Child and Adolescent Psychiatry Fellowship

Teen Program

Thank you for your interest in the Child and Adolescent Psychiatry Fellowship at Children’s National Health System. On this site you will find information about our training program, our department, and our institution – please take a look and feel free to contact us with any questions.

Children’s National offers a unique and remarkable training experience:

  • Comprehensive core clinical rotations in inpatient, consultation-liaison, and outpatient settings at a premier freestanding children’s hospital
  • Opportunities to care for patients and families from a diverse array of cultural and socioeconomic backgrounds
  • Accessible faculty with varied clinical and research interests
  • Protected time for didactic instruction
  • Elective rotations in multiple child psychiatry subspecialty clinics, including the Infant/Toddler Mental Health Program, Infant Feeding Disorders Clinic, Center for Autism Spectrum Disorders, and Gender Development Clinic
  • Broad range of community-based rotations and electives, including experience in schools, residential centers, and integrated behavioral health models
  • Optional international electives and training in Global Mental Health
  • Collaborations with the National Institute of Mental Health and the Substance Abuse and Mental Health Services Administration
  • Location in the Washington, DC and access to numerous advocacy opportunities
  • A rich and lively life outside of the hospital, with virtually unlimited options for arts, recreation, dining, shopping, and living
History

History

The Department of Psychiatry at Children's National Health System was founded by the late Reginald S. Lourie, MD, and is one of the oldest in the nation. Alumni and faculty have become leaders in the field of child psychiatry, held notable positions in regional, national, and international organizations, conducted seminal research studies, and lectured widely on child mental health issues. 

Education is a core component of the departmental mission and teaching is a high priority for the faculty. In addition to training child and adolescent psychiatry fellows in our program, we are a training site for general psychiatry residents and child and adolescent psychiatry fellows from the Walter Reed National Military Medical Center, general psychiatry residents and medical students from George Washington University, general psychiatry residents from St. Elizabeth’s Hospital, and general psychiatry residents from Howard University. The faculty members also participate in the training of psychology interns, pediatric residents and fellows, and child neurology residents from Children's National as well as senior medical students from regional and national medical schools.

Paramjit Joshi, MD

Division Chief

President, American Academy of Child and Adolescent Psychiatry, 2013-2015

Research

Research

  • Our program is enriched by our links with the National Institute of Mental Health (NIMH) in nearby Bethesda, MD
  • NIMH faculty facilitate a monthly journal club that allows for exposure to evidence-based treatment approaches and new discoveries in clinical neuroscience. 
  • Fellows interested in more in-depth research experience can pursue a research elective at NIMH, with the mentorship of a NIMH faculty member.
  • Fellows also have opportunities to collaborate with Children’s National faculty on clinical or health services research projects.   
  • Fellows are encouraged to present their research projects at the annual Children’s National Research Day and at national and international meetings. 

Alumni

Alumni

What kinds of positions do your fellows choose after graduation?

Graduates of our program have gone on to a wide variety of positions. In the past few years, positions have included:

  • Outpatient psychiatry solo practice
  • Outpatient psychiatry group private practice
  • Outpatient psychiatry in community mental health centers
  • Collaborative mental health director
  • Inpatient medical director
  • Research faculty
  • Clinical faculty at Children’s National Health System and other academic institutions
  • Additional Fellowship training in other psychiatric subspecialties
Education

Education

Year One:

Year one provides a solid foundation of training in the basics of childhood psychopathology. Fellows rotate in three-month blocks throughout the year in a mix of inpatient, outpatient, and consultative settings. In many clinical settings, fellows work in close collaboration with pre-doctoral psychology interns to provide a more in-depth opportunity to learn how to collaborate in patient care.

