WELCOME

Thank you for your interest in the Child and Adolescent Psychiatry Residency Training Program at the Child and Family Institute at St. Luke's - Mount Sinai Roosevelt and Mount Sinai Beth Israel. The program is directed by Georgia Gaveras, DO.

For over half a century, the Division of Child and Adolescent Psychiatry of Mount Sinai St. Luke's Roosevelt, a University Hospital of Columbia University's College of Physicians and Surgeons, has been an integral part of the Department of Psychiatry. Beginning in the late 1940's, before Child and Adolescent Psychiatry was even a recognized field, St. Luke's (SL) and Roosevelt (RH) Hospitals were providing care to children and their families afflicted by mental illness. The skilled, multidisciplinary mental health professionals in the Division provide diagnostic and therapeutic services for children, adolescents, and their families whose problems range from mild behavioral difficulties to severe psychiatric illness.

In addition to the Child and Adolescent Psychiatry Residency Training Program, the division has nationally renowned training programs for other mental health professionals, an internship program in Child Psychology, postdoctoral fellowships in Child Psychology, and an internship program in clinical Social Work, all of which combine clinical and research training.


PROGRAM LENGTH

To complete the residency requirements and be board eligible in Child and Adolescent Psychiatry, each candidate must complete two years of training in an ACGME-accredited Child and Adolescent Psychiatry Residency Training Program.  The Mount Sinai St. Luke's Roosevelt and Mount Sinai Beth Israel program is ACGME accredited to provide training for two post-graduate years in child and adolescent psychiatry.  At the time of recruitment, the program contracts with the applicants for a single year of training with the option to complete a second year provided that an acceptable performance was rendered in the first year of training.


IMPORTANT INFORMATION

Salaries are disclosed on contracts and are set by agreement between the medical center and the Committee for Interns and Residents (CIR).  Fellows are given four weeks (20 days) of paid vacation and twelve (12) sick days, per academic year.  Additional conference and personal days are also available.  If required, further information regarding maternity leave is available through the Graduate Medical Education ("House staff") Office.


TRAINING SITES:

Mount Sinai St. Luke's Roosevelt
Mount Sinai St. Luke's Roosevelt, University Hospital of Columbia University College of Physicians and Surgeons, is a 1,076-bed, full-service community and tertiary care hospital. Mount Sinai St. Luke's Roosevelt was formed in 1979 by a merger of Mount Sinai St. Luke's, adjacent to the campus of Columbia University, and the Mount Sinai Roosevelt, located a few blocks south of Lincoln Center at Tenth Avenue and 58th Street. Residents train in recently constructed state-of-the-art facilities: a 10-story building at the St. Luke's Division and a 13-story building at the Roosevelt Division.

St. Luke’s-Roosevelt provides a sophisticated clinical and academic environment in which physicians can practice superior medicine, train more than 480 residents and fellows in 40 clinical specialties and carry out innovative research. The Hospital Center is widely respected for high quality clinical care and its contribution to research in cardiology, gastroenterology, metabolic disorders, psychiatry and many other areas.

Through out its history, Mount Sinai St. Luke's Roosevelt also has placed strong emphasis on responding with compassion and sensitivity to he unique needs of the communities it serves, including areas whose residents have multiple social and economic challenges. It provides much of the inpatient; outpatient and emergency medical care for more that half a million residents of the West Side of Manhattan, as well as for patients throughout the New York Metropolitan region. The Hospital Center admits approximately 40,000 patients, serves more that 300,000 outpatients, and proves emergency care for over 100,000 patients every year.

You can visit Mount Sinai St. Luke's Roosevelt and Mount Sinai Health System on the web at www.slrhc.org

Mount Sinai Beth Israel
Mount Sinai Beth Israel, an 899-bed, full-service tertiary teaching hospital, is University Hospital and Manhattan Campus for the Albert Einstein College of Medicine. Beth Israel has two hospital divisions: the Milton and Carroll Petrie Division in Lower Manhattan; and the Kings Highway Division in the Midwood section of Brooklyn.

