Clerkship Number: 409-020
Location: Gengras Building on the IOL campus and CT Children's Medical Center (CCMC)
Committee Members:
Child & Adolescent Psychiatry Faculty
Duration: One or two months, full-time
Months Offered: All year except July & August
# of Students: One per rotation
Prerequisite: Third Year Curriculum
Contact Info:
Alison Wellman
Administrative Program Coordinator, Child & Adolescent Psychiatry Residency Program
Phone: (860) 545-7746
Fax: (860) 545-7186
 

Goals and Objectives:

  • To gain appreciation of the multifaceted aspects of serious illness, both medical and psychiatric.
  • To develop the clinical strategies necessary for conducting a therapeutic interview of the pediatric inpatient or outpatient and family; for generating a differential diagnosis; and for developing a long-term problem oriented treatment plan.
  • To enhance the skill of physician self-observation, in which the student strives to recognize both helpful productive and counterproductive emotional reactions which affect course of medical illness. 

Program Description:
The Child and Adolescent Psychiatry Outpatient Subspecialty Clinic, the Emergency Psychiatric Service, the Pediatric Consultation/Liaison Service represent the services which contribute to this elective. Clinical hours are routinely held between 8:00 a.m. and 6:00 p.m. Monday through Friday. Regularly scheduled activities include the following:

Monday 8:00 - 9:00 a.m. Consult Liaison Service Rounds
Tuesday
8:00 - 9:00 a.m. Pediatric Grand Rounds, CCMC
Thursday
12:00 - 1:15 p.m. Psychiatry Grand Rounds, Institute of Living, Commons Building 
Friday:
8:00 - 12:00 p.m.
Child & Adolescent Didactics, Braceland Bldg, IOL

 
Proposed Activities and Responsibilities:
With support of close supervision:
  • To conduct interviews of the patient and family.
  • To develop an assessment and working diagnosis.
  • To develop and follow-through with a treatment plan that is brief and focused on the solution of a specific problem.
  • To write a consultation that is accurate, clear and helpful.
  • To enhance the skill of physician self-observation.
  • To participate in individual supervision with child and adolescent faculty.
  • To choose a topic of interest as the focus of a literature search and brief presentation.  
Facilities that will be available:
The clinical settings for pediatric psychiatry include the inpatient pediatric service, the outpatient specialty clinics, the child and adolescent psychiatry outpatient clinic, and the emergency room.
 
Formal Teaching:
One-to-one teaching will be provided during scheduled hours each week, in addition to clinical case supervision. Weekly teaching conferences will also be available at the Institute of Living and include Psychiatry departmental grand rounds and case conferences as well as the child and adolescent psychiatry residents didactic courses.
 
Amount and Type of Supervision:
One-to-one supervision will be provided on a daily basis and on a selective basis. This intensive format is designed to provide each student with the opportunity to learn at her or his own pace. Supervision will focus on two major areas: concrete clinical skills and the more elusive task of physician self-observation.

Readings:

  • Gemelli (1996). Normal Child & Adolescent Development. American Psychiatric Press, Inc.
  • Jellinek & Herzog. (1990). --Psychiatric Aspects of General Hospital Pediatrics.
  • Kazdin & Weisz (2003). Evidence-Based Psychotherapies for Children and Adolescents. Guildford Press
  • Martin, et.al (2003). Pediatric Psychopharmacology. Oxford Press.
  • Mash & Barkley (2003). Child Psychopathology. Guildford Press
  • Morrison & Anders (2001). Interviewing Children & Adolescents. Guilford Press

 


 
Revised 5/11/12