During the second year of training, child fellows consolidate their experience, further define their interests while broadening and deepening their ability to treat child/adolescent patients. This curriculum includes core didactics in child development, advanced psychopharmacology, journal club and an advanced seminar under intense faculty supervision, which culminates in a Senior Paper.
The curriculum of the second year supports the clinical experience of the year in inpatient child/adolescent psychiatry, school consultation, forensic child psychiatry, elective and research opportunities and continued outpatient child/adolescent psychiatry.
During the second year, fellows rotate onto the inpatient services at New York City Children’s Center, Bronx Campus. While there, they spend three months on a children's service and three months on an adolescent service.
These rotations are structured so that approximately 2/3 of their clinical time is spent on their inpatient rotation and the rest of their time is spent in the outpatient clinic treating their outpatients who have continued in treatment from the first year.
There is a three- month consultation rotation during which time fellows have rotations in school consultation at Bronx High School of Science, with elementary school children and at the Therapeutic Nursery at the JCC on the Palisades, where they work with high-functioning autistic preschoolers and their families. Additionally they have the opportunity to observe ADOS evaluations of referrals to the Kennedy Center, located at Einstein College of Medicine.
During these three months fellows continue to see their outpatients in the afternoon in the child clinic. Continuity of care becomes a hands-on experience in the training program to the benefit of trainee and patient alike. In addition, the fellow is able to begin to envisage the life of a child psychiatrist who combines work in the consultative or inpatient arena with that of private practice.
During a three-month elective block the fellows participate in a college mental health elective, maternal-infant mental health elective, research elective or an elective of the fellows’ choosing. This block provides fellows with an even broader experience, during which time they can explore areas of particular interest or deepen a research interest.
The goals of training in the second year fit with the clinical services and the structure of the curriculum. NYCCC-Bronx provides an ideal clinical setting to learn to treat complex patients with a combination of milieu, individual and family psychotherapy as well as state-of-the-art psychopharmacology. NYCCC-Bronx is nationally known for its work with treatment-resistant patients and its pioneering efforts with Clozaril treatment in youth as well as monitoring and treatment of metabolic syndrome. The consultation and elective blocks have the goal of expanding the experience of the fellowship into the consultative role of the child psychiatrist and exposing fellows to additional clinical opportunities or cutting edge research.
The second year curriculum complements the clinical work. Fellows have advanced seminars in child development, continuous case presentations, journal club, inpatient case conference and advanced psychopharmacology.
A cornerstone of the second year is the preparation of a senior paper. Fellows participate in a class given by the Directors of Training, which, in addition to the paper being mentored by a member of the faculty, supports the research and writing of this paper. As a culmination of the second year, fellows present their papers to the entire faculty and fellowship at a luncheon in their honor.
Supervision in the second year continues with three outpatient supervisors, supervision by service attendings during each rotation and on-site supervision by faculty at each of the consultative sites. In addition to continued mentorship and clinical competence, the supervisory faculty is able to help the second year fellow transition from their trainee role to that of their new role as child psychiatrist. A mentor meets weekly with the second year fellows facilitating communication, ensuring the individual needs of fellows are met and the transition to the end of training is a smooth one.