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.
The Child and Adolescent Psychiatry fellowship consists of a two year curriculum divided into modules lasting 4 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.
During the first year, fellows will alternate 6 modules on our acute child and adolescent inpatient psychiatric inpatient unit and 6 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.
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 program, 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.
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.
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.
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.
Please apply in the July cycle through ERAS.
Training and Education Contacts
- Program Director: Veena Ahuja, MD
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 ranked as one of the nation's top hospitals by U.S. News & World Report.
Program Leadership and Faculty
Leo Pozuelo, MD, MBA, FACP, FACLP
Consultation-Liaison Psychiatry Team
- Brain Health: Kasia Rothenberg, MD, PhD
- Cardiology: Leo Pozuelo, MD
- Epilepsy: George Tesar, MD
- Post ICU Recovery Clinic: Erin Dean, MD
- Transgender Clinic: Murat Altinay, MD
- Multiple Sclerosis: Elias Khawam, MD
- Psycho-Oncology: Lauren Ralston, DO
- Transplant: Kathy Coffman, MD
- Women’s Health: Adele Viguera, MD and Lilian Gonsalves, MD
- Geropsychiatry: Rajesh Tampi, MD
- Social Work: Karen E. Salerno, MSSA, LISW-S
- CL Section Coordinator: Tracy Sluka
- CL Fellowship Program Manager: Megan Nieuwoudt
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, post ICU recovery clinic (PIRC) 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.
Reasons for consultation on the inpatient CL service include:
- Crisis Intervention Team/Code Violet
- Substance Dependence/Withdrawal
- Depression and Anxiety
- Capacity Evaluations
- Conversion Disorders
- Coping with Medical Illness
- Neuropsychiatric Syndromes
Consulting services include:
- MICU, SICU, NICU
- Neurology and Neurosurgery
- Epilepsy Monitoring Unit
- 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.
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.
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)
- 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 Megan Nieuwoudt - firstname.lastname@example.org
Visa Sponsorship: Cleveland Clinic sponsors H1-B and J-1 visas.
A comprehensive description of trainee benefits can be found at the Cleveland Clinic Graduate Medical Education website.
- Vacation: 3 weeks (15 paid working days)
- Wellness/personal: 1 day
- Leave of absence: 5 days to be used for interviews or boards
- Sick time: Is taken on an as-needed basis
- Maternity: Up to 12 weeks paid leave
- Paternity: Up to 4 weeks paid leave
Mood Disorders Clinical Neuroscience Fellowship
The Mood Disorders Clinical Neuroscience Fellowship is designed to train fellows in the clinical care and in the neurobiological basis of mood disorders. This will be a clinical research fellowship and the trainee, beside evaluating and monitoring clinical research patients, will also be involved in Mood and Emotional Disorders Across the Life Span (MEDALS) clinic for one or two clinics per week.
In the MEDALS clinic the fellow will learn state of the art clinical pharmacological treatment of mood disorders as well as psychotherapeutics techniques. Fellows will assess the whole spectrum of mood disorders including major depression, bipolar disorders, medical illness or substance related mood disorders, pregnancy related mood disorders and others.
The fellowship will provide the trainees the opportunity to train neurochemical, pharmacological, neuroimaging and genetic research methods to investigate the etiology and biomarkers for diagnosis for mood disorders.
Fellows will participate in ongoing clinical research studies including clinical trials and neurobiological studies and also participate in the preparation of publications and grant applications. Fellows will conduct clinical work in the MEDALS clinic and in other clinics as required. In addition, fellows will be expected to formulate at least one original research study which will be conducted in conjunction with the supervisor. Fellows will be expected to have first-author publications at the end of the fellowship period and also to gain experience in grant writing and grant submission.
How To Apply
The Mood Disorders Clinical Neuroscience Fellowship within the Center for Behavioral Health is a 1-2 year fellowship that has a flexible start time.
Interested residents should be a MD or DO and able to apply for an Ohio License.
Please forward your interest, CV and Exam Scores for consideration to:
Amit Anand, MD
2020 – 2021 Child & Adolescent Psychiatry
Selin Adams, MD
Medical School: Saint Louis University
Residency: Cleveland Clinic
Zeyd Khan, MD
Medical School: University of Cincinnati
Residency: Cleveland Clinic
Harshasu Barot, DO, MS
Medical School: Philadelphia College of Osteopathic Medicine
Residency: Unity Health White County Medical Center
Christine Larkin, MD
Medical School: Michigan State University College of Human Medicine
Residency: Borgess Medical Center
2020 – 2021 Consultation-Liaison Psychiatry
Andrew Coulter, MD
Medical School: Temple University School of Medicine
Residency: Cleveland Clinic
Anna Shapiro-Krew, MD
Medical School: University of Toledo College of Medicine
Residency: Cleveland Clinic
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.