Rotations
Overview
The child/adolescent psychiatry residency is designed and organized to provide residents with a range of experiences, both clinical and didactic that cover the fundamental aspects of the practice of child/ adolescent psychiatry with the obvious caveat that it is not possible to cover everything in depth. Residents will have to read both textbooks and other literature as assigned and independently to obtain the full benefit of the clinical and didactic curriculum. The rotations and other clinical experiences of the child/ adolescent psychiatry are designed to supplement/ complement the residency’s didactic curriculum experiences with an emphasis on learner participation and preparation. Residents are expected to demonstrate initiative in terms of seeking out and participating in clinical experiences, both required and optional. Residents are strongly encouraged to participate in and learn about all aspects of the programs they are participating in, including but not limited to observing and being involved in the activities of the milieu and other disciplines.
Sites
The program is based at Emory University (Briarcliff Campus) but has affiliations with multiple sites. The residents have their offices, classes, and several outpatient clinics at the Briarcliff campus. The program has clinical rotations at several affiliated sites which include Children’s Health Care of Atlanta (CHOA) - Egleston campuses and Marcus Autism Center, Grady Health Care System, Emory Autism Center, Ridgeview Institute, Peachford Hospital, View Point Health Crisis Stabilization Unit, Georgia State University Counseling Center and Emory University Midtown Hospital. Consultation rotations also occur at DeKalb Juvenile Court, City of Atlanta Schools, and HeadStart programs. In addition to valuing the diversity of clinical populations and institutional structure that this range of experiences provides, the program considers being able to understand and work effectively in different types of community settings and systems of care an essential aspect of being a child and adolescent psychiatrist.
Rotations
This residency has been organized to optimize continuous outpatient evaluations and treatments in conjunction with in depth clinical experiences. During both years, residents participate in a training clinic with weekly requirements of didactics, patient evaluations, long-term outpatient treatment, groups and individual supervision. In the first year, the residents rotate on several inpatient/intensive programs (including adolescent substance and eating disorders), pediatric consultation experience, pediatric neurology clinic and developmental disabilities program. The second year has an outpatient focus; residents rotate at several sites and participate in clinics (psychotherapy, psychopharmacology, family) and consultation experiences (autism, forensics, infant, preschool, school, and college). Many of these rotations have psychiatry residents and medical students on them; the child residents have significant teaching and supervisory responsibilities with these trainees. The residents also work on a scholarly project. There is elective time in the second year.
General
- Two year residency program with strong clinical emphasis
- Significant clinical research opportunities
- Diverse full-time and voluntary faculty
- Multiple sites in metropolitan Atlanta
- Four residents per year, generally a mix of internal and external applicants
Training Clinic (Both Years)
University based sliding scale clinic for children, adolescents, and families. The emphasis is on long-term psychotherapeutic treatment. The residents do evaluations and ongoing therapy and receive individual supervision, family therapy with at least one case. Patient fees help support residency activities. The residents also co-lead a group at a local adolescent residential treatment center (Hillside). The requirements are:
Patient Hours (includes group): 4 hours/week (first years); 6 hours/ week (second years)
Supervision: 1 hour/week first year residents; 2 hours/week second year residents
Faculty: Arden D. Dingle, MD; Jenny Gould, MD; assigned outpatient supervisors
Resident Retreat
This is an annual event which occurs at the end of summer and provides the residents with an opportunity to get to know each other in a more relaxed setting. The emphasis is on developing collegial, productive peer relationships and helping the residents develop a group identity.
First Year (80% site; 20% outpatient clinic and didactics)
Children’s HealthCare of Atlanta at Egleston Children’s Hospital is a 3-month rotation on the consultation liaison service evaluating and treating children and adolescents with complicated medical and psychiatric conditions. Egleston is a tertiary care center that serves metropolitan Atlanta and other areas of the state and is a main training site for Emory pediatrics. The resident spends one afternoon a week in an outpatient neurology clinic. The residents often teach/ supervise medical students and occasionally psychiatric residents.
Psychiatry Faculty: Shamina Henkel, MD
Neurology Faculty: Nic Krawiecki, MD; Larry Olson, MD; Philip Holt, MD
VPH (View Point Health) Crisis Stabilization Program is a 3- month rotation on the adolescent (14 through 17) psychiatric unit. The hospital is a public facility for acute psychiatric care and serves metropolitan Atlanta as well as other areas of Georgia. During this rotation, the resident also participates as a member of a multidisciplinary team which provides intensive, outpatient community services to children, adolescents and families.
Faculty: Vanderlyn Sewell, MD; Brent Wilson, MD
Children’s HealthCare of Atlanta at Marcus Autism Center is a 1- month rotation at an outpatient center that provides care for children and adolescents with an emphasis on developmental disabilities. The residents primarily work with the psychiatrists to provide assessments and ongoing care but have opportunities to work with other disciplines in both general and specialty programs. The residents sometimes supervise medical students and psychiatric residents.
Faculty: Roy Sanders, MD; Felissa Goldstein, MD; Helen Panarites, MD
Ridgeview Hospital is a 1-month rotation at a non-profit, private institution that provides a range of services from acute inpatient to intensive outpatient care for children and adolescents. The residents work as members of multidisciplinary teams on an acute psychiatric unit. They also participate in an adolescent substance abuse program as well as in an eating disorders program.