Founded on Manhattan's Lower East Side before the turn of the 20th century, Beth Israel originally was dedicated to serving vulnerable populations in that community. A century later, the Medical Center serves individuals and families throughout New York City and beyond—while retaining its traditional strong sense of mission. In addition to Mount Sinai Beth Israel, the Beth Israel Health Care System includes the Phillips Ambulatory Care Center—a state-of-the-art outpatient care center located at Union Square in Manhattan offering a wide range of primary and specialty care services; D•O•C•S primary and specialty health care offices; Beth Israel Ambulatory Surgi-Center in Brooklyn; the Williamsburg Family Health Center; the Phillips Family Practice/Sidney Hillman Center; Geriatrics/Internal Medicine at Penn South; the Robert Mapplethorpe Residential Treatment Facility; the Phillips Beth Israel School of Nursing; Karpas Health Information Center; Max Meltzer Geriatric Practice; and the Japanese Medical Practice.

Beth Israel has been cited for excellence in many clinical areas, including AIDS and HIV-related disorders, breast cancer and other cancer specialties, such as head and neck, lung, skin, gynecological, urological, colorectal and neurological cancer, cardiology, chemical dependency, neurological disorders, brief psychotherapy, geriatric psychiatry, neuroimaging, and neurobehavior.

You can visit Mount Sinai Beth Israel and Mount Sinai Health System on the web at www.BethIsraelNY.org.

New York City Children's Center (NYCCC)
NYCCC serves seriously emotionally disturbed children and adolescents from the ages of five through eighteen in a range of programs including inpatient hospitalization, day treatment, outpatient clinic treatment, intensive case management, homemaker services and community education and consultation services. Day treatment services are available in both Manhattan and Queens. The inpatient program, located in Queens, provides intermediate care treatment to youngsters from both Manhattan and Queens.

You can visit QCPC on the web at www.omh.state.ny.us/omhweb/facilities/qcpc/facility.htm

GENERAL EDUCATIONAL GOALS AND OBJECTIVES
The goal of this training program is to produce the highest quality of child and adolescent psychiatrists who will demonstrate high ethical standards, excellent clinical skills and knowledge in child and adolescent psychopathology, psychotherapy, psychopharmacology, consultation, teaching, research and administration.

Our ambition is to help a fellow build up his or her professional identity as a child and adolescent psychiatrist, ready to be a leader in a filed of child mental health, an advocate for children and their families, an educator for professionals and community, an academic psychiatrist and researcher and above all a mindful and integrative clinician.

Our program utilizes clinical experience as well as a formal curriculum covering major areas of child and adolescent psychiatry, individual and group supervision, conferences and seminars to educate trainees on the theoretical and practical principles of our field in a comprehensive manner.  Upon completion of the program, the fellow will be competent in the core areas of patient care, medical knowledge, interpersonal and communication skills, practice based learning, professionalism and systems based practice.

The fellow will be well trained in understanding normal development and, with this framework in mind, will become an expert in differentiating normal from abnormal behavior and in development of psychopathology.

At the end of training, the fellow will demonstrate broad knowledge of child and adolescent psychopathology, including the full range of DSM IV-TR diagnoses. He or she will demonstrate competency in working with culturally, ethnically and educationally diverse population.

The fellow will become proficient in conducting comprehensive diagnostic and therapeutic evaluations of children, adolescents and their families within a framework of biological, psychological, social and cultural influences, with the ultimate outcome of becoming an expert in formulating comprehensive and integrative diagnostic impressions and treatment plan.

The fellow is expected to demonstrate diagnostic and treatment skills in a wide range of clinical settings, including outpatient, inpatient, day treatment programs, crisis clinic and emergency room. The fellow is expected to become competent consultant to the pediatric medical specialty clinics, schools, various community health centers and agencies or courts. He or she will become a confident and competent team leader as well as a valuable team participant and collaborator.

