Child and Adolescent Psychiatry and Behavioral Science

Child and Adolescent Psychiatry Fellowship - First Year Rotations

The first year of the Child and Adolescent Psychiatry Fellowship Program includes several acute care rotations and some outpatient and research experience. Fellows will rotate through child and adolescent inpatient units at the Horsham Clinic, therapeutic preschool partial hospital program at the Children’s Crisis Treatment Center (CcTC), and pediatric consultation and liaison psychiatry, pediatric neurology, developmental behavioral pediatrics and outpatient service at The Children’s Hospital of Philadelphia.

A fellow will follow up to two cases on an outpatient basis. For those starting an inpatient rotation, it is suggested that fellows choose patients whom they have been following on an acute rotation and follow their care into outpatient. This will enhance the continuity of care for the patient and help the fellow understand the unique roles a psychiatrist assumes in different settings.
 
Each Thursday is committed to didactic seminars and teaching conferences that cover basic and advanced academic topics at the core of child and adolescent psychiatric training for both fellow years.
 
Elective rotations include opportunities to participate in evaluations of speech and hearing, mental retardation and pervasive developmental disorders, observations at early intervention centers and pediatric subspecialty rotations, forensic child and adolescent psychiatry and opportunities to act as evaluators and therapists in a behavioral treatment or college health center. Individual supervision is provided by The Children's Hospital of Philadelphia and the University of Pennsylvania Perelman School of Medicine faculty members and continues during the first and second years.

Rotations

First year rotations include:

Inpatient child and adolescent psychiatry

Robert Kovar, MDHorsham clinicThe Horsham Clinic

Fellows provide patient care by gathering essential information about their patients, making informed decisions about diagnostic and therapeutic interventions, and developing and carrying out patient management plans. For more information, please visit the Horsham Clinic's Child and Adolescent Inpatient Programs.

Consultation/liaison

The Children's Hospital of Philadelphia
Alexander Scharko, MD

The rotation with the Behavioral Health Integrated Program (BHIP) allows fellows the opportunity to practice pediatric psychosomatic medicine at the premier Children’s Hospital in the nation. Fellows work with attending physicians, nurses, psychologists, social workers, therapists and trainees at all levels, in all of the pediatric services at CHOP to address the mental health needs of patients who are admitted to CHOP for a medical illness. While on service, the fellow has the opportunity to demonstrate administrative and educational leadership, while learning the principles of psychosomatic medicine as a multidisciplinary specialty.

Outpatient clinic

Children’s Crisis Treatment Center (CcTC)
Ashley Angert, DO

Fellows will learn and employ play therapy with children, ages 3 to 5 years, who are suffering from a variety of axis 1 disorders. For more information, please visit the Children’s Crisis Treatment Center website.

Young child clinic

The Children's Hospital of Philadelphia
Stephanie Drabble, LCSW

First year fellows will learn how to evaluate children less than 5 years of age while considering the impact of development, temperament, parent-child interactions, attachment and experience on the child’s social, emotional and behavioral presentation. Fellows will develop an understanding of the preventative nature of early childhood evaluation and treatment.

Research

The Children's Hospital of Philadelphia
Rhonda C. Boyd, PhD

The purpose of this rotation is for fellows to develop further research skills and to actively participate in research (either an ongoing study or one’s own project). Individual mentorship is provided to guide fellows in their research pursuits. There are numerous research opportunities to work with faculty at CHOP and the University of Pennsylvania Perelman School of Medicine.

Neurology inpatient consults

The Children's Hospital of Philadelphia
Donald Younkin, MD

Fellows will have an opportunity to learn to evaluate children and adolescents with psychiatric manifestations of pediatric neurologic conditions. The rotation occurs on the pediatric neurology consultation service and the outpatient clinic and is supervised by the pediatric neurology faculty, who have expertise clinically and/or in basic and clinical neuroscience research.

Developmental-behavioral pediatrics

The Children's Hospital of Philadelphia
Nathan J. Blum, MD

Fellows will have more opportunities to see manifestations of behavioral difficulties that are evaluated in the context of temperament, attachment and normal development, as well as disorders that result from abnormal development. Broad exposure to the psychological evaluations of learning disabilities and developmental disabilities are incorporated into this rotation.

For more information, please visit the Developmental-Behavioral Pediatrics Fellowship Program.

Assessment clinic

The Children's Hospital of Philadelphia
Cathy Mercaldi, MD

This first year assessment clinic is designed to provide fellows and other trainees with an intensive introduction to psychiatric evaluation of children and adolescents and their families. The attending child psychiatrist provides direct clinical supervision, modeling and didactic teaching in a small group setting in order to establish a solid foundation for clinical interviewing, clinical observations and diagnostic formulation.

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