Child and Adolescent Psychiatry Fellowship

Child and Adolescent Psychiatry Fellowship

Program Director: Brenton J. Song, D.O

Telephone: (814) 840-1789
Email: BSong@mch1.org

 

Mission

The mission of the Lake Erie College of Osteopathic Medicine (LECOM) Child and Adolescent Psychiatry Program is to provide fellows with a comprehensive structured cognitive and clinical education in both inpatient and outpatient settings that will enable them to become competent, proficient, and professional child and adolescent psychiatrists.

Program Overview

The primary teaching hospital of LECOM, LECOM Medical Center, is the largest psychiatric inpatient facility in Northwestern Pennsylvania. Fellows are exposed to all facets of Child and Adolescent Psychiatry that allow the fellows to be well rounded in the field.

The rotation schedule represents a multifaceted approach which thoroughly accommodates the requirements for fellowship as put forth by the Accreditation Council for Graduate Medical Education as well as the American Board of Psychiatry and Neurology. Fellows enjoy the opportunity to gain proficiency of practice in a variety of clinical settings, including to work in the public, private and rural sector.

First Year:

Second Year:

Fellowship Evaluations are completed via an online form after each rotation block with the fellow present and co-signed by the attending, the fellow, and the fellowship director. The fellow and the program director will meet every quarter to complete an overall evaluation. Educational Program Fellows are expected to attend a monthly journal club in which articles from The Journal of the American Academy of Child and Adolescent Psychiatry. We have a weekly board review program in which we review PRITE questions to help fellows prepare for psychiatry boards through either ABPN or AOBNP. We also do yearly Mock Boards and have 3 hours or protected-didactics per week.

Fellows attend one hour weekly didactic sessions specific to teaching psychotherapy. Also to assist with the practice of psychotherapy, fellows meet weekly with an assigned psychotherapy supervisor to discuss their individual case load.

Fellow Responsibilities

1. Logs
   Each fellow is expected to keep a monthly log consisting of the patients they see at each of their identified sites, a list of reading material they have covered, and a list of didactic sessions, conferences, meetings, and supervision sessions they have each attended. These logs are submitted to the program director and to the Department of Medical Education monthly.

2. Evaluations
   Fellows obtain evaluations based on the core-competencies of fellowship training from each of their supervisors every two months and are to be submitted as they are obtained throughout the academic year to the medical education department. The program director will review the evaluations with the fellows quarterly. In addition, the Residency director will fill out an evaluation quarterly for each fellow. Fellows are given evaluations with the evaluator (one on one interaction) and are encouraged to have discussions regarding their progress in the Fellowship.

3. Fellows are expected to complete a project each year of the Fellowship, consisting of research, quality improvement or case studies.
4. Fellows must participate in the annual in-service examination (PRITE) that allows tracking of academic progress through the training program and to prepare for general and subspeciality boards.

Affiliated Institutions

LECOM Medical Center in conjunction with the The Achievement Center of LECOM Health, Cleveland Clinic Foundation, Sarah A. Reed Children’s Center, Barber National Institute, UPMC Western Behavioral Health at Safe Harbor, UPMC Hamot, and many other agencies of Erie County, participates in the education of Child and Adolescent Psychiatry Fellows by offering specialty rotations to enhance the scope, volume, and variety of cases for both core and elective rotations.

Goals and Objectives

General

• Provide an educational program that offers a thorough understanding of the development, assessment, treatment, and prevention of psychopathology as it appears from infancy through adolescence.
• Provide an introduction to this knowledge base in child and adolescent psychiatry.
• Provide an interdisciplinary setting for the training of Child and Adolescent Psychiatrists to take a leadership role in working with other mental health professionals in the prevention and treatment of mental disorders in patients and understand the role of an effective consultant.
• Integrate findings in developmental neurobiology and neuroscience to develop an understanding of fundamental processes that may be involved in the etiology and treatment of psychiatric disturbances and developmental disorders.
• Provide treatment to patients and families on a non-discriminatory basis, always considering the welfare and perspective of the patient, family, community and utilizing evidence based approaches to clinical problem solving.

Educational

• Skill in diagnostic interviewing, formulation, treatment planning, and implementation of psychotherapeutic and pharmacological management.
• Familiarity with the theories of development pertaining to patients of all social and cultural backgrounds.
• Skill in consultation with primary care, non-psychiatrist mental health providers, schools, community agencies, and other programs serving patients.
• Skill in administration and teaching.
• Knowledge of the principles of research to encourage a scientific approach to clinical problems and skill in critical reading of the literature as it pertains to child and adolescent psychiatry and psychology.
• Familiarity with the function and organizations of health, education and welfare institutions to promote normal development.
• Understanding of legal and ethical issues in the practice of Child and Adolescent Psychiatry

Child and Adolescent Psychiatry Inpatient Unit

Patient Care

• Interviewing skills/data gathering skills
• Recognize/manage psychiatric emergencies
• Preparation for treatment and disposition

Clinical Knowledge

• Differential diagnosis
• Pharmacological interventions in acute care setting
• Non-pharmacologic interventions in acute care setting
• Interaction between psychiatric diagnosis and psychosocial problems

Interpersonal Skills and Communication

• Effective relationships with multidisciplinary staff
• Therapeutic relationships with patients/families
• Succinct and thorough oral presentations
• Written reports and documentation

Professionalism and Ethical Behavior

• Demonstrates professional appearance/respectfulness/courtesy
• Punctuality/arranges coverage appropriately
• Maintains equilibrium under stress

Practice-Based Learning

• Self-evaluation/knows limits of own knowledge
• Incorporates new info into practice/seeks out supervision and guidance
• Independently motivated/uses available resources

