Inpatient Child and Adolescent Psychiatry at Hawthorne Rotation-CAP 1
Rotation Director: Joshua Calhoun, MD
Rotation Faculty: Joshua Calhoun, M.D. and Cristiana Teodorescu, M.D.
Rotation Coordinator: Linda Davis
Number of residents per rotation: Two
Length of Rotation: 6 months (3 months on Child Unit and 3 months on Adolescent Unit)
Time of Rotation: First year of training
Location: Hawthorne Hospital
Please contact Linda Davis by email at least one month before the beginning of this rotation.
Goal
To provide CAP 1st year residents with an in-depth exposure to the evaluative and treatment
modalities used in intensive inpatient child and adolescent psychiatry.
Objectives
To develop competence in the following areas
Patient Care
The resident will learn provision of clinical care at Hawthorne. The nature of patient care at
Hawthorne is inter-disciplinary.
 Assessing patients admitted from emergency room settings
 Conducting patient and family centered evaluations of severe CAP disorders
 Observing and interpreting family relationships and their pertinence to the child's
presenting problems

Appreciating the role of the family in the assessment and treatment regardless of the age
of the patient

Producing differential diagnosis and dynamic case formulation of psychiatric
symptomatology and appreciating the importance of biologic, psychologic, and sociocultural aspects of symptoms


Becoming familiar with psychopharmacological and psychotherapeutic approaches to
severe CAP disorders
Understanding behavior modification and level systems in treatment

Planning dispositions for return to outpatient or less restrictive care system
Medical Knowledge
The resident will gain medical knowledge through a combination of supervised clinical activities,
mandatory divisional didactics, supervised reading of the pertinent CAP or related literature.
 knowing strengths and limitations of the current DSM diagnostic criteria

Understanding the appropriate use of laboratory testing

Understanding the appropriate use of adjunct medical consultation
Practice Based Learning
In addition to supervised clinical activities and self initiated and suggested readings, the resident
will participate to supervision including 1:1 supervision by faculty at Hawthorne and other
divisional supervision including individual and team supervision
 Continuing to appraise oneself of current knowledge concerning the pathogenesis and
etiology of psychiatric disorders

Becoming familiar with the appropriate use of psychological testing

Gaining administrative experience in ward management

Appreciating historical, cultural, legal, and ethical aspects of inpatient child/adolescent
psychiatry
Professionalism
The resident will demonstrate sensitivity and compassion to children and adolescents affected by
serious psychopathology and to their families or their caretakers and will continue to develop in
relationship with other professionals or professionals in training, including supervisors,
colleagues, students and allied professionals.
 Developing intra-professionally by managing adaptively their own emotional reactions to
severe youth psychopathology
 Demonstrating the ability to function as a cooperative member of a multi-disciplinary
therapeutic team

Demonstrating a commitment to continued professional development
Interpersonal/Communication Skills
The resident will effectively communicate with patients, their families and all other members of the
treatment team
 Conducting age appropriate interview techniques, as well as comprehensive mental status
examination on children and adolescents

Talking with and obtaining a history from patients, family members, and all others
involved in the caretaking system of the patient (DFS social worker, teacher, etc.)
 Presenting cases succinctly and accurately
System Based Care
 Understanding the roles of other mental health professionals including psychologists,
nursing staff, social workers, educational therapists, activity therapists, etc.
 Interacting with social and legal agencies in the management of child/adolescent
psychiatric disorders
Measurement of Objectives
Standard Program evaluations
Multisource feedback
Clinical Skills Exams
Description of Rotation
The Hawthorne inpatient services expose residents to a broad variety of developmental problems
and youth psychopathology and, to the full range of treatment modalities used to treat inpatients
include pharmacotherapy, behavior modification, family therapy, group therapy, milieu therapy,
and psychodynamic therapy.