The fellow is expected to become proficient in major treatment modalities: a) the psychotherapeutic clinical skills such as behavioral and cognitive therapy, motivational interviewing, dialectic behavioral therapy skills; psychodynamic psychotherapy and play therapy, dyadic parent-infant therapy; group therapy, family therapy; individual and family crisis work, b) pharmacotherapy and c) combined psychotherapy and pharmacotherapy

The fellow will have ample of experience in supervising and teaching other trainees including medical students, general psychiatry fellows, and psychology and social work trainees.

Upon completion of this program, the fellow will be a competent clinical administrator in any clinical setting including outpatient, inpatient, day treatment or acute care.  The fellow will be adept at consulting and critically apprising medical literature as well as understanding research methodology and processes. We promote academic development and encourage fellows to engage in their independent scientific research projects and scholarly activities and we provide mentorship and time for fellows to do so.


CLINICAL ROTATIONS:
FIRST YEAR

First year fellows rotate through five two and a half month blocks as detailed below. An attending psychiatrist is available to supervise on site for all rotations.  Wednesday morning is protected for didactics, Grand Rounds, fellows’ lunch meeting, Journal Club directed by Robert Andrews, MD, Clinical Case Conference directed by Zinoviy Gutkovich, MD, Psychopharmacology Case Conference directed by Georgia Gaveras, DO and DSM V and Formulation seminar also directed by Georgia Gaveras, DO.  Didactics in the first year include Basic Psychopharmacology, Child and Adolescent Psychotherapy and Psychopathology, DBT and CBT training, and instruction in techniques specific to Child and Adolescent research.  Initially, first year fellows participate in a crash course in child and adolescent psychiatry topics through July and August.

Block 1
Mount Sinai Beth Israel, Outpatient Child Psychiatry Clinic
Rotation Director: Manuela Zisu, MD
Attending Psychiatrist: Ruben Portnoy, MD
Location: Bernstein Bldg, 1st Avenue at 16th Street, 2nd floor, Office 36

The fellow rotates to our affiliated outpatient clinic at Mount Sinai Beth Israel, located in the Lower East Side of Manhattan.  In 2003, the Child & Adolescent Psychiatry (CAP) Outpatient Department (OPD) at Mount Sinai Beth Israel registered 6400 visits.  The demographics of the children served breaks down approximately to 45% Hispanic, 30% African-American, 15% Caucasian, 5% Asian-American, and 5% Orthodox Jewish.  Genders are approximately equally represented.  These demographics offer a varied training experience from those of our patients at Mount Sinai St. Luke's Roosevelt.  Compared to Mount Sinai St. Luke's Roosevelt, there is a relatively higher proportion of patients at Mount Sinai Beth Israel who is served by conventional insurance or managed care companies and a smaller number who have Medicaid.   Furthermore, we anticipate that the exposure to CAP services at Mount Sinai Beth Israel, including outpatient treatment and consultation services will increase the depth and breadth of training and exposure to the CAP fellows.  While at Mount Sinai Beth Israel, the first year CAP fellows will provide outpatient evaluations, evaluate emergency/crisis cases, and provide consultation to the Pediatric inpatient wards. Another educational benefit for our CAP fellows is within the extensive and well-respected family therapy program.  Our CAP fellows will now be able to receive more intensive didactics, supervision, and clinical experience in this important treatment modality.  Educational activities on this rotation consist of weekly supervision, journal club and participation in multidisciplinary ward rounds and team meetings.  Fellows are directly supervised by onsite child psychiatry attendings.

Block 2
Crisis Service
Rotation Director: Phintso Bhutia, MD
Location: 1090 Amsterdam Avenue, 17th floor

Crisis Service: During this component, the child and adolescent psychiatry fellow will be part of a multidisciplinary team that works with children and families in a crisis. Patients will be referred from our emergency room consultation service. The fellow is expected to provide brief diagnostic evaluations, short term individual and family crisis work, provide acute pharmacological stabilization, and appropriately refer patient for further care in our outpatient clinic. Work is directly supervised by an attending. 