Core Components

  • Adolescent Psychiatric Unit (3 months)

    Fellows join a multidisciplinary team of psychiatrists, psychologists, social workers, art and music therapists, education specialists, nursing staff, and child psychiatric specialists providing family-centered care on this 14 bed inpatient unit. Working under the direction of an attending psychiatrist, fellows have the opportunity to provide acute care to adolescents with severe psychiatric illness and gain further experience in the clinical management of bipolar disorder, schizophrenia, major depressive disorder, eating disorders, and substance use problems. They also serve as the senior trainee on the service, providing opportunities to educate general psychiatry residents, medical students, physician’s assistant students, and pediatric and neurology residents about psychiatric illness in adolescents.

  • Child Psychiatric Unit (CPU) (3 months)

    Fellows are integral members of the multidisciplinary team on this 12 bed unit for patients up to age 13. Common clinical issues seen on the CPU include disruptive behavior problems, attention deficit hyperactivity disorder, behavioral issues arising in the context of autism spectrum disorders, severe anxiety and depressive disorders, and eating disorders in pre-adolescents. On this unit, fellows gain more in-depth exposure to behavior management strategies and are encouraged to co-lead family sessions with the unit family therapist. They also gain experience in collaborating with area child protection and foster care agencies and exposure to the special concerns that accompany children and families involved with these services.

  • Pediatric Consultation-Liaison Psychiatry Service (PCLS) (3 months)

    As a child psychiatry fellowship program in a freestanding pediatric hospital, we are able to offer a rich consultation-liaison experience to our fellows. Children’s National serves as a primary hospital for children from the local area with acute medical issues, as well as a referral center for children from across the region and the world who come to Children’s National for subspecialty expertise. During the PCLS block, fellows will generally perform 1-2 new inpatient consultations a day, assessing patients presenting with a wide range of emotional, behavioral, and cognitive issues during the course of treatment for medical illness. Fellows also receive closely-supervised experience in performing emergency psychiatric assessments for children and families presenting to the Emergency Department in crisis. Communication with pediatricians and systems-based care are of particular focus during this block, and fellows also gain broader exposure to neurobiological underpinnings of psychiatric symptoms and management of illnesses at the medical/psychiatric interface, including delirium, eating disorders, and conversion and somatoform disorders. Fellows also have the opportunity to present an interesting clinical case or set of issues at departmental Grand Rounds during their PCLS rotation.

  • Subspecialty Outpatient Clinics (3 months)

    This three-month outpatient specialty clinic block provides foundational experiences in multiple clinics and community sites and is designed to strengthen fellows’ understanding of the complexity of child development. Highlights of the rotation include:

    • School Experiences (including a preschool, a public charter elementary/middle school, public high school, special education school for children with developmental disabilities)
    • Child Development Clinic and Child Neurology Clinic 
    • Children’s National Freddie Mac Foundation Child and Adolescent Protection Center (CAPC), a child advocacy center evaluating and treating abused and neglected youth
    • Assessment Clinic, a closely supervised experience conducting comprehensive child psychiatric evaluations working 1:1 with a child psychiatry attending. The clinic is based at a primary care clinic and also provides exposure to an integrated behavioral health model
    • Opportunity to co-lead a therapy group for children
  • Longitudinal Outpatient Clinic

    A significant advantage of the first-year fellowship program is the opportunity to follow a select group of patients on an outpatient basis. There are ample opportunities to gain experience in acute and longer-term treatment of outpatients. Outpatient activities during the first year provide both broad and in-depth experiences with the course of disorders arising in infancy, childhood, and adolescence.

  • Didactics

    Fellows have six hours of protected didactic time each week throughout the two-year fellowship. Didactic seminars are led by Children’s National psychiatry and psychology faculty and selected community psychiatrists, psychologists, and therapists. The first year didactic curriculum begins with a summer “crash course” series covering the basics of child and adolescent psychiatry that fellows need to know as they begin their clinical work. A core topics series in the first year covers key aspects of childhood psychopathology. A seminar series covering important aspects of psychopharmacology, child development, ethical issues, and cultural aspects of psychiatry occur in the first year. The therapy seminar series includes modules on family therapy, psychodynamic therapy, the use of play in psychiatric treatment and assessment, Cognitive-Behavioral Therapy, and Dialectic Behavior Therapy. Fellows also participate in a monthly journal club led by faculty from the National Institute of Mental Health (NIMH) and the weekly departmental Grand Rounds.

