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News from the Division of Child and Adolescent Psychiatry…
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
CHILD PSYCHIATRY EDUCATION AND TRAINING PROGRAM
Anne Glowinski, M.D., M.P.E.
Director of Residency Education and Training in Child Psychiatry
Eric Spiegel, MD
Assistant Director of Residency Education and Training in Child Psychiatry
John N. Constantino, MD
Director, Division of Child Psychiatry
Pallav Pareek, MD and John Rudersdorf, MD
Chief Residents 2012 - 2013
Brigitte Northrop
Fellowship Coordinator
Charles Zorumski, M.D.
Chairman, Department of Psychiatry
Department of Psychiatry
Washington University School of Medicine
A. GENERAL OVERVIEW
The overall goal of the Washington University School of Medicine Training Program in Child and Adolescent Psychiatry is to help each fellow develop the necessary knowledge, skills, and experience to enjoy a productive career as a child/adolescent psychiatrist in either a clinical or a research career. In order to obtain this goal, a fellow is active in a progressive series of clinical, educational, and research experiences designed to continuously enhance the fellow's abilities. The fellowship provides a combination of didactic and clinical work which is both broad enough to ensure knowledge of the wide variety of disorders of childhood and adolescence and yet intensive enough to ensure thorough diagnostic and treatment skills. All fellows are required to gain competence in clinical child psychiatry and to address mental disorders from infancy through adolescence in terms of the individual, their family and their social setting. Developmental considerations are at the core of the conceptual approach.
B. BLOCK DIAGRAMS OF ROTATIONS
YEAR I
| 6 months | 6 months |
|
Inpatient (includes 3 months on child and 3 months on child unit and 3 months on adolescent unit) Hawthorn Children’s Hospital 80% |
Community Mental Health Outpatient BJC BH 80% |
|
Community Mental Health Outpatient Continuity Clinic BJC-BH 10% |
Child Neurology Outpatient Clinic SLCH 10% |
|
12 months Child & Adolescent Academic Outpatient WUSM Clinic 10% | |
YEAR II
| 3 months | 3 months | 6 months |
| Pediatric Consult Liaison SLCH (CL) 50% |
School Consultation St. Louis County Special School District (SSD) 20% |
Child Outpatient (including preschool clinic) WUSM Clinic 30% |
| Child Outpatient WUSM Clinic 20% |
Child Outpatient (including preschool clinic) WUSM Clinic 30% |
|
| Elective 10% |
Elective 30% |
Elective 60% |
| 12 months Community Child & Adolescent Outpatient Continuity BJC Behavioral Health 10% |
||
C. CURRICULUM OVERVIEW
COURSES
The principal didactics during both years are two weekly series: (1) Core Didactics and (2) Psychotherapy Seminar. Core didactic lectures are coordinated in consecutive hours and are coordinated into modules. There are shorter courses throughout the year which substitute for the Core Didactics and they include: Fellows presentations, Career Developmental Seminar, Clinical Case Conferences, JAACAP review. During the summer and in late spring, there is a weekly leadership seminar only for second years.
Several weekly departmental seminars are available: Grand Rounds, Research Rounds, Advanced Resident Seminar, and conferences on genetics and epidemiology. Unique to the first year is a summer initial introductory series on key topics. Finally, throughout both years, most rotations have unique weekly conferences.
Several weekly departmental seminars are available: Grand Rounds, Research Rounds, Advanced Resident Seminar, and conferences on genetics and epidemiology.
SUPERVISION
In addition to supervision from the director of each rotation and their faculty attendings, each resident has at least two weekly hours of supervision during both years of training including one hour of enhanced supervision, also known as “team supervision” which emphasizes the use of Problem Based Learning and Improvement to enhance the benefit of case presentations to faculty supervisors. The 2nd year fellows have an extra hour of psychotherapy supervision as a group on Wednesdays at noon before the beginning of Psychotherapy Clinics.
D. MISCELLANEOUS
EVALUATIONS
Evaluations of a resident are completed by directors of rotations after each rotation and by supervisors yearly with input from staff at rotation sites. Residents are also required to evaluate themselves and their colleague trainees on a yearly basis. The training director gathers this information and provides feedback to each resident twice a year. In addition, residents take the PRITE exam (adult & child). Each fellow is scheduled to take clinical skills exams in order to be board eligible in CAP, with the goal of every resident passing at least 3 clinical skills exams during their fellowship. Several of these exams includes a non graded “mock board” portion.