Block 3
Emergency Room Consultation
Rotation Director: Georgia Gaveras, DO
Location: St. Luke's CPEP and Pediatric Emergency Room

Emergency room consultation: In this component, the fellow will help serve as a consultant to the staff of the pediatric emergency and general psychiatry emergency rooms. The fellow is expected to learn how to interview patients, family members and other involved persons in emergency situations in order to accurately assess the diagnosis, the immediateness of the situation and develop the most appropriate treatment  (crisis intervention, medication, medical work-up, etc.) and disposition (inpatient, outpatient, crisis, etc.).  The evaluation of child abuse and neglect is also of paramount importance as well as learning when to make a report to the State Central Registry (SCR) for evaluation to the Administration for Children’s Services (ACS).  Goals include making a time-limited assessment and synthesizing findings into a cogent presentation.  Finally, the fellow should learn the consultative aspects of work in an emergency room, in order to help the staff in the pediatric and adult psychiatry emergency rooms deal with children and adolescents presenting with psychopathology.

Block 4
Comprehensive Adolescent Rehabilitation and Education Service (CARES)
Rotation Director: Tisa Adkinson, DO
Attending Psychiatrist: Nicole Zuber, MD
Location: 432 West 58th Street, 9th floor

The fellow divides their time on two services during this block.  The first is the Adolescent Alternative Day Program (AADP), and the other is the Comprehensive Addictions Program for Adolescents (CAPA).  Both programs function in a unique partnership with the New York City Department of Education.  This day treatment settings provide for an intensive school consultation experience in collaborating and consulting with the on-site teachers and staff of the New York City Department of Education.  AADP serves adolescents with primary psychiatric diagnoses, while CAPA is directed towards adolescents who are dually diagnosed with both substance abuse and psychiatric disorders.  While on both services, the fellow is usually assigned 5 – 7 patients.  They are responsible for providing a comprehensive psychiatric evaluation, meeting with families, stabilizing their illness, collaborating with appropriate associated services such as Neuropsychology, speech and hearing, and specialty adolescent medicine.  The therapeutic modalities include milieu, behavior modification, psychopharmacology, individual, small group, family therapy and dialectical behavior therapy (DBT).  Special education and therapeutic recreation are also utilized in treatment.  The trainee is exposed and may participate in these modalities.  The ultimate goal is to have you participate in the role of a team leader when possible.  Fellows are expected to attend all community and team meetings and discharge planning.  Supervision is provided on-site by an attending child psychiatrist and CARES staff.  The expectations for this rotation will be the management of seriously emotionally disturbed adolescents in order to stabilize emergent problems and help them transition back to their communities in a functional manner. Trainees should be able to medically and pharmacologically manage these patients in a supervised setting in a more intensive manner than is possible in a regular outpatient service.

Block 5
Inpatient Child Psychiatry
Rotation Director: David Rube, MD
Attending Psychiatrist: Russalind Ramos, MD
Location: NYC Children’s Center, Queens Campus, 74-03 Commonwealth Boulevard, Bellerose, NY 11426

The fellow rotates in our affiliated inpatient units at New York City Children’s Center, formerly Queens Children’s Psychiatric Center,.  Educational activities on this rotation consist of weekly supervision and participation in multidisciplinary ward rounds, as well as team meetings.  The multidisciplinary staff consists of pediatricians, social workers, psychologists, and child-life therapists.  Evaluation of acute and/or severe mental illness is discussed.  The fellow is expected to understand the phenomenology and course of severe psychiatric disorders in adolescents.  They should also learn how to conduct a risk assessment for suicidal and homicidal patients.  While on this rotation, you will be responsible for evaluating patient’s conditions, meeting with families, stabilizing their illness, and determining appropriate medication treatment.  You are expected to attend all community and team meetings and discharge planning.  Fellows are directly supervised by the Unit Chief.  The expectations of this rotation will be the management of seriously emotionally disturbed children, in order to stabilize emergent problems and help them transition back to their communities in a functional manner. Trainees should be able to medically and pharmacologically manage these patients in a supervised setting in a more intensive manner than is possible in either a regular outpatient service or a day treatment setting. 

