Core Clinical Rotations

Second Year

During the 2nd year, residents continue their outpatient care clinic with an emphasis on long-term care. The second year is divided into two 6-month long blocks. Approximately 2 days per week are used for elective time, which is designed to further enhance or develop their skills in areas consistent with their career goals.

Required rotations include:

• Addiction Psychiatry Rotation

  Half a day per week for 6 months. May elect to do a full year.
• Fellows rote in the Co-Occurring Disorders Clinic at SCH where they work with Dr. Ray Hsiao (Program Director). COD clinic treats patients with co-occurring substance use disorders and other psychiatric disorders (mood disorders, ADHD, etc). Fellows gain experience in motivational interviewing, practice substance use evaluation skills, and learn about different models of care in addiction medicine. The COD clinic also offers individual therapy focusing on short-term, cognitive behavioral therapy, individual parent training using Community Reinforcement and Family Training (CRAFT) and psychiatric consultation regarding medication management for substance use cessation.

• Community Consultation Rotation (Community Psychiatry)

  Half a day per week for 1 year.
• Choices include the Child and Adolescent Latino Mental Health Assessment and Treatment (CALMA) Clinic, Asian Counseling and Referral Services, Harborview Medical Center Pediatrics Clinic, or the Odessa Brown Children's Clinic.
• Please see our Training Sites page for a further description of each community partner.

• Echo Glen Children's Center (Forensic Psychiatry)

  1 day per week for 6 months.
• Echo Glen Children's Center is a juvenile justice residential rehabilitation center for boys (ages 11-16) and girls (ages 11-21). Child psychiatry and general psychiatry residents provide psychiatric evaluations, psychiatric medication management and psychotherapy for youth at Echo Glen as part of their forensic psychiatry training. Additional training experiences include engaging youth and families, collaborating with health care and cottage staff, and addressing system of care issues. A year-long didactic covers general child psychiatry and effective juvenile justice practices.

• School-Based Consultations

  Fellows provide 1 morning a month of consultation to two or more of over a dozen Seattle school-based mental health clinics.
• The School-Based Health Clinics/Reaching for Excellence Project collaborates with Public Health — Seattle & King County. During their second year of training, Fellows collaborate with psychology faculty members to provide once monthly in person or remote consultation to school-based health center clinicians located on site at more than 20 Seattle-area public elementary, middle, and high schools. In addition to consultation on specific cases, fellows provide education to these providers regarding evidence-based medication and non-medication therapies. For fellows who provide remote consultation, it is highly recommended that they arrange at least one on-site visit to a school during the course of their academic school-year long rotation.

• Early Childhood Clinic

  Half a day per week for 6 months.
• The Early Childhood Clinic is a specialty clinic within Psychiatry and Behavioral Medicine for babies and children age 5 or younger who have disruptive behavior, anxiety, sleep problems, neurodevelopmental problems, exposure to alcohol or drugs, or behavior challenges along with a medical condition or health problem. Along with psychiatric/psychological evaluations, fellows participate in medication evals, PCIT and other treatment interventions for children with medically and behaviorally complex problems.

• Elective Opportunities

  Electives include research activities, additional outpatient or inpatient clinical training, administration and teaching opportunities, or community consultations. Generally, two of the Fellows are chosen as Chiefs in the 2nd year.

Our electives typically include:

• Alaska Away Rotation
• Autism Center: Outpatient Medication Management Clinic
• Autism Center: Mood & Anxiety Clinic
• Autism Center: Biobehavioral Clinic (Parent Training Program)
• Autism Center: Gender Clinic
• Autism Center: RUBI (Research Unit in Behavioral Interventions) – Parent Training Program for children with ASD
• Sleep Medicine Clinic
• Early Onset Psychosis Clinic
• CALMA Clinic (SCH) –– see above
• Co-Occurring Disorders Clinic (COD)
• Dialectical Behavioral Therapy
• Eating Disorders Clinic
• Family Therapy
• Integrated Care Elective (ICE)
• Incredible Years (Parent Training Program for ADHD)
• Junior Attending – Consult Liaison
• Junior Attending – PBMU
• Neurodevelopmental Disorders (Track)
• Neuropsychology Testing / Concussion Clinic
• Pain Clinic
• PAL (Partnership Access Line)
• PEARL Clinic (ADHD specialized clinic)
• Pediatric subspecialty clinics (oncology, cardiology, etc.)
• Research (Required proposal and funding)
• STAND Program (for teens with ADHD & Behavioral Issues)
• Telepsychiatry

        

F2 Rotation Schedule 2020-2021