It is our pleasure to welcome you to the Child and Adolescent Psychiatry Residency Training Program at the Child and Family Institute at St. Luke's - Roosevelt Hospitals and Beth Israel Medical Center.

For over half a century, the Division of Child and Adolescent Psychiatry of St. Luke's-Roosevelt Hospital Center (SLRHC), a University Hospital of Columbia University's College of Physicians and Surgeons, has been an integral part of the Department of Psychiatry. Beginning in the late 1940's, before Child and Adolescent Psychiatry was even a recognized field, St. Luke's (SL) and Roosevelt (RH) Hospitals were providing care to children and their families afflicted by mental illness.

In addition to the Child and Adolescent Psychiatry Residency Training Program, the division has nationally renowned training programs for mental health professionals, an internship program in Child Psychology, postdoctoral fellowships in Child Psychology, and an internship program in clinical Social Work, all of which combine clinical and research training.

Aleksandra Krunic, M.D.
Director of Training and Education
Child and Adolescent Psychiatry

PROGRAM LENGTH
To complete the residency requirements and be Board Eligible in Child and Adolescent Psychiatry each candidate must complete two years of training in an ACGME-accredited Child and Adolescent Psychiatry Residency Training Program.

The St. Luke's-Roosevelt Hospital Center (SLRHC) and Beth Israel Medical Center (BIMC) program is ACGME accredited to provide training for two post-graduate years in child and adolescent psychiatry.

At the time of recruitment the program contracts with the applicants for a single year of training with the option to complete a second year provided that an acceptable performance was rendered in the first year of training.

IMPORTANT INFORMATION
Salaries are disclosed on contracts and are set by agreement between the medical center and the Committee for Interns and Residents (CIR). Residents are given four weeks (20 days) of paid vacation and 10 sick days, and 4 personal days per year. If required, further information regarding maternity leave is available through the Graduate Medical Education ("House staff") Office.

GENERAL EDUCATIONAL GOALS AND OBJECTIVES
The goal of this training program is to produce the highest quality of child and adolescent psychiatrists who will demonstrate high ethical standards, excellent clinical skills and knowledge in child and adolescent psychopathology, psychotherapy, psychopharmacology, consultation, teaching, research and administration.

Our ambition is to help residents build up their professional identity as a child and adolescent psychiatrist, ready to be a leader in a filed of child mental health, an advocate for children and their families, an educator for professionals and community, an academic psychiatrist and researcher and above all a mindful and integrative clinician.

Our program utilizes clinical experience as well as a formal curriculum covering major areas of child and adolescent psychiatry, individual and group supervision, conferences and seminars to educate trainees on the theoretical and practical principles of our field in a comprehensive manner.

Upon completion of the program, resident will be competent in the core areas of patient care, medical knowledge, interpersonal and communication skills, practice based learning, professionalism and system-based practice.

The resident will be well trained in understanding normal development and with this framework in mind will become an expert in differentiating normal from abnormal behavior and in development of psychopathology.

At the end of their training the resident will demonstrate broad knowledge of child and adolescent psychopathology, including the full range of DSM IV TR Axis diagnosis; he or she will demonstrate competency in working with culturally, ethnically and educationally diverse population.

The resident will become proficient in conducting comprehensive diagnostic and therapeutic evaluations of children, adolescents and their families within a framework of biological, psychological, social and cultural influences, and with the ultimate outcome of becoming an expert in formulating comprehensive and integrative diagnostic impression and treatment plan.

The resident is expected to demonstrate diagnostic and treatment skills in a wide range of clinical settings, including outpatient, inpatient, day treatment programs, crisis clinic and emergency room; the resident is expected to become competent consultant to the pediatric medical specialty clinics, schools, various community health centers and agencies or courts; the resident will become a confident and competent team leader as well as a valuable team participant and collaborator.

The resident is expected to become proficient in major treatment modalities: a) the psychotherapeutic clinical skills such as behavioral and cognitive therapy, motivational interviewing, dialectic behavioral therapy skills; psychodynamic psychotherapy and play therapy, dyadic parent-infant therapy; group therapy, family therapy; individual and family crisis work; b) pharmacotherapy and c) combined psychotherapy and pharmacotherapy

The resident will have ample of experience in supervising and teaching other trainees in the field such as medical students, general psychiatry residents, psychology and social work trainees.

Upon completion of this program, residents become competent clinical administrators in any clinical setting including outpatient, inpatient, day treatment or acute care. The resident will be adept at consulting and critically apprising medical literature as well as understanding research methodology and processes. We promote academic development and encourage residents to engage in their independent scientific research projects and scholarly activities and we provide mentorship and time for residents to do so.

TRAINING SITES:

St. Luke’s Roosevelt Hospital
St. Luke’s and Roosevelt Hospitals, University Hospital of Columbia University College of Physicians and Surgeons, is a 1,076-bed, full-service community and tertiary care hospital. St. Luke’s-Roosevelt was formed in 1979 by a merger of St. Luke’s Hospital, adjacent to the campus of Columbia University, and the Roosevelt Hospital, located a few blocks south of Lincoln Center at Tenth Avenue and 58th Street. Residents train in recently constructed state-of-the-art facilities: a 10-story building at the St. Luke’s Division and a 13-story building at the Roosevelt Division.

St. Luke’s-Roosevelt provides a sophisticated clinical and academic environment in which physicians can practice superior medicine, train more than 480 residents and fellows in 40 clinical specialties and carry out innovative research. The Hospital Center is widely respected for high quality clinical care and its contribution to research in cardiology, gastroenterology, metabolic disorders, psychiatry and many other areas.

Through out its history, St. Luke’s-Roosevelt also has placed strong emphasis on responding with compassion and sensitivity to he unique needs of the communities it serves, including areas whose residents have multiple social and economic challenges. It provides much of the inpatient; outpatient and emergency medical care for more that half a million residents of the West Side of Manhattan, as well as for patients throughout the New York Metropolitan region. The Hospital Center admits approximately 40,000 patients, serves more that 300,000 outpatients, and proves emergency care for over 100,000 patients every year.

You can visit St. Luke’s and Roosevelt Hospitals and Continuum Health Partners, Inc. on the web at www.slrhc.org

Beth Israel Medical Center
Beth Israel Medical Center, an 899-bed, full-service tertiary teaching hospital, is University Hospital and Manhattan Campus for the Albert Einstein College of Medicine. Beth Israel has two hospital divisions: the Milton and Carroll Petrie Division in Lower Manhattan; and the Kings Highway Division in the Midwood section of Brooklyn.

Founded on Manhattan's Lower East Side before the turn of the 20th century, Beth Israel originally was dedicated to serving vulnerable populations in that community. A century later, the Medical Center serves individuals and families throughout New York City and beyond—while retaining its traditional strong sense of mission. In addition to Beth Israel Medical Center, the Beth Israel Health Care System includes the Phillips Ambulatory Care Center—a state-of-the-art outpatient care center located at Union Square in Manhattan offering a wide range of primary and specialty care services; D•O•C•S primary and specialty health care offices; Beth Israel Ambulatory Surgi-Center in Brooklyn; the Williamsburg Family Health Center; the Phillips Family Practice/Sidney Hillman Center; Geriatrics/Internal Medicine at Penn South; the Robert Mapplethorpe Residential Treatment Facility; the Phillips Beth Israel School of Nursing; Karpas Health Information Center; Max Meltzer Geriatric Practice; and the Japanese Medical Practice.

Beth Israel has been cited for excellence in many clinical areas, including AIDS and HIV-related disorders, breast cancer and other cancer specialties, such as head and neck, lung, skin, gynecological, urological, colorectal and neurological cancer, cardiology, chemical dependency, neurological disorders, brief psychotherapy, geriatric psychiatry, neuroimaging, and neurobehavior.

