clinic and psycho-oncology. Fellows will then refine their expertise by spending the four modules in an elective immersion clinic of their choosing. These elective clinics may include any of the core clinics and/or MS, women’s health, transgender surgery, movement disorders, or geropsychiatry. Additional elective clinics are tailored and aligned with the CL fellow’s interests.
View our Consultation-Liaison Fellowship Schedule 2022-2023 (See PDF)
Reasons for consultation on the inpatient CL service include:
- Delirium.
- Crisis Intervention Team/Code Violet.
- Substance Dependence/Withdrawal.
- Depression and Anxiety.
- Capacity Evaluations.
- Catatonia.
- Conversion Disorders.
- Coping with Medical Illness.
- Neuropsychiatric Syndromes.
Consulting services include:
- MICU, SICU, NICU.
- Cardiology.
- Neurology and Neurosurgery.
- Epilepsy Monitoring Unit.
- Colorectal/GI.
- Transplant.
- Oncology.
- Respiratory Institute.
Didactics and Conferences
Weekly conferences include: case conference/journal club, and psychiatry grand rounds. In addition, the CL fellows attend weekly psychosomatic didactics.
The CL fellow also attends the five day Cleveland Clinic Intensive Review of Internal Medicine CME course every June with a complimentary registration.
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 Academy of Consultation-Liaison Psychiatry annual meeting, Cleveland Consultation Liaison Society meeting, and the American Psychiatric Association annual meeting.
Call Schedule
There is no obligatory call for our CL fellows. Optional weekend moonlighting is available, consisting of 12 hour shifts on a Cleveland Clinic adult psychiatry inpatient service.
How to Apply
The Consultation-Liaison Psychiatry program is one-year in length and offers two 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 residency program, an AOA-approved residency program, a program with ACGME International (ACGME-I) Advanced Specialty Accreditation, or a Royal College of Physicians and Surgeons of Canada (RCPSC)-accredited or College of Family Physicians of Canada (CFPC)-accredited residency program located in Canada. For a comprehensive guide to the Consultation-Liaison Psychiatry Fellowship Match process, please visit the Academy of Consultation-Liaison Psychiatry 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: Applicants may begin submitting applications.
- September – November: Virtual Interviews.
- November: NRMP Ranking opens.
- November: Meet our Faculty at the Annual Meeting of the Academy of Consultation-Liaison Psychiatry.
- December: NRMP Rank Order List Deadline.
- January: Match Day!
Please email all application materials to Natalie Douglass – douglan3@ccf.org
Visa Sponsorship: 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.
Time Away
- Vacation: 3 weeks (15 paid working days).
- Paid Personal Days: 5 days to be used for illness, interviews or boards.
- Maternity: Up to 12 weeks paid leave.
- Parental: Up to 6 weeks paid leave.
- Caregiver: Up to 6 weeks paid leave.
Current Fellows
2022 – 2023 Child & Adolescent Psychiatry
PGY-5
Don Zeolla, MD
Medical School: Wayne State University
Residency: Cleveland Clinic
Navjoth “Joe” Karuvannur, MD
Medical School: Kansas City University of Medicine & Biosciences
Residency: Arnot Ogden Medical Center
PGY-4
Kristen Fite, MD, PhD
Medical School: Wright State University Boonshoft School of Medicine
Residency: Cleveland Clinic
Eleanor Stein, MD
Medical School: Frank Netter SOM at Quinnipiac University
Residency: Cleveland Clinic
2022 – 2023 Consultation-Liaison Psychiatry
Edward Hamrick, MD
Medical School: West Virginia University School of Medicine
Residency: West Virginia University Hospitals
Molly Howland, MD
Medical School: Case Western Reserve University
Residency: University of Washington School of Medicine
2021 – 2022 Consultation-Liaison Psychiatry
Raghid Charara, MD
Medical School: American University of Beirut
Residency: American University of Beirut
Columban Heo, DO
Medical School: Touro University Nevada
Residency: Unity Health - White County Medical Center
Living in Cleveland
Cleveland, an ethnically diverse, mid-sized city located on Lake Erie, features a host of cultural attractions, recreational activities, major sporting events and an exploding culinary scene. Cleveland is home to the second largest theater district in the U.S., a park system featuring 23,700 acres in 18 reservations, and is the birthplace of rock ’n’ roll, home to the Rock ‘n’ Roll Hall of Fame and Museum. Cleveland Clinic is located near the University Circle area, which is the cultural epicenter of Cleveland. This area features Severance Hall and the world-renowned Cleveland Orchestra, the Cleveland Museum of Art, several other museums, and Case Western Reserve University. Downtown Cleveland, home to all major sports venues and an exploding culinary scene, is approximately two miles from Cleveland Clinic’s main campus.
Diversity & Inclusion
The Center for Graduate Medical Education and Cleveland Clinic are united in a commitment to diversity, equity and inclusion in education as well as in the communities we serve. We value all people regardless of the many dimensions of identity and how those identities may intersect.
Discover more about the role diversity and inclusion plays and about our diversity and inclusion efforts.
