University of New Mexico Health Sciences Center

Child Psychiatry Tracks: Clinical/Psychotherapy, Academic/Research, Rural/Telehealth, or Pervasive Developmental Disorder

 

Child and Adolescent Psychiatry Fellowship, UNM SOM    

 

The child and adolescent psychiatry fellowship at the University of New Mexico School of Medicine is fully accredited by the ACGME and provides a well rounded two year training program. Graduates are well trained in all aspects of child and adolescent psychiatry.  In  July 2007, our fellowship program began giving fellows the ability to focus on an area of interest in a bit more depth via our “Triple Track” program. In July 2009, we added a Pervasive Developmental Disorder Track.

 

I  Clinical/Psychotherapy Track

 

All fellows receive didactic and clinical training in individual, group, and family therapy, using a variety of therapeutic modalities. In their first year they follow one long term psychotherapy patient, and in their second year they see 6 billable hours of psychotherapy patients, with weekly individual psychotherapy supervision by faculty members. The Clinical/Psychotherapy track provides fellows who have a particular interest in psychotherapy the chance to explore therapy in more depth.

 

Year 1:

• 2 long term psychotherapy patients (one younger patient for play therapy, and one adolescent patient for insight oriented therapy) seen weekly
• weekly individual supervision with a faculty member in the Department of Psychiatry, Child and Adolescent Division
• mentoring available to fellows with interest in writing a paper or doing a presentation on a topic related to psychotherapy (e.g., psychoanalytic case report, psychobiographical study, etc.)
• opportunity for membership in NM Psychoanalytic Society, who hold conferences throughout the year (see www.nmpsychoanalytic.org)

 

Year 2:

• 8 billable hours of  psychotherapy patients seen weekly
• opportunity to co-lead a therapy group (social skills, Motivational Interviewing, etc.)
• continue to work with same or different faculty psychotherapy supervisor
• add second psychotherapy supervisor either UNM faculty, or psychiatrist or psychologist in the community
• elective time of ½ day per week for 4 months may be devoted to scholarly activity on a topic related to psychotherapy
• continued opportunity for membership in NM Psychoanalytic Society

 

 II  Academic/Research Track

 

All fellows receive didactic training in research methodology, participate in journal club, teach (general psychiatry residents and other trainees), and have the opportunity to do a research elective for ½ day per week for 4 months in their second year. The academic/research track allows interested fellows to devote additional time to research and/or teaching beginning their first year.

 

Year 1: Teaching:

• take Teacher Education Development Workshop(s) or Residents as Teachers 2 day workshop (expected to be held biannually) http://hsc.unm.edu/som/ted/
• opportunity to lecture to medical students, general psychiatry residents, and residents from other departments (e.g., pediatrics, internal medicine, family medicine)
• mentoring with a senior faculty member

 

            Research: 

• opportunity to participate in ongoing research by faculty in the Child Division, or Department of Psychiatry. (e.g., research on autism, schizophrenia, neuroimaging.  See www.themindinstitute.org )
• time dedicated to research will be the equivalent of 1 day/month.
• interested fellows may work with a mentor to develop their own research project in an area of interest

 

 

Year 2: Teaching:

• opportunity to work with a faculty member, co-teaching medical students in their neurosciences small group tutorial for 4-8 weeks
• opportunity to lecture to medical students, general psychiatry residents, and residents from other departments (e.g., pediatrics, internal medicine, family medicine)
• opportunity for  mentoring with a senior faculty member
• opportunity to work as Chief Fellow

 

                 Research:

• continue work begin in Year 1 or develop new project.
• time dedicated to research is ½ day/week.
• in addition, the elective block of ½ day per week for 4 months may be devoted to research.
• fellows are encouraged to develop a poster for presentation at national meeting, and/or to present a Grand Rounds.

 

 III Rural/Telehealth Track

 

In their second year, all fellows receive didactic training in rural psychiatry, and spend ½ day per week (or its equivalent) with a child psychiatrist supervisor at a rural site in New Mexico  (e.g., Silver City, Ruidoso, Carlsbad.) A telehealth component to the rural rotation provides second year fellows with exposure to  telehealth, providing consultation and direct service to  rural areas. The rural/telemehealth track allows interested fellows to pursue rural/telehealth medicine beginning in their first year.

 

Current telehealth options: (1) Hidalgo Medical Center in Silver City—providing case consultations, didactic training to personnel e.g., teachers, PCP (Dr. Kreichman)

            (2) Sangre De Cristo contract—providing consultation to substance abuse providers (Dr. Kreichman)

            (3) contract with four school based health centers throughout the state (Dr. Kreichman)

            (5) phone consultation with health center in Ruidoso (Dr. Kreichman)

            (6) Indian Health Services contract providing direct telehealth services to I.H.S sites in New Mexico (Dr. Adelsheim)

            (7) contract with Carlsbad mental health center (Dr. Gazic)

 

Year 1:-

• spend the equivalent of one day per month either going to a rural site or participating in telehealth
• opportunity to work with a mentor to do research in an area related to rural psychiatry

 

Year 2:

• spend the equivalent of one day per week at a rural site, (an increase of ½ day/week from the usual amount spent at rural site in the 2^nd year) or split the time between rural site and telehealth from Albuquerque
• elective time of ½ day per week for 4 months can be devoted to an area related to rural psychiatry (e.g., research in areas such as cross cultural issues, systems issues, etc.

 

 IV Neurodevelopmental Disorders Track

      Supervisor: Dr. Cynthia King

 

 

In their first year of fellowship, fellows spend one half day per month at the Center for Development and Disability (CDD), participating in the Early Childhood Evaluation Program (ECEP.) In their second year of fellowship, fellows spend one half day per month, participating in the Autism Diagnostic Clinic. The Neurodevelopmental Disorders  track allows interested fellows to pursue more in depth training in pervasive developmental disorders and other neurodevelopmental disorders.

 

Year 1:-

• spend the equivalent of 2 hours per week working with Dr. King in an area of interest. Options are listed below.
• in June of the first year of fellowship, receive 2 full days of training in behavioral therapy/intervention, as preparation for the Children with Autism Spectrum Disorders camp

 

Year 2:

• In July of second year of fellowship, attend 5 day overnight Autism Spectrum disorders camp, where fellow is paired with child camper
• spend the equivalent of one half day per week working with Dr. King in an area of interest. Options are listed below.
• elective time of ½ day per week for 4 months can be devoted to an area related to PDD

 

 

Educational Options for Neurodevelopmental Track:

• Neurodevelopmental disabilities with a focus on Autism Spectrum Disorders

1.Observation experience

2.Immersion experience( camp) plus 2 day behavioral training

3.Didactic experience

LEND curriculum (certain didactics/trainings  appropriate to Fellow’s specific interests )

4.Directed readings

5.Research projects

                    Potential: Neuro-imaging and Fetal Alcohol Syndrome