CLINICAL ROTATIONS:
SECOND YEAR

Second year fellows rotate trough several subspecialty clinics in addition to working with their individual caseload. Wednesdays are protected for clinical instruction in family therapy, parent child dyadic therapy, Grand Rounds, fellows’ lunch meeting, Journal Club directed by Robert Andrews, MD, Clinical Case Conference directed by Zinoviy Gutkovich, MD, Psychopharmacology Case Conference directed by Georgia Gaveras, DO and DSM V and Formulation seminar also directed by Georgia Gaveras, DO.  In addition, fellows have yearlong courses in Neuropsychological Testing and Special Topics in Child and Adolescent Psychiatry.  Clarice Kestenbaum, MD, the 1999 – 2001 president of the American Academy of Child and Adolescent Psychiatry, teaches a year long course in The Classics of Child and Adolescent Psychiatry.  Second year fellows also complement didactics in CBT and DBT from their first year with cases and group supervision this year.

Fellows spend most afternoons at the CFI outpatient clinic providing patient care. Each fellow is assigned a minimum of five long term individual cases, one CBT case, on DBT case, one family therapy case and one dyadic therapy case in addition to a psychopharmacology case load.  The fellow’s case load is closely monitored to assure diverse patient population and extensive experience in various psychotherapeutic and pharmacological interventions.  As in the first training year, both psychopharmacologic and psychotherapy supervision continues this year.

In their second fellowship year, trainees have ample opportunity to learn about supervision. There is supervision seminar to complement this activity.  Fellows are involved in supervision of medical students and general psychiatry fellows throughout their training.  This includes both psychopharmacology as well as psychotherapy supervision.

Forensic Child and Adolescent Psychiatry
Rotation Director: Seymour Moscovitz, PhD,
Location: NYC HHC Family Court, Mental Health Services

This seminar will be held in various locations in Manhattan Family Court or an adjacent HHC building in July and August.  The program will include observation of Family Court proceedings, introduction to family law, and a particular emphasis on juvenile delinquency and child protection.  A mock trial illustrating the role of the expert witness will be included.  Following these three seminars, fellows will have a practicum experience, consisting of observing an MHS clinician conducting interviews.  Extensive reading material will be provided to supplement this educational activity.

Child and Adolescent School Based Health Clinic Rotation
Rotation Director: Ulrick Vieux, DO
Location: Martin Luther King, Jr. High School, 122 Amsterdam Avenue and PS 192 Middle School, 500 West 138th Street

This rotation takes place one morning weekly for six months.  Fellows will acquire training and knowledge about the dynamics of working in a school based health clinic that serves predominantly inner city high schools in the heart of New York City.  Fellows will see patients as recommended by the school based clinic staff, school counselors and teachers.  The three facets of the rotation will be psychopharmacological management for appropriate students, school consultation, and presentations to school staff and parents.  Fellows will have the opportunity to acquire skills in school consultation.  They will develop psychotherapeutic skills in the areas of behavioral and cognitive behavioral therapy with adolescents, parent training (particularly teaching parents relevant topics) and facilitating appropriate specific care in conjunction with school based clinic social worker.  Fellows will have the opportunity to further develop their clinical judgment and their abilities to work with and help our school’s population, which consists mostly of highly stressed, multi-problem families who have suffered from a history of cultural marginalization.

Pediatric Developmental Disability Clinic
Rotation Director: Zinoviy Gutkovich, MD
Location: Mount Sinai Roosevelt, 2nd floor, Suite 2M

