Comprehensive fellowship rotations in child + adolescent psychiatry at Tufts Medical Center
Our fellowship offers diverse clinical rotations across outpatient, inpatient and community settings. Fellows gain hands-on experience diagnosing and treating children and adolescents with a wide range of psychiatric conditions while addressing psychosocial factors. Fellows work alongside expert teams in Boston-area hospitals and specialty clinics.
Outpatient rotations
Fellows develop proficiency in diagnosing and treating psychiatric disorders in children and adolescents while considering psychosocial influences on mental health. Rotations focus on conducting patient intakes, creating differential diagnoses, developing treatment formulations and providing longitudinal care. Fellows receive supervision from two assigned supervisors each week.
- ADHD Clinic: Outpatient clinic focused on diagnosing and managing attention-deficit/hyperactivity disorder in children and adolescents
- Autism Behavioral Clinic (ABC): Observational experience focused on team- and family-based approaches for children with refractory autism. Fellows do not provide treatment in this clinic
- Center for Children with Special Needs (CCSN): Fellows work with children with developmental delays and autism for half-days each week during the first year. They work with a team of experts and are monitored by a group of people.
- General Psychopharmacology Clinic: A clinic that helps people with mental health problems with medication.
- Integrated Behavioral Health Clinic with General Pediatrics: Clinic integrating behavioral healthcare into pediatric primary care
- Mood and Anxiety Disorder Clinic: Outpatient clinic focused on assessment and management of mood and anxiety disorders
- Outpatient Psychotherapy Clinic: Trainees conduct initial interviews for children, adolescents and families referred for psychotherapy or psychotherapy with medication management. Fellows learn clinical interviewing, building therapeutic alliances, goal-setting and psychodynamic approaches under faculty supervision
- Tufts Medicine Pediatrics: Provides comprehensive pediatric care with attention to family, school and community factors
- Outpatient consultation service: Fellows provide psychiatric and psychosocial consultations to pediatricians through the Massachusetts Child Psychiatry Access Program, the Tufts Medical Center Pediatric Emergency Department and the Psychopharmacology Clinic. Fellows create treatment plans and provide longitudinal recommendations
Inpatient rotations
- Cambridge Health Alliance: Three-month first-year rotation at the Child and Adolescent Assessment Units. Fellows gain experience in assessment, diagnosis, formulation, treatment planning and psychosocial interventions. Training includes individual, group, family and pharmacological treatment, complemented by weekly interviewing seminars
- St. Ann’s Home and School: Three-month rotation caring for children ages 5-12 on the Community-Based Acute Treatment (CBAT) and Transitional Care Unit (TCU). Fellows manage admissions, rounds, treatment planning, family meetings, discharge planning, school collaboration and milieu treatment, with supervision from board-certified Child and Adolescent Psychiatrists
Community rotations
- Boston Children’s Hospital: Fellows evaluate and treat patients with complex medical, psychiatric and psychosocial conditions. Responsibilities include psychiatric evaluations, treatment planning, recommending pharmacological and non-pharmacological care and coordinating with primary teams, families and social workers. Daily supervision is provided
- Boston STARR Program (Stabilization, Assessment & Rapid Reintegration): Fellows consult with a short-term residential program serving youth affected by domestic and community violence, trauma, ADHD and mood disorders, providing assessments and treatment recommendations
- Josiah Quincy Elementary School and Newton Public Schools: Fellows provide psychiatric consultation to teachers, principals, guidance counselors and special education staff. They assess psychosocial and psychiatric issues, address school-based challenges and provide written and verbal recommendations while maintaining confidentiality
- Lowell Juvenile Court Clinic: Fellows learn psychiatric and psychosocial consultation in a court setting, including evaluating children/adolescents, reviewing legal documents and providing clear, concise courtroom testimony. Fellows also learn about relevant laws, court processes and family and community involvement