VACATION
Fellows are entitled to a maximum of three weeks paid vacation annually or a proportionate fraction thereof if the appointment period is for less than one year. Requests for vacations must be made in advance and according to the information given to fellows at orientation.
READING WEEK/EDUCATIONAL WEEK:
Educational time off can be requested and obtained up to one week per year, to be used for a variety of purposes (e.g., taking or preparing for an exam). For second year residents, the division will cover up to $1,000 of expenses –full payment of expenses for our chief fellows- to attend the annual meeting of the American Academy of Child and Adolescent Psychiatry (AACAP).
SICK LEAVE
When a duly appointed fellow is off duty because of illness, he/she must notify the full-time attending as well as Ms. Northrop who keeps track of sick days taken. Benefits include up to 15 sick days per year. If the time exceeds three consecutive days, the Training Director must be notified. The Director must approve sick leave extending beyond three days, and medical verification is required. Pay will be continued for a cumulative total of one month for a 12-month appointment or a fraction thereof if the fellow does not return to service. Sick leave for appointments of less than a full year will be proportionally prorated. Sick leave pay in excess of one month during the appointment year, which will extend total training time, will only be granted in exceptional instances, such as work connected disability, and only upon agreement by the Chief of Service and the Training Director, in consultation with the Hospital Administration. Notably, sick days are not allowable for sickness of a child and/or spouse and/or close ones. These situations may require use of vacation days. Also, it is a professionalism expectation that any serious symptoms will be addressed promptly and without delay through appropriate medical care. Also, another professionalism expectation, except in case of acute and debilitating illness, is that trainees discuss cross coverage and/or patient care needs with attendings and/or co-fellows for sick days, just as they would when taking a vacation.
DISABILITY LEAVE
If a duly appointed fellow has need to be off duty for health-related reasons, including pregnancy and childbirth, beyond the allotted vacation and sick leave, a disability leave of absence must be requested from the Training Director. Acceptable medical verification indicating the need for disability leave and the projected date of return from the leave is required at the time the request for leave is made. The Director, in consultation with the Department Chairman, shall have the authority and discretion to approve or deny a request for a disability leave of absence and to impose whatever conditions or restrictions on the leave that he/she deems appropriate under the circumstances. If leave extends beyond cumulative vacation and sick leave, time must be made up. Before a fellow on disability leave may return to duty, a physician's statement releasing the fellow to return to work will be required. The maximum disability leave, which a resident may be granted, including extensions, is six months.
A fellow's disability leave shall be with pay to the extent of the fellow's accrued sick leave and vacation time. Once accrued sick leave and vacation time have been exhausted, the remainder of the disability leave shall be without pay. All decisions of the Training Director and
Department Chairman, with respect to disability leave issues, shall be made in a fair and nondiscriminatory manner.
PERSONAL LEAVE
If a duly appointed fellow needs time off in excess of his/her accrued vacation time for personal (non-health) reasons which may include child-rearing responsibilities or family problems, a personal leave of absence must be requested from the Training Director. The Director, in consultation with the Department Chairman, shall have the authority and discretion to approve or deny a request for personal leave of absence based upon the individual circumstances of the fellow requesting the leave and the needs of the training program and to improve whatever conditions or restrictions. (For example, it will be necessary to extend a resident's training program to make up for time lost while on personal leave.) Any approval of personal leave shall be documented in writing which sets forth the period of the leave, the conditions with respect to the resident returning to full-time duty and any other relevant factors. The maximum personal leave, which a fellow may be granted, including extensions, is two months. A fellow's personal leave shall be without pay. All decisions of the Training Director and Department Chairman with respect to personal leave issues shall be made in a fair and nondiscriminatory manner.
FUNERAL LEAVE
In the event of the death of a first degree relative of a fellow or a fellow's spouse, up to three (3) days of paid funeral leave will be allowed. Requests for more extended funeral leave when needed should be submitted to the Training Director.