  • Individual Supervision

    Fellows are assigned two individual supervisors with whom they meet weekly throughout the academic year to discuss cases and career development. Every effort is made to match fellows with supervisors with similar interests, as well as to provide supervisors with different perspectives and approaches to patient care and career options.


View Sample Year 1 Schedule


Year Two:

The second-year of fellowship enhances the clinical and didactic foci of the first year by providing deeper experience in community and school consultation, forensics, and child psychiatry subspecialties. At the same time, fellows continue their continuity clinic and have the opportunity to arrange elective experiences that allow them to explore interests in more depth.

Core Components

  • Children’s National Outpatient Psychiatry Clinic

    Fellows expand their outpatient general continuity clinic to two full days per week. Fellows perform evaluations and carry a selected cohort of patients for psychotherapy and for medication and case management, and assume primary leadership roles for a child’s care in coordination with the child’s family, therapist(s), school, and other community supports. Face-to-face faculty supervision is available for each patient encounter, as well as longitudinal supervision with the fellow’s primary supervisors.

  • Forensic Psychiatry

    Consistently highly regarded, the forensic psychiatry experience affords fellows the opportunity, in collaboration with staff at the DC Department of Mental Health, to learn about assessment of youth in the juvenile justice system.

  • Subspecialty Clinics

    Fellows rotate through several multidisciplinary subspecialty clinic areas during year two, and have the opportunity to work with national leaders in the following areas:

    • Sleep Disorders Clinic
    • Center for Autism Spectrum Disorders
    • Infant/Toddler Mental Health Clinic
    • Gender Development Program
    • Infant Feeding Disorders Program 

    Most of these clinics engage a multidisciplinary, multispecialty team to address complex issues, and fellows have the opportunity to learn the role of the child and adolescent psychiatrist within these teams.

  • Elective and Research Opportunities

    Fellows have two to three half-days throughout the year to engage in elective opportunities of their choice. Fellows are provided with a menu of previous electives, but are also supported and encouraged in designing experiences that meet their educational needs. Clinical options include additional training in eating disorders, substance use disorders, residential treatment, school-based treatment, or more in-depth experience in subspecialty clinic areas at Children’s National. Fellows have also participated in research projects internally and with mentors at NIMH, designed a collaborative care clinic with primary care providers, taken education elective time to create a new curriculum for rotating medical students, and worked with attorneys at the Children’s Law Center at the interface of psychiatry and the law. Interested fellows can also pursue a 2-4 week rotation at select international sites, including Japan, the United Kingdom, and Chile.

  • Second-Year Didactics 

    The second-year didactics afford increased breadth and depth in topics related to child mental health and the practice of psychiatry. A year-long seminar in psychodynamic psychotherapy hones fellows’ dynamic listening skills and provides opportunity for case consultation. More opportunities for collaborative case-based learning occur in the Difficult Situations seminar. Fellows also may participate in the institutional Fellows’ Core Curriculum, joining fellows from across the institution to learn about academic topics such as research fundamentals, quality improvement, and teaching skills. Second-year fellows also attend the cross-cultural psychiatry course, the family therapy seminar, the NIMH journal club, and are invited to be an ongoing part of first-year seminars as their schedule allows. Finally, special seminars are scheduled throughout the year on selected topics such as financial management for physicians and transition to practice issues.

  • Individual Supervision

    Second-year fellows are allowed to select their own supervisors and meet with a minimum of two supervisors per week to discuss clinical cases, research endeavors, and career planning. We are fortunate to have a group of committed and skilled volunteer faculty in various practice settings in the Washington, DC area who are willing to serve as supervisors. Second-year fellows benefit from this option to broaden perspectives they receive in supervision.

  • Scholarly Project

    All second-year fellows are engaged in a scholarly pursuit over the course of the year and present their work at Departmental Grand Rounds in the spring. Often, elective experiences provide the foundation for the scholarly project and fellows work collaboratively with faculty members and supervisors to develop the project.