This rotation takes place one afternoon weekly on an outpatient basis for three months and it is complementary to the pediatric neurology rotation.  It consists of diagnosing, treatment planning and treatment implementation of children with developmental disorders in a multidisciplinary setting and under direct supervision of child psychiatry attending.  Course work in psychopathology, psychopharmacology, developmental disorders and human development will supplement this rotation.  The activities include the observation of children during the process of evaluation by a pediatric neurologist and a multi-disciplinary team including social workers, psychologist, and neuropsychologists.  The attending child psychiatrist and child psychiatry fellows provide assessments, medication evaluation and brief behavioral psychotherapeutic interventions for children ages 0 – 18 with the full spectrum of emotional or behavioral disturbances.  The diagnostic entities observed include: Autism, Asperger’s disorder, Pervasive developmental Disorder NOS, Mental Retardation, Communication Disorders, Learning Disorders, ADHD, as well as Adjustment Disorders associated with acute and chronic neurological illnesses.  Trainees provide medication management for complex and treatment resistant behavioral disturbances as well as brief cognitive behavioral therapeutic interventions, parent training in behavioral management targeting child’s undesired behavioral pattern, skill building, brief supportive therapy and dynamic therapy targeting the adjustment to medical and neurodevelopmental difficulties. Child psychiatrists collaborate with the DDC social worker and Medicaid Service Coordinator (MSC) to ensure that children and families receive appropriate services such as respite services, appropriate school placement and accommodations etc. The trainee participates in team meetings where cases seen in consultation are discussed.  The team approach to diagnosis and treatment design is utilized.

Parent Infant Clinic (PIC)
Rotation Director: Wendie Klapper, PhD
Location: 1090 Amsterdam Avenue, 17th Floor

This rotation takes place one morning weekly on an outpatient basis for six months. The main components of the PIC rotation will include conducting evaluations of parent infant interaction and attachment, administering developmental screenings, writing up evaluations and screenings and conducting a Family Forum. During this rotation, fellows will acquire knowledge of normal infancy and early childhood development and normal parent-infant interactions.  The will understand of the stages of parent development and the emotional/behavioral disorders of infancy and toddlerhood in the DSM – IV –TR.  They will develop knowledge of attachment classifications and the impact of parental risk factors (e.g. maternal depression, trauma) on the attachment relationship.  They will be able to recognize the risk factors for child abuse and neglect and identify parental behaviors or and child risk factors than can place an infant at risk. Fellows will develop skills in identifying attachment classifications and patterns, an ability to observe parent-infant and toddler interactions and understand how one member of the dyad impacts on the other.  He or she will diagnose disorders of infancy and toddlerhood,  conduct an infant mental status assessment, obtain a thorough developmental history and observe and interpret non-verbal forms of communication.  The fellow will conduct and write-up a comprehensive evaluation of a parent-infant dyad and developmental screening, read a developmental screening with a critical eye and provide feedback to parents regarding the screening results and intake evaluation.  He or she will have an awareness and sensitivity towards cultural factors that impact on assessment and intervention, an understanding of the importance of a therapeutic stance to observation, assessment and intervention and an empathic understanding of the struggles of parents and their young children.

Children’s Community Mental Health Services (CCMHS)
Rotation Director: Ulrick Vieux, DO
Location: 1090 Amsterdam Avenue, 15th Floor

This rotation takes place one afternoon weekly on an outpatient basis for two months. Fellows will acquire training and knowledge about the dynamics of working in a system of care model that is geared towards working with patients with the Severely Emotionally Disturbed (SED) categorization. This is a very unique opportunity in that only seven states in the United States have Waiver programs that are geared towards serving the SED population.  Children’s Center of Mental Health Services (CCMHS) is a program of excellence within the St. Luke’s – Mount Sinai Roosevelt system and it is composed of three programs: Home and Community – Based Services Waiver Program (HCBS), Blended Case Management (BCM), and Children’s Single Point of Access (CSPOA). The HCBS, which will be the basis of the rotation, provides care to children with complex, significant mental health needs in their homes and communities thereby decreasing the need for placements to intermediate psychiatric inpatient and residential facilities.   Fellows will have the opportunity to acquire skills in working in a wrap around service and learning about the role that a physician can play in such a structure. The fellow will conduct home visits and school visits with the attending psychiatrist and the patients assigned intensive care coordinator (ICC) worker. The fellow will facilitate an individualized care, strength-based approach serving children and families in conjunction with the intensive care coordinator. As reported in the Child and Adolescent Psychiatric Clinics of North America in January 2010, working with the population that is served by CCMHS is challenging but within “a wraparound inspired method, the system of care model represents an emerging yet well-defined approach to intervening in these complex situations on behalf of children who have significant mental health needs and on behalf of their families. The goals, most simple put, entail organizing services to address the needs and capacities of children and their families within a local community context in collaboration with other youth and family serving systems.”

