A child and adolescent psychiatrist must have a thorough understanding of the development and prevention of psychopathology as it appears from infancy through adulthood.
He or she should also have the skills to serve as an effective consultant to primary care physicians, community agencies and institutions serving children and adolescents. To this end, the program has always emphasized individual instruction and supervision and has maintained a cohesive approach in which faculty and fellows share clinical responsibilities and learn from the exchange of ideas.
The diagnostic and treatment approach to patients follows the integrated psycho-social-biological philosophy that views mental illness as a multi-etiological problem that can benefit from a spectrum of treatments. Our faculty members form an eclectic group representing psychiatry, psychology and social services.
The goal of the child psychiatry training program is to produce competent and caring physicians. Fellows will grow in their knowledge of pharmacotherapy, dynamic psychotherapy, family therapy and behavioral management approaches. They will also learn to critically evaluate journal articles and to formulate their own research ideas and methods. Knowledge of record keeping, time utilization and quality assurance is stressed to promote skills that are needed in today’s professional market.
We are very proud of our training, the diverse opportunity and the experiences. Our fellows rotate through various inpatients and outpatient facilities.
Child and Adolescent Psychiatry Fellowship Rotations/Locations
|Rotation Name||Rotation Location|
|Bridge||Schools in Boone County|
|Child Development||Child Development Lab|
|Community Outreach||Clinic located at Woodrail, Columbia|
|Division of Youth Services||Multiple Sites-Done by Telehealth at University Hospital|
|Early Childhood Intervention||University Hospital|
|Electives||Site Variable Based on Fellow Elective Selection|
|Juvenile Justice Center||Boone County Juvenile Justice Center|
|Missouri University Psychiatric Center Inpatient||3 South, Missouri Psychiatric Center; MUPC Assessment unit|
|Missouri University Psychiatric Center Outpatient||Missouri Psychiatric Center|
|Children’s Inpatient Consultation Liaison||Children’s Hospital|
|Pediatric Neurology||University of Missouri Health Care|
|Royal Oaks Hospital Pre-Adolescent||Royal Oaks Hospital|
|School Consultation||Columbia Public Schools|
Didactics occur on Wednesdays. The program emphasizes the importance of education, evidence-based practice, learning and providing opportunities to increase the spectrum of knowledge our fellows obtain. This helps our fellows become better equipped to diagnose and treat common child and adolescent psychiatric conditions. In lieu of this, we have a protected day for didactics. Fellows devote one full day a week to attend child seminars, case conferences, book reviews, journal club, textbook seminars and grand rounds.
|8:30-10:30 a.m.||First-year fellows: Clinical Duties
Second-year fellows: Psychotherapy Clinic at Woodrail
|11-noon||Week 1: Observed Interview & Discussion of Patient (rotating fellows and faculty)
Week 2: Child Development Lab
Week 3: Program Director Meeting
Week 4: Book Review
Week 5: Case Conferences
|12:15-1:15 p.m.||Grand Rounds (except Week 1: Strategic Planning Meeting)|
|1:30-3 p.m.||Didactic Lectures|
|3-4 p.m.||Week 1, 3: Book Review
Week 2: CDL discussion continued
Week 4: Faculty meeting with chief fellow even months, with all fellows odd months
|4-5 p.m.||Week 1, 3, 4: Psychotherapy lecture
Week 2: Journal Club