Queens Children's Psychiatric Center (QCPC)
QCPC serves seriously emotionally disturbed children and adolescents from the ages of five through eighteen in a range of programs including inpatient hospitalization, day treatment, outpatient clinic treatment, intensive case management, homemaker services and community education and consultation services. Day treatment services are available in both Manhattan and Queens. The inpatient program, located in Queens, provides intermediate care treatment to youngsters from both Manhattan and Queens.

You can visit QCPC on the web at www.omh.state.ny.us/omhweb/facilities/qcpc/facility.htm

CLINICAL ROTATIONS:
FIRST YEAR

First year residents rotate trough five two and a half month blocks as detailed below. Wednesday is protected for didactics, grand rounds, and residents meeting. Wednesday afternoon starts with Journal Club, Case Conference or psychopharmacology group supervision depending on the week in a month, followed by time protected for long term outpatient work with an attending available to supervise on site.

Block 1
Beth Israel Medical Center Outpatient Child Psychiatry Clinic 
Rotation Director, Manuella Zisu, M.D.
Attending Psychiatrist, Reuben Portnoy, M.D.
Beth Israel Medical Center Rotation: The resident rotates to our affiliated outpatient clinic at Beth Israel Medical Center, located in the Lower East Side of Manhattan. In 2003, the Child & Adolescent Psychiatry (CAP) Outpatient Department (OPD) at BIMC registered 6400 visits. The demographics of the children served breaks down approximately to 45% Hispanic, 30% African-American, 15% Caucasian, 5% Asian-American, and 5% Orthodox Jewish. Genders are approximately equally represented. These demographics offer a varied training experience from those of our patients at SLRHC. The patients at BIMC also have a higher proportion of families served by conventional insurance or managed care companies. A smaller proportion, when compared to SLRHC, has Medicaid. Furthermore, we anticipate that the exposure to CAP services at BIMC, including outpatient, evaluation, and consultation services will increase the depth and breadth of exposure the CAP residents receive. While at BIMC, the first year CAP residents will see emergency/crisis cases, provide outpatient evaluations, and provide consultation to the Pediatric wards. Another educational benefit for our CAP residents is the fact that BIMC has an extensive and well-respected family therapy program that our CAP residents will now be able to receive more intensive didactics, supervision, and clinical experience with. Educational activities on this rotation consist of weekly supervision, journal club and participation in multidisciplinary ward rounds, as well as team meetings. Residents are supervised by the associate training director, Dr. Manuela Zisu (also the Physician-In-Charge, Child and Adolescent Psychiatry at BIMC) as well as other faculty members.

Block 2
Comprehensive Adolescent Rehabilitation and Education Service (CARES)
Rotation Director, Georgia Gaveras, M.D.
Attending Psychiatrist, Philip Vincent, M.D.
Day Hospital Rotation (aka Comprehensive Adolescent Rehabilitation and Education Service; CARES): The resident divides their time on two services during this block. The first is the Adolescent Alternative Day Program (AADP), and the other is the Comprehensive Addictions Program for Adolescents (CAPA). Both programs are unique partnerships with the New York City Department of Education. The AADP is designed to work primarily with teenagers with internalizing disorders (particularly social phobic and school-refusing youth), while CAPA is directed towards adolescents with primary substance use disorders. While on both services, the resident is responsible for 5-7 patients, working them up medically, evaluating their condition, meeting with families, stabilizing their illness, using needed services such as Neuropsychology, speech and hearing, and specialty adolescent medicine where needed. Therapeutic modalities include milieu, behavior modification, psychopharmacology, individual, small group, family therapy and dialectical behavior therapy (DBT). Special education, occupational therapy, and therapeutic recreation are also utilized in treatment. The trainee is exposed to all these modalities; they coordinate and evaluate each treatment modality for their assigned patients. The ultimate goal is to have you participate in the role of a team leader when possible and you are expected to attend all community and team meetings and discharge planning. You will be supervised on-site by an attending child psychiatrist and staff of both AADP and CAPA. The expectations for this rotation will be the management of seriously emotionally disturbed adolescents in order to stabilize emergent problems and help them transition back to their communities in a functional manner. Trainees should be able to medically and pharmacologically manage these patients in a supervised setting in a more intensive manner than is possible in a regular outpatient service. These day treatment settings provide for an intensive school consultation experience in collaborating and consulting with the on-site teachers and staff of the New York City Department of Education.

