First year
Fellows rotate and train at multiple locations including St. Louis Children’s Hospital in the acute inpatient unit, the emergency room, consult on the medical floors, and treat patients at the eating disorders clinic and neurology clinic. Fellows also rotate at Hawthorn Children’s Psychiatric Hospital, a state-supported facility where lengths of stay average four to six weeks, allowing the fellows to follow patients through extended courses of treatment.
- Child and Adolescent Acute Inpatient Service
- Child and Adolescent Consultation-Liaison Service
- Child and Adolescent Eating Disorders Treatment
- Child and Adolescent Long-Term Inpatient Service
- Child and Adolescent Substance Use Disorders Treatment
- Pediatric Neurology
- Electives (multiple options)
Second year
The second year prioritizes independence and flexibility. Fellows experience an acceleration in outpatient work, autonomy, and therapeutic practice while rotating on school consultation, infant and preschool clinic, autism clinic, outpatient community mental health, and psychotherapy clinic. They have built-in academic time, too.
- Child and Adolescent Outpatient Community Mental Health Clinic
- Child and Adolescent Outpatient Continuity Clinic
- Child and Adolescent Outpatient Psychotherapy Clinic
- Infant and Preschool Outpatient Clinic
- School Consultations
- Autism Clinical Center
- Electives (multiple options)
Calls
Fellows are the 3rd line on-call provider for psychiatric care at the emergency room at St. Louis Children’s Hospital from 7 a.m.- 6 p.m., and the 2nd line on-call provider from 7 p.m.- 7 a.m., with no in-person evaluation responsibilities from 12 a.m.- 7 a.m. Call may be taken from outside home / out of the hospital. This allows our fellows to learn skills essential for evaluating and managing urgent and emergent child psychiatry problems, while reserving their time for in-person evaluations for the complex cases that cannot be seen solely by a combination of ER physician and social worker. It also allows fellows to work as part of a team of providers caring for children in these emergencies, much as they would in later practice.
- Home calls end at 9:30 p.m., and there is never a requirement to work at the hospital overnight.
- First and second-year fellows take calls one evening per week (on average).
