Child and Adolescent Fellowship

Frequently Used Documents and Forms

We welcome your interest in the child and adolescent psychiatry fellowship training in the Division of Child Psychiatry of the UAMS,  Department of Psychiatry. Through our ACGME-approved, two year training program, our goal is to produce excellent, educated, well-trained, professional physicians. Our program accepts three fellows per year and currently has six fellows. We support the development of each fellow through providing a solid clinical foundation and opportunities in academic teaching, research, and administration.

The training program is affiliated with Arkansas Children’s Hospital (ACH),  the UAMS Psychiatric Research Institute, (see link), the Arkansas State Hospital, and STRIVE, a school based program in the North Little Rock School District. The Psychiatric Research Institute, one of only nine such institutes in the country, is a five story, 100,000 square foot space which houses clinical, administrative, research, and educational activities. It is the sixth Center of Excellence on the UAMS campus.

The program’s most basic goal is to help the resident achieve clinical competence in child and adolescent psychiatry. This is carried out under conditions which range from high supervision/low autonomy in the first year to increasing autonomy and less supervision in the second year.

We have excellent clinical faculty who have been favorites among medical students. Our department recruits medical students into psychiatry at a rate much higher than the national average, and there is an emphasis on teaching in our fellowship that promotes an academic atmosphere that is collegial, supportive, and encourages the growth of each individual physician.

Didactic Program

The didactic program has a two-year curriculum, keeping the residents together as a group throughout the two years of training. The didactic program provides an emphasis on child development, family dynamics and relationships, and the types of effects which certain life events are likely to work upon children and parents. The death of a sibling, divorce, adoption, and other separations and losses are the experiential side of the psychiatric evaluation; empathic and focused interviewing will undoubtedly remain a skill intrinsic to psychiatry and is an emphasis of this training program. The core seminar is modular in nature with a protected, weekly two-hour meeting. A third hour is devoted to a continuous case conference which includes patient interviews, role play, psychotherapy group supervision, and reviewing videotaped treatment episodes. Journals are also reviewed in the third hour once per month. Throughout the two years, the resident has a minimum of one hour of service specific supervision and one hour of psychotherapy supervision each week. Residents also participate in journal clubs and have the opportunity to teach medical students and residents in a variety of settings.

Training: Year One

The first year of training consists of three, four-month rotations at the Psychiatric Research Institute Child Diagnostic Unit, Arkansas State Hospital, and the ACH hospital consultation service. At the Child Diagnostic Unit the fellow works with an interdisciplinary team including an attending child psychiatrist, psychologists, speech and language therapists, occupational therapists, social workers,  a milieu manager, and nursing staff. The goal of this unique inpatient unit is to provide comprehensive diagnostic assessment to children with a wide range of psychiatric and neurodevelopmental difficulties. The training experience at the Arkansas State Hospital Adolescent Service is under the immediate supervison of a child faculty psychiatrist and consists of a combined rotation providing care to patients on both the acute service and the sexual offender treatment program service. The fellow on the consultation service responds to requests for psychiatric evaluation for patients at Arkansas Children’s Hospital – those on inpatient services and those being seen in the emergency room. This fellow also devotes part-time to the psychiatry outpatient clinic in order to see more urgent evaluations.

Training: Year Two

The second year of training focuses on work at our outpatient clinic and elective rotations. The Child Study Center is located on the ACH campus. The training emphasis at the clinic is on interviewing, diagnostic evaluation, and multimodal patient management. Fellows also receive training experiences in pediatric neurology, pediatric developmental disorders through the Dennis Developmental Center, and school consultation during the second year. Elective opportunities include experiences in pediatric genetics, sleep disorders, and eating disorder clinics; Family Treatment Program for victims of sexual abuse; UAMS Student Mental Health; as well as research programs. During this year residents are also encouraged to develop an area of special clinical or research interest. Past examples include working in an underserved community mental health center, identifying quality measures in psychotherapy, and review of psychotropic medication utilization in the State of Arkansas.

For further information contact:

Peter S. Jensen, M.D., Program Director
Child and Adolescent Psychiatry Residency Training Program
University of Arkansas for Medical Sciences
psjensen@uams.edu

1210 Wolfe Street
Little Rock, AR.  72202
501-364-6569
501-526-8165, Education office