Block 3
Crisis Service
Rotation Director, Bhutia Phintso, M.D.
During this component, the Child and Adolescent Psychiatry resident will be part of a multidisciplinary team that works with children and families in a crisis. Patients will be referred from our Emergency Room consultation service. The resident is expected to provide brief diagnostic evaluations, short term individual and family crisis work, provide acute pharmacological stabilization, and appropriately refer patient for further care in our outpatient clinic. Work is directly supervised by an attending.

Block 4
Pediatric Psychiatry Consultation and Liaison Service
Rotation Director, Aleksandra Krunic, M.D.
In this component, the fellow will help serve as consultants to the staff of the pediatric emergency and general psychiatry emergency rooms. The Child fellow is expected to learn how to interview patients, family members and other involved persons in emergency situations in order to accurately assess the diagnosis, the immediateness of the situation and develop the most appropriate immediate treatment (crisis intervention, medication, medical work-up, etc.) and disposition (inpatient, outpatient, crisis, etc.). The evaluation of child abuse and neglect is also of paramount importance as well as learning when to make a report to the Administration for Children’s Services (ACS). Goals include learning how to make a time-limited assessment and synthesize findings into a cogent presentation. Finally, the fellow should learn the consultative aspects of work in an emergency room, in order to help the staff in the pediatric and adult psychiatry emergency rooms deal with children and adolescents presenting with psychopathology.
The fellow will help serve as consultants to the staff of the general pediatric inpatient unit at the St. Luke’s Hospital and pediatric intensive care unit at the Roosevelt Hospital. Fellow will learn to psychiatrically evaluate medically ill children and their families, to use supportive, cognitive and behavioral techniques in helping children deal with consequences of medical illnesses such as pain, anxiety, disability or to improve compliance with treatment. They will learn about psychopharmacological interventions in managing acute and chronic psychiatric issues associated with medical conditions, about medication interactions among psychotropic and other medications. Fellows will learn to identify how common and serious medical pathology presents with psychiatric symptoms and how psychiatric illnesses are affected by medical problems. Goals include being able to implement effective immediate treatments and interventions as well as enable the inpatient staff to set up appropriate follow-up care where indicated. Trainees will be involved in weekly staff rounds with other medical specialist and health care providers. There will be a C/L course that will provide the didactic aspects of this rotation. Each case is supervised by an attending child psychiatrist.

Block 5
Inpatient Psychiatry, Queens Children’s Psychiatric Center (QCPC)
Rotation Director, David Rube, M.D.
Attending Psychiatrist, Paulina Loo, M.D.
Educational activities on this rotation consist of weekly supervision and participation in multidisciplinary ward rounds, as well as team meetings. The multidisciplinary staff consists of pediatricians, social workers, psychologists, and child-life therapists. Evaluation of acute and/or severe mental illness is discussed. The resident is expected to understand the phenomenology and course of severe psychiatric disorders in children adolescents. They should also learn how to conduct a risk assessment for suicidal and homicidal patients. While on this rotation, you will be responsible for 5-7 patients, working them up medically, evaluating their condition, meeting with families and stabilizing their illness. Trainees should be able to medically and pharmacologically manage these patients in a supervised setting in a more intensive manner than is possible in either a regular outpatient service or a day treatment setting. The ultimate goal is to have a fellow participate in the role of a team leader when possible. Residents are supervised by the respective Unit Chiefs, as well as the Medical Director of QCPC.

