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.

Rotations

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
Autism/Neurodevelopment Thompson Center
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
Women’s and Children’s Inpatient Consultation Liaison Women’s and Children’s Hospital
Pediatric Neurology University of Missouri Health Care
Royal Oaks Hospital Pre-Adolescent Royal Oaks Hospital
School Consultation Columbia Public Schools
Substance Abuse Pathways

Didactics

Didactics occur on Wednesdays. The program emphasizes the importance of education, evidence-based practice, learning and providing opportunities to increase the spectrum of knowledge of 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.

Time Activities
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