Child and Adolescent Psychiatry Fellowship
We would like to introduce our Child and Adolescent Psychiatry Fellowship Training Program to you. Our community-based program is committed to education and the highest level of patient care.
Our child/adolescent psychiatry fellows have access to a variety of exceptional and unique training experiences. Fellows are trained in acute care, psychopharmacology, and neurology at Phoenix Children’s Hospital, one of the 10 largest children’s hospitals in the country and the principal pediatric affiliate of the University of Arizona College of Medicine. Rotations at Childhelp Children’s Advocacy Center of Arizona (an integrated investigation and treatment center that focuses on addressing child maltreatment), Southwest Human Development(a non-profit agency specializing in treating children from birth to five years of age), and Hu Hu Kam Memorial Hospital (a health care setting within the Gila River Indian Community) offer experiences with specialized populations.
While offering diverse training opportunities, we pride ourselves on providing fellows with a warm, supportive, family-friendly environment where they can acquire current and critical knowledge and develop professionally as psychiatrists. Our program’s relatively small size (three fellows per year) allows us to be very responsive to fellows’ needs and interests. Fellows routinely create electives based on special interests.
Training is balanced, with an understanding that familial, social, cultural, and spiritual factors all affect family presentation. Intensive supervision and didactic experiences are provided throughout both years of training. Seminars in psychopharmacology, child psychiatry, and psychotherapy occur year-round. Fellows gain experience in research, producing a senior research project that is submitted for publication.
Our child fellows are a diverse, welcoming, collegial group. With protected didactic and administrative blocks of time, they have time to focus on academics as well as excellent patient care. We appreciate your interest in the program in which we are so invested. Please contact us for further information and consider a visit to discover firsthand the desert beauty of the Phoenix area and the many benefits of training in child psychiatry at MIHS.
The MIHS Child and Adolescent Psychiatry Fellowship Training Program is fully accredited by the ACGME. The main campus is located at Desert Vista Behavioral Health Center, 570 West Brown Road, Mesa, AZ 85201. This two-year training program enrolled its first fellows in July 2003. Currently, the program includes six positions, three per training year.
The program offers comprehensive training in child and adolescent psychiatry with rotations in a variety of settings, providing a balanced clinical training experience. Rotations include inpatient, residential treatment, outpatient, specialty clinics and consultation. During the fellowship, call is from home rather than on-site and moonlighting opportunities are available. Supervision is emphasized and trainees receive a minimum of two hours of weekly ongoing individual supervision in addition to rotation-specific supervision.
To Apply for a Position
Applications within the National Resident Matching Program are accepted as early as July 15th of the year prior to the onset of training. Applications outside of the match may also be considered with any pre-match offers being made prior to July 1st. Fellows may start their Child Psychiatry Training after completing their 3rd year of an ACGME-accredited General Psychiatry Residency, although individuals later in their careers are also encouraged to apply.
MIHS will accept J-1 visas for qualified residents accepted into an MIHS program, but MIHS does not sponsor residents on J-1 visas. MIHS does not accept or sponsor any other visas for its GME program residents. Applicants must be authorized to work in the United States.
570 West Brown Road
Mesa, AZ 85201
2016 - 2017 Salaries:
- PGY IV: $59,466.00
- PGY V: $62,347.00
Available insurance for resident and dependents:
- Health and Dental
- Occurrence Medical Liability
- Long Term Disability Insurance
Paid Time Off
Fellows are given:
- Vacation - 20 days/4 weeks
- Sick - 8 days
- Education - 5 days
- Federal Holidays - 10 days
- Parental Leave - 6 weeks (including initial week of PTO)
- Education fund - $1,000 provided annually
- Travel allowance for 2nd year fellows to attend AACAP
- Provided meals
- Free parking
Please click here to review a sample MIHS Resident contract.
Medical Student Information and Application
Welcome to our Child and Adolescent Psychiatry Fellowship Training Program. Our community-based program is committed to education and to providing the highest level of patient care. Our trainees have access to a wide variety of exceptional and unique training experiences. Child psychiatry fellows are trained in acute care, psychopharmacology, and neurology at Phoenix Children’s Hospital
, one of the 10 largest children’s hospitals in the country and the principal pediatric affiliate of the University of Arizona College of Medicine. Rotations at Childhelp Children’s Advocacy Center of Arizona
(an integrated investigation and treatment center addressing child maltreatment), Southwest Human Development
(a non-profit agency specializing in treating children from birth to five years of age), and Hu Hu Kam Memorial Hospital
(a health care setting within the Gila River Indian Community) offer experiences with specialized populations.
Third-year medical students from the University of Arizona assigned to the Maricopa Integrated Health System (MIHS) Department of Psychiatry spend one week in child and adolescent psychiatry. Third-year medical students from other institutions who are spending one month in adult psychiatry at MIHS may request to spend a day observing one of the child psychiatry faculty members. Month-long elective rotations in child and adolescent psychiatry for fourth-year medical students are also available. The main campus for MIHS Child Psychiatry is located at Desert Vista Behavioral Health Center, 570 West Brown Road, Mesa, AZ 85201.
During their time in child psychiatry, medical students will observe or participate in the evaluation and treatment of children and families with a wide range of developmental and psychiatric disorders and social challenges. Settings may include outpatient clinics, consultation, and residential treatment facilities. Students are provided with child psychiatry reading material and attend the weekly multidisciplinary clinical case conference. During month-long elective rotations, students attend fellowship-level didactic sessions. Faculty members include child psychiatry clinical staff overseen by Shayne Tomisato, M.D., Program Director. Sheila Wong, M.D. is the Faculty Coordinator for medical student rotations.