Comprehensive Assessment Center
Rotation Director: Aykut Ozden, MD
Location: 411th West, 114 Street

This rotation takes place one morning weekly on an outpatient basis throughout the academic year.  Fellows will conduct a comprehensive diagnostic interview of a child or adolescent and their family, taking into account developmental stages, cultural backgrounds and psychological needs.  The case will then be discussed with the child and adolescent psychiatry attending, and a bio-psycho-social formulation and treatment planning will be prepared.  At the end of this rotation, fellows will be able to conduct and complete a thorough evaluation, including a complete differential diagnosis, and to deal with and guide families facing psychosocial stressors.  They will learn about proper documentation, ethical and medico-legal issues, systems of care, and different cultural, religious and socio-economical issues in families.

Clinical Research
Rotation Director: Daniel Medeiros, MD
Location: 1090 Amsterdam Avenue, 17th Floor

Through this rotation, fellows have the opportunity to spend one morning per week working with a faculty mentor on a scholarly or research project of their choice for the duration of one academic year. Examples of research or scholarly product outcomes would include original literature review, a poster presentation or a journal article depending on the fellow's interests. This activity is complemented by the first year’s Introduction to Research Seminar.

Pediatric Neurology
Rotation Director:  Steven Wolf MD
Location: Mount Sinai Roosevelt, 2nd floor, 2M

This rotation takes place one afternoon weekly on an outpatient basis for two months, and is complementary to the Developmental Disability Clinic rotation at the same location.  It will consist of direct observation of pediatric neurologic examination, learning neurological recommended work-up, and differential diagnosis for assigned cases.  Patient cases will be both initial contacts, as well as case follow-ups.  This clinical work will be supplemented by a Pediatric Neurology Seminar. Cases are evaluated and monitored under direct supervision of the attending pediatric neurologist.  Techniques of routine neurological exam, EEG readings, history taking, diagnosis, differential diagnosis and current treatments are covered in this rotation. 

Elective Rotations
This rotation takes place one afternoon weekly on an outpatient basis for two months. The trainee can select any clinical or research rotation they wish to participate in during this time.  Established rotations performed in the past include any of the other clinical services including an early childhood rotation, psychopharmacology research at Columbia University, a more intensive adolescent substance abuse experience through CAPA, a medical student teaching opportunity through CARES or a research elective under mentorship here at Mount Sinai St. Luke's Roosevelt.  Other electives can be arranged to meet the trainee's desires, but need to be approved by the Director of Training. The equivalent of one day per week may be spent on the elective during this rotation.

Chief Fellow
The Education Committee of the residency training program selects two chief fellows in child and adolescent psychiatry (selected from the incoming second-year class.)  This will be a year-long assignment and will, among other responsibilities, entail assuming training and managerial roles of the rotating general psychiatry residents and rotating medical students and teaching various lectures in the normally scheduled seminars.  Chief fellows will help coordinate the monthly Journal Club and Case Conferences.  He or she will also represent the fellows in the Education Committee, and they will co-chair the weekly fellow meeting.  Chief fellows will participate in process of selecting and scheduling the monthly Child Grand Rounds speakers, making up the attending and fellow on-call schedules, and maintaining bulletin boards with job opportunities and conferences. 


DIDACTICS
The fellowship in child and adolescent psychiatry at Mount Sinai St. Luke's Roosevelt/Mount Sinai Beth Israel provides for an intensive didactic experience.  The summer crash course for first year trainees is held in July and August and focuses on interviewing techniques and introduction to various clinical issues in child and adolescent psychiatry.  Winter classes for CAP I fellows are held weekly on Wednesday mornings from 9am – 11am.  Winter classes for CAP II fellows are held weekly on Wednesday afternoons from 230pm – 430pm.  Other educational experiences from 11am – 230pm are for both first and second year trainees.

