Clinical Rotations

Our goal for the Child and Adolescent Psychiatry Fellowship Training Program is that our graduates gain expertise in the basics of clinical assessment and treatment of children and adolescents.

ADHD Psychopharmacology Clinic

In this rotation, you work in both clinical and research arms of the Center of Excellence in ADHD and Related Disorders through the ADHD Track Clinic (ATRAC) and the Clinical and Translational Studies Program. At ATRAC, you engage in directly supervised didactics for one hour weekly, and conduct  evaluations and medication management assessments. You gain translational research experience by recruiting for psychopharmacology and objective assessment trials. You may opt to focus more extensively in this area during your second year. 

Comprehensive Adolescent Rehabilitation and Education Service (CARES)

Our students divide time between the Adolescent Alternative Day Program and the Comprehensive Addictions Program for Adolescents. You manage adolescents with serious emotional disturbances—medically and pharmacologically—to stabilize problems and help the teenagers transition back to their communities.

Consultation and Liaison

During your first year, you complete this six-month rotation, spending an hour a week in structured conferences and reporting to a child and adolescent psychiatrist and three pediatric neurologists.

Pediatric Inpatient Units
On these units, you examine, interview, and diagnose patients, formulate treatment plans, write psychiatric evaluations, and review cases in a biopsychosocial framework. 

Pediatric Emergency Room (ER)
Here, you provide supervised consultations to children ages 12 and younger. You triage patients, present assessments and recommendations to patients, families, and ER staff, and work with referring agencies, providers, and schools. You also consult with suicidal and aggressive patients.

Child Protection Committee
Our residents attend the weekly meeting of the hospital Child Protection Committee and provide indirect consultation. You refer some cases for further intervention and consult the committee for guidance when necessary.  

Pediatric Liver and Small Bowel Transplantation
You provide psychiatric evaluation on pediatric cases being evaluated for transplantation and deliver follow-up care on selected cases. You also assess development and family dynamics and identify any psychopathology or risk factors.

Child Life Conference
All fellows attend the weekly meeting of the Child Life service where child life, art, and music therapists review behavioral interventions for hospitalized, medically ill children. Our residents see one to three patients each week, of various ages and with a variety of psychiatric and neurological diagnoses, thereby dealing with a wide range of major psychiatric issues including psychosomatic conditions, mood and anxiety disorders, schizophrenia, PTSD and adjustment disorders, non-organic failure to thrive, eating disorders, delirium and dementia, child abuse, and drug addiction. You work with pediatric patients who have cancer, HIV, AIDS, asthma, congenital cardiac disorders, or who are undergoing a transplant. Here, you may function as a team leader, participate in relevant pediatric conferences, and focus on your specific pediatric or psychiatric interests.

Anxiety and Related Disorders Program

Our residents treat patients who have OCD and other anxiety-related conditions, conducting evaluations and providing longitudinal evidence-based treatments.

Eating and Weight Disorders Program

You participate in evidence-based outpatient interventions for children, adolescents, and adults with anorexia nervosa, bulimia nervosa, binge eating disorder, and obesity. You provide comprehensive diagnostic assessments and treatment that target both the eating pathology and comorbid conditions, using specialized family-based treatment modalities. In addition, you participate in research efforts.

Infant Psychiatry

Our students work in the Therapeutic Nursery with severely disturbed preschoolers and manage two specific parent-child dyads or possibly triads. You become familiar with therapeutic interventions, observe patient care, and participate in intake evaluations and exams. You may also present clinical cases during biweekly conferences and offer didactic lectures. 

For the five or six patients in your caseload, you provide all psychiatric services including individual therapy, family therapy, milieu, and behavioral treatment and medical evaluations. You coordinate the interdisciplinary treatment team and may also lead a psychotherapy group, supervise and teach third and fourth year medical students, and assist in supervision and teaching of non-medical personnel, all under appropriate supervision.

For both years, you work in individual (brief and long-term) therapy, family therapy, and medication as needed, collaborating with social workers and community agencies.

Crisis Service

In this service, you interact with a multidisciplinary team and provide brief diagnostic evaluations, short-term individual and family crisis intervention, acute pharmacological stabilization, and referrals for further care.

Pediatric Neurology

During this required, three-month longitudinal experience, you complete initial neurological examinations, provide follow-up care of previously diagnosed neurological disorders, offer training assistance, presentations, and more.

School Based Health Centers

Here, you consult with children diagnosed with a wide range of disabilities, developing your clinical skills through classroom observation and participation in psychiatric evaluation and treatment assessment under direct attending supervision. You interview children with special educational needs, provide psychiatric evaluations, and develop treatment plans.

Seaver Autism Center

At the center, you spend one half-day per week during this required rotation, for one month during the first year. Here, you observe psychiatric evaluations, neuropsychological, adaptive behavior, and diagnostic testing, thereby gaining experience in treatment planning and major treatment modalities of psychopharmacology, parent training, cognitive behavioral therapy, and social skills treatment. You work with families as part of a multidisciplinary team. You may opt to continue here during your second year. 

Center for Child Trauma and Resilience

At the center, our residents observe and engage in the clinical care of children, youth, and families who have experienced traumatic stress. During your second year, you may explore research opportunities.

Training Sites

You complete rotations at several training sites located throughout the Mount Sinai Health System:

Mount Sinai Beth Israel
An 856-bed teaching hospital on Manhattan’s Lower East Side, we have a tradition of treating chemical dependency and psychiatric disorders.

The Mount Sinai Hospital
Our 1,171-bed tertiary- and quaternary-care teaching hospital serves a diverse patient population. 

Mount Sinai West (formerly Mount Sinai Roosevelt)
A 505-bed, full-service community and tertiary-care hospital, we serve Midtown and the west side of Manhattan and maintains partnerships with several federally qualified health centers.

Mount Sinai St. Luke's
With 523 beds and one of Manhattan’s few Level 1 trauma services, Mount Sinai St. Luke’s is the principal health care provider for West Harlem and Morningside Heights.