Child and Adolescent Psychiatry Fellowship

Overview

Our curriculum spans two years, the first year clinical and didactic experiences address essential skills, while the second year allows the resident to use the block of elective time to gain intensive experiences in specific clinical, administrative and/or research areas. 

Year 1

Intensive Patient Experience

The intensive patient experience involves supervised experiences in several affiliate institutions.The resident functions as the primary clinician and team member for the treatment of children and/or their families. Group, individual, and family therapies are practiced in these settings with a focus on multidisciplinary care.

Year 2

Outpatient Clinics

CU Medicine Child and Adolescent Psychiatry Outpatient Clinic:

Fellows will maintain a caseload of approximately 4-5 half days depending on elective choices. Cases can be seen as often as weekly, depending on the patient's needs and treatment modality. Residents are assigned cases as needed to maintain a caseload of adequate size and diversity. Residents may also solicit/accept direct referrals of cases of interest. Training activities include triage, diagnosis, treatment, and systems consultation/intervention (e.g. schools, social services agencies, courts, non-psychiatric physicians and mental health practitioners). Both short and long-term treatments are provided. Individual treatment modalities include parent counseling, and individual psychodynamic, learning/cognitive/behavioral, and pharmacologic therapies.

• Family Clinic (One half day a week for 6 months): Faculty with expertise in family therapy support fellows through shared cases, supervision and weekly case-based discussion series.  
• Infant Clinic (One half day a week for 12 months): Faculty with expertise provide supervision, joint treatment, and accompanying didactics for diagnosing and treating children, typically ages 3-5 years within a relationship based framework. Topics of instruction include Crowell Assessments, Working Model of the Child Interview, FAN Model, Circle of Security Parenting, PCIT, Play Therapy and Child-Parent Psychotherapy.

School Based Mental Health

Residents rotate through school-based clinics in several Denver Public Schools in conjunction with faculty from Denver Health or work with a multidisciplinary team consulting to the Durango School District. Depending on resident interest, this varies from one half day a week from 6-12 months.

Autism Spectrum Disorder Experience (JFK Clinic)

All residents spend one half day per week for up to 6 weeks in an assessment clinic for children presenting with autism features. Residents participate in multidisciplinary team assessment including psychology, PT, OT, Speech. 

Pediatric Neurology Clinic

Residents who have not completed their child neurology requirement during residency also participate in the Children’s Hospital Colorado (CHCO) Pediatric neurology clinic once a week for one month. This clinic uses a proximal learner, teacher model, whereby the neurology resident helps the psychiatry fellow negotiate the neurology clinic with ultimate precepting from faculty.

Community Mental Health & Integrated Care

Fellows generally spend one half day per week participating in integrated or community based care.

• Community Mental Health: Fellows provide C/L services, team consultation and direct clinical consultation to mental health professionals in a community mental health setting both in the metropolitan Denver/Denver Suburban areas (Aurora Mental Health and Mental Health Partners in Longmont), and in the outlying parts of the state of Colorado. Several clinics offer telemedicine experiences.
• Integrated Care Clinics: Work with a multidisciplinary behavioral team embedded in a pediatric teaching clinic at Denver Health or CLIMB at Children’s Hospital. Fellows provide in the moment consultation and teaching related to ADHD, anxiety, depression, suicide risk and other behavioral emotional difficulties to patients, pediatricians and other learners.

Electives

In the second year, several half days are devoted to individualized elective experience designed with a primary faculty mentor mentor to foster advanced knowledge and skill in research, clinical expertise, or  administrative/teaching arenas. Current offerings include electives in: Research, Young Mother’s Clinic at CHCO, PROMISE Perinatal Mood Disorders Clinic at Denver Health, Healthy Expectations, Perinatal Mental Health Clinic at CHCO, Refugee Clinic, START Center (Stress, Trauma, Adversity Research treatment center), Down’s Syndrome Clinic, DBT group, TRUE Center Diversity, Rural Student Mental Health Consultation, Advocacy, EMR, and Leadership.

Longitudinal Experiences

Didactics

Fellows have one half day a week for protected didactics throughout the year with classes and Seminars are taught by a diverse faculty group. Classes are held in a mixture of tele seminars and in person meetings at the Children's Hospital Colorado (CHCO) campus. Participants from the UCH and CHCO Psychology Intern Phd programs and the Harris Fellowship (Infant Mental Health) program add to the educational clinical experience. ​

Supervision 

Each resident receives a minimum of 2 hours of supervision per week.  In the first year, receive an hour of supervision from faculty at CHCO, and supervision from service attendings. In second year, fellows are given 1 hour for clinic supervision and 1 hour for community clinician supervision per week.

On Call & Pediatric Emergency Service Rotation

Call responsibilities and the pediatric emergency service rotation are shared between first and second year fellows.

• Psychiatric Emergency Service (PES) rotation provides overnight coveage at Children’s Hospital Colorado (CHCO) in two, two week blocks.  Fellows rotate in PES from 4-10 PM Monday-Thursday, then go home and take-home call from 11pm-8 am. Fellows take exclusively home call from 4pm-8am on Sunday & Fridays. While taking home-call fellows determine final disposition for ER cases interviewed by in-house mental health clinicians and are responsible for acute concerns arising on the CHCO inpatient units. Fellows do not come into the hospital during home call. The fellow also is excused from didactics, clinic and other day time meetings during their PES rotations.  
• Weekend and Holiday call consists of evaluating new admissions in person, seeing urgent C/L cases, and 2 inpatient neuropsychiatric special care follow-up notes per day. An attending is on call at all times and also evaluates all new admissions in person. Fellow responsibilities usually cap at 4 new evaluations per day.

Moonlighting

There are internal moonlighting opportunities at Children's Hospital Colorado (CHCO) for weekend coverage and shifts in the adult ER at Denver Health. Residents must be in good standing with GME to moonlight. 

Program Leadership

Dr. Anne Penner Program Director
Dr. Beau Carubia Assistant Program Director
Dr. Kim Kelsay Assistant Program Director

Faculty

We have 30 child and adolescent psychiatrists who are passionate and dedicated to training.  Psychologists and faculty from other disciplines make valued contributions to training.  Specific and general expertise among faculty enhance the training experience.

Areas of expertise include:

• Infant Psychiatry (Associated with Harris Fellowship)
• Systems of Care
• Autism and Development Disabilities
• DMDD
• Substance Abuse
• Family Systems and therapy
• Neuroimaging
• Eating Disorders
• Integrated Care (primary care clinics, school based clinics) 
• Telepsychiatry
• Advocacy
• Peripartum mental health
• Consultation/Liason
• Education
• Crisis assessment
• LGTBQ youth
• Anxiety

Faculty participate in a reverse educational competency committee process to utilize trainees’ feedback for their own growth.    

Class of 2024

Dr. Alan Atkins, MD

Dr. Ana Garces-Wood, MD

Dr. Faisal Kagadkar, MD

Dr. Rhiday Pandya, DO

Dr. Joan Winter, MD

Dr. Gregory Wykoff, MD

Dr. Bradley Zastrow, MD

Class of 2025