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It is a universal challenge in medical education that residents are first exposed to patients with the most complex problems and greatest needs when they themselves are the least experienced in terms of their own professional development. Realizing this, we have structured our two-year program to provide a graded learning experience for our residents that is built upon direct, readily available supervision and role modeling. The program is designed to provide timely, relevant instruction and supervision around the fundamentals of child psychiatry that are responsive to the residents’ growth as developing professionals, and acknowledges the challenges of entering a new field.
The organization and structure of our clinical rotations and our experiential approach to clinical supervision lend themselves to a flexible approach across our training sites. This allows us to provide intense, hands-on supervision when and where it is needed, taking full advantage of critical teaching moments, as well as flexing to allow increasing autonomy as each resident demonstrates their emerging competencies. In addition, upon entry to our program, each new resident is assigned a faculty mentor who remains with that resident for the full two-years of training. The primary responsibility of mentors is to guide residents in the process of professional self-awareness and self-discovery as they are exposed over time to the training experiences we offer in our program.
The first year of training is designed to provide our residents with the core clinical skills of assessment and intervention that are crucial to all clinical settings from the psychiatric inpatient unit and medical consultation service, to the outpatient clinic and emergency department. In each context, developing proficiency in case formulation and treatment planning are the core skills that inform all their work. The clinical rotations are integrated with didactic and supervisory experiences to ensure that relevant medical knowledge is imparted in a timely fashion.
The first year is divided into three 4-month rotation blocks: inpatient, outpatient and consultation psychiatry. In conjunction with these rotations, residents also participate in a 12-month continuity clinic, and in year-long didactic seminars.
Residency Program - Year Two
The future of pediatrics will be forged by thinking differently, breaking paradigms and joining together in a shared vision of tackling the toughest challenges before us.”