Clinical Training

Mayo Clinic's Child & Adolescent Psychiatry Residency training program can be tailored to fit your specific career goals.

The following is a typical rotation schedule:

First year Length
Outpatient Service 6 months
Child and Adolescent Inpatient Unit, second assistant 2 months
Child and Adolescent Inpatient Unit, first assistant 1 month
Adolescent Substance Abuse Services 1 month
Pediatric Neurology 1 month
Development/Learning Disabilities 1 month
Second year Length
CAP Outpatient Service 4 months
CAP Inpatient first assistant/SRA 2 months
Consultation/Liaison 3 months
Electives 3 months
Pediatric Psychology 1 month

Rotation Descriptions
As a second assistant on the inpatient unit, you will work with assigned patients and participate in groups and family therapy. You also will be responsible with the attending physician for the care of each of your patients.

As a first assistant, you will select and care for your own patients consulting with the attending physician and help provide education for adult psychiatry residents on the service. You will also assist the attending physician with administration of the service.

On the Consultation-Liaison Service, you will be responsible for initial consultation on patients hospitalized on pediatrics units and will also play a major role in the emergency room.

On neurology and developmental pediatrics services, you will be exposed to neurologic and developmental problems that will be important in your future work as a child and adolescent psychiatrist.

During your time at the Learning Disabilities Assessment Program, you will work with a multidisciplinary team to elucidate problems standing in the way of efficient learning. This rotation will include several visits to schools.

On the outpatient service, you will evaluate new patients each day and will have a continuity practice in which you see many of the patients for treatment as well. Each new evaluation you do is performed with consultation from an attending physician, who may spend some time seeing the patient as well. Each new patient experience is accompanied by some teaching.

During the first year of the Child & Adolescent Psychiatry Residency, you will have the opportunity to participate in outpatient continuity clinics, so that some patients can be followed over the two-year period.

You will design your own electives to meet your educational needs. These electives are developed with a faculty mentor and must be approved by the Child & Adolescent Psychiatry Education Committee.

Electives can include the psychology laboratory, neuropsychology, medical genetics, speech and language, community psychiatry experiences, school psychiatry experiences and transcultural psychiatry experiences.

In addition to the rotations described above, there are four distinct areas highlighted throughout the training experience:

  • Forensic Child and Adolescent Psychiatry
    You will attend arraignments and dispositions in juvenile court on a rotating basis. You also will have the opportunity to follow patients in the criminal justice system. Each resident has the opportunity to evaluate forensic cases and to prepare testimony with close supervision by a faculty member.
  • Community Child and Adolescent Psychiatry
    On Thursday afternoons residents participate in a community psychiatry experience. This component of the program includes visits to many community resources in and around Rochester, presentations from community agencies, and hands-on experience in community programs.
  • Medication Clinic
    Children being treated primarily with medicines are scheduled for continuing care with their resident on Thursday afternoons. This experience begins each week with a didactic session on psychopharmacology and ends with individual supervision.
  • Psychotherapy Program
    Throughout the training program, you will follow a small number of psychotherapy patients with intensive supervision. Psychotherapy experiences include play therapy, individual supportive and psychodynamic therapies, cognitive therapy and family therapy.

In addition, clinics for patients with eating disorders and anxiety disorders are ongoing. You may participate in these electives as part of your work with patients.

Teaching Opportunities
You will have the opportunity to teach Mayo Clinic School of Medicine students and visiting students from other medical schools through bedside instruction and formal didactic lectures.

Call Frequency
There is currently no call responsibility in the first year of training.

Second-year residents have a senior resident associate (SRA) experience consisting of telephone call during which they supervise junior residents in the emergency room and cover clinic emergencies for one week each quarter during that year. This week-long call is with full backup by a faculty member.

Committee Assignments
You will be given the opportunity to gain experience in a number of administrative capacities during your residency. As part of this experience, you may serve on committees dealing with graduate education, hospital operations, research or continuous quality improvement.

To ensure that you acquire adequate knowledge and develop your technical skills, your performance will be monitored carefully during the course of your residency. You will be evaluated formally by your supervising faculty member after each clinical rotation. In addition, you will regularly evaluate the faculty to ensure that your educational needs are being met.

Career Development
You will meet periodically with various faculty members, administrators and the program director to discuss your career goals. Mayo Clinic graduates are very successful in finding compatible positions.

Didactic Training
Clinical conferences, seminars, small discussion groups, journal clubs and one-on-one instruction are all an integral part of the Child & Adolescent Psychiatry Residency Program.

The program offers a truly outstanding didactic experience, designed to provide models of and a basis for lifetime learning. There are several conferences each week as well as formal didactic presentations. The main components of the didactic curriculum are:

  • CAP Core Seminar Series
    Each Tuesday afternoon is devoted to a formal didactic presentation. Each year, residents receive a major text from the program that serves as a resource for this intensive course.
  • Psychopharmacology Conference
    As part of the medication clinic each Thursday afternoon, residents receive didactic instruction in psychopharmacologic treatment.
  • Child and Adolescent Psychiatry Grand Rounds
    These bi-weekly presentations are usually case-oriented, though other presentations are given. They are entirely devoted to child and adolescent psychiatry. Each resident gives several such presentations each year.
  • Psychotherapy Continuing Case Conference
    A faculty member treats a child or adolescent in psychotherapy, with residents observing. Discussion follows each weekly session.
  • Department of Psychiatry Grand Rounds
    These weekly presentations are made by faculty and well-known visiting faculty. Topics are varied and very current. Several presentations are related to child and adolescent psychiatry. You will have the opportunity to present one grand rounds presentation during the residency.
  • Hospital Psychiatry Conference
    This conference meets each Thursday noon and is devoted to issues related to hospital-based psychiatry. Child and adolescent psychiatry gives the conference on a monthly basis, and residents usually attend the other presentations as well.
  • Department of Pediatrics Grand Rounds
    These Friday-morning presentations on pediatric issues are in lecture format and given by Pediatrics faculty and guest faculty. Many of the presentations are relevant to child and adolescent psychiatry. Members of the division usually give a couple of these grand rounds each year.
  • Summer Crash Course
    The didactic curriculum for first-year residents begins with a series of daily lectures in July. In condensed form, they are designed to familiarize you with important information that you will need to know immediately. Topics include:
    • Emergency room evaluations
    • Forensic issues
    • Evaluation of children
    • Adolescents and families
    • Physical and laboratory assessment
    • Psychopharmacology
    • Psychotherapies
    • Family therapy
    • Nosology
    • Psychological testing
    • Psychoses
    • Affective disorders
    • Anxiety disorders
    • Mental retardation
    • Autism, and pervasive developmental disorders
    • Ethical and cultural issues
    • Systems of care and accessing the Mayo Clinic system of care

Many of the services have their own service-related conferences each week as well. In addition, you are welcome at the rounds and conferences of several related disciplines such as Pediatric Neurology, Developmental Pediatrics and Medical Genetics.

Excellent courses are given each year in neural sciences, statistics and research design.

The department has received grant support to design a model curriculum to prepare residents for practice in the next century. This first-year curriculum introduces ethics, logic, epistemology (i.e. how we know what we think we know) and interweaves them throughout the curriculum.

A major emphasis of the curriculum is on the ability to read the literature very critically and to differentiate what has been demonstrated from what has not. It covers all aspects of traditional curricula, but with much rigor and criticism.

The second-year curriculum has a rigorous focus on development, assessment and treatment, with an emphasis on biological approaches and balanced by the psychological approaches demonstrated in the continuing case conference.

The faculty prepares and provides a reading list each year, consisting of classic and important papers and books. Samples of the curriculum for several didactic components, as well as the most current reading list are available for you to review upon request.

Research Training
Your research opportunities at Mayo Clinic are outstanding. You are encouraged to participate in research projects with the consulting staff. This includes opportunities for clinical studies and laboratory-base projects.