San Mateo-Stanford Community Track Fellowship
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The San Mateo County - Stanford Community Child and Adolescent Psychiatry fellowship is a 7th position, under the Stanford Child & Adolescent Fellowship NRMP number. 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 in the US, and this is particularly acute with regard to psychiatrists with expertise in community child and adolescent psychiatry, including knowledge about public sector care and culturally competent 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 San Mateo County - Stanford Community Child and Adolescent Psychiatry position.
The first-year of the San Mateo County – Stanford 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 for the community track fellow.
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 an intensive residential treatment site 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.
Child Fellowship Year 1
Year 1 child residents, 4 Month Blocks (not necessarily in this order) |
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4 months -- |
4 months -- |
4 months -- |
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
Block |
Block |
AM: seminars |
Block |
Block |
Child 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 |
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 research supervision by Drs. Shashank Joshi and Francis Wren |
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