During the second year, you will solidify your clinical skills in the outpatient center, choose two subspecialty areas, and craft your identity as a child and adolescent specialist.
Second-year fellows spend an average of three days per week (on average, not necessarily whole days at a time) in clinics seeing patients. Your caseload will include more medication management and psychotherapy patients than in the first year. We structure our clinics to give you the autonomy to see your patients on your own while there is always an attending present on site to discuss or, when desired, to see the patient with you. Seeing a patient with your attending allows for real-time treatment planning, feedback, and observation. You will also learn to perform psychiatric intakes. Intake time is blocked, and there is always an attending to see and discuss the cases with you.
In addition, you get to select two areas to specialize in. The following are common examples, but many fellows have crafted their own electives:
- Attention deficit hyperactivity disorder
- Adolescent Health
- Anxiety disorders
- Developmental Disabilities
- Early Childhood Program/Parent-Infant
- Eating disorders
- Integrated Clinic
- Obsessive compulsive disorder/tics
- School-Based Care
- Memorial Sloan Kettering Cancer Center
- Transgender psychiatry
- CAP2 didactics take place on Tuesday and Thursday mornings. They include the following topics:
- Development: Led by the New York Psychoanalytic Society and Institute’s President Adam Libow, MD, this year-long course teaches development from pregnancy to young adulthood. Trainees learn developmental milestones and key theories and theorists.
- Family therapy: Expanding on year one classes, this course takes a deeper dive into the various types of family therapy and offers real-time supervision for ongoing cases.
- Modern application of classics: This course takes classical and historical psychoanalytic and psychodynamic theories and applies them to modern day practice.
- Advanced treatment: Building on the fundamentals taught in year one psychotherapy, this course addresses specialized treatments such as exposure and response prevention, dialectical behavior therapy, motivational interviewing, and the Maudsley method.
- Case conference: Presentation and discussion of process notes in a psychoanalytically oriented case conference.
- Forensics: These three summer classes take place at various Manhattan Family Court locations. You will observe court proceedings, gain an introduction to family law, and learn about juvenile delinquency and child protection services. We hold a mock trial illustrating the role of the expert witness as well. Following these three seminars, you have a practicum experience. The course involves extensive reading.
- Grand Rounds: Experts present during weekly protected time at all locations.
- Journal Club: Discussion of recent research studies, moderated by a faculty member specializing in the article’s topic.
- Fellows Meeting: A weekly meeting on Fridays at noon. During this protected time, all trainees meet with the training team to discuss active topics and teaching materials. The purpose of this meeting is to provide:
- Regular check-ins
- Board preparation
- Developmental milestones
- Ethical issues