CLINICAL ROTATIONS:
SECOND YEAR

Second year residents rotate trough several subspecialty clinics in addition to work with their individual caseload. Wednesdays are protected for clinical instructions in family therapy and parent child dyadic therapy, Grand Rounds, resident’s lunch and didactics.
Fellows spend most afternoons at the CFI outpatient clinic providing patient care. Each resident is assigned minimum five long term psychotherapy individual cases, one CBT case, one DBT case, one family therapy case and one dyadic therapy case in addition to psychopharmacology case load. Fellow’s case load is closely monitored to assure diverse patient population and extensive experience in various psychotherapeutic and pharmacological interventions. In depth training in DBT (Dialectic Behavioral Therapy) as well as in MET (Motivational Enhancement Therapy) and CBT (Cognitive Behavioral Therapy) for substance abuse are provided. Training workshop in CBT for psychosis is provided and participation in monthly PEER program conference is encouraged.  In their second fellowship year, fellows have ample of opportunities to learn about supervision. There is supervision seminar to complement this activity. Fellows are involved in direct supervision of medical students and general psychiatry residents during their child psychiatry rotation.

Forensic Child and Adolescent Psychiatry,
Rotation Director, Seymour Moscovitz, Ph.D.,
Forensic Training Seminar will be held in various locations in Manhattan Family Court or an adjacent HHC building in July and August. The program will include observation of Family Court proceedings, introduction to family law, and a particular emphasis on juvenile delinquency and child protection. A mock trial illustrating the role of the expert witness will be included. Following these three seminars, fellows will have a practicum experience, consisting of observing an MHS clinician conducting interviews. Extensive reading material will be provided to supplement this educational activity.

Child and Adolescent School Based Health Clinic Rotation:
Rotation Director: Ulrick Vieux, DO
This rotation takes place one morning weekly on an outpatient basis for five months. Fellows will acquire training and knowledge about the dynamics of working in a school based health clinic that serves three predominantly inner city high schools in the heart of New York City. Fellows will see patients as recommended by the school based clinic staff, school counselors and teachers. Three facets of the rotation will be psychopharmacological management for appropriate students, school consultation, and presentations to school staff and parents.
Fellows will have the opportunity to acquire skills in school consultation. They will develop psychotherapeutic skills in the areas of behavioral and cognitive- behavioral therapy with adolescents, parent training (particularly teaching parent’s relevant topics) and facilitating appropriate specific care in conjunction with school based clinic social worker
Fellows will have the opportunity to further develop their clinical judgment and their abilities to work with and help our school’s population, which consists mostly of highly stressed, multi-problem families who have suffered from a history of cultural marginalization.

Pediatric Developmental Disability Clinic, 
Rotation Director, Zinoviy Gutkovich, M.D.
This rotation takes place one afternoon weekly on an outpatient basis for 3 months and it is complementary to pediatric neurology rotation. It will consist of diagnosing, treatment planning and treatment implementation of children with developmental disorders in a multidisciplinary setting and under direct supervision of child psychiatry attending. Course work in psychopathology, psychopharmacology, developmental disorders and human development will complement this rotation. The activities include the observation of children during the process of evaluation by a pediatric neurologist and a multi-disciplinary team including social workers, psychologist, and neuropsychologists. Attending child psychiatrist and child psychiatry fellows provide assessments, medication evaluation and brief behavioral psychotherapeutic interventions for children ages 0-18 with the full spectrum of emotional or behavioral disturbances. The diagnostic entities observed include: Autism, Asperger’s disorder, Pervasive developmental Disorder NOS, Mild and Moderate MR, Communication Disorders, Learning Disorders, ADHD, as well as Adjustment Disorders associated with acute and chronic neurological illnesses. They provide medication management for complex and treatment resistant behavioral disturbances as well as brief cognitive behavioral therapeutic interventions, parent training in behavioral management targeting child’s undesired behavioral pattern, skills building; brief supportive and dynamic therapy targeting adjustment to medical and neurodevelopmental difficulties. Child psychiatrists collaborate with DDC social worker to ensure that children and families receive appropriate services such as e.g. Medicaid Service Coordinator (MSC), respite services, appropriate school placement/accommodations etc. The trainee participates in a team meeting where cases seen in consultation are discussed. The team approach on diagnosis and treatment design is utilized.

