Child and Adolescent Psychiatry Fellowship

The hallmark of our training program is the nationally recognized managed care clinic in which our child and adolescent psychiatry fellows see the majority of their outpatients over the two-year period. In this setting, fellows learn to manage resources while providing their patients with quality care, including assessment, medication management, and psychodynamic, cognitive-behavioral, family, or group therapy. The patient population in the Baylor Scott & White system is culturally diverse and socioeconomically varied, with a rich variety of disorders and symptom severity as well as the gamut of payment sources.

Fellow caseloads are monitored to provide a representative sampling of this population. Supervision is provided regularly. Each fellow meets weekly with an outpatient therapy supervisor as well as a medication supervisor. In addition, each rotation is individually supervised weekly by the on-site attending faculty responsible for the rotation. Additional individual supervision is provided for cases requiring specific therapeutic techniques, such as cognitive-behavioral therapy, acceptance and commitment therapy, dialectical behavior therapy, behavior management, and family therapy. Faculty members are also available for immediate supervision.

During the first year of the fellowship, fellows rotate through neurology, child development, school consultation services in collaboration with the Temple Independent School District, inpatient psychiatry consultation, and emergency psychiatry consultation. Throughout the year, fellows also start building their longitudinal outpatient panel which includes new patients, transfer-of-care patients, referrals from in-house therapists, and patients seen in the wellness clinic for eating disorders.

In the second year, fellows concentrate on outpatient care at Baylor Scott & White Health. This is supplemented with work in forensic psychiatry at the Bell County Juvenile Justice Department, administrative psychiatry in the Baylor Scott & White system as well as in community settings. Second-year electives in research, consultation or clinical areas, in community, school, clinic or hospital settings allow fellows to obtain further training in areas of interest. An interest in research is encouraged and supported. We have resources and support through Baylor College of Medicine.

Throughout both years, fellows provide consultation to our well-established primary care programs. More than 60 clinics in a 29,000-square-mile service area across Central Texas refer many of our patients, providing intensive interaction with family practice and pediatrics. In addition, inpatient consultation is provided to pediatrics, orthopedic surgery, trauma and hematology-oncology services.

Multidisciplinary Approach

Our fellowship emphasizes multidisciplinary collaboration to help fellows develop a comprehensive understanding of each patient as a whole person. Fellows work closely with pediatricians, pediatric subspecialists, therapists, psychologists, and other healthcare professionals to address the biological, psychological, social, and developmental factors that influence the mental health of children, adolescents, and their families. This collaborative approach is reinforced through interdisciplinary case conferences, lectures from pediatric subspecialists, joint supervision, and a variety of elective learning opportunities.

Small-Town Culture with the Breadth of a Major Medical Center

Our program combines the close-knit, supportive atmosphere of a small-town community with the diverse clinical experiences of a large academic medical center. As a regional referral center, we care for patients with a wide range of psychiatric conditions and complex presentations from across a broad catchment area, providing fellows with exceptional clinical exposure. At the same time, our fellowship fosters a welcoming and collaborative culture where fellows, faculty, psychologists, therapists, and staff know one another well and work together to support both our learners and the families we serve.

Didactics are provided on a two-year cyclical basis. The two-year Integrated Child and Adolescent Psychopathology and Psychopharmacology; Developmental Theory, Issues, and Practicum; and Theories and Therapies series form the backbone of the seminar plan and are complemented by specialty series given every other year.

Seminars

• Integrated Child & Adolescent Psychopathology and Psychopharmacology
• Consultation/Liaison Psychiatry
• Developmental Theory, Issues and Practium
• Forensics/Ethics
• Epidemiology and Research Methodology
• Theories and Therapies: Cognitive Behavioral Therapy, Acceptance Commitment therapy, Behavioral management, Dialectal Behavioral Therapy
• Supervision and Teaching
• Administrative Psychiatry and Health Care Policy
• Cross Cultural Psychiatry

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Conferences

Department of Psychiatry Grand Rounds

Grand Rounds are held approximately three times per month. Speakers include guest lecturers, faculty members and fellows. Many speakers are of national prominence. Clinical issues, research topics/projects, mental health policy issues and psychopharmacology are some of the topics presented. Fellows will give a Grand Rounds presentation in their second year of fellowship.

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Interdisciplinary Case Conferences and Practice Improvement Meeting

We work closely with therapists and psychologists in a collaborative, multidisciplinary environment. Weekly case conferences provide an opportunity to discuss complex cases, explore different diagnostic and treatment approaches, and develop a deeper understanding of our patients and their families. Fellows are also expected to present relevant literature to support evidence-based clinical decision-making. These conferences also include discussions of challenging clinical outcomes and risk management considerations, fostering reflective practice and professional growth.

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Club de diarios

We value providing up to date and evidence-based medicine. Once per month, fellows and attendings meet to discuss articles from recent child and adolescent psychiatric literature.

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Board Review

Fellows meet weekly with staff to follow curriculum designed to prepare fellows for the child and adolescent board exam.

Fellows participate in a diverse range of clinical rotations, including forensic evaluations of youth involved in the juvenile justice system, consultation with the local school district, community and administrative psychiatry, and pediatric consultation-liaison services for hospitalized medical patients. Fellows also complete elective rotations, with opportunities to pursue inpatient, outpatient, or research experiences tailored to their individual interests and career goals.

Fellowship Year One

• Outpatient Clinic
• Consultation Liaison at McLane’s Children’s Hospital
• School Consults at Temple ISD
• Neurology and Child Development
  
  

Fellowship Year Two

• Outpatient Clinic
• Forensic Psychiatry at Bell County Juvenile Detention
• Electives
  

Telefono

There is no required call in this program

Moonlighting

Many fellows participate in some in house moonlighting and outside moonlighting.