Training methods include formal seminars, clinical conferences, individual and group supervision and rounds on each rotation. The first year focuses on ambulatory care and consultation. The residency class consists of eight residents per year. Except for the site(s) of elective option(s), all residents will have the same core clinical and educational rotations.
The first year is divided into two six-month blocks. During one six-month period, residents will rotate through the MGH Consultation Liaison Service to Pediatrics. This, for labeling purposes, is called the “Pediatrics Consultation Half.” In the other six-month block, the “Selective Half,” residents will have rotations in the Boston Juvenile Court, the Boston Public Schools and other local schools and approximately four to six hours per week of elective (“selective” time).
It is expected that two-thirds of this time will be centered at MGH or McLean Hospital, with residents selecting from many activities available for specialized learning. Additional time may be spent virtually anywhere among the affiliated institutions or in metropolitan Boston. In year two, there are approximately 30 hours per week for eight months on the McLean inpatient and partial hospital services. During the entire second year, 20 hours per week will be devoted to outpatient cases, clinical supervision and academic seminars.
Core Required Rotations
- Pediatric Consultation -- Liaison Psychiatry
- Outpatient Clinic Services
- Outpatient Individual Psychotherapy
- Psychodynamic Psychotherapy Training
- Family Therapy
- Outpatient Diagnostic Evaluations
- Sexual Abuse and Adoption & Custody Evaluations
- Developmental Disabilities
- School Consultation
- Court Consultation
- Pediatric Neurology
- Normal Child & Adolescent Observation
- Inpatient & Partial Hospital Care
- Community Psychiatry and Interagency Work
- Consultation to Community Systems of Care
Chief Residency and Administrative Psychiatry
All residents in their second year will devote approximately eight hours weekly during the four-month Elective Block to a chief residency position. This rotation is designed to give the residents experience teaching, primarily in the APS, and learning principles of administrative psychiatry. The following are the goals, objectives and duties of the Child and Adolescent Psychiatry Chief Residency position:
Goals and Objectives
-- To implement child and adolescent resident participation in the clinical components of the MHG/McLean Child and Adolescent Psychiatry Residency. Coordination of resident clinical training activities will be carried out under the supervision of each rotation’s service chief and the Training Director. These administrative duties will include such activities as: triage and assignment of outpatient cases, assisting with logistical problems in clinical rotations, developing and modifying on-call schedules, etc.
-- To understand basic principles of the clinical administration of health care delivery systems in outpatient, consultation, inpatient and partial hospital child and adolescent psychiatry.
-- To gain increased skill in teaching junior child and adolescent psychiatry residents, general psychiatry residents, medical students and allied health professionals.
Elective RotationsThe MGH/McLean Child and Adolescent Psychiatry Residency Training Program has been designed to provide elective opportunities in Year 1 and in Year 2.
In Year 1, approximately four to six hours per week for six months during the selective block have been allocated for elective time. Since residents will be beginning in child and adolescent psychiatry, we hope that the first-year elective program will be “selective” in nature and will largely take place at MGH or McLean. Although the program attempts to be as flexible as possible, it is recommended that if one desires to go off campus, 60% of one’s time be spent at MGH or McLean and 30% off-campus.
There are a variety of options at both MGH and McLean. Many creative and/or research options are available depending on one’s interests. All electives must be approved by Dr. Beresin, and residents are required to select a mentor for each elective rotation. Electives can occur in more than one area, but residents should consider having a certain core amount of time in each area chosen. It should be noted that in Year 1 and in Year 2, the elective rotations must be completed with a formal presentation of how one spent elective time and/or a written manuscript or research protocol.
In Year 2, electives are more open-ended. It is not necessary for one to spend the majority of time at our home clinical sites. Listed under Year 2 are numerous opportunities off the MGH/McLean campus. In addition, residents should consider the entire Harvard and Boston academic and clinical communities in designing their elective plans. Dr. Beresin will be able to link residents with specialists in virtually any area of child and adolescent psychiatry (both clinically and in research). Residents are highly encouraged to apply for national awards and fellowships in which they may gain invaluable experiences from mentors all over the country. Residents are urged to attend regional and national meetings. An annual stipend is available for residents to use toward conference participation.