Program Introduction for Interviewing Fellows
The Dartmouth-Hitchcock Health system
Dartmouth-Hitchcock Health (D-HH) is New Hampshire’s only academic health system and the state’s largest private employer, serving a population of 1.9 million across northern New England. D-H provides access to more than 1,800 providers in almost every area of medicine, delivering care at its flagship hospital, Dartmouth-Hitchcock Medical Center (DHMC). DHMC was named in 2020 as the #1 hospital in New Hampshire by U.S. News & World Report, and recognized for high performance in 9 clinical specialties, procedures, and conditions.
DHMC is located in Lebanon, NH, at the central western border of New Hampshire, adjacent to Vermont. We see patients from New Hampshire, Vermont, Massachusetts, New York and Maine. Dartmouth-Hitchcock Health has a networks of affiliate hospitals, and clinics.
Provider payment model
- Across Dartmouth-Hitchcock (D-H), providers are not paid on collections.
- We do not have to ask patients what kind of insurance they have to figure out what clinic to schedule them in.
- The residents and fellows see patients in the same clinic as attending physicians.
Welcome to Child & Adolescent Psychiatry at Dartmouth! Dartmouth-Hitchcock Medical Center and the Geisel School of Medicine at Dartmouth is the largest academic medical center system north of Boston, located in the beautiful upper Connecticut River valley. We are a medium-size fellowship program (“Goldilocks zone” with 6 Child Fellows) within a large two state (Vermont and New Hampshire) rural region. Dartmouth College provides a unique cultural and intellectual hub and a rich diversity of resources for our area. Our community is safe, family-oriented with abundant outdoor activities available year round. We emphasize tailoring our training experiences to our fellows unique interests, where learning the art, craft and science of child psychiatry can be pursued with strong collegial support. Our program has a close-knit, family feel where fellows work closely with faculty in providing subspecialty care across a variety of clinical experiences (e.g., PANS/PANDAS, Autism Care, Neurodevelopmental, Psychotherapy, Neuropsychological testing, Psychopharmacology, and Consultation-Liaison, to name a few). We have been doing Tele-psychiatry for nearly 20 years owing to our rural location and fellows have excellent opportunities to develop expertise as collaborative consultants with Pediatrician and primary care colleagues. We have no overnight or in-house call. Dartmouth has excellent resources for those fellows seeking research or with population health oriented interests, including: The Dartmouth Institute for Healthcare Policy Research, Thayer Engineering School, Tuck Business School and our Translational Sciences program-SYNERGY. There are opportunities through our Leadership in Preventative Medicine Program to pursue an MPH simultaneously with Child Psychiatry training at no cost to you. We have an extraordinarily diverse group of Child Fellows who go on to pursue a variety of careers in academic child psychiatry, research, further fellowship training in Forensics, Autism and Addictions, as well as hospital or group based practice. There are many opportunities in the local region for fellows to pursue their careers after training. Are you looking for a high volume, high intensity, high-stress program in a big city setting? Then look further, because that is not us. If you are looking for a program that offers a broad training experience in child psychiatry, emphasizes quality in learning, and has close working relationships with faculty then we just might be the program for you. We would be happy to speak with you about the many exciting opportunities at Dartmouth so please feel free to reach out to us for more information.
One month rotation at Mountain Valley Treatment Center; three month rotation at the Brattleboro Retreat; One week Rotation at Walden Behavioral Care; Development Rotation at Dartmouth Child Care Center; On-site Clinics in: Pediatric Neurology, Child Development Clinic; PANS/PANDAS Clinic, Psychotherapy, and Consult and Evaluation Clinics.
Rotate off-site twice a month at West Central Behavioral Health; On-site clinics which include: Consult and Evaluation, Psychotherapy, Group Therapy, Autism Clinic, and more. Year Two is the year to do an elective should you choose to do so.
Joining in your PGY-4 year
If joining us from an external program there is never overnight or weekend call. If transferring internally and fast tracking for your PGY-4 year, you do share the occasional weekend call with your former class for your PGY-4 year only (CAP-Year One if PGY-4).
Benefits / policies
Important/required GME policies – please read prior to your interview
All GME policies are can be reviewed here:
Every Tuesday the Psychiatry department hosts Grand Rounds for all of its sections. Psychiatry also hosts a department wide Journal Club at noon on Fridays. When meeting in person for Journal Club, Psychiatry hosts a light lunch. In addition to these, Thursdays are dedicated to Didactics for Child and Adolescent Psychiatry. Twice a year during Didactics we go off-site for a field trip of sorts to another institution to see how they practice and educate, and to other locations to see how they provide care. Another special Didactic event we hold twice a year is an Ethics Case Conference that has quickly become a favorite of all the Fellows, as well as the PGY-3 Residents who join us.
A video message from alumni - Dr. Larry Mitnaul
Leadership Preventive Medicine Residency (LPMR)
- Builds on TDI strengths in outcomes research, improvement, population health and institutional commitment to quality, safety, and value
- MPH degree from TDI – tuition paid by program!
- Opportunity to lead change and improvement at DHMC
- Two month governmental public health experience
- Dedicated faculty coach; teaching opportunities; unique multi-specialty resident/fellow/faculty group
- May incorporate research in one year of program (3 + 1)
- continue clinical work
- moonlighting allowed
- Graduates are in demand and employers are very interested in their mix of clinical skills plus improvement and change knowledge and experience
- Visit the LPMR web page, email email@example.com or contact an alum to learn more!
Orientation, simulation and skills labs
DHMC has a Patient Safety Training Center, also known as the “Sim Center”.
There are skills labs, including suturing, laparoscopic and robotics training. The department participates in simulation and also has annual anatomic dissection at the cadaver lab at the Geisel School of Medicine at Dartmouth.
Match communication code of conduct
We follow the NRMP guidelines for the Match process. We will not contact you but are happy to hear from you and to answer questions you may have that are not answered during the application and interview process.
Upper valley life
Lebanon, New Hampshire was Rated Best Small Town in America. There are many outdoor activities available in the Upper Valley for all seasons. Activities include:
- Road biking, gravel biking, fat tire biking, mountain biking
- Hiking in the white mountains of New Hampshire, the green mountains of Vermont, hiking segments of the Appalachian trail, the Long Trail (Vermont)
- Rock climbing, ice climbing
- Swimming outdoors and indoor facilities during the winter
- Sailing, water skiing on many lakes
- Kayaking, sculling, rowing canoeing, paddle boarding on Connecticut River or lakes
- Skiing, alpine, XC, back country
- Ice skating, hockey
- Maple sugaring
The cultural opportunities in the upper Valley are similar to towns of 300,000 or more, likely due to the influences of Dartmouth College and Dartmouth-Hitchcock Medical Center.
- Hopkins Center at Dartmouth College has numerous theatre events, concerts, