Program Description

Curriculum Overview 

The five-year Triple Board Combined Residency Training Program in Pediatrics, Psychiatry, and Child and Adolescent Psychiatry enrolls three trainees at the PGY-1 level each year. The program's curriculum consists of twenty-four months of training in pediatrics, eighteen months in general psychiatry, and eighteen months in child and adolescent psychiatry. Our residents actively contribute to the evolution of the curriculum, making recommendations throughout their training to ensure that the program provides a cohesive, planned educational experience rather than a series of rotations among different specialties. Throughout the five years, the curriculum incorporates both clinical and didactic opportunities that integrate the experiences from the three specialties; residents are also provided with supplementary didactics to support them during transitions between the specialties. Residents gain increasing responsibility for patient care and teaching as they advance through the years, with the chief residents often choosing to serve as junior attendings in the pediatric clinics, pediatric inpatient units, or child psychiatric inpatient units. In addition, Brown's history as a well-established Triple Board Program allows residents to enjoy the respect of their colleagues and faculty in each of the three specialties, as well as to benefit from the mentorship of faculty members who themselves trained in the Triple Board Program. 

The program's didactic curriculum focuses on the basic and clinical sciences of pediatrics, psychiatry, and child psychiatry. Each specialty provides a core didactic program, including morning report and noon conferences in pediatrics; seminars, group supervision, and individual supervision in psychiatry and child psychiatry; and grand rounds, journal club, quality improvement and patient safety seminars, and other formal learning opportunities within each department. Additionally, first and second-year residents have a Triple Board-specific curriculum focused on interviewing skills, primary care psychiatry, and behavioral interventions as part of the monthly Triple Board Psychosocial Clinic.

The program emphasizes the importance of comprehensive pediatric residency training in the first eighteen months. PGY-1 and PGY-2 Triple Board residents participate fully in the clinical rotations and didactic experiences of the pediatric house staff.  Opportunities unique to Triple Board residents during these months include a one-month elective on the Hasbro Partial Hospital Program (an intensive outpatient medical-psychiatric treatment setting) as well as the monthly Friday afternoon Psychosocial Clinics mentioned above. Triple Board residents thus have some early exposure to psychiatry, while still maintaining the focus on pediatric skills and allowing full integration with the cohort of pediatric residents.  The PGY-3 year focuses primarily on adult psychiatry, providing exposure to both inpatient and outpatient experiences.  During the PGY-4 year, the Triple Board residents formally begin training in child and adolescent psychiatry alongside the new cohort of Child and Adolescent Psychiatry fellows, then returns to spend a significant portion of the year back in pediatrics. Finally, the PGY-5 residents rotate primarily on child and adolescent psychiatry services within their individually-developed elective-based curricula, with an emphasis on the integration of their pediatric and adult psychiatry skills.

Residents participate in longitudinal experiences throughout their training. They see patients weekly for four years in a pediatric continuity clinic based within a busy, hospital-based, general pediatric clinic, then precept other Triple Board residents in the same clinic during their PGY-5 year. Long-term psychotherapy with adult psychiatry patients, including individual supervision, begins during the PGY-3 year and continues into the PGY-4 and PGY-5 years, when the residents' psychotherapy patient populations expand to include children, adolescents, families, and groups.  Triple Board residents participate in a weekly Child Psychotherapy Clinic throughout the PGY-4 and PGY-5 years.

Curriculum Summary

PGY-1: 12 months Pediatrics

PGY-2: 7 months Pediatrics, 5 months General Psychiatry

PGY 3: 12 months General Psychiatry

PGY 4: 7 months Child and Adolescent Psychiatry, 5 months Pediatrics

PGY 5: 11 months Child and Adolescent Psychiatry, 1 month General Psychiatry 

BROWN TRIPLE BOARD SCHEDULE OVERVIEW

 

PGY-1 - 12 months of Pediatrics

4 mos

2 mos

1 mo

1 mo

1 mo

1 mo

1 mo

1 mo

Pediatric Wards

NICU

PICU

Normal Newborn Nursery

Developmental & Behavioral Pediatrics

Pediatric Emergency Department

Adolescent Medicine

Pediatric Elective*

Pediatrics Didactics (morning report, noon conference, micropractice sessions, grand rounds)

Pediatric Continuity Clinic (weekly, including monthly Psychosocial Clinic)

PGY–2– 7 months of Pediatrics and 5 months of Adult Psychiatry

2 mos.

1 mo. 

1mo.

1 mo.

1 mo.

1 mo.

1 mo.

2 mos.

1 mo.

1mo.

Pediatric Wards (senior)

Emergency Department

PICU

NICU

(senior)

Pediatric Neurology

Pediatric Elective*

Intro to Adult Psychiatry (Emergency)

Inpatient Adult Psychiatry

Adult Neurology

Adult

Substance

Abuse

Pediatrics Didactics (morning report, noon conference, micropractice sessions, grand rounds) 

Adult Psychiatry Didactics (weekly seminars, grand rounds)

Pediatric Continuity Clinic (weekly, including monthly Psychosocial Clinic)

PGY-3 - 12 months of Adult Psychiatry

1 mo

2 mos

1 mo

8 mos

Adult Inpatient Psychiatry

Adult Consult-Liaison Psychiatry

Adult Emergency Psychiatry

Adult Outpatient Psychiatry

Adult Psychiatry Didactics (weekly seminars, grand rounds, psychotherapy supervision)

Adult Psychiatry Continuity Clinic (weekly)

Pediatric Continuity Clinic (weekly)

 PGY-4 – 7 months of Child Psychiatry and 5 months of Pediatrics  

4 mos

1 mo.

1 mo.

1 mo.

3 mo

1 mo.

1 mo.

Child Inpatient Psychiatry (including medical-psychiatric, developmental disabilities units)

Child Outpatient Psychiatry

Child Consult

-Liaison  Psychiatry

Child Emergency

Psychiatry

Pediatric

Electives*

Pediatric Emergency Department

Pediatric Urgent Care

Child Psychiatry Didactics (weekly seminars, grand rounds, core supervision)

Pediatric Continuity Clinic (weekly)

Adult Psychiatry Psychotherapy & Supervision

Child Psychotherapy Clinic (weekly)

PGY-5 Curriculum – 11 months of Child Psychiatry and 1 month of Adult Psychiatry

11 mos

1 mo

Child Psychiatry Electives (including Forensics, Community Health, School)

Adult Inpatient or Partial

Child Psychiatry Didactics (weekly seminars, grand rounds, core supervision)

Pediatric Continuity Clinic (weekly)

Adult Psychiatry Psychotherapy & Supervision

Child Psychotherapy Clinic (weekly)

 *Pediatrics electives include Child Abuse Pediatrics, Pediatric Hematology-Oncology, plus 3 additional electives