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Child & Adolescent Psychiatry Fellowship Program

The University of Maryland offers a fully accredited (ACGME) two year child and adolescent psychiatry fellowship program jointly sponsored by the University of Maryland Medical System (UMMS), the Sheppard Pratt Health System (SPHS) and the State of Maryland Department of Health and Mental Hygiene (DHMH). A total of twelve full time positions are available. Trainees usually enter the program after the PGY-3 year of residency training in general psychiatry, i.e., following internship and 2 years of general psychiatry residency. Upon completion of three years of approved psychiatry residency and a two year child and adolescent psychiatry fellowship program, trainees are eligible to take the American Board of Psychiatry and Neurology examinations in general psychiatry and in child and adolescent psychiatry. Fringe benefits include professional liability insurance, health insurance, holidays, vacation and parking.

Objectives and Philosophy

The goal of the fellowship program is to provide an integrated yet flexible set of learning experiences. The Division is committed to teaching those diagnostic, consultative and therapeutic skills essential to the field of child and adolescent psychiatry. A two-year didactic curriculum is designed to provide a sound knowledge base in child psychiatry. This is complemented by skill development and case-centered teaching in a variety of settings selected to provide a well-rounded experience that includes inpatient, outpatient, private and public-sector sites. Required experiences are designed to expose all fellows to normal child and adolescent development, early intervention and prevention of mental health problems, therapeutic interventions, community child psychiatry, forensic child psychiatry and research. In addition, the variety of training sites also enables fellows to develop special expertise in a particular area of interest.

Program Description

The Child Psychiatry Fellowship Program includes experience in the evaluation and treatment of children and adolescents in inpatient, partial day, outpatient, special school programs, standard public school and community settings (See Table 1). Training and supervision are provided for individual, family, and group therapy, psychopharmacology, mental health consultation and research. Each fellow receives 3-4 hours/week of individual supervision. Fellows are also offered opportunities to teach general residents, medical students, and psychology interns. Learning experiences are organized longitudinally so that they continue throughout the two years of training. Fellows assume increasing professional responsibility, with appropriate supervision, as skills and knowledge develop.

The fellowship program is organized around a core of clinical services. The first year of training consists primarily of inpatient and day hospital experience at either the University of Maryland Hospital (UMMS), Sheppard and Enoch Pratt Hospital (SEPH) or Spring Grove State Hospital. In addition, fellows begin long-term outpatient work and diagnostic evaluations in the first year. Infant psychiatry is also emphasized in the first year. The second year focuses on outpatient clinic work as well as experiences in school, pediatric and community consultation. (See Table 2 for rotation schedules.) Because of the number and diversity of training sites available, the program designs an individualized training program to meet the fellow's professional needs and to provide maximal personal growth. Clinical service assignments are made, to the extent possible, based on individual interests and preferences.

Training facilities at the University of Maryland include the Child Psychiatry Inpatient Service, the Child Day Hospital, the Child and Adolescent Psychiatry Out-Patient Clinic, the Child Psychiatry Pediatric Liaison Service, Pediatric Neurology and the Center for Infant Study. Training at the Sheppard Pratt System includes inpatient and day hospital services as well as a special school for emotionally disturbed children and an outpatient autism clinic. Fellows may also be assigned to the Regional Institute for Children and Adolescents (RICA), a state residential and day treatment facility for emotionally disturbed children and teenagers. All fellows are assigned to the Baltimore City Juvenile Court, the Maryland School for the Deaf, and to 3-4 public schools in Baltimore City. Supervision for all consultation experiences is provided by on-site faculty.

Research experience is strongly encouraged, but not required. Experiences are available in Post Traumatic Stress Disorder, school mental health, psychopharmacology and juvenile justice research programs, as well as other elective topics identified by the fellow and faculty member(s).

How to Apply

First-year appointments are made through the National Resident Matching program (NRMP). Applicants are selected for an interview based on their passing USMLE Parts I, II, and III, letters of recommendation; successful completion of three years of ACGME accredited General Psychiatry Residency and letter of recommendation from their General Psychiatry Training Director. International medical graduates must have a valid ECFMG certificate to be eligible for permanent immigrant studies as well as eligibility for licensure in the State of Maryland. One year of experience in a medical or surgical setting in the United States is required.

Residents in the General Psychiatry program at the University of Maryland may apply for early acceptance, whereby they submit their application by May 1, and are invited for personal interviews in April or May. An offer must be made by May 21 and accepted prior to June 1; this commitment is binding both for the trainee and the program. The training program will begin July 1 of the following year.

For those candidates not applying for early acceptance, applications should be completed by November 1. The application materials are the same for both early-acceptance and standard-timeline applications. We require a reference from the General Psychiatry Program Training Director and a minimum of two other letters of recommendation. References should be faculty members who know the candidate well and are in a position to comment on their suitability for the residency. Candidates may then be invited for a personal interview. Interviews are scheduled from July through November, meeting established NRMP deadlines. Those holding H1 visas are not eligible to apply.

Applications must include:

  • Application  
  • A personal statement detailing your interest
  • Three letters of recommendation, including one from the Director of your General Residency Program
  • Curriculum Vitae
  • Copies of ECFMG, USMLE, Step I, II and III certificates
  • Copy of medical school diploma
  • Transcript
  • Dean’s Letter

For more information contact:

David Pruitt, MD
Director, Child and Adolescent Psychiatry Residency Training
University of Maryland
701 W. Pratt Street, Suite #429
Baltimore, Maryland 21201
Phone: 410-328-3522
Phone: 410-328-0202
Email: dpruitt@psych.umaryland.edu