  • Chief Residency

    Two rising second-year fellows are chosen by the faculty to be Chief Residents during the final year. The Chief Residents learn about administrative psychiatry through experiences managing the call schedule, designing a rotation schedule for their class, and assisting in orientation of rotating residents. They also take an active role in overseeing educational programming, and serve on the departmental fellowship training committee.


View Sample Year 2 Schedule

How to Apply

How to Apply

Eligibility and Selection Criteria

The Residency Training Program in Child and Adolescent Psychiatry at the Children's National Health System is open to all qualified applicants who have successfully completed medical school and are anticipated to have completed at least three years of general psychiatry training requirements at an Accreditation Council for Graduate Medical Education (ACGME) accredited institution prior to joining the program. Applicants must have passed at least two Clinical Skills Verification (CSV) examinations by the time of application to the program. Applicants must also be eligible for an unrestricted medical license in Washington, DC and the State of Maryland.

Applications will be accepted through the Electronic Residency Application Service (ERAS) beginning July 1. The deadline for receipt of application material is October 30.

Documents that must be included in your ERAS application are:

  • ERAS application including CV/Resume
  • A personal statement which describes your interest in child and adolescent psychiatry, what you are seeking in a child and adolescent psychiatry residency program, and your career goals.
  • A letter from the Training Director of your general psychiatry residency training program. The letter must include descriptions of (a) your overall performance during general psychiatry residency, (b) your strengths and weaknesses, (c) rotations and requirements, and (d) a statement verifying that you are in good standing currently or, as applicable, that you previously completed all requirements of general psychiatry training in a satisfactory manner.
  • Two (2) letters of recommendation in addition to the Training Director’s letter. It is preferable to have at least one of your letters be from a Child and Adolescent Psychiatrist.
  • Medical school transcript
  • Complete USMLE/COMLEX transcript
  • A current photograph
  • ECFMG status report, when applicable
  • Documentation of visa status for international applicants

Applicants tentatively selected for interviews will also be asked to provide documentation of two completed CSV examinations prior to being scheduled for an interview.

All applications are carefully reviewed by program staff, and selected applicants will be contacted by Jackie Jones to schedule an interview. Interviews are conducted between mid- September and early December and include opportunities to meet with the Department Chair, Program Director and Associate Program Director, several members of the program faculty, and current fellows.

Our program participates in the National Residency Match Program Child and Adolescent Psychiatry subspecialty match. To register for the match, please visit the NRMP website. Fellowship positions are generally only offered through the match program.

For all inquiries, please contact:
Jackie Jones
Tel: (202) 476-3932
Fax: (202) 476-2368
Email: jajones@childrensnational.org

Life in DC

Life in DC

Living in Washington DC

In addition to its outstanding clinical, research, and advocacy resources, the Child Psychiatry Fellows at Children's National are able to fully immerse themselves in life in Washington, DC. Living in the Nation's Capital allows fellows and their families to access renowned cultural institutions and museums, world-class musical and performance venues, a vast selection of bars and restaurants, many lively neighborhood events and festivals, sports and outdoor activities, and a diversity of religious and ethnic communities. In addition, fellows have the choice of living in one of DC’s vibrant neighborhoods or in one of the many surrounding suburban communities.

Some areas popular with fellows include:

DC:

  • Columbia Heights/Petworth/Mount Pleasant - 5-10 minute drive from Children’s
  • Capitol Hill - 15 minute drive from Children’s
  • H Street/NoMA (North of Massachusetts Ave) - 15 minute drive from Children’s
  • Navy Yard - 20-25 minute drive from Children’s
  • U Street - 15-20min drive to CNMC
  • Dupont Circle - 20-25 minute drive to Children’s
  • Gallery Place/Chinatown – 15- 20 minute drive to Children’s

MD/VA:

  • Rockville/Bethesda, MD - 35-50 minute drive to Children’s
  • Takoma Park/Silver Spring, MD - 30 minute drive to Children’s
  • Hyattsville/Landover, MD - 35-45 drive to Children’s
  • Crystal City/south Arlington, VA - 40-50 min commute
  • Ballston/Clarendon/Courthouse, VA - 45-60 minute commute
Faculty and Staff

