Most clinical rotations are located at the main campus or within a short drive (within 15 minutes). Emphasis is placed on fellows working collaboratively as part of a multi-disciplinary team. Supervision is available both on-site of the various rotations and during weekly supervision with a core child psychiatry faculty.
First Year Rotations
Pediatric Consult/Liaison
Location: UVM Medical Center
Rotation Director: Colleen Victor, M.D and Courtney Fleisher, Ph.D.
Duration: 40% time for 6 months
Description: Child and adolescent psychiatry fellows provide consultation using the Vermont Family Based Approach for patients on the inpatient pediatric service and in the PICU, as well as for children and adolescents who present to the emergency department with mental health concerns. Common consultation topics include psychiatric assessment and treatment of medically ill children, safety evaluations, and assessing and treating somatoform disorders. The rotation may also include outpatient consultations with primary care physicians.
Acute Care - Adolescents
Location: Northeast Family Institute
Rotation Director: Leslie Conroy, M.D.
Duration: 70% time for 3 months
Description: Northeast Family Institute (NFI) is a 6-bed hospital diversion unit for severely affected adolescents in need of acute stabilization and assessment. Fellows will work as part of a multi-disciplinary team while working with patients and their families. Fellows will also participate in group therapy.
Inpatient Child & Adolescent Psychiatry
Location: Champlain Valley Physician’s Hospital
Rotation Director: Alexis Bailey, M.D.
Duration: 70% time for 6 months
Description: The child psychiatry inpatient unit at Champlain Valley Physician’s Hospital is a 12-bed unit staffed by University of Vermont Health System faculty. Fellows will be directly responsible for the care of acutely ill children and adolescents, working within multi-disciplinary teams.
Pediatric Neurology
Location: UVM Medical Center
Rotation Director: Peter Bingham, M.D.
Duration: 10% time for 6 months
Description: Fellows see patients with supervision in the pediatric neurology clinic of the state's only tertiary care hospital. Primary diagnoses are diverse and consist of movement disorders, seizure disorders, and cerebral palsy in addition to other diseases of the brain, spinal cord, and peripheral muscles and nerves. Procedures include comprehensive medical evaluation, neuroradiological procedures, EEG, skin and muscle biopsies, and collaboration with neurosurgery. Residents learn more advanced components of the neurological exam as well as the management of common pediatric neurological disorders.
Outpatient Psychiatry/Psychotherapy
Location: Vermont Center for Children, Youth, and Families
Rotation Director: Andrew Rosenfeld, M.D.
Duration: 10-30% across the year
Description: The outpatient clinic receives referrals and consultation requests from across Vermont and northeastern New York State. Fellows will learn how to perform a thorough assessment and design multi-modal treatment plans using a family based approach. Residents will also be trained in evidence-based psychotherapy and psychopharmacology with individual supervision.
Research Project
Location: Vermont Center for Children, Youth and Families
Rotation Director: Rob Althoff, M.D., Ph.D. and selected faculty
Duration: 10-30% across the year
Description: Please see the section on research training for details. During the first year, residents work with their research mentor to acquire and analyze data on a research project of their choosing. It is expected that the research project rotation will result in at least one first author original research paper and one first-author review or chapter.
Second Year Rotations
Outpatient Clinic/Psychotherapy
Location: Vermont Center for Children, Youth and Families
Rotation Director: Steven Schlozman, M.D.
Duration: 30-40% time across the year
Description: This rotation is the continuation of the first-year experience. Fellows who trained in the UVM General Psychiatry Residency will have had the opportunity to follow some of their patients for up to three consecutive years.
Research Project
Location: Vermont Center for Children, Youth, and Families
Rotation Director: Robert Althoff, M.D., Ph.D.
Duration: 30% time across the year
Description: In the second year, fellows will be finishing up their research projects for publication or presentation at a national conference.
Emergency Psychiatry
Location: UVM Medical Center
Rotation Director: Colleen Victor, M.D.
Duration: 10% time for 3 months
Description: Second-year fellows return to work in the emergency department to provide consultation using the Vermont Family Based Approach for patients who present to the emergency department with mental health concerns.
School Consultation
Location: Harwood Union Unified School District
Rotation Director: Jim Tallmadge, Ph.D.
Duration: 1 day per week for 3 months
Description: Fellows will provide consultation for students ranging from preK through high school, as well as to teachers and other staff in a school district serving 6 rural communities in central Vermont. During the outpatient rotation, fellows will also accompany faculty when they perform school evaluations and observations and will be strongly encouraged to attend school meetings for their patients.
Substance Use Disorders
Location: UVM Medical Center
Rotation Director: Peter Jackson, M.D.
Duration: 10% time for 6 months
Description: Fellows see patients in the Addiction Treatment Center, providing substance use treatment using psychotherapy and medical-assisted therapy with suboxone.
Developmental Disorders
Location: UVM Medical Center
Rotation Director: Michael Hoffnung, D.O.
Duration: 10% time for 6 months
Description: Fellows work with developmental disorders specialists providing assessments at our Autism Assessment Clinic and work with a multidisciplinary team utilizing assessment tools such as the ADOS-2.
Forensic Child Psychiatry
Location: UVM Medical Center
Rotation Director: Michael Hernandez, M.D.
Duration: Variable over 3 months
Description: Fellows will have the opportunity to observe forensic psychiatric assessments.
Eating Disorder Assessment Clinic
Location: UVM Medical Center
Rotation Director: Colleen Victor, M.D.
Duration: 10% time over 3 months
Description: Fellows will provide consultation in the Eating Disorder Assessment Clinic, working closely with Adolescent Medicine.
Elective
Location: To be determined
Duration: 10% time for 6 months
Description: A variety of electives are possible with approval of the Program Director. Possible sites include off campus community health centers, college mental health, acting attending experiences, neuromodulation, perinatal psychiatry, primary care mental health integration, or developing one’s own and working with clinicians with particular areas of expertise.