The first year of the Child and Adolescent Psychiatry Fellowship covers six months of inpatient work and six months of outpatient work. During these rotations emphasis will be placed on learning how to do comprehensive psychiatric evaluations, develop treatment plans and implement treatment (psychopharmacological treatment and various therapies). During the outpatient rotation, the resident also works with a pediatric neurologist and works closely with pediatricians on the pediatric consultation service.
In the second year of training there are two six month blocks for rotations. These rotations are community psychiatry experiences. Community programs include an adolescent substance abuse program, a residential treatment facility for school age children, developmental evaluation center, and a state residential school for the deaf. There is also time for electives and agency consultation (schools, social services, juvenile justice). Residents continue to see patients in the ECU Outpatient Clinic throughout the PGY-5 year.
Weekly seminars focus on development, psychopathology, comprehensive assessments and diagnostic formulations, and different treatment modalities. A special topics seminar covers a variety of important issues for medical practice (ethics, managed care, utilization review, consultation, transition to practice). A journal club and closely supervised outpatient work span both years.