Faculty and Staff

Paramjit Joshi, MD
Endowed Professor and Chair, Department of Psychiatry and Behavioral Sciences

Irene Chatoor, MD
Vice Chair, Department of Psychiatry and Behavioral Sciences
Director, Infant Toddler Mental Health Program
Director, Infant Feeding Program

David Call, MD
Medical Director, Gender Development Clinic
Director, Medical Student Clerkship

Lisa Cullins, MD
Training Director, Child and Adolescent Psychiatry Fellowship
Director, Outpatient Psychiatry Department

Bhavin Dave, MD
Director, Infant Toddler Mental Health Program

Finza Latif, MD
Director, Psychiatric Consultation-Liaison and Emergency Department Services
Director, Eating Disorders Clinic

Nasima Nusrat, MD
Director, Inpatient Psychiatric Units

Haniya Raza, MD
Medical Director, Center for Autism Spectrum Disorders

Faith Rowland, MD
Director, Mood Disorders Clinic

Martine Solages, MD
Associate Director, Pediatric Consultation-Liaison and Emergency Department Services
Associate Training Director, Child and Adolescent Psychiatry Fellowship

Jorge Srabstein, MD
Psychiatry Faculty

Jackie Jones
Program Coordinator

Frequently Asked Questions

Frequently Asked Questions

Q. What distinguishes your fellowship?

The breadth of clinical experiences available to our fellows, the flexibility of our curriculum to allow for extensive elective experience especially in the second year, and the collegial relationships enjoyed by fellows and faculty all make this a very attractive program in which to train. Our location in our nation’s capital and our close collaborations with federal agencies like NIMH and SAMHSA and with national organizations including AACAP also allow for unique clinical, research, and advocacy experiences that would not be possible elsewhere.

Q. Are there benefits to training at your hospital?

Our institution also allows for a unique training environment for Child and Adolescent Psychiatry fellows:

Serving the nation’s children for more than 140 years, Children’s National is the only exclusive provider of acute pediatric care in the Washington metropolitan area. The main hospital, known as the Sheikh Zayed Campus for Advanced Children’s Medicine features 313 beds, 54 of which are level IIIC NICU bassinets; a Level I pediatric trauma center which serves three states; and a critical care transport program via ambulance, helicopter, and fixed-wing airplane. Children's National serves as the regional referral center for pediatric emergency, trauma, cancer, cardiac and critical care as well as neonatology, orthopaedic surgery, neurology, and neurosurgery. As a non-profit pediatric care provider, Children’s National has a mission to serve all children in its service area regardless of ability to pay.

As a result, our fellows care for a clinically and socioeconomically diverse group of patients and families from all over the region and country who see Children’s National as their medical home. Fellows have broad exposure to both “bread and butter” child and adolescent psychiatry and to unique clinical presentations only encountered at a tertiary referral center. The availability of pediatric subspecialty experts enhances fellows’ clinical training and opportunities to collaborate with other specialties.

Q. What about my interest in…?

There’s an elective for that! For fellows who enter training with a distinct career path or interest area in mind, we help connect you with mentors, provide time and space to pursue your interests, and help you find a path to your eventual career choice. For those with more general interests, we can help you create an educational program that allows you to sample from a rich buffet of offerings, enhancing your ability to care for children and families and participate in research, advocacy, and education.

Q. What kinds of positions do your fellows choose after graduation?

Graduates of our program have gone on to a wide variety of positions. In the past few years, positions have included:

  • Outpatient psychiatry in several multispecialty group practices
  • Outpatient psychiatry in community mental health centers
  • Private practice
  • Collaborative mental health director
  • Inpatient medical director
  • Research faculty
  • Clinical faculty at Children’s National Health System and other academic institutions

Jalen's Story

Patient story

"It is our responsibility to give our children unconditional love and all of the tools for a chance at becoming successful at whatever path that they choose."

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