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 and neurology clinics. 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, outpatient community mental health, and psychotherapy. They have built-in administration 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
- Electives (multiple options)
Calls
Fellows take home calls at St. Louis Children’s Hospital to learn emergency evaluation and management skills that are extremely useful and will make our graduates comfortable with any psychiatric patient emergency. Calls are geared towards this learning goal and not toward service to the hospital.
- Home calls end at 9:30 pm, 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).