Child and Adolescent Psychiatry

Community Track Child & Adolescent Psychiatry Fellowship

The Community Track Child & Adolescent Psychiatry position is an ACGME approved position with a separate program number, NRMP#: 1820405F1. The rationale for this position is to provide emphasis on clinical training and research experience in community child and adolescent psychiatry.  There is tremendous need for child and adolescent psychiatrists with expertise in community child and adolescent psychiatry, including best practices in public sector care and culturally informed approaches.  This fellowship position addresses this need.

The fellow’s employment, salary, and benefits will be administered through Stanford, just like the fellows in the six categorical positions of the Stanford Child and Adolescent Psychiatry fellowship.  Shashank V. Joshi, MD is the training director for the Community Track Child & Adolescent Psychiatry position.

The first-year of the position consists of three, four-month-long blocks of full-time clinical work (see diagram below).  These full-time blocks include one day (Wednesdays) per week of didactics and long-term cases at Stanford.  This is generally similar to the training received by the six categorical fellows at Stanford, with a major difference being the emphasis on outpatient work.

The second-year (see diagram below) consists of three, year-long experiences: (1) outpatient-child psychiatry at San Mateo, including school-based work, (2) one day (Wednesdays) per week of didactics (4 hours per week), long-term cases, and pediatric neurology, and (3) one day of community-based clinical research with research mentorship and statistical/epidemiological support from Stanford.  With regard to clinical supervision, the fellow will receive at least two hours of individual supervision per week:  one hour with a San Mateo County faculty member and one hour with a Stanford faculty member. 

The outpatient-child psychiatry (experience #1) will be in the San Mateo County Mental Health Services, primarily in their outpatient mental health clinics and school-based sites.  Some of the time may be possibly spent at other sites like a residential forensic facility for adolescents. The experience in San Mateo County will involve three full-days of clinical work at San Mateo County.  Fifty percent of the hours devoted to this outpatient experience will be spent face-to-face with patients, with the other fifty percent consisting of supervision, team meetings, and administrative time.

Community Track Child & Adolescent Psychiatry Fellowship Year 1

Year 1 child residents, 4 Month Blocks (not necessarily in this order)

4 months --
Outpatient and School Consultation; Brief Therapy;
Pediatric C/L Service
Lucile Packard Children’s Hospital (LPCH)
 

4 months --
Outpatient and School Consultation; Brief Therapy;
Pediatric C/L Service
Lucile Packard Children’s Hospital

4 months --
Intensive Outpatient (IOP)/ Crisis Program
Kaiser Permanente - San Jose/Santa Clara

Monday

Tuesday

Wednesday

Thursday

Friday

AM: Psycho-pharmacology Clinic at LPCH
PM: Protected research time

AM: School Consultation
PM: Outpatient Psychiatry

AM:  Seminars
PM: Long-term cases and
Supervision

AM: School Consultation
PM: Consulting Projects-Adol. Med; Homeless Van

AM: C/L Psychiatry (LPCH)
PM: Outpatient Psychiatry

Community Track Child & Adolescent Psychiatry Fellowship Year 2

Year 2 child residents, 3 year-long experiences

60%

Outpatient child psychiatry -- San Mateo

20%

Seminars, long-term cases, supervision (or pediatric neurology, 2 months)

20%

Community-based clinical research (20%)

Monday

Tuesday

Wednesday

Thursday

Friday

San Mateo

Community-based Clinical Research*

AM:  seminars
PM: Long-term cases and
Supervision (or pediatric neurology, 2 months)

San Mateo

San Mateo

* Clinical research day could be move to Monday, Thursday, or Friday and/or split into 2 half-days.  Stanford will provide clinical and research supervision by Drs. Shashank V. Joshi and Victor Carrion.


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