Fellowships
Child & Adolescent Psychiatry Fellowship
The Fellowship Training Program in Child and Adolescent Psychiatry is a two-year subspecialty program that is fully accredited by the American Council of Graduate Medical Education (ACGME). Three residents per year are accepted into the program. The program provides a broad spectrum of well-supervised clinical and didactic experiences in inpatient, outpatient, consultation liaison, and school psychiatry. The major goal of the program is to train competent child and adolescent psychiatrists whose ability to understand and treat the psychiatric problems of children, adolescents and families is based upon a firm theoretical and clinical foundation.
What to Expect
During the first year of their child psychiatry training, fellows work on an acute crisis stabilization unit at a community mental health center for four months. Fellows participate in a number of outpatient clinics at USF including genetics, early steps, parent-child interaction training and have a continuity clinic at the Silver Child Development Center (SCDC). Fellows participate in a CBT clinic at USF Rothman Center in St. Petersburg as well as training with an interdisciplinary team at Johns Hopkins All Children’s Hospital (JHACH) Eating Disorders clinic in St. Petersburg. Fellows rotate for 8 months at the James A Haley VA proving Parent-Management Training to veteran parents and spend 8 months learning how to treat substance use disorders at Cove Behavioral Health for adolescents, transitional age youth and pregnant women. Additionally, fellows satisfy their training requirements for pediatric neurology during the first year. All fellows have protected didactic time on Thursday mornings, and 1-hour of protected supervision time each week.
The second year of the training is all outpatient care. Fellows participate in an advanced year-long continuity psychopharmacology clinic at JHACH working with medically complex youth as well as providing consultation to hospital inpatient teams. They also rotate at JHACH Sleep Medicine clinic and can facilitate an overnight sleep study. Second year fellows maintain their continuity clinic for medication management and therapy at SCDC, enabling them to follow the same patients for up to 2 years. Fellows have rotations in school consultation and two blocks of elective time. Unique to our program is a consultation-only primary care integrated psychiatry year-long rotation for the second-year fellows. The fellows are embedded in pediatric primary care clinics to provide real-time psychiatric consultation and teaching to pediatric residents and attendings. They also teach a parent management training course called “Hot Docs” to parents in the community. Research opportunities are available for interested fellows.
Training Affiliates
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With a location on the University of South Florida's campus that houses clinics for a number of pediatric specialties providing care to patients with Medicaid or local/state funding. Residents will work at a variety of sites during their first year including genetics, pediatric neurology and Early Steps developmental assessment clinic.
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Fellows will see patients at Hillsborough county’s children’s crisis center conducting urgent evaluations for children and families in crisis as well as caring for youth who are admitted to the crisis center. This facility serves children from a range of socioeconomic backgrounds including children with Medicaid or no insurance the majority of whom are brought for assessment on an involuntary hold. Fellows work in concert with an interdisciplinary team providing psychiatric assessments and crisis intervention services.
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This clinic provides consultation to schools that are having difficulty managing children in the classroom environment. Fellows participate in assessments and team meetings. This site conducts many autism evaluations and residents will participate in specialized evaluations including the ADOS.
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A pediatric multidisciplinary hospital with a variety of associated outpatient clinics. Fellows are at this site one day a week during their first year working with an interdisciplinary team in the Eating Disorders clinic and half a day per week in their second year in the Sleep Medicine clinic. In their second year, fellows spend one to two days per week seeing patients in the Pediatric Psychiatry Outpatient Clinic and they can perform psychiatric consultation for patients admitted to the main hospital. The outpatient clinic specializes in psychopharmacology for youth with complex medical and psychiatric disorders.
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Located at the University of South Florida Psychiatry Center is the site for general and specialty outpatient clinics. Fellows will see patients at this site for a minimum of a half-day per week throughout the two-year program. Fellows will conduct diagnostic assessments and see follow up patients employing both medication management as well as psychotherapy for patients under their care.
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This center offers an integrated practice of clinical care for individuals with obsessive-compulsive disorder (OCD), autism spectrum disorders, tic disorders, PANDAS, trichotillomania, learning disorders, and body dysmorphic disorder that is all-encompassing and multi-disciplinary, from diagnosis and evidence-based treatment to education, research and outreach. Fellows work at this site one day per week during their second year performing diagnostic evaluations and providing ongoing patient treatment.
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A residential program serving high-risk girls in the juvenile justice system, ages 14 to 18, who are in need of comprehensive mental health services. Fellows work a half day per week for four months in their first year conducting psychiatric assessments and medication management and learning about pediatric forensics.
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The primary care consultation is a year-long one day per week rotation for second year fellows to practice conducting psychiatric mental health assessments of children and adolescents in the primary care setting utilizing the consultation-only model of care. Fellows gain experience assessing children and adolescents and meeting with families in person with the pediatric resident or attending pediatrician. The fellow will collaborate in real time with the pediatrician to provide evidenced-based psychopharmacologic and other treatment recommendations to the pediatrician. The pediatrician will continue to provide care and follow up for their patient.
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Provides intensive substance abuse treatment to adolescents, adults and pregnant women. Substance use and substance use disorders are common co-morbid conditions for adolescents and transitional age youth with psychiatric conditions often requiring specific intervention. The fellow at Cove will conduct evaluations of adolescents and transitional age youth in the program who have a demonstrated substance use problem to assess for psychiatric co-morbid disorders. The fellow will work as a member of a multidisciplinary treatment team to provide assessment and medication management (including medication assisted treatment) for patients enrolled in the program.
Resources
Faculty - University of South Florida
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Leigh Ruth, MDFellowship Program Director
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Saundra Stock, MDFellowship Associate Program Director
Faculty - Johns Hopkins All Children's Hospital
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Jeffrey Alvaro, MDJeffrey Alvaro, MD
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Mark Cavitt, MDMark Cavitt, MD
USF Rothman Center in St. Pete
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William Hudson, MDWilliam Hudson, MD
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Adam Lewin, PhDAdam Lewin, PhD