Child/Adolescent Psychiatry Fellowship

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Second-Year Goals and Objectives

Upon completion of the second year of Child and Adolescent Psychiatry fellowship and before graduating from the program, residents must have accomplished the following:

1. Successfully completed:
1. One year 0.6 FTE outpatient child and adolescent psychiatry rotation.
2. One year of 0.2 FTE consultation liason service.
3. One year of 0.1 FTE special clinic modules.


2. Demonstrate clinical competence in:
   1. adequate assessment and evaluation of special populations of children and adolescents including the developmentally delayed, medically ill and those who have sexually offended.
   2. maintenance of a therapeutic alliance over time in the outpatient setting.
   3. appropriate choice of diverse therapeutic modalities in outpatient treatment planning.
   4. correctly implementing, monitoring and modifying (as needed) a psychopharmacological treatment strategy over time.
   5. delivery of long-term outpatient individual therapy, group therapy and family therapy using psychodynamic, behavioral, cognitive, supportive, and crisis intervention methods.
   6. service as an effective consultant to other medical specialists, mental health professionals and community agencies.
   7. the systematic approach towards investigating, evaluating, and improving their fund of knowledge and clinical practices relevant to child and adolescent psychiatry.
   8. advocacy for patients in a variety of systems (school, legal, health care system).
   
   
3. Demonstrate comprehensive knowledge regarding:
1. the major theories and theorists of child and adolescent development
2. the theoretical and methodological basis for the major schools of psychotherapy in child and adolescent psychiatry (psychodynamic, cognitive-behavioral, family therapy, supportive therapy.)
3. neurobiological sciences relevant to child psychiatry, including an appreciation of brain-behavior relationships.
4. neurological disorders and the interface of pediatric neurology with child and adolescent psychiatry.
5. psychiatric issues in the medically ill pediatric patient
6. consultation strategies for child and adolescent psychiatrists
7. tools critical for life-long learning such as principles of evidence-based medicine, understanding of research methodology to interpret the scientific literature, and ability to utilize information technology.


4. Demonstrate professional interpersonal skills competency with:
1. effective consultation-liaison with other professionals.
2. establishing and maintaining therapeutic alliance.
3. persuasively advocating for the child’s best interest
4. acting as the leader of a clinical treatment team

Tools for assessing these competency areas are detailed in the “Competency Assessment” section of this maual.

Any exceptions to the requirements above must be approved by the Residency Education Committee.