Systems-Based Practice

• Effective with outside agencies/aware of resources and obstacles
• Advocates for patient/family
• Understands role of inpatient hospitalization in continuum of care

Inpatient Consultation Liaison Service

Patient Care

• Perform psychiatric interviews on medically ill
• Recognize/manage psychiatric emergencies in medically ill

Clinical Knowledge

• Differential diagnosis and treatment planning for medically ill
• Pharmacologic/Non-pharmacologic interventions for medically ill
• Recognize the interaction between medical and psychiatric and psychological problems

Interpersonal Skills and Communication

• Effective relationships with patients and families
• Effective relationships with primary care team
• Succinct and thorough oral presentations
• Written reports and documentation

Professional and Ethical Behavior

• Demonstrate professional appearance/respectfulness/courtesy
• Punctuality/arranges coverage appropriately
• Maintains equilibrium under stress

Practice-Based Learning

• Self-evaluation/knows limits of won knowledge
• Incorporates new info into practice/seeks out supervision and guidance
• Independently motivated/uses available resources

Systems-Based Practice

• Understands role of psychiatry consultant
• Effective use of resources for Patient Care

Outpatient Clinical Rotations (Continuity of Patient Care)

Patient Care

• Interviewing/data gathering
• Engagement in treatment/effective relationships with patients and families

Clinical Knowledge

• Diagnosis/formulation/treatment planning
• Recognizes relationship between diagnosis and impairment
• Recognizes role of various interventions including individual, family, CBT, and parent management training
• Balancing family/patient needs
• Management of transference/counter-transference

Interpersonal Skills and Communication

• Effective relationships with patient and families
• Succinct and thorough oral presentations and written reports
• Effective relationships with referral sources
• Effective relationship with supervisor

Professionalism and Ethical Behavior

• Demonstrate professional appearance/respectfulness/courtesy
• Punctuality/arranges coverage appropriately
• Maintains equilibrium under stress

Practice-Based Learning

• Self-evaluation/recognizes own limits
• Incorporates new info into practice/seeks out supervision and guidance
• Independently motivated/uses available resources

Systems-Based Practice

• Aware of complex system of care
• Effective use of resources for Patient Care
• Advocates for patient and family

Specialty Clinics

Patient Care

• Perform comprehensive interviewing skills and data gathering
• Recognition/management of psychiatric emergencies
• Provides pharmacologic management and psychoeducational interventions in integrated manner to patients and families

Clinical Knowledge

• Recognizes relationship between diagnosis and impairment
• Recognizes role of various interventions including individual, family, CBT, and parent management training
• Diagnosis/formulation/treatment planning

Interpersonal Skills and Communication

• Effective relationships with patient and families
• Team participation/oral presentations
• Written reports/routine documentation
• Effective relationships with referral sources

Professionalism and Ethical Behavior

• Demonstrates professional appearance/courtesy/respectfulness
• Maintains equilibrium under stress
• Punctuality/arranges coverage appropriately

Practice-Based Learning

• Self-evaluation/recognizes limits of own knowledge
• Incorporates new information into practice/seeks out supervision
• Independently motivated/uses available resources

Systems-Based Practice

• Aware of complex system of care
• Effective use of resources for patient care
• Advocates for patient and family

Partial Hospitalization Psychiatry Program

Patient Care

• Perform comprehensive interviewing skills and data gathering
• Recognition/management of psychiatric emergencies
• Provides pharmacologic management and psycho education to patients and families

Clinical Knowledge

• Recognize the interplay between psychiatric and learning problems
• Understands role of psychiatric consultant in school setting and limits of school-based services
• Diagnosis/formulation/treatment planning

Interpersonal Skills and Communication

• Effective relationships with clinicians
• Team participation/oral presentations
• Written reports

Professionalism and Ethical Behavior

• Demonstrates professional appearance/courtesy/respectfulness
• Maintains equilibrium under stress
• Punctuality/arranges coverage appropriately

Practice-Based Learning

• Self-evaluation/recognizes limits of own knowledge
• Incorporates new information into practice/seeks out supervision and guidance
• Independently motivated/uses available resources

Systems-Based Practice

• Identifies obstacles to accessing care
• Aware of COMAR and other regulatory bodies regarding services
• Recognizes obstacles to care

Forensics

Patient Care

• Provide comprehensive clinical assessments patient and family before the court
• Manage relationships with patients and families in court setting

Clinical Knowledge

• Understand the difference between a clinical evaluation and a forensic evaluation
• Understand the different types of forensic evaluations and reports
• Understand the legal statutes as they relate to patients and families

Interpersonal Skills and Communication

• Ability to write reports that convey the appropriate information for judges
• Maintain relationships with court offices

Professionalism and Ethical Behavior

• Demonstrate respect, compassion, integrity, and honesty
• Maintain equilibrium under stress
• Complete paperwork in a timely manner
• Prioritizes appropriately

Practice-Based Learning

• Self-evaluation/seeks out supervision
• Incorporates new information into practice
• Demonstrates initiative

Systems-Based Practice

• Work effectively in coordination with outside agencies
• Understand the interrelationships between the multiple social agencies and the court system as it affects patients and families

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Residents applying to our Sports Medicine and Child/Adolescent Psychiatry Fellowships are encouraged to submit a Residency/Fellowship Application (online application) to Medical Education, LECOM Health LECOM Medical Center. A copy of the Resident’s/Fellow’s board scores, medical school transcript, prior training records and at least two letters of recommendation (one of which must be from your base residency program director) are to be included.

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Selection of residents and fellows shall not be based on race, sex, religion, national origin, age, sexual orientation, veteran status, color, disability which would not directly impede the training process or any other characteristic protected by law.