The Child and Adolescent Psychiatry Residency of Massachusetts General Hospital and McLean Hospital provides a two-year program of specialized training in child and adolescent psychiatry.
The Child and Adolescent Psychiatry Residency offers a two-year program of specialized training in child and adolescent psychiatry for nine residents per year. Residents join staff in providing the best possible comprehensive care for children, adolescents and their families.
Our Teaching Approach
Child and adolescent psychiatry training at Mass General and McLean Hospital is based on the philosophy that no single conceptual framework is sufficient to understand human behavior. Residents are challenged to understand clinical issues in depth and to attempt formulations that integrate conceptual models. To that end, residents are taught to approach patients and their families from a developmental perspective using five clinical orientations:
Psychodynamic
Psychosocial
Biological
Behavioral
Cognitive
Our program recognizes that adequate training for the current and future practice of child and adolescent psychiatry is, of necessity, demanding. Beyond attaining essential knowledge, skills and attitudes, residents need to develop a sense of professional identity that includes being a secure physician, an advocate for children, a sensitive therapist and a thoughtful participant or consultant within team structures.
The Child and Adolescent Psychiatry Residency works to produce leaders in the field of child and adolescent psychiatry. During this unique, two-year program, residents learn through a variety of methods, including seminars, clinical conferences, individual and group supervision and clinical rounds. The residency curriculum is composed of both core clinical and educational rotations and electives chosen to foster each resident's individual interests. Most of the training in the program occurs within Massachusetts General Hospital and McLean Hospital Clinical Services, but residents also have the opportunity to draw on the programs and resources at a variety of affiliated institutions in Massachusetts. No matter what path a resident chooses, the relationships between residents and faculty remain highly interactive.
Combined Adult-Child & Adolescent Track
The Mass General/McLean Residency also offers two positions each year for a fourth-year medical student to match for a combined program including eight months of pediatrics in the PGY 1 year at Mass General, a two-year general psychiatry residency at Mass General and McLean Hospital (with the option to complete a third year of adult training) and automatic acceptance into the Child and Adolescent Psychiatry Residency.
More information about the Combined Adult-Child & Adolescent Program is available on the McLean Hospital website.
The goal of the Massachusetts General Hospital and McLean Hospital curriculum is to give our residents a broad range of theoretical frameworks and practical clinical skills that they can bring to their work with patients. Training methods include formal seminars, clinical conferences, individual and group supervision and rounds on each rotation. With the exception of elective time, all residents have the same core clinical and educational rotations.
The Mass General/McLean program is unique in offering a robust two-year outpatient experience. This allows our residents to develop long-term treatment relationships with a core group of patients, to see the impact of their treatments over time and to watch the process of development unfold.
Year 1
Residents spend half of their time during the first year in the outpatient clinic seeing patients and meeting with a diverse group of supervisors. Residents have weekly supervision with the training director to guide them in the treatment of their patients from a variety of clinical perspectives. Every first-year resident is assigned a number of supervisors to work with throughout the year:
Two individual long-term therapy supervisors
A family therapy supervisor
A cognitive behavioral therapy supervisor
A psychopharmacology supervisor
Year 1 Blocks
Beyond the outpatient continuity clinic, the first year is otherwise divided into two six-month blocks:
Consultation to Pediatrics: Fellows work closely with attendings on the consult service seeing inpatients on the pediatrics services at Mass General for Children
Consultation to Community Systems of Care: Residents work with specialized supervisors to consult to a variety of community care systems. These include the Boston Juvenile Courts, a variety of school settings and school-based treatment and prevention programs (including the McLean-based Partnerships in Education and Resilience Program) and to the Acute Psychiatry Service at Mass General
In addition, residents also have two months of partial elective time during this block to pursue specialized interests.
Year 2
During the second year, residents continue seeing patients in the outpatient clinic. Multidisciplinary supervision in a variety of treatment modalities continues in this year.
Year 2 Blocks
The time outside of outpatient services is divided into three four-month blocks:
Block 1 - Franciscan Children’s Hospital: Residents rotate on the inpatient psychiatric unit of Franciscan Children’s Hospital, which is affiliated with McLean Hospital and treats children across a broad spectrum of ages and diagnoses. During this rotation residents serve as leaders of a multidisciplinary treatment team
Block 2 - McLean Adolescent Acute Residential Treatment Program: Residents rotate in the unlocked, residential treatment program. This program's multidisciplinary treatment approach often employs elements of family therapy, individual therapy, group therapy, dialectical-behavioral therapy and medication management. The length of stay in this program tends to be longer than in an inpatient unit, allowing for a deeper level of engagement with patients and families
Block 3 - Electives and Chief Residency: Because a high percentage of our residents continue on to leadership positions in a variety of settings, we believe that some administrative and educational experience during training is important. Residents generally draw on the comprehensive resources of the Mass General and McLean systems for their electives, though arrangements can be made to accommodate experiences in external systems as well. Residents are given wide latitude about how to spend their elective time.See clinical elective options
Programs specializing in community psychiatry
Global psychiatry work
The interface between technology and psychiatry
Psychiatry and the media
Autism spectrum disorders
Mood and anxiety disorders
Burns and trauma
Forensics
Eating disorders
Psychodynamic psychotherapy
Medically ill children and family therapy
Dialectical behavioral therapy
Obsessive-compulsive disorder
Many residents choose to pursue research or education-related projects either during their elective time or throughout their residency.
