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Outpatient Psychiatry Service
Throughout the course of the first year, residents maintain a continuity clinic in the Outpatient Psychiatry Service one afternoon each week. This clinic is devoted to assessment, and ongoing psychotherapy and psychopharmacology. The clinic is supervised by an onsite attending-of-the-day, who jointly sees patients with residents and reviews each day's work with the resident.
Each resident is also assigned a therapy advisor who reviews ongoing cases individually with the resident as part of the educational experience, but in a more traditional supervisory format.
Outpatient settings
In addition to this 12-month continuity clinic, for four months during the first year, residents perform their primary clinical duties and training in a variety of outpatient settings. These include an expanded clinic with an additional afternoon each week in Outpatient Psychiatry, one afternoon each week in (child) Neurology clinic, one morning each week in the Developmental Medicine Center, and two half-days each week in the Adolescent Substance Abuse Program.
During this rotation, residents also frequent a local Head Start center one afternoon each week. This experience does not involve the provision of clinical services. Instead it is intended to help residents become more familiar with a range of typically developing children, to become comfortable interacting with them, and to see how children function in a normative, community setting with educators and their peers.
Emergency calls
Throughout both years of training residents take emergency calls, providing acute care for patients presenting with psychiatric emergencies in multiple hospital contexts, including the emergency department, the inpatient psychiatry unit and the general hospital.
Emergency evaluations and treatment are core skills for the child and adolescent psychiatrist. We provide a progressive, structured and supervised set of experiences to ensure the development of these critical abilities.
Beginning with a gradual clinical phase-in involving shadow calls and seminars during the summer of the first year of training, and continuing with ongoing case teaching, the residents have the support and structure needed to master the challenges they face when providing emergency psychiatric care.
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