Parent Infant Clinic (PIC) 
Rotation Director, Wendie Klapper, Ph.D.
This rotation takes place one morning weekly on an outpatient basis for 5 months. The main components of the PIC rotation will include: conducting evaluations of parent infant interaction and attachment, administering developmental screenings, writing up evaluations and screenings, conducting a Family Forum; During this rotation fellows will acquire knowledge of normative infancy and early childhood development; normative parent-infant interactions; knowledge of the normative stages of parent development and of the emotional/behavioral disorders of infancy/toddlerhood in the DSM: IV and DC: 0-3R; knowledge of attachment classifications and knowledge of the impact of parental risk factors (e.g. maternal depression, trauma) on the attachment relationship. They will acquire knowledge of the risk factors for child abuse/neglect. Fellows will develop skills in identify attachment classifications/patterns; ability to observe parent-infant/toddler interactions and understand how one member of the dyad impacts on the other; ability to diagnose disorders of infancy/toddlerhood; to conduct an infant mental status assessment; to obtain a thorough developmental history; to identify parental behaviors/actions that can place an infant at risk and child risk factors than can place an infant at risk; ability to observe and interpret non-verbal forms of communication in infants and toddlers; to write-up an observation of the parent-infant interaction; to conduct and write-up a comprehensive evaluation of a parent-infant dyad; to read a developmental screening with a critical eye and to provide feedback to parents regarding the screening results and intake evaluations; ability to write-up a developmental screening. They will develop an awareness of the dyad as the primary patient; an awareness and sensitivity towards cultural factors that impact on assessment and intervention; an awareness and sensitivity towards cultural factors that impact on parenting practices; an understanding of the importance of a therapeutic stance to observation, assessment and intervention; an empathic understanding of the struggles of parents and their young children.

Children’s Community Mental Health Services (CCMHS):
Rotation Director: Ulrick Vieux, DO 
This rotation takes place one afternoon weekly on an outpatient basis for 2 months. Child fellow is expected to conduct a home or school visit with an Attending and ICC worker and actual day of week will be determined by individual fellow and CCMHS team. Locations: Varied locations. Fellows will acquire training and knowledge about the dynamics of working in a system of care model that is geared towards working with patients with the Severely Emotionally Disturbed (SED) diagnosis. This is a very unique opportunity in that only seven states in the United States have Waiver programs that are geared towards serving the SED population. Children’s Center of Mental Health Services (CCMHS) is a program of excellence within the St. Luke’s/Roosevelt Hospital system and it is composed of three programs, Home and Community-Based Services Waiver Program (HCBS), Blended Case Management (BCM), and Children’s Single Point of Access (CSPOA). The HCBS, which will be the basis of the rotation, provides care to children with complex, significant mental health needs in their homes and communities thereby decreasing the need for placements to intermediate psychiatric inpatient and residential facilities.
Fellows will have the opportunity to acquire skills in working in a wrap around service and learning about the role that a physician can play in such a structure. The Fellow will conduct home visits and school visits with the attending psychiatrist and the patients assigned intensive care coordinator (ICC) worker. The Fellow will help facilitate an individualized care, strength-based approach serving children and families in conjunction with the intensive care coordinator. As reported in the Child and Adolescent Psychiatric Clinics of North America, January 2010 Journal working with the population that is served by CCMHS is challenging but within “a wraparound inspired method, the system of care model represents an emerging yet well-defined approach to intervening in these complex situations on behalf of children who have significant mental health needs and on behalf of their families. The goals, most simple put, entail organizing services to address the needs and capacities of children and their families within a local community context in collaboration with other youth and family serving systems.”