Training Sites
Residents spend most of the two training years on the Massachusetts General Hospital and McLean Hospital Clinical Services, but residents may also select opportunities for elective experiences at a number of affiliated institutions around Boston and Massachusetts. At all locations, residents and faculty are highly interactive, working with and learning from one another.
The faculty play a fundamental role in the residency program, as faculty members are responsible for the comprehensive professional development of residents. Most primary faculty members have appointments at Mass General or McLean Hospital. A large number of additional clinicians and researchers are available as teachers from affiliated institutions, Harvard University and institutions throughout metropolitan Boston.
Mass General faculty
Steven Ablon, MD Stuart Ablon, PhD Annah Abrams, MD Suzanne Bender, MD Eugene Beresin, MD Elizabeth Booma, MD Ellen Braaten, PhD Linden Cassidy, MD Atilla Ceranoglu, MD Juliana Chen, MD Tanishia Choice, MD Bayard Clarkson, MD Christine Darsney, PhD Abigail Donovan, MD Stephen Durant, EdD Kamryn Eddy, PhD Anne Fishel, PhD Deborah Friedman, PhD Linda Forsythe, MD Dan Geller, MD Anne Georgiopoulos, MD Erica Greenberg, MD Eric Hazen, MD Aude Henin, PhD Dina Hirshfeld-Becker, PhD Michael Jellinek, MD Gagan Joshi, MD Deborah Kadish, MD Yoshio Kaneko, MD Martin Miller, MD Cynthia Moore, PhD J. Michael Murphy, EdD Ellen O’Donnell, PhD Mireya Nadal-Vicens, MD, PhD Michael Nevarez, MD Rachel Pearson, MD Elizabeth Pinsky, MD Lisa Price, MD Jefferson Prince, MD Paula Rauch, MD Robert Reifsnyder, EdD Nancy Rotter, PhD David Rubin, MD Kristin Russell, MD Steven Schlozman, MD Lawrence Selter, MD Sarah Shea, PhD Thomas Spencer, MD Susan Swick, MD Kathleen Trainor, PsyD John Tyson, MD Mai Uchida, MD Julie Van der Feen, MD Betty Wang, MD Khadijah Watkins, MD, MPH Timothy Wilens, MD Janet Wozniak, MD Amy Yule, MD Linda Zamvil, MD Lazaro Zayas, MD
Mass General offers positions for nine residents in the Child and Adolescent Psychiatry Residency each year and two positions in the Combined Adult-Child & Adolescent Track through the National Residency Matching Program (NRMP).
Eligibility
Psychiatry residents may apply to the Child and Adolescent Psychiatry Residency after July of their PGY 3 year for acceptance into the program for their PGY 4 year or after July of their PGY 4 year for acceptance in their PGY 5 year
All entering residents must have completed an internship and at least two years of general psychiatry residency
Brief autobiographical statement and summary of career goals
Curriculum vitae (CV)
Verification of training form, completed and signed by training director, indicating completion of training requirements in general psychiatry
Additional documentation:
Original medical school transcript
Letter of recommendation from medical school dean
Letter should state the hospital and specialty of internship
If separate from residency, please also include a letter of recommendation from the training director documenting at least four months of primary care medicine, internal medicine or pediatrics and two months (full-time equivalent) of neurology
Letter of recommendation from the training director of the adult psychiatry program, including an overall evaluation of performance (applicants must have completed two years of adult training to apply for child and adolescent training)
Two additional letters of recommendation, particularly from people who are familiar with your personal, clinical and academic qualifications
Note: If you already have a full Massachusetts medical license, a MA narcotics license, or a DEA certificate, please attach copies of your most recent application and wallet-size license.
A note on letters of recommendation:
All letters should be originals
All letters and application materials should be addressed to: David Rubin, MD, Director, Child and Adolescent Psychiatry Residency Training Program
Interviews
We make every effort to review each and every completed applicant file. After an initial screening of your application, qualified applicants will be invited for interviews with faculty members at Mass General and McLean Hospital. These interviews are usually held on Thursdays or Fridays starting in September.
Applicants will meet with the training director and a least three members of the Selection Committee. We encourage you to express any potential areas of clinical or academic interest, so some interviews may be tailored to your interest.
Combined Adult-Child & Adolescent Track
The Mass General/McLean Residency has two positions in the National Residency Matching Program (NRMP) for a fourth-year medical student to match for a combined program in pediatric psychiatry and general psychiatry (with the option to complete a third year of adult training).
Applications for this position should be addressed to: Felicia Smith, MD, Director of the Mass General/McLean Hospital General Residency Training Program.
More information about the Combined Adult-Child & Adolescent Program is available on the McLean Hospital website.
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