INTEGRATION OF PEDIATRICS AND CHILD PSYCHIATRY
INTEGRATION of PEDIATRICS AND CHILD PSYCHIATRY ACROSS THE 5 YEARS
The triple board curriculum is designed to provide an integrated approach to learning without diluting the educational strength of each primary clinical rotation. So, we continue to evaluate the curriculum to maximize this balance. Residents have early exposure to child psychiatry in the first year and one-half while they are primarily assigned to pediatrics. Based on residents' recommendations and the long history of the program, we have developed the following innovations to ensure integration of their training across the 5 years.
• Pediatric Continuity Clinic- all of the TBP residents see longitudinal patients weekly in pediatric clinic for all 5 years of their residency. During the first 4 years, residents care for their own panel of pediatric patients in the hospital clinic. In the 5 th year, residents serve as preceptors to junior residents in the clinic with a general pediatric attending. This opportunity both gives TBP residents an opportunity to work together in a clinical setting and enhances the program's cohesiveness.
• Psychosocial Clinic - Three of the four clinics of the month are general ambulatory pediatric clinics. Once a month, residents interview and discuss patients with significant behavioral or psychosocial issues under the supervision of a faculty triple boarder and child psychologist.
• PGY-1 and PGY-2 residents all have a triple board tutor-advisor and they can use this time to focus on professional development.
• One month in PGY-1 is a behavioral pediatrics/introduction to child psychiatry rotation in a setting which serves as an example of an integrated pediatric and child psychiatry team.
• The Pediatric neurology rotation is done in the second year in order that all Triple Board residents have this experience early in their training.
• PGY-5 triple board residents and child psychiatry faculty teach the child psychiatry/developmental psychopathology topics in the Pediatric Noon Conference Series.
• PGY 5 residents have the opportunity to precept in the pediatric clinic and on the pediatric wards where they can consolidate their pediatric knowledge and their teaching skills.
• All TBP trainees have an informal weekly lunch meeting which an opportunity for residents across the five years to have contact with one another and serves to solidify their identity as TBP residents and to pursue topics of interests.