Residency Program in Child and Adolescent Psychiatry
We welcome your interest in child and adolescent psychiatry fellowship training in the Division of Pediatric Psychiatry of the University of Arkansas Department of Psychiatry. Through our ACGME-approved, two year training program, our goal is to produce excellent, educated, well-trained, professional physicians. Our program accepts up to three fellows per year and currently has six fellows. We support the development of each fellow through providing a solid clinical foundation and opportunities in academics, research, and administration.
The program is based at Arkansas Children’s Hospital (ACH), the location of the program’s primary outpatient clinic, and has an important affiliation with the Psychiatric Research Institute, (see link), the Arkansas State Hospital, and STRIVE, a school based program in the North Little Rock, School District. The Psychiatric Research Institute, one of only nine such institutes in the country, is a five story, 100,000 square foot space which houses clinical, administrative, research, and educational activities. It is the sixth Center of Excellence on the UAMS campus.
The program’s most basic goal is to help the resident achieve clinical competence in child and adolescent psychiatry. This is carried out under conditions which range from high supervision/low autonomy in the first year to increasing autonomy and less supervision in the second year.
We have excellent clinical faculty who have been favorites among medical students. Our department recruits medical students into psychiatry at a rate much higher than the national average, and there is an emphasis on teaching in our fellowship that promotes an academic atmosphere that is collegial, supportive, and encourages the growth of each individual physician.
The didactic program has a two-year curriculum, keeping the residents together as a group throughout the two years of training. The didactic program provides an emphasis on child development, family dynamics and relationships, and the types of effects which certain life events are likely to work upon children and parents. The death of a sibling, divorce, adoption, and other separations and losses are the experiential side of the psychiatric evaluation; empathic and focused interviewing will undoubtedly remain a skill intrinsic to psychiatry and is an emphasis of this training program. The core seminar is modular in nature with a protected, weekly two-hour meeting. A third hour is devoted to a continuous case conference which includes patient interviews, role play, and reviewing video taped treatment episodes. Journals are also reviewed in the third hour once per month. Throughout the two years, the resident has a minimum of one hour of service specific supervision and one hour of psychotherapy supervision each week. Residents also participate in journal clubs and have the opportunity to teach medical students and residents in a variety of settings.
Training: Year One
The first year of training consists of three, four-month rotations at the Psychiatric Research Institute Child Diagnostic Unit, Arkansas State Hospital, and the ACH hospital consultation service. At the Child Diagnostic Unit the fellow works with a multidisciplinary team including an attending psychiatrist, psychologists, speech and language therapists, and occupational therapists. The goal of the unit is to provide comprehensive diagnostic assessment to children with a wide range of psychiatric and neurodevelopmental difficulties. The rotation at the Arkansas State Hospital Adolescent Service is under the immediate direction of a division faculty psychiatrist and consists of a combined rotation following patients on both the acute service and the sexual offender service. The resident on the consultation service responds to requests for psychiatric evaluation for patients at Arkansas Children’s Hospital – those on inpatient services and those being seen in the emergency room. This resident also devotes part-time to the psychiatry outpatient clinic in order to see more urgent evaluations. The resident on the consultation service has freedom to provide continuity of care to children and families when it is indicated.
Training: Year Two
The second year of training focuses on work in outpatient clinics and elective rotations. Clinics are longitudinal at both the ACH campus and through the Walker Family Clinic at the Psychiatric Research Institute. The emphasis in the clinic is on interviewing, diagnostic evaluation, and multimodal patient management. Elective opportunities include our school consultation program, pediatric neurology, genetics, sleep disorders, family treatment program, eating disorder clinic, and a developmental clinic at the Dennis Developmental Center. During this year residents are also encouraged to develop an area of special clinical or research interest. Past examples include working with the Family Treatment Program for victims of sexual abuse, working in an underserved community mental health center, identifying quality measures in psychotherapy, and psychotropic medication utilization in the State of Arkansas.
For further information contact:
Gail Eisenhauer, M.D. Program Director
Berva Bentley, Program Coordinator
Child and Adolescent Psychiatry Residency Training Program
University of Arkansas for Medical Sciences
Child Study Center
4301 W. Markham, Slot 554, Little Rock, Arkansas 72205
Located at: Arkansas Children’s Hospital
11Children’s Way, South Campus Building, Slot 654
Little Rock, Arkansas 72202-3591
501.526.8100, 501.526.8199 – fax.