EVALUATIONS
Performance evaluations on all fellows are requested from all supervisors on a semi-annual basis and upon completion of a rotation.  These evaluation forms are returned to the Director of Training who reviews them and meets with the fellows twice yearly.  At the end of each year of training, the Director of Training fills out an end-of-year evaluation that incorporates the feedback from personal observations and interactions, written evaluations, and feedback from staff.  These are also reviewed with the trainees.   At the end of training, a final written evaluation and ethical moral conduct form is completed which is also reviewed with the trainee.  All evaluations are included in the New Innovations online software and include course and supervisory evaluations.

The trainees are asked to evaluate their supervisors and didactic courses on a yearly basis.  It is optional to include the name of the trainee on these evaluations.  Feedback is also obtained on informal evaluations of courses and supervisors during the evaluation meetings with the Director of Training.  Issues regarding the trainees’ evaluation are discussed during the educational committee meetings and modifications are made when appropriate to curriculum and feedback to supervisors are offered.

PROMOTIONS
Promotions are made from one year to the other based on the final end of year evaluations. In general these are based on the compilation of scores given in service areas and courses. Receiving a score of “fair” or higher in all areas of service and courses is associated with promotion. A score of "poor" in any area of service and courses requires that the evaluation be reviewed by the Residency Educational Committee of the Division of Child and Adolescent Psychiatry.  The results of the meeting will yield specific recommendations to be made in writing and verbally to the trainee.  Those recommendations will be made in terms of concrete goals and objectives of course work or service requirements.  There will be a time frame associated with the achievement of those goals and objectives.  If the deficiencies continue or are such that remediation is needed, there exists the possibility of extending the period of training for the fellow or taking more formal steps. Any decision that requires formal disciplinary action, probation or extension of training will first be discussed with the Director of General Psychiatry Residency Training, the Chairman of the Department of Psychiatry and the appropriate members of the Medical Staff office and Continuing Medical Education Office.  The trainee will have the formal steps involved in the due process involved in arguing any decisions made by the Hospital Center

APPLICATION

The St. Luke's – Mount Sinai Roosevelt Child and Adolescent Psychiatry Residency Training Program participates in the Electronic Residency Application Service (ERAS #4053531166) and National Resident Match Program (#2070405).

For further information and questions, please call 212.523.5194. Applications are accepted from July 1st to November 20th for each upcoming academic year.

Download the application.

Complete application includes:

  • the application form for fellowship in Child and Adolescent Psychiatry
  • your Curriculum Vitae
  • your personal Statement
  • three letters of recommendation
  • a copy of USMLE/COMLEX Scores
  • a copy of Medical School diploma/transcript (and certified translation if needed)
  • a copy of your Psychiatry (or other) residency diploma, if available
  • a copy of your Psychiatry (or other) fellowship diploma, if available
  • a copy of your state medical license, if applicable
  • a copy of your DEA registration, if applicable
  • a copy of your ECFMG Certificate, if applicable
  • a recent 2” x 2”(passport-sized) picture

Our interview and selection process begins in early September and runs through mid-November.  Because of the large number of applications, we are not able to interview all applicants. After receipt and processing of your completed application, your material will be reviewed by the Child Psychiatry Admissions Committee.

Applications and inquiries concerning the program should be forwarded to:

Rakiya Spady
Education Coordinator
Division of Child and Adolescent Psychiatry
Mount Sinai St. Luke's and Mount Sinai Roosevelt
1090 Amsterdam Avenue, Suite 16C
New York, New York 10025

Tel:  212.523.5194
Fax:  212.523.3642
rspady@chpnet.org

 

 

Thank you again for your interest in our program.  We hope to meet you during the interview process in order to answer any other questions while you make your decisions about your child and adolescent psychiatry training.

 

Best,
 

Georgia Gaveras, DO
Director of Education and Training

Division of Child and Adolescent Psychiatry
Mount Sinai St. Luke's Roosevelt
1090 Amsterdam Avenue, Suite 16C
New York, New York 10025
Tel:  212.523.2513

ggaveras@chpnet.org


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