Training takes place in the Child Outpatient Department at Montefiore, a site of training for child/adolescent fellows, psychology interns and social work students.
A beautiful new out patient site opened in May of 2009. This new site will continue to provide excellent care to the community and teaching for the adult and child/adolescent psychiatric and affiliated programs of Einstein/Montefiore.
A crucial component of outpatient training in the Fellowship in Child/Adolescent Psychiatry is the continuation of the treatment of outpatient cases for the two years of the fellowship. This provides the trainee with experience in longer-term patient care while providing an important service to the community we serve. These cases are highly supervised for the two years by senior faculty with a broad range of therapeutic experience and expertise.
The BCT-CHAM comprises a significant training mandate of the first year of the Fellowship in Child/Adolescent Psychiatry at Einstein/Montefiore. A wide and varied spectrum of diagnoses among the children and adolescents admitted to the CHAM allows for a broad experience in consultation with the pediatric and ancillary staff. On-site supervision and teaching allows the clinical experiences to relate to the clinical teaching of the first year.
A two-month rotation through the Psychiatric Observation Suite at Montefiore allows the first-year fellow to have first-hand experience with the assessment, treatment, rapid return to the community and/or referral for further inpatient services of a population of children, adolescents and families in crisis. This experience in the emergency department, together with the on-site supervision and learning opportunities working with a varied and challenging patient population expands the professional growth of the first-year fellow.
The Adolescent Depression and Suicide Program provides training and didactics in Dialectical Behavior Therapy. Intensive academic training in Dialectical Behavior Therapy is taught during the Summer Orientation Program for the first year fellows. This weekly full-day program combines clinical and didactic materials taught in a seminar format by nationally renowned faculty. During the first year, fellows may elect to assess and treat a suicidal or depressed adolescent patient with DBT in a highly supervised training format.
New York City Children’s Center -Bronx Campus and the Gerard Avenue Day Treatment Program are the sites for our second year fellows to learn about inpatient treatment in Child/Adolescent Psychiatry. Fellows rotate on a child service at NYCCC-Bronx staffed by senior faculty in Child/Adolescent Psychiatry. The inpatient service offers a milieu treatment experience for fellows in which they learn about cutting-edge psychopharmacological treatment as well as concentrating on individual care of hospitalized children. Children and adolescents from the underserved communities of the Bronx constitute the patient population that of the Day Treatment setting providing an unparalleled opportunity for training while serving this richly complex group. These rotations provide optimal opportunities for training in continuity of care and responsiveness to larger systems of health care. Inpatient hospitalization and Day Treatment at these facilities may be the first opportunity for patients to have been appropriately diagnosed and treated by nationally recognized authorities in pediatric bipolar disorder and childhood schizophrenia.
During a six-month Consultation Rotation, fellows work consultatively alongside other physicians and professionals in multiple health settings, schools and treatment sites.
Fellows rotate at the Bronx High School of Science at which Einstein/Montefiore fellows have a longstanding commitment to consulting with the Bronx Science guidance and teaching personnel as to best provide short-term psychiatric consultation and treatment for the population of gifted students that attend the high school. Fellows also rotate at an elementary school in the Bronx, where a school-health team incorporates mental health treatment into school-based treatment for children. Fellows participate in classroom evaluations, treatment plan meetings and implementation of services on-site at the elementary school.
Trainees rotate at the Rose Kennedy Center where they work at an onsite psychopharmacology clinic with senior faculty, observe ADOS exams - the state-of-the-art assessment of autistic children and consult with a wide-range of treatment team members. The Kennedy Center is the cornerstone of neuroscience and work with the developmental disorders for the Albert Einstein College of Medicine.
Fellows attend Westchester Family Court with a faculty member whose expertise is in forensic child psychiatry. Cases are comprised of child abuse, custody cases in addition to matters that pertain to the court. These observations provide in vivo experience to complement the first and second year curriculum in forensic child psychiatry.
These programs provide a unique opportunity for the second year fellow to become involved in integrated pediatric programs with either adolescents or mothers and babies. These programs dove-tail with the consultation-liaison experience in the first year and add depth to the child development curriculum in the second year. This rotation is an unparalleled experience in settings that preview the systems of care that represent the future of child and adolescent psychiatry.
Second Year fellows join a team of highly trained college mental health psychologists, psychiatrists for six months to provide short and long-term care of Fordham college students in all years of their college experience. The range of cases includes roommate trouble and missing home to gender identity and eating disorders to first-break psychoses. Fellows are supervised on-site by experienced college mental health professionals and receive training in all aspects of mental health. This program represents one of a few fellowships providing an onsite experience of college mental health.