Faculty: Ashraf Attalla, MD
Peachford Hospital is a 1-month rotation at a private hospital. The patients evaluate and treat patients primarily on the child inpatient psychiatric unit. There are opportunities to visit several adolescent residential substance abuse programs.
Faculty: Adolph Casal, MD; Steve Jaffe, MD
Hillside Hospital is a 3-month, part time (20% time) at a private, non-profit adolescent residential facility that provides general psychiatric care as well as some specialty interventions. The resident will work mostly on two units (organized by acuity, age and gender). In addition to participating in the psychiatric treatment of the facility patients, the resident is expected to participate fully in the range of experiential and milieu interventions and activities.
Faculty: Jennifer Gould, MD; Nadine Barnett, MD
Emory Autism Center is a 3-month, part time (60%) at an university based center which provides services for individuals with pervasive developmental disorders. In addition to psychiatric care, the center runs a preschool program and school outreach program. The residents participate in assessment, the preschool program and the school consultation program.
Faculty: Sharon Hynes; Sheila Wagner, MEd: Helen Panarites, MD
Second Year (70% site, clinical research and elective; 30% outpatient clinic and didactics)
This year is organized into assignments of 2 to 12 months over the entire year rather than in block months. Residents rotate at a variety of settings, many of which are community based. Rotations involve providing direct patient care as well as consultative and administrative responsibilities. Sites include:
Grady Health System, the county hospital for metropolitan Atlanta and a major training institution for Emory. Residents work in the child and adolescent psychiatry outpatient service (Piedmont Hall).
Emory Midtown Hospital is an Emory hospital with large, regional prenatal and neonatal services.
Georgia State University is a large public university that has a mix of traditional and non-traditional students. The student health service (counseling center) provides psychiatric and psychosocial care and has multidisciplinary trainees.
DeKalb County Juvenile Court provide court, probation and court diversion programs for children, adolescents and families who reside in DeKalb County and are involved with child protective services or the juvenile justice system. Residents collaborate with Emory University based attorneys and law students (Barton Clinic).
City of Atlanta Schools is a public educational system, pre-kindergarten through high school. Schools are located in a range of neighborhoods from very affluent to very poor.
HeadStart Preschool Program is a federally supported preschool program that provides educational services for primarily indigent children who are 3 and 4 years old. In addition to educational interventions, additional services such as mental health, physical/ occupational therapy, dental and parenting are offered.
Children’s HealthCare of Atlanta at Marcus Autism Center is an outpatient center that provides care for children and adolescents with an emphasis on developmental disabilities.
Emory University hosts several outpatient experiences that are clinic based and serve a racially and economically diverse population.
Others depending on elective rotations
Rotations
Consultation
Infant
Regional prenatal and neonatal service; consultation to providers and staff on the antepartum, postpartum, neonatal and well baby services around parenting, relationships and developmental issues.
Faculty: Marietta Collins, PhD
Preschool
Local HeadStart program: classroom observation, teacher/ staff consultation, child evaluation and treatment, parenting interventions; teaching psychiatric residents and occasional medical students.
Faculty: Marianne Celano, PhD
School
Local elementary school: classroom observation, teacher/ staff consultation, child evaluation and treatment, parenting interventions; teaching psychiatric residents and occasional medical students.
Faculty: Vivianne Aponte-Rivera, MD
Student Health
University student health center; psychiatric assessments, medication management, psychotherapy, collaboration with therapists, staff/ student education.
Faculty: Kristin Weinschenk, MD
Juvenile Justice
Forensics
Work with forensic child/ adolescent psychiatrist; custody, competency and facility evaluations, litigation, didactics and mock trial.
Juvenile Court
County juvenile court; work with defense team and participate in juvenile court activities.
Faculty: Peter Ash, MD
Outpatient Clinics
General
County hospital; outpatient care of youth, assessments, psychotherapy with/ without medication, school & home visits, family therapy with at least one case; supervision of psychiatry residents; second year residents function as junior faculty.
Faculty: Vivianne Aponte-Rivera, MD; Marianne Celano, PhD; Arden D Dingle, MD; Marietta Collins, PhD; Priya Jacob, MD
Psychopharmacology
County hospital; assessment and medication management of children and adolescents, parenting interventions, behavioral management.
Faculty: Arden D Dingle, MD
University Based Service
Assessment and medication management of children and adolescents, behavioral management, coordination of care with therapists.
Faculty: Priya Jacob, MD
Developmental Disabilities
Hospital associated center; assessments and ongoing medication management; opportunities to observe and work with other disciplines in both general and specialty programs.
Faculty: Roy Sanders, MD
Scholarly Activity (Paper & Presentation)
Variable; depends on resident interest and program availability; focus is on developing a question/ topic, researching the literature and writing/ presenting a paper/ article. Can either write in the format of a grant application or article for academic journal.
Faculty: Arden D Dingle, MD; Marianne Celano, PhD
Elective
Variable; depends on resident interest and program availability
Faculty: Arden D Dingle, MD & as assigned