Outpatient Infant and Preschool Clinic

• Differentiation of normative, at-risk, and disordered exams in infants, toddlers, and preschoolers.
• Mental status examinations of infants and preschoolers.
• Detailed early developmental histories.
• Dyadic and relational approach to evaluation and care.
• Clinical observations with a focus on aspects of parent-child relationship parameters.
• Diagnostic formulation of early-onset emotional and behavioral problems.
• Careful weighing of the risks and benefits of psychopharmacological interventions in the very young patient.
• Exposure to Parent-Child Interaction Therapy and Emotion Developmental Treatment Models.

The fellow will gain medical knowledge through working in a clinical team and participating in a weekly pre-clinic multidisciplinary case conference.

• Presentations of clinical cases with relevant correlation to salient literature.
• Review of effective treatment strategies, including psychopharmacological and psychotherapeutic approaches, and strengths and limitations of approaches (combined or not combined).

The fellow will develop competence in continuous learning and improvement through practice and related activities in the clinic setting with close supervision by an internationally known expert in infant-preschool psychiatry who leads a large interdisciplinary team.

• Review evidence-based literature.
• Active case-based learning in the clinic.

The fellow will demonstrate sensitivity and compassion to infants, toddlers, and preschoolers and their family or caregivers affected by psychopathology, and will continue to develop in relationship with other professionals, trainees, supervisors, colleagues, students, and allied professionals.

• Develop intra-professionally by managing their emotional reactions adaptively to youth and families seen in the clinic.
• Responsibility for patient care as demonstrated by timely response or communication with families, attending(s), and other health professionals.
• Acknowledge and remediate errors.
• Understand and remedy factors that interfere with one’s proper professional conduct.
• Respect for patients, colleagues, supervisors, supervisees, and staff regardless of background.
• Review of the professional conduct of colleagues, if appropriate.
• Increase leadership role with training level (e.g., improvement in problem solving, providing resources and advice to others, and becoming a role model.

The fellow will effectively communicate with patients, their families, and all other members of the treatment team.

• Communicate in family interviews for the evaluation of infant-preschool age children.
• Communicate in developmentally appropriate interviews with very young children.

• Development of outpatient care skills, including time management, clinic scheduling management, and communication with referral sources.
• Familiarity with outpatient billing procedures.
• Understanding of the global system of care and where clinic care fits in it, including appreciation of the need for referral to other systems of care vs. longitudinal monitoring of at-risk youth, if more adequate for patient care.
• Utilization of appropriate consultation and referral.
• Communication with referring providers and education of other providers within the system of care.