Residency Program Year Two

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With the transition to the second year of training comes the expectation that our residents will show increasing autonomy and independence in the expression of their developing skills and competencies as child psychiatrists. We continue to provide an experiential teaching model where senior staff are present on-site at all times and are available to jointly see patients and families with our residents, but residents progress to spending more time seeing their patients and families independently. They typically initiate requests for ‘live’ supervision, much in the same way that colleagues provide second opinion consultations to each other.

The second year of residency training is designed to build in breadth and in depth upon the core skills and competencies that our residents began developing during their first year of training, and to allow them to pursue specific areas of their own personal interest. Our seminars, supervision, and clinical rotations are all structured and integrated to accomplish these goals; so that by the end of the second year our residents feel prepared to enter the field of child and adolescent psychiatry in the particular areas of their choosing.  The mentorship that we provide from the very beginning of the two-year residency plays a critical role all along in facilitating each resident’s continued professional development and their transition to practice and other career choices. 

The core clinical experiences of the second year are a twelve-month hospital-based outpatient psychiatry experience, a six-month community-based experience, and a three-month family court experience. 

Year II Outline  
12 months Psychosocial Treatment Clinic  - 10 hours/week
Psychopharmacology Clinic - 4 hours/week
3 month rotation Cambridge Family Probate Court Clinic - 4 hours/week
6 month rotation Children's Hospital Neighborhood Partnerships:
Community Health Center - 5 hours/week
12 months Elective Time (12 hours/week)
12 months Core seminars
  • On the Boston Children's Hospital Outpatient Psychiatry Services, in the second year, residents increase their clinical time from one to three half-day clinics per week.  This second year outpatient experience builds upon their developing skills of assessment, psychotherapy and pharmacotherapy, refining these skills through the experience of working with a wider range of patients.

    The supervisory structure for this expanded outpatient experience is the same as that for the first year, with the distinction that more precepting attendings and therapy advisors are available for teaching and supervision each resident. During the course of the second year, each resident also participates in at least one 12-week group therapy experience as a co-facilitator with a senior staff social worker. Residents may elect to do more groups.
     
  • All second-year residents complete a six-month rotation working in the Child and Adolescent Psychiatry Outpatient Clinic at Boston University Medical Center (BMC) in fulfillment of their community service requirements. The role of our residents in this setting is to provide direct supervision and teaching to the general psychiatry residents in the BMC program when they are seeing child and adolescent patients.

    Residents with a particular interest in community and public sector psychiatry may elect to devote additional time in one of the many settings of the Children’s Hospital Neighborhood Partnerships program.
     
  • The Cambridge Family Probate Court Clinic affords our residents the opportunity to learn the skills required to function as a consultant to the legal system around matters related to the mental health needs and best interests of children who find themselves in the midst of domestic disputes such as custody and visitation battles.
     
  • Over the course of the entire second year of training, residents have an average of 12 hours/week of elective time to pursue any advocacy, administrative, clinical, community, educational, or research interests they may have.  Faculty mentors play an essential role in helping residents to plan for these opportunities.

Core seminars

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