Kelly Sacco, B.A. is the Child Psychiatry Fellowship Training Program Coordinator, as well as the Psychiatry and Child Psychiatry Clerkship Coordinator.
For further information, please click here
Faculty and Fellows
The didactic curriculum is scheduled throughout the two years of training. First- and second-year fellows attend classes together twice a week, for a total of eight hours of didactics per week, including child psychiatry grand rounds. Time to attend classes is protected. The curriculum is designed to ensure a comprehensive training experience, exposure to the major theories of child development and psychiatry, and integration of different models of care in an evidence-based framework.
This series covers child development from conception to early adulthood. Topics include physical development, CNS development, cognitive development, and gender differences. Classic papers are presented. Theories of personality, social, and intrapsychic development are discussed. Common childhood problems are addressed (e.g., fears, sleep, parental divorce and death, sibling relationships, peer relationships, eating problems, etc.). This course is held weekly over a 6-month period each year.
This seminar covers the range of childhood psychiatric disorders as well as contextual presentations of child patients (i.e., family interaction challenges, school difficulties). Skills in evaluating children and adolescents at different developmental stages are taught, with an emphasis on learning board-style presentation skills. Assessment and treatment planning, as well as legal issues and ethics, are discussed. This seminar is held weekly over two years.
This seminar teaches fellows about psychopharmacologic management of symptoms of child and adolescent psychiatric disorders using case-based, evidence-based, and problem-solving approaches. This seminar is held weekly over two years.
Initially, a review of different types of treatment and psychotherapy techniques is conducted. Related reading is assigned, including presentations on different methods of psychotherapy. Readings and video presentations are supplemented with discussion of specific cases. Utilization of webcam recordings of therapy sessions helps fellows to refine therapy skills. Models discussed in conference include psychodynamic, play therapy, cognitive-behavioral, family therapy, parent guidance, supportive therapy, group therapy, interpersonal process, and behavioral approaches. This seminar is held weekly over two years and led by an attending psychiatrist and a clinical psychologist.
During each clinical case conference, one case is reviewed with a focus on diagnoses, formulation, data gathering, and therapeutic recommendations. Fellows and staff present the cases, with discussion among faculty and fellows. Legal and ethical issues are discussed when pertinent. Psychological evaluations and school observations may also be reviewed. Conferences generally occur weekly.
Current articles in child and adolescent psychiatry are assigned. Fellows present on varied topics with discussion by fellows and faculty. Critical evaluations of papers, studies, and research are conducted. Evidence-based practice is emphasized. This seminar occurs monthly.
- Administrative Psychiatry
- Child Neuropsychiatry and Neurodevelopment
- Consultation-Liaison Psychiatry
- Cross-Cultural Child Psychiatry
- Ethics in Child and Adolescent Psychiatry
- Forensic Child Psychiatry
- Psychiatric Advocacy
- Systems-Based Practice
Year One and Year Two Rotations
During the first year, emphasis is placed on mastering clinical care in the inpatient setting. Inpatient rotations include an acute inpatient care experience and a child neurology rotation at Phoenix Children's Hospital as well as a residential treatment center program at Devereux Arizona. The outpatient experience begins in the first year as well at the Desert Vista Behavioral Health Center. The aim is to provide a longer-term treatment experience with a variety of patients, exposing fellows to the evolution of therapeutic progress in their patients.
During the second year, fellows master outpatient treatment and consultation in various settings. The outpatient experience started in the first year expands at the Desert Vista Behavioral Health Center during the second year. Fellows also rotate through several offsite settings for a wide range of clinical experiences. Off-site rotations include time at Childhelp Children’s Center (an integrated investigation and treatment center addressing child maltreatment), Southwest Human Development (a non-profit agency specializing in treating children from birth to five years of age), Hu Hu Kam Memorial Hospital (a health care setting within the Gila River Indian Community), and Rehabilitative Services (a state-sponsored program providing services for children with identified chronic or disabling medical conditions). Fellows are trained and supervised in a variety of treatment modalities, including individual child psychotherapy (psychodynamic, cognitive-behavioral, supportive, and play therapy), parent guidance, crisis intervention, and pharmacological treatments. Opportunities are also available for fellows who are interested in learning about family and group therapy interventions. Outpatient clinical work allows fellows to work with children of all ages, backgrounds, and diagnoses in a range of settings.
Year 1 and Year 2 Rotation Overviews with the specific amounts of time spent in each rotation are available HERE.
Teaching and Research Opportunities
Fellows, particularly in year 2, are given many opportunities to develop their teaching skills. Second year fellows teach identified classes in child development and child psychiatry to their fellow adult residents. There are also opportunities to teach other staff during consultation-liaison months. Chief fellow responsibilities alternate between Year 2 fellows, encouraging growth in administrative and teaching skills. Past fellows have also completed teaching electives.
Helping all fellows to become comfortable with the process of research is a high priority within the fellowship. To facilitate this development, all fellows are given dedicated research time and mentorship in both year 1 and year 2. Fellows present their literature reviews at Child Psychiatry Grand Rounds during year 1 and present their research results at this same venue during year 2. Senior research projects need to be submitted for publication or presentation and several fellows have had posters accepted by the American Academy of Child and Adolescent Psychiatry yearly meeting.