Overview
The child/adolescent psychiatry residency is designed and organized to provide residents with a range of experiences, both clinical and didactic that cover the fundamental aspects of the practice of child/ adolescent psychiatry with the obvious caveat that it is not possible to cover everything in depth. Residents will have to read both textbooks and other literature as assigned and independently to obtain the full benefit of the clinical and didactic curriculum. The seminars of the child/ adolescent psychiatry are designed to supplement and complement the residency’s clinical experiences with an emphasis on learner participation and preparation. The didactic curriculum is taught in a seminar model with the expectation that participants come prepared with basic knowledge of the topic and some ideas about what they would like to learn.
Seminars (on Wednesday unless noted to be Monday or Friday)
Residents are expected to present in multiple seminars (case material or on a specific topic)
First Year
Basic Child and Adolescent Psychiatry (AKA Life as a 1st year CAP resident)
- Overview of subjects/ topics basic to the practice of child/ adolescent psychiatry
- Introduction to the Emory system and the Emory child and adolescent psychiatry residency program activities, sites and faculty
- Discussion of topics relevant to current clinical rotations
- Introduction to assessment, case formulation and treatment planning
- Introduction to teaching and supervision
- Introduction to the familial, ethical, cultural and spiritual aspects of child and adolescent psychiatry
- Introduction to the environmental factors relevant to children, adolescents and families
- Introduction to roles and responsibilities of child psychiatrists including professionalism and ethical principles
- Introduction to approaches to lifelong learning
- Incorporates readings, media and case material in various formats
- Opportunities to observe faculty interview patients and to be observed seeing patients
Introduction to Psychotherapies
- Introduction to psychotherapy
- General aspects of therapy as well brief overviews of
- Supportive
- Cognitive Behavioral Therapy
- Play Therapy
- Dialectical Behavior Therapy
- Parent Child Interactive Therapy
- Incorporates readings, media and case material in various formats
Psychopathology & Psychopharmacology
- Discussion of psychiatric disorders and their treatment in children and adolescents, including various types of somatic and psychosocial treatments
- Discussion of psychopharmacology in the context of treating various psychiatric disorders or symptoms
Behavioral Management
- Overview of basic behavioral concepts and techniques relevant to children and adolescents
- Opportunity to bring in case and observe faculty providing treatment
- Residents expected to present and discuss relevant case material
Family Therapy Seminars; Mondays
- Observation of ongoing family therapy
- Opportunity to be co-therapist
- Interact with psychology trainees
Second Year
Systems of Care (AKA Life as a 2nd year resident); Wednesdays (summer) and Fridays
- Overview of various practice models and various roles of child and adolescent psychiatrists in various systems of care
- Overview of various systems relevant to the care of children, adolescents and families
- Specific discussion of system issues that impact children, adolescents and families
- Discussion and review of varied CAP topics relevant to clinical activities including consultation, complicated cases, specific populations (e.g. infants), types of practice and approaches to lifelong learning
- Incorporates readings, media and case material in various formats
- Opportunities to go on field trips to become acquainted with various systems of care and participating faculty
Cognitive Behavior Therapy (CBT); Fridays
- Review and discussion of CBT approaches and techniques used with children and adolescents
- Residents are expected to present case material and on assigned readings
- Residents expected to present and discuss relevant case material as well as show taped patient sessions and present session notes
Family Therapy (FT); Fridays
- Review and discussion of FT approaches and techniques used with children and adolescents
- Residents are expected to present case material and on assigned readings
- Residents expected to present and discuss relevant case material as well as show taped patient sessions and present session notes
Psychodynamic Psychotherapy (PDT); Fridays
- Overview of basic psychodynamic theories, concepts and techniques relevant to children and adolescents, includes play therapy
- Residents expected to present and discuss relevant case material as well as show taped patient sessions and present process notes
- Residents are expected to present on assigned readings
- Residents expected to present and discuss relevant case material as well as show taped patient sessions and present session notes
- Incorporates readings, media and case material in various formats
Psychopharmacology and Other Treatments; Wednesdays (summer) and Fridays
- Discussion of psychiatric disorders and their treatment in children and adolescents, including various types of somatic and psychosocial treatments
- Varied types of clinical interventions including psychopharmacology, psychotherapies, somatic treatments (e.g. ECT, DBS), alternative medical approaches and experiential interventions
- Emphasis on the care of complicated cases
- Residents expected to present and discuss relevant case material Incorporates readings, media and case material in various formats
Case Conference
- Faculty and residents present focused clinical material in order to discuss specific questions or aspects of child and adolescent psychiatric practice
Forensics (Ash); January-February, Fridays
- Introduction and overview of forensic cases relevant to children and adolescents
- Mock trial
Both Years
Development
- Overview of basic development relevant to clinical practice of child/ adolescent psychiatry
- Organized by age groups as well as by topic
- Interview typical individuals from pregnancy through adolescence
- Discuss specific theoretical approaches and aspects of development
- First years attend all of the seminar; the second years do not attend the interviewing/ age groups sections
Group Therapy
- Review and discussion of group approaches and techniques used with children and adolescents
- Discussion of various theoretical models and various types of format/ content (e.g. social skills, problem solving, aggression management)
- Residents are expected to present case material and on assigned readings
Journal Club
- Residents are expected to identify recent literature and collaborate with faculty to present and facilitate a group discussion
- Evidence based medicine approach provides the framework for analyses and discussion of the articles
Life of Children
- Review and discussion of the familial, ethical, cultural and spiritual aspects of child and adolescent psychiatry
- Review and discussion of environmental factors relevant to children, adolescents and families
- Incorporates readings, media and case material in various formats
Literacy as a Child and Adolescent Psychiatrist
- Review and discussion of literature literacy, evidence based approaches and clinical research with children and adolescents
- Residents present and the 2nd year resident do a scholarly project
- First year residents attend the seminars; 2nd years attend the seminar, have additional sessions on the project and do a project
Teaching
- Review and discussion of various teaching and supervisory models appropriate for medical education
- Second year residents attend all of the seminar; first year residents attend the didactic portion
- Second year residents help teach in the PGY III child psychopathology course
- Second year residents are observed teaching and participate in giving feedback to their peers
- Second year residents have additional sessions on supervisory teaching
Outpatient Clinic Meeting
- Review and discussion of resident outpatient psychotherapy clinic structure, activities and cases
- Administrative supervision
- Residents and faculty present on various child and adolescent psychiatry topics
- Residents participate in quality assurance/ monitoring project
Program Director’s Meeting
- Review and discussion of any relevant residency issues
- Updates on program occurrences
- Periodically includes meetings with the division/ section leadership
- Program review
Chief Resident’s Meeting
- Review and discussion of any relevant residency issues
- Updates on program occurrences
- Program review
- Coordination of schedules
Psychiatry Grand Rounds
- Presentations on psychiatry topics by a range of presenters
- Some child and adolescent psychiatry topics/ speakers