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Child and Adolescent Psychiatry Fellowship Program

Introduction

The Child and Adolescent Psychiatry Service is located at the Tripler Army Medical Center and is an integral part of the Department of Psychiatry, Tripler Army Medical Center, which also has an approved four-year Residency Training Program in General Psychiatry.

Tripler is a major teaching center with numerous graduate training programs and fellowships. Tripler also administers and supervises affiliation programs with accredited universities in numerous clinical specialties, and is an integral part of the John A. Burns School of Medicine at the University of Hawaii.

The Child Psychiatry Fellowship Program began in 1982 and is fully accredited by the Accreditation Council for Graduate Medical Education to train four fellows each year. The goal of this training is to provide the child psychiatry fellow with comprehensive clinical experiences and sufficient exposure to the problems of military family psychiatry.

Tripler Child Psychiatry Program has many unique aspects. There are almost 35,000 dependents of active duty and retired under age 18 in our catchment areas which consists of all five military services including Army, Navy, Air Force, Marine Corps and Coast Guard. In addition, Hawaii is a multicultural environment and fellows will have a rich clinical experience of working with patients and their families from many different cultural backgrounds. The program also offers a spectrum of experiences from early infancy to late adolescence. The fellows will have exposure to treating children and adolescents in residential and acute in-patient settings, evaluating and treating toddlers and preschool children, and working with schools on military bases, family court, detention homes and youth correctional facilities, in addition to other clinical work at the Tripler Child and Adolescent Psychiatry Clinic.

All military candidates are expected to start their training the first week of July and terminate their training in June of the final year.

Goals

To train the child psychiatrist to evaluate, diagnose, treat and manage competently the broad spectrum of childhood, adolescent, and family psychiatric problems.

Tripler is a major teaching center with numerous graduate training programs and fellowships. Tripler also administers and supervises affiliation programs with accredited universities in numerous clinical specialties, and is an integral part of the John A. Burns School of Medicine at the University of Hawaii.

To train the child psychiatrist to handle competently the numerous roles and functions that will be required of him/her, to include administration, consultation liaison, teaching, program planning, research and advocacy.

To train the child psychiatrist to function competently in collaboration with allied disciplines, including psychology, social work, education, other physicians, occupational therapy, speech pathology, and judicial systems.

To train child psychiatrists who can fulfill the requirements of certification by the American Board of Psychiatry and Neurology.

Curriculum Objectives and Expectations

  • First Year:

    • Grasp the material of: Nosology and the diagnostic nomenclature of DSM-IV and G.A.P. standards; theories and principles of comprehensive childhood development; dynamics of childhood psychopathology.

    • Develop competency in the psychiatric evaluation of children, adolescents, and families with an increasing degree of responsibility in carrying out the treatment plan.

    • Have a fuller and more developed understanding of the techniques and skills of various psychotherapeutic modalities, to include: individual psychotherapy; inpatient milieu therapy; psychopharmacotherapy; group therapy; family therapy; behavior therapy.


  • Second Year:

    • Function at a high level of responsibility in all categories listed in the first year.

    • Function competently in the role of consultant to: Department of Pediatrics; Schools; Family Court; Family Advocacy Case Management Team; Family Practice Clinic.

    • Teach interviewing skills, principles and course of childhood psychopathology, and the mental status exam to pediatric residents and medical students.

    • Supervise the clinical work of pediatric residents, medical students, and other mental health workers.

    • Have sufficient knowledge of forensic psychiatry and the ability to consult and work collaboratively with the judicial system.

    • Be a life-long learner through participation in scholarly activities.


Rotation and Clinical Assignment

  • First Year:

    • Inpatient Assignment at Queens Medical Center and residential experience at Kahi Mohala

    • Outpatient Clinic

    • Research and scholarly activity

    • Consultation Service


  • Second Year:

    • Outpatient Clinic

    • School Consultation through School Based Mental Health

    • Family Court and Detention Home

    • Research and Scholarly activities

    • Pediatric Neurology Rotation

    • Consultation Service

    • Administrative Chief experience

    • Academic Chief experience


For further information, please contact:

Program Director
Child and Adolescent Psychiatry Fellowship
Tripler Army Medical Center
(808) 433-6418

or

Office of Graduate Medical Education
US Army Health Professional Support Agency
ATTN: SGPM-EDM, Building 6, Room 671
5109 Leesburg Pike
Falls Church, VA 22041-3258
(703) 681-8036


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