Program Didactics

At Michigan State University, we pay close attention to well-rounded and in-depth Didactics for our residents. The format over the two years is as follows:

Year I:

Orientation to Fellowship

An introduction to practical child and adolescent issues. Critical issues related to all first-year rotations and practical advice regarding psychopharmacologic management and administrative issues at various institutions and on various rotations.

Developmental Processes

This is a reading seminar in which residents review classical and current literature on development from conception to early adulthood. The topics discussed include parental influences on personality in utero, prenatal period, genetics, physical growth and development, the development of the CNS, personality and social development, sex differences, and cognitive development.

Assessment and Treatment

A series of seminars covering major and frequent disorders seen by child and adolescent psychiatrists with discussion of available treatment options to include both biological and therapy options. Topics include suicidal and homicidal aggression, retardation, eating disorders, mood disorders, anxiety disorders, psychosis, disruptive behavior disorders, intellectual and learning disorders, and Pervasive developmental disorders. Psychological and psychoeducational testing is also covered.

Psychosocial Treatment Modalities

Seminars discuss the theoretical basis of and practical psychosocial treatment of childhood and adolescent disorders. Faculty discuss cognitive-behavioral therapy, parent management training, family therapy, play therapy, and brief therapies, especially in the setting of medication management. Faculty also review and discuss therapy options in school consultation settings.

Year II:

Pediatric/Psychiatry Interface 

Seminars consisting of lectures by faculty and required presentations by residents covering major issues encountered on a consultation/liaison service and in interactions with pediatricians. Topics include assessment on pediatric units, interdisciplinary team building, and medical-legal issues encountered in inpatient pediatric settings. Residents and faculty will explore management of suicidal children/adolescents on an inpatient unit. Faculty will address developmental issues in children/adolescents with cancer, factitious disorders, and chronic illness in childhood/adolescence from developmental and management perspectives. Pediatric faculty will present and discuss the pediatric perspective on consultation. Pediatric Neurology faculty will discuss neurological disorders in childhood and adolescence.

Forensic Psychiatry

Faculty and residents will discuss forensic issues related to child and adolescent psychiatry, including working with the juvenile justice system and family law issues. Faculty will also address commitment/rights of minors, privacy/confidentiality, informed consent, reporting statutes, duty to protect/warn, custody issues, and evaluations and educational mandates.

Social and Community Psychiatry

Seminars introducing residents to health care policy issues including insurance coverage for psychiatric disorders, the uninsured, and parity. Physician work force issues will also be covered. A variety of faculty will discuss health care policy issues from a governmental perspective, advocacy, and interest groups. Residents will also spend time with clinical improvement and assurance activities. They will work with examples from and engage in our university outpatient clinic.

Personality Disorder and Drug use in Adolescence

Early intervention of developing personality disorder in adolescents and intervention for substance use/abuse. Risk factors for developing addictions and personality problems.

Educational Conference

Discussion of school consultation services and other interactions with school systems. This seminar is intended to help residents develop sophisticated ability to talk with school system personnel and to consult with schools about developing treatment plans for children and adolescents.

Seminars that extend over both years:

Child and Adolescent Literature Seminar

In year one, residents will be provided with directed readings that they will discuss with faculty. In year two, residents will be required to search out and present literature related to recent developments in child and adolescent psychiatry.

Continuous Case Conference

A group conference in which residents and faculty present patients seen in various types of psychotherapies. Patients may be seen for long- or short-term therapies and may be on medications.

Case Evaluation Conference

A group conference in which patients seen for evaluation are presented, and diagnosis and preliminary treatment plans are discussed.

Research Methods

A group seminar attended by both third-year general psychiatry residents and second-year child psychiatry residents in which resident research projects are discussed and progress is monitored by faculty.

Journal Club

Last Thursday of the month, 12:00-1:00