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Rotations

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 rotations and other clinical experiences of the child/ adolescent psychiatry are designed to supplement/ complement the residency’s didactic curriculum experiences with an emphasis on learner participation and preparation.   Residents are expected to demonstrate initiative in terms of seeking out and participating in clinical experiences, both required and optional.  Residents are strongly encouraged to participate in and learn about all aspects of the programs they are participating in, including but not limited to observing and being involved in the activities of the milieu and other disciplines. 

Sites
The program is based at Emory University (Briarcliff Campus) but has affiliations with multiple sites.  The residents have their offices, classes, and several outpatient clinics at the Briarcliff campus.  The program has clinical rotations at several affiliated sites which include Children’s Health Care of Atlanta (CHOA) - Egleston campuses and Marcus Autism Center, Emory Autism Center, Ridgeview Institute, Peachford Hospital, View Point Health Crisis Stabilization Unit, Georgia State University Counseling Center, Chris Kids and Emory University Midtown Hospital.  Consultation rotations also occur at DeKalb Juvenile Court, City of Atlanta Schools, and HeadStart programs.  In addition to valuing the diversity of clinical populations and institutional structure that this range of experiences provides, the program considers being able to understand and work effectively in different types of community settings and systems of care an essential aspect of being a child and adolescent psychiatrist. 
 
Rotations
This residency has been organized to optimize continuous outpatient evaluations and treatments in conjunction with in depth clinical experiences.  During both years, residents participate in a training clinic with weekly requirements of didactics, patient evaluations, long-term outpatient treatment, groups and individual supervision.  In the first year, the residents rotate on several inpatient/intensive programs (including adolescent substance and eating disorders), pediatric consultation experience, pediatric neurology clinic and developmental disabilities program.  The second year has an outpatient focus; residents rotate at several sites and participate in clinics (psychotherapy, psychopharmacology, family) and consultation experiences (autism, forensics, infant, preschool, school, and college).  The residents also work on a scholarly project.  There is elective time in the second year.  

General  
Two year residency program with strong clinical emphasis  
Clinical research opportunities  
Diverse faculty  
Multiple sites in metropolitan Atlanta  
Four residents per year, generally a mix of internal and external applicants  

Both Years
Training Clinic
Both Years
University based sliding scale clinic for children, adolescents, and families. The emphasis is on long-term psychotherapeutic treatment (psychodynamic psychotherapy, cognitive behavioral therapy, behavioral management, parenting, family therapy, play therapy).  The residents do evaluations and ongoing therapy and receive individual supervision.  Patient fees help support residency activities. The residents also co-lead a group (dialectical behavioral therapy) at a local adolescent residential treatment center (Hillside). The requirements are:
Patient Hours (includes group): 4 hours/week (first years) and 6 hours/ week (second years)
Supervision: 1 hour/week first year residents; 2 hours/week second year residents
Faculty = Arden D Dingle, MD, Jenny Gould, MD & assigned outpatient supervisors
 
Resident Retreat
This is an annual event which occurs at the end of summer and provides the residents with an opportunity to get to know each other in a more relaxed setting.  The emphasis is on developing collegial, productive peer relationships and helping the residents develop a group identity.  

First Year
Children’s HealthCare of Atlanta at Egleston Children’s Hospital is a 4-month (two 2 month blocks) rotation on the consultation liaison service evaluating and treating children and adolescents with complicated medical and psychiatric conditions. Egleston is a tertiary care center that serves metropolitan Atlanta and other areas of the state and is a main training site for Emory pediatrics. The resident spends one ½ day a week in an outpatient neurology clinic for 2 months; during the other block, the resident participates in the Monarch school program at the Emory Autism Center.  The residents often teach/ supervise medical students and occasionally psychiatric residents
Psychiatry Faculty = Shamina Henkel, MD
Neurology Faculty = Barbara Weissman, MD; Jamika Hallman-Cooper, MD and Cherise Fraizer, MD
 
VPH (View Point Health) Crisis Stabilization Program is a 4- month (two 2 month blocks) rotation on the adolescent (14 through 17) psychiatric unit. The hospital is a public facility for acute psychiatric care and serves metropolitan Atlanta as well as other areas of Georgia.   During this rotation, the resident also participates as a member of a multidisciplinary team which provides intensive, outpatient community services to children, adolescents and families.
Faculty = Vanderlyn Sewell, MD

Children’s HealthCare of Atlanta at Marcus Autism Center is a 1- month rotation at an outpatient center that provides care for children and adolescents with an emphasis on developmental disabilities.   The residents primarily work with the psychiatrists to provide assessments and ongoing care but have opportunities to work with other disciplines in both general and specialty programs.  During the rotation, the residents attend Walden for ½ day a week at the Emory Autism Center.  The residents sometimes supervise medical students and psychiatric residents.
Faculty = Roy Sanders, MD, Felissa Goldstein, MD & Helen Panarites, MD

Ridgeview Hospital is a 1 to 2 month rotation at a non-profit, private institution that provides a range of services from acute inpatient to intensive outpatient care for children and adolescents. The residents work as members of multidisciplinary teams on an acute psychiatric unit.  They also participate in an adolescent substance abuse program as well as in an eating disorders program.
Faculty = Ashraf Attalla, MD

Peachford Hospital is a 1 to 2 month rotation at a private hospital. The patients evaluate and treat patients primarily on the child inpatient psychiatric unit.  There are opportunities to visit several adolescent residential substance abuse programs.
Faculty = Adolph Casal, MD & Steve Jaffe, MD

Emory Autism Center is a part time rotation (occurs during Egleston and Marcus Autism Center) at an university based center which provides services for individuals with pervasive developmental disorders.  In addition to psychiatric care, the center runs a preschool program and school outreach program.  The residents participate in the preschool program and the school consultation program.
Faculty = Sharon Hynes & Sheila Wagner, MEd
 
Outpatient Clinic is a part time rotation (afternoon a week) that occurs throughout the 12 months; the resident participates in assessments and ongoing treatment in a clinic that serves a population that is primarily indigent and minority.  There is an additional description under both year rotations.

Second Year
This year is organized into assignments of 2 to 12 months over the entire year rather than in block months.   Residents rotate at a variety of settings, many of which are community based.   Rotations involve providing direct patient care as well as consultative and administrative responsibilities. 

Sites include:
Emory Midtown Hospital is an Emory hospital with large, regional prenatal and neonatal services. 
 
Georgia State University is a large public university that has a mix of traditional and non-traditional students.  The student health service (counseling center) provides psychiatric and psychosocial care and has multidisciplinary trainees. 
 
DeKalb County Juvenile Court provided court, probation and court diversion programs for children, adolescents and families who reside in DeKalb County and are involved with child protective services or the juvenile justice system.  Residents collaborate with Emory based attorneys (Barton Clinic).
 
City of Atlanta Schools is a public educational system, pre-kindergarten through high school.  Schools are located in a range of neighborhoods from very affluent to very poor.
 
DeKalb Community Service Board is a public community mental health center, which provides a range of services. Residents work in the child and adolescent psychiatry outpatient service.
 
Children’s HealthCare of Atlanta at Marcus Autism Center is an outpatient center that provides care for children and adolescents with an emphasis on developmental disabilities. 

Chris Kids is a non-profit community agency, which provides a range of services including an outpatient clinic, therapeutic group homes, young adult transition program, intensive in home services, and after school teen program.  The residents work in the outpatient clinic with time on the other services.
 
Atlanta VA Medical Center is a large, regional center providing a range of medical and psychiatric services to veterans.  The residents work in the trauma programs to provide parenting and family services. 
 
Emory University hosts several outpatient experiences that are clinic based and serve a racially and economically diverse population.

Others depending on elective rotations

Rotations
Consultation
School
Local elementary school: classroom observation, teacher/ staff consultation, child evaluation and treatment, parenting interventions; teaching psychiatric residents and occasional medical students
 

University student health center; psychiatric assessments, medication management, psychotherapy, collaboration with therapists, staff/ student education
Faculty = Dana Reid, DO and Kristin Weinschenk, MD

Infant                 
Regional prenatal and neonatal service; consultation to providers and staff on the antepartum, postpartum, neonatal and well baby services around parenting, relationships and developmental issues
Faculty = Marietta Collins, PhD

Juvenile Justice
Forensics          
Work with forensic child/ adolescent psychiatrist; custody, competency and facility evaluations, litigation, didactics and mock trial
Juvenile Court     
County juvenile court; work with defense team and participate in juvenile court activities
Faculty = Peter Ash, MD & Sarah Vinson, MD

Parenting
Work with Atlanta VAMC trauma programs to provide education on parenting and child development as well as providing family assessments and interventions.
Faculty = Viorica Pencea, MD & Belinda McIntosh, MD


Outpatient Clinics
Assessment Clinic; University based service; assessment and triage of children and adolescents
 

Psychopharmacology; University based service; assessment and medication management of children and adolescents, behavioral management, coordination of care with therapists
 

Autism Spectrum Disorders; Hospital associated center; assessments and ongoing medication management; opportunities to observe and work with other disciplines in both general and specialty programs
Faculty = Roy Sanders, MD

Developmental Disabilities; university service; neurodevelopmental clinic; multidisciplinary assessment and brief behavioral interventions for children and adolescents with developmental disabilities, mostly preschoolers
 

Community; 2 sites; assessment and treatment of psychiatrically ill children and adolescents as part of multidisciplinary team in community mental health setting
Faculty = Farrah Fang, MD and Nicole King, MD
Faculty = Keisha Brown, MD and Charlesetta Scott, MD

Scholarly Activity (Paper & Presentation)
Variable
Depends on resident interest and program availability; focus is on developing a question/ topic, researching the literature and writing/ presenting a paper/ article.  Can either write in the format of a grant application or article for academic journal
Faculty = Julie Kable, PhD

Elective                                                 
Variable                
Depends on resident interest and program availability
Faculty =  as assigned