Comprehensive Diagnostic Evaluation Unit
Rotation Director, Aykut Ozden, M.D.
This rotation takes place one morning weekly on an outpatient basis throughout the academic year. During their Comprehensive Outpatient Diagnostic Evaluation Clinic period, the fellows will conduct a comprehensive diagnostic interviewing of a child or adolescent followed by their family, taking into account their developmental stages, cultural backgrounds and psychological needs. Each patient 12 years and older will complete computerized version of the DISC assessment. Data from the DISC and clinical interview will be integrated. The case will then be discussed with the child and adolescent psychiatry attending, and a bio-psycho-social formulation and treatment planning will be prepared. At the end of this rotation they are expected to learn how to conduct and complete a thorough evaluation, including a complete differential diagnosis, and to deal with and guide families facing psychosocial stressors, as well as to learn about proper documentation, ethical and medico-legal issues, systems of care, and different cultural, religious and socio-economical issues in families.

Clinical Research 
Rotation Director, Dominique Morisano Ph.D., C Psych.
Through this rotation, fellows have the opportunity to spend one morning per week working with a faculty mentor on a scholarly or research project of their choice for the duration of one academic year. Examples of research or scholarly product outcomes would include A) an independent research project with IRB submission where a fellow is the main PI or co-PI, project execution B) journal article, depending on the Fellow's interests. This activity is complimented by the first year’s Introduction to Research Seminar.

Pediatric Neurology, 
Rotation Director, Steven Wolf M.D.
Roosevelt Hospital, 2nd floor, 2M
This rotation takes place one afternoon weekly on an outpatient basis for 2 months, and is complementary to the Developmental Disability Clinic rotation at the same location. It will consist of direct observation of pediatric neurologic examination, learning neurological recommended work-up, and differential diagnosis for assigned cases. Patient cases will be both initial contacts, as well as case follow-ups. This clinical work will be supplemented by a Pediatric Neurology Seminar. Cases are evaluated and monitored under direct supervision of the attending pediatric neurologist. Techniques of routine neurological exam, EEG readings, history taking, diagnosis, differential diagnosis and current treatments are covered in this rotation.

Elective Rotation
This rotation takes place one afternoon weekly on an outpatient basis for 2 months. The trainee can select any clinical or research rotation they wish to participate in during this time, established rotations performed in the past include any of the other clinical services including an early childhood rotation, psychopharmacology research at Columbia University, a more intensive adolescent substance abuse experience through CAPA, or a research elective, under mentorship here at SLRHC. Other electives can be arranged to meet the trainee's desires, but need to be approved by the Director of Training. The equivalent of one day per week may be spent on the elective during this rotation.

CHIEF RESIDENTS
The Education Committee of the residency training program in Child and Adolescent Psychiatry here at SLRHC selects two chief residents in child and adolescent psychiatry (selected from the incoming second-year class):
This will be a year-long assignment and will, amongst other responsibilities, entail assuming training and managerial roles of the rotating adult psychiatrist residents and rotating medical students, teaching various lectures in the normally scheduled seminars. Chief resident will help coordinate the monthly Journal Club and Case Conferences. He/she will also represent the residents in the Education Committee, and will co-chair the weekly resident meeting along with the administrative Chief Resident. Chief fellows will participate in process of selecting and scheduling the monthly Child Grand Rounds speakers, making up the attending and fellow on-call schedules, and taking care of bulletin boards with job opportunities and conferences.

DIDACTICS
The residency in Child and Adolescent Psychiatry at SLRHC/BIMC provides for an intensive didactic experience. They include Summer Intensive Crash Course and Winter Course. Summer Crash Course is held in July and August at various times during the week and focuses on interviewing techniques and introduction in various clinical issues in child and adolescent psychiatry. Winter Course classes for CAP I are held weekly on Wednesday mornings. Current courses include Pediatric Psychopharmacology, Child Development, Developmental Psychopathology, Basic Psychotherapy, Neuropsychological Assessments and Introduction to Research.
Summer course for CAP I include: Assessment of MR and Pervasive Developmental Disorders, Supervision course and Pediatric Neurology course. Winter Course classes for CAP II are held weekly on Wednesday and Tuesday afternoons. Current courses include Neuropsychiatry, Special Topics in Child and Adolescent Psychiatry (which includes several sub courses on a wide range of topics), Advanced Psychotherapy and the Classics.
In addition, all fellows attend monthly Journal Club, directed by Dr. Rob Andrews, monthly Diversity Case Conference directed by Dr. Shilpa Taufique and monthly general Clinical Case Conference directed by Dr Zinoviy Gutkovich. Weekly advanced Psychopharmacology Case Conference is directed by Dr. Aleksandra Krunic.

