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Department of Psychiatry

Department of Psychology
 

Child and Adolescent Psychiatry Fellowship

Clinical Rotations


Our curriculum covers two years in which the first year clinical and didactic experiences addresses essential skills and the second year allows the resident to use the block of elective time to gain intensive experiences in specific clinical, administrative and/or research areas.

 

 Clinical Experiences

 

Intensive Patient Experience

The Intensive patient experience involves supervised experiences in which the resident functions as the primary clinician and team member for the treatment of children and/or their families. Group, individual and family therapies are practiced in these settings. Several affiliate institutions are utilized for this experience.

4 Months 1 Month 2 Months​
5 Months​
Inpatient Adolescent Unit at DHMC
Emergency Psychiatry Services at CHCO Consulation/Liaison at CHCO Combination of 2 rotations at Children's Hospital*
Max 30 Hours/Week Max 30 Hours/Week Max 30 Hours/Week
*Day Treatment/Inpatient Child and Adolescent Psychiatry Services, Neuropsychiatryic Special Care Unit, or Eating Disorder Program

Outpatient Clinics


6 Months 6 Months​ ​
Anxiety Disorders Clinic ​Disruptive Behavior Disorders Clinic ​
5 Hours a Week ​5 Hours a Week ​
​Clinics are held at Children's Hospital Colorado​

Training activities include triage, assessment, treatment and consultation/intervention (eg schools, pediatricians, other non-psychiatric physicians, and mental health professionals).  Both clinics occur at Children’s Hospital Colorado and include evidence based individual and group therapy for anxiety and disruptive behavior disorders with an associated hour of didactic  time devoted to group therapy.  Each trainee learns to manage both the parent and child group therapy component with direct supervision.   Patients can be carried from one 6 month block to the next and into the second year for continuity.

On Call

Each resident covers just over 3 weeks of call per year, apportioned throughout the year. Weekday call consists of phone coverage for Children’s Hospital Colorado ED and inpatient services, begins at 11 pm and consists of phone coverage. Residents do not come into the hospital during weekday call. Weekend call consists of evaluating new admissions in person. An attending is on call at all times and also evaluates all new admissions in person.

Other after hour services and duties are covered by our attendings and moonlighters. Residents may moonlight at approved sites if they choose.

Supervision

Each resident receives a minimum or 2 hours of supervision per week.  In the first year, residents receive an hour of supervision from faculty at CHCO, an hour of supervision regarding group therapy and supervision from service attendings.  ​

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Outpatient Clinics

University of Colorado Hospital (UCH) Outpatient Clinic:

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  • Training activities include triage, diagnosis, treatment, and systems consultation/intervention (e.g. schools, social services agencies, courts, non-psychiatric physicians and mental health practitioners). Both short and long-term treatments are provided. Individual treatment modalities include parent counseling, infant mental health, family therapy, and individual psychodynamic, learning/cognitive/behavioral, and pharmacologic therapies. A “private practice” model is utilized’ i.e., residents are responsible for the care of their patients during working hours and an after-hours answering service is provided by on-call residents.
  • Residents maintain a caseload of approximately fifteen to twenty hours per week depending on elective choice. Some cases are seen weekly and some less frequently depeding on the patient's needs and treatment modality. Residents are assigned cases as needed to maintain a caseload of adequate size and diversity. Residents may also solicit/accept direct referrals of cases of interest. In that this is an ongoing rotation of two years duration, all resident gain experience with long-term therapies where they are clinically indicated and supported.

School Based Mental Health

Residents rotate through school based clinics in several Denver Public Schools in conjunction with faculty from Denver Health. Depending on resident interest, this varies from 3-12 months.

Autism Spectrum Disorder Experience (JFK Clinic)

All residents spend one day per week for three months in an assessment clinic for children presenting with autism features. Residents participate in multidisciplinary team assessment.

Pediatric Neurology Clinic

Residents also participate in the CHCO Pediatric neurology clinic once a week for two months. This clinic is supervised by the training director of pediatric neurology.

Electives

16 hours/week are devoted to an individualized elective experience designed with a primary faculty mentor to foster advanced knowledge and skill in research, clinical expertise and administrative/teaching arenas. Some examples include: psychotherapy elective, pediatric consultation within a pediatric primary care clinic and research in neuroimaging in children with early-onset schizophrenia, and working with teen mothers and their infants.

Community Mental Health

All residents spend two days a month providing C/L services, team consultation and direct clinical consultation to mental health professionals in a community mental health setting. This is a 12 month rotation in which the residents provide child and adolescent psychiatric consultation to community mental health centers both in the metropolitan Denver/Denver Suburban areas, and in the outlying parts of the state of Colorado. Several clinics offer telemedicine experiences.

Supervision

Each resident receives a minimum of 2 hours of supervision per week, an hour of psychotherapy supervision from their core clinic supervisor and an hour of psychotherapy supervision from volunteer community faculty with expertise in psychotherapy. In addition to these two hours weekly of outpatient supervision, each of the specialty clinics – Infant, Family Therapy, and Refugee Mental Health- provide supervision for their own cases.​

On Call

Each resident covers just over 3 weeks of call per year, apportioned throughout the year. Weekday call consists of phone coverage for Children’s Hospital Colorado ED and inpatient services, begins at 11 pm and consists of phone coverage. Residents do not come into the hospital during weekday call. Weekend call consists of evaluating new admissions in person. An attending is on call at all times and also evaluates all new admissions in person.

Other after hour services and duties are covered by our attendings and moonlighters. Residents may moonlight at approved sites if they choose.​

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