Core Clinical Rotations

First Year

The 1st year of the 2-year Child and Adolescent Psychiatry Residency is divided into five blocks of either 10 or 11 weeks each. The rotations are as follows:

• SCH Inpatient Psychiatric Unit: Two rotations are spent on the IPU
• The first IPU rotation emphasizes learning how the unit operates, the roles of each team member, and working with children and their families.
• The second IPU rotation emphasizes development of medical decision-making skills required for an inpatient attending child psychiatrist.
• SCH Consult/Liaison Service
• Child Study and Treatment Center (CSTC): Mondays, Tuesdays, and Thursdays. Since there are no Friday afternoon duties, the resident is expected to stay later in the evening one day per week.
• Outpatient Rotation: One block is spent in a variety of outpatient settings
• Monday: Eating Disorders Clinic
• Tuesday: Mornings at a daycare center doing observation of normative development, and afternoons are spent doing co-therapy with an experienced psychologist.
• Thursday: Autism Center
• Friday: Afternoon Pediatric Neurology Clinic
• SCH Outpatient Psychiatry Clinic: Wednesdays throughout both years of training. Offers chance to experience long term continuity care with both weekly therapy patients and medication management cases that are seen less frequently.

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:

• Addictions Clinic: Half a day per week for 6 months. (May elect to do a full year.)
• Community Consultation Selective: Half a day per week for 1 year.
• Choices include Asian Counseling and Referral Services, Childhaven, Harborview Medical Center Pediatrics Clinic, or the Odessa Brown Children's Clinic.
• Echo Glen Children’s Center: 1 day per week for 6 months.
• Early Childhood Clinic: Half a day per week for 6 months.
• School-Based Consultations: Residents provide 1 morning a month of consultation to two or more of over a dozen Seattle school-based mental health clinics.
• Elective Opportunities: Electives include research activities, additional outpatient or inpatient clinical training, administration and teaching opportunities, or community consultations. Generally, two of the residents are chosen as Chief Residents in the 2nd year.

Criteria For Graduation

Complete, in a satisfactory manner, all required clinical rotations, as well as sufficient elective rotations to total 24 months of training.

Be approved for graduation by the Division's Education Committee. In considering residents for graduation, the Education Committee considers clinical competence, interpersonal skills, ethical standards, and professional conduct.