EVALUATIONS
Performance evaluations on all residents are requested from all supervisors on a semi-annual basis and upon completion of a rotation. These evaluation forms are returned to the Director of Training who reviews them and meets with the residents twice yearly. At the end of each year of training the Director of Training fills out an end-of-year evaluation that incorporates the feedback from personal observations and interactions, written evaluations, and feedback from staff. These are also reviewed with the trainees. At the end of the training a final written evaluation and ethical moral conduct form is completed which is also reviewed with the trainee.
The trainees are asked to evaluate their supervisors and didactic courses on a yearly basis. It is optional to include the name of the trainee on these written evaluations. Feedback is also obtained on informal evaluations of courses and supervisors during the evaluation meetings with the Director of Training. Issues regarding the trainees evaluation are discussed during the educational committee meetings and modifications are made when appropriate to curriculum and feedback to supervisors are offered.

PROMOTIONS
Promotions are made from one year to the other based on the final end of year evaluations. In general these are based on the compilation of scores given in service areas and courses. Receiving a score of fair or higher in all areas of "services" and "courses" is associated with promotion. A score of "poor" in any area of "service" or "courses" require that the evaluation be reviewed by the Residency Educational Committee of the Division of Child and Adolescent Psychiatry. The results of the meeting will yield specific recommendation to be made in writing and verbally to the trainee that need to be achieved in terms of concrete goals and objectives of course work or service requirements. There will be a time frame associated with the achievement of the goals and objectives. If the deficiencies continue or are such that remediation is needed there exists the possibility of extending the period of training for the resident or taking more formal steps. Any decision that requires formal disciplinary action, probation or extension of training will first be discussed with the Director of General Psychiatry Residency Training, the Chairman of the Department of Psychiatry and the appropriate members of the Medical Staff office and Continuing Medical Education Office. The trainee does have (that they receive in their initial Orientation manual) the formal steps for Due Process to argue any such decision to the Hospital Center.

APPLICATION
The St. Luke’s-Roosevelt Child and Adolescent Psychiatry Residency Training Program, participates in the National Resident Match Program (#2070405).

Application form can be inquired from our Training Coordinator Ms. Nicole Benjamin at 212 523 5194 and are accepted from July 1st to November 1st for each academic year beginning on the following July 1st.

Application form:

Complete application includes:

• St. Luke’s Roosevelt Application Form for residency in Child and Adolescent Psychiatry
• Curriculum Vitae
• Personal Statement
• Three Letters of Recommendation
• A Copy of USMLE Scores
• A Copy of Medical School Diploma or Transcripts
• A Copy of your Psychiatry (or Other) Residency Diploma, if available
• A Copy of your Psychiatry (or Other) Fellowship Diploma, if available
• A Copy of your State Medical License, if applicable
• A Copy of your DEA Registration, if applicable
• A copy of your ECFMG Certificate, if applicable
• A recent 2” x 2”(passport-sized) picture

Our interview and selection process begins in early September and runs through November 15th. Because of the large number of applications, we are not able to interview all applicants. After receipt and processing of your completed application, your material will be reviewed by the Child Psychiatry Admissions Committee.

Inquiries concerning the program should be forwarded to:

Aleksandra Krunic, M.D.
Director of Education and Training,
Child and Adolescent Psychiatry
St. Luke’s and Roosevelt Hospitals 
1090 Amsterdam Avenue, 16F
New York, New York 10025
Phone: (212) 523-5194
Akrunic@chpnet.org