For Professionals

Child and Adolescent Psychiatry Residency Training Program

First-Year Clinical Rotations

NewYork-Presbyterian/Weill Cornell Medical Center Rotation

Total duration at location: 4 months

Adolescent Partial Hospital Program—3 months

Residents evaluate and treat adolescents with acute psychiatric illness in an intensive, five-day-a-week program which serves as a diversion from an inpatient level of care for some teens or as a step down from inpatient care for others. This is the first program of its kind in Manhattan. Residents also participate in outpatient immediate follow-up appointments for patients discharged from the emergency department and gain experience with a full complement of services available to acutely ill children.

Pediatric Consultation-Liaison Service—1 month

Residents consult with pediatric inpatient services at NYP/Weill Cornell Medical Center, including the Burn Center. A supervising attending child psychiatrist reviews each consultation. Residents gain experience teaching pediatric residents both informally on the inpatient services and formally during the pediatric morning report. While on this rotation, residents also gain additional experience in the pediatric neurology and neonatal follow-up clinics, outlined below.

Pediatric Neurology Clinic—part-time over 1 month

Residents rotate through the Pediatric Neurology Clinic under the direction of the Pediatric Neurology Service while on the Pediatric Consultation-Liaison Service at NYP/Weill Cornell Medical Center. The clinic population is culturally diverse, with a variety of neurological disorders, including neuromuscular disorders, seizure disorders, tumors, movement disorders, degenerative neurological diseases, strokes, and other neurological syndromes. Many disorders are complicated by neuropsychiatric problems or include a differential diagnosis of a conversion disorder, somatization disorder, or psychiatric factors complicating a neurological condition.

0–3 Infant Psychiatry Experience—part-time over 4 months

The 0–3 Infant Psychiatry Experience includes observation in the Neonatal Follow-Up Clinic and participation in the Sackler Infancy Seminar. The Neonatal Follow-Up Clinic evaluates all infants discharged from the Neonatal Intensive Care Unit (NICU). A multi-disciplinary team of pediatricians, a physical therapist, and a nutritionist completes developmental assessments at regular intervals up to 3 years of age. Residents observe these assessments while on the Pediatric Consultation-Liaison Service at NYP/Weill Cornell Medical Center.

NewYork-Presbyterian Westchester Behavioral Health Center Rotation

Total duration at location: 4 months

Children's Inpatient Unit (Nichols Cottage)—3 months

The children’s unit is a 17-bed acute inpatient unit for children ages 4–12 years old with an average length of stay of 2 weeks. Residents care for patients with a wide range of psychopathologies and discharge needs. Residents function as part of a multidisciplinary team, working alongside psychiatrists, social workers, and nursing staff. They are involved in formulating treatment and discharge plans, as well as managing psychiatric emergencies. A biweekly didactic on play therapy accompanies this rotation.

Adolescent Inpatient Unit (2 North)—1 month

The adolescent inpatient unit is a 21-bed acute inpatient unit for adolescents ages 13–17 years old with an average length of stay of 1–2 weeks. Resident roles and responsibilities are similar to those outlined for the Children’s Inpatient Unit.

Adolescent Eating Disorders Service (The Outlook/2 South)—part-time over 2 months

The adolescent eating disorders service is a 6-bed acute inpatient unit for adolescents ages 13–17 years old with an average length of stay of 2–3 weeks. Patients have a principal diagnosis of an eating disorder, such as Anorexia Nervosa, Bulimia Nervosa, or Binge Eating Disorder, although co-occurring conditions are common. The unit utilizes a multidisciplinary approach, which includes individual, group, and family therapies. Residents have direct patient care responsibilities, which include comprehensive assessment, oversight of medical issues, evidence-based individual and group treatments, and participation in discharge planning.

Center for Autism and the Developing Brain—part-time over 2 months

At the Center for Autism and the Developing Brain (CADB), residents spend one afternoon for 2 months (either on a Tuesday during the 2 South Eating Disorder rotation or on a Wednesday following didactics) participating in comprehensive assessments of youth with autism spectrum disorders under expert supervision.

NewYork-Presbyterian Morgan Stanley Children's Hospital Rotation

Total duration at location: 4 months

Pediatric Consultation-Liaison Service—2 months

Residents consult with pediatric inpatient services and occasionally outpatient services at NYP Morgan Stanley Children’s Hospital, a tertiary care center serving patients ages 0-21 years old. Liaison services are provided to all subspecialty pediatric teams, including cardiac transplant, pain management, hematology/oncology, among others. Residents gain experience with common psychiatric diagnoses including adjustment disorders, anxiety disorders and affective disorders, as well as rarer conditions such as somatoform disorders, neuropsychiatric disorders, and brain syndromes secondary to psychiatric illness. Treatments provided include preoperative evaluations for transplantation, brief cognitive-behavioral interventions, and acute pharmacological management, as well as psychoeducation and counseling for families.

Pediatric Emergency Service—2 months 

Residents provide consultation to the Pediatric Emergency Department. The most common presenting problems are suicidal thoughts and actions, disruptive behavior disorders, anxiety and depressive disorders, child abuse and neglect, and school problems. The types of treatment provided include crisis-oriented interventions, psychopharmacological management, supportive therapy, family therapy, and referrals for psychosocial support services. 

