First year

Our fellows spend about twenty weeks on service at Hawthorn Children’s Psychiatric Hospital, a state-supported facility, where lengths of stay average four to six weeks, distinctively allowing our fellows to follow patients through extended courses of treatment. There, and in the outpatient clinics of BJC Behavioral Health , where they rotate for their community mental health rotation, and St. Louis Children’s Hospital, our fellows gain experience with children and families who exemplify the full range of psychiatric, developmental and psychosocial disability.

Our trainees are also spending 10 weeks at McCallum Place, a premier midwestern Eating Disorders Treatment Center where they will be supervised by three outstanding child psychiatrists with expertise in eating disorders including anorexia, bulimia, binge eating disorder as well as obesity.  A neurology outpatient rotation, supervised by outstanding pediatric neurology faculty, is also in the first year.


Second year

The second year prioritizes independence and flexibility and includes generous elective time.

Fellows experience an acceleration in outpatient work, autonomy and therapeutic practice with a school consultation rotation in collaboration with the unified Special School District of St. Louis County, a Consult-Liaison experience at St. Louis Children’s Hospital, a premier U.S. children’s hospital, a year long weekly clinic solely dedicated to the practice of psychotherapy, as well as ample time to pursue special interests including over 6 months with 50% elective time.

Our fellows also rotate through the adolescent age services offered through Preferred Family Health which is dedicated to the treatment of substance use disorders.



Fellows take call at Saint Louis Children’s Hospital to learn emergency evaluation and management skills that are very useful and make our graduates comfortable with any patient. Call is geared towards this learning objective and not toward service to the hospital.

  • Call ends at 10pm, and there is never a requirement to work at the hospital at night
  • First year fellows take call less than one weekend per month and less than one evening (on average) per week.
  • Second year fellows take less than one evening call per week (on average)