Work-Life Balance


Trainee wellness is incredibly important to our program and to Washington University School of Medicine. We have an active Graduate Medical Education Consortium, and trainees have access to free psychotherapy as well as psychiatric care in addition to discounted rates to fitness centers and other programs that support well-being. You can learn more about the other benefits and resources provided by our GME office on their website,

Saint Louis

The City of St. Louis is a great place to live, and our fellows have plenty

of time to explore and enjoy it. We pride ourselves on having a close-knit fellowship where colleagues become like family, not to

mention that we love our trainees’ partners, pets, and kids! You can often find us enjoying the beautiful weather in one of our many public parks, cheering for the Cardinals or the Blues, dining at a James Beard nominated restaurant, or hanging out at one of the cities many free festivals or cultural events.



Fellows are entitled to a maximum of four weeks paid vacation annually or a proportionate fraction thereof if the appointment period is for less than one year.

Reading/educational week

Educational time off can be requested and obtained up to one week per year, to be used for a variety of purposes (e.g., taking or preparing for an exam). For second year residents, the division will cover up to $1,000 of expenses –full payment of expenses for our chief fellows- to attend the annual meeting of the American Academy of Child and Adolescent Psychiatry (AACAP).

Sick leave

When a duly appointed fellow is off duty because of illness, he/she must notify the full-time attending. If the time exceeds three consecutive days, the Training Director must be notified. The Director must approve sick leave extending beyond one week and medical verification is required. Pay will be continued for a cumulative total of one month for a 12-month appointment or a fraction thereof if the fellow does not return to service. Sick leave for appointments of less than a full year will be proportionally prorated. Sick leave pay in excess of one month during the appointment year will only be granted in exceptional instances, such as work connected disability, and only upon agreement by the Chief of Service and the Training Director, in consultation with the Hospital Administration. Coverage of duties should be arranged as per orientation documentation.

Personal leave

If a duly appointed fellow needs time off in excess of his/her accrued vacation time for personal (non-health) reasons which may include child-rearing responsibilities or family problems, a personal leave of absence must be requested from the Training Director. The Director, in consultation with the Department Chairman, shall have the authority and discretion to approve or deny a request for personal leave of absence based upon the individual circumstances of the fellow requesting the leave and the needs of the training program and to improve whatever conditions or restrictions. (For example, it will be necessary to extend a resident’s training program to make up for time lost while on personal leave.) Any approval of personal leave shall be documented in writing which sets forth the period of the leave, the conditions with respect to the resident returning to full-time duty and any other relevant factors. The maximum personal leave, which a fellow may be granted, including extensions, is two months. A fellow’s personal leave shall be without pay. All decisions of the Training Director and Department Chairman with respect to personal leave issues shall be made in a fair and nondiscriminatory manner.

Funeral leave

In the event of the death of a first degree relative of a fellow or a fellow’s spouse, up to three (3) days of paid funeral leave will be allowed. Requests for more extended funeral leave when needed should be submitted to the Training Director.