Diagnostic Evaluation and Stabilization Center (DESC)—part-time over 4 months

During their time at DESC, residents evaluate and stabilize urgent referral cases, before connecting patients and families to long-term outpatient care. Treatment entails comprehensive diagnostic assessments and follow-up care over 4-8 weeks, utilizing a combination of psychotherapy and medication management. Working within a multidisciplinary team, residents also gain experience collaborating with external systems, including schools, social services, mobile crisis services, and others.

Pediatric Neurology Clinic—part-time over 1 month

Residents rotate through the Pediatric Neurology Clinic under the direction of the Pediatric Neurology Service while on the Pediatric Consultation Liaison Service at NYP Morgan Stanley Children's Hospital. The clinic population is culturally diverse with a variety of neurological disorders including neuromuscular disorders, seizure disorders, tumors, movement disorders, degenerative neurological diseases, strokes, and other neurological syndromes. Many disorders are complicated by neuropsychiatric problems or include a differential diagnosis of a conversion disorder, somatization disorders, or psychiatric factors complicating a neurological diagnosis.

Second-Year Rotations

NYP/Weill Cornell Medical Center or NYP Westchester Behavioral Health Center

Frequency: Two days per week at either location

Outpatient Evaluation Clinic—12 months

Residents perform psychiatric evaluations of children and adolescents under direct supervision. Evaluations include interview with the child, interview with parents/caretakers, and acquisition of collateral history. Differential diagnosis, risk assessment, and disposition of patients are done with a supervisor.

Outpatient Clinics—12 months

Residents gain experience in the treatment of patients in a variety of clinics, which are organized by disorder (e.g., Anxiety Disorders Clinic) or treatment modality (e.g., Psychopharmacology Clinic). Faculty with particular expertise in specific psychopathology and treatment modalities provide ongoing supervision to the residents. All residents receive individual or small group supervision in psychopharmacology and in various psychotherapies including Psychodynamic Psychotherapy and Cognitive Behavioral Therapy, Parent Training, and Family Therapy techniques (coordinated across the campuses). Additional case-specific supervision in Cognitive Behavioral Interventions for Tics and Exposure Response Prevention for OCD are available.

NewYork-Presbyterian Morgan Stanley Children’s Hospital

Frequency: Two days per week

Outpatient Evaluation Clinic—12 months

Residents receive training in the Kiddie Schedule for Affective Disorders and Schizophrenia (K-SADS), semi-structured interview instrument used in the evaluation clinic.

Outpatient Clinics—12 months

Residents gain experience in the provision of specialty treatment of behavioral and psychiatric conditions of childhood and adolescence. All residents receive individual or small group supervision in psychopharmacology and in various psychotherapies including Psychodynamic Psychotherapy, Cognitive Behavioral Therapy, Parent Training, and Family Therapy techniques (coordinated across the campuses). Additional case-specific supervision in Dialectic Behavior Therapy, Interpersonal Psychotherapy, Child Parent Psychotherapy and Motivational Interviewing are available.

School Consultation—part-time over 1.5 months

Each resident will spend one morning per week for 1.5 months in school consultation experiences at the NYP Morgan Stanley Children’s Hospital School-Based Mental Health Program. Residents are exposed to a variety of school consultation experiences, which will give them opportunities to serve as consultants to schools, practice classroom observation, and become familiar with the variety of specialized educational programs for children with medical and psychiatric challenges. A visit to a special charter school for children and adolescents with autism spectrum disorders supplements this experience.

Other Experiences

Research/Scholarly Activity— part-time over 12 months

Every resident has the equivalent of two half-days per week to pursue research and scholarly activity under direct mentorship by a faculty member of their choosing. One half-day is scheduled during the time at the Morgan Stanley Children’s Hospital and one half-day is scheduled during the time at the Weill Cornell site.

Early Childhood Nursery School Observation (Medical Center Nursery School)— part-time over 1.5 months

Residents observe children in routine nursery school programs under supervision. Time is provided for discussion of child observations.

Addiction and Mental Health Experience— part-time over 1.5 months

The Center for Living is a nonprofit, community-based, outpatient program specializing in substance use treatment for adolescents, young adults and their families that operates under the New York State Office of Alcoholism and Substance Abuse Services (OASIS). During this rotation, residents join the team at The Center for Living and participate in the comprehensive evaluation of adolescents with substance use disorders, attend team meetings, and observe community, treatment and multi-family groups. 

Child and Adolescent Forensic Experience— part-time over 1.5 months

This two-part forensic experience begins in the summer of the second year with a day-long visit to the Bronx Family Court. Residents participate in guided observation of actual court proceedings, discussion/Q&A with presiding jurists, and lecture/clinical presentation by Bronx Family Court Mental Health Service (MHS) supervisors and clinical staff. Background literature, including key legal and theoretical concepts and empirical research, will be provided by MHS. This is followed by an experiential component in the fall in which each resident observes a forensic evaluation of a child or adolescent referred by the Bronx Family Court. 

Child & Adolescent Psychiatry Residency Training Program

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