Rotations
Rotation Schedules
Additional Core Rotations
During the blocks at Dartmouth-Hitchcock Medical Center, residents are assigned to part time rotations in the areas of pediatric neurology, childhood development disorders, community psychiatry, school observations and consultations, and infant psychiatry. The pediatric outpatient neurology experience takes place at DHMC. The Autism Spectrum Disorders and Neurodevelopment Clinics are collaborative efforts based in the Department of Psychiatry and staffed by faculty from psychiatry and pediatric developmental neurology. The community psychiatry rotation takes place at an affiliated community mental health center under the direction of faculty child and adolescent psychiatrists. School observations and consultations take place in nearby public schools under the direction of a faculty child and adolescent psychiatrist. The infant psychiatry rotation takes place at a nearby family supportive service agency that provides theraputic programs for high risk mother and very young children, 0-3 years of age.
Also, during the blocks at DHMC, residents are assigned to the inpatient pediatric consultation service for approximately 5-10% of their time each week. On this service, residents see children and adolescents on pediatric or other specialty services. Patients range in age from infancy through adolescence and are referred for evaluation for a wide variety of psychiatric problems, as well as problems with adjustment to medical disability or medical procedures, compliance with medication and separation from family and peers. Assessment involves clinical interviews of patients, various family members and medical personnel. Therapeutic interventions include behavior modification, pharmacotherapy, individual psychotherapy, family therapy, staff-focused consultation and referrals to appropriate treatment resources.
On-Call
While assigned to Dartmouth-Hitchcock Medical Center, residents share in-house back-up call with other senior psychiatry residents and have approximately three night and weekend on-call experiences per year while new junior general psychiatry residents are gaining initial on-call experience. Junior residents see up to five cases per on-call experience, of which 10 to 20% involve families, adolescents, and/or children.
At New Hampshire Hospital, residents take telephone back-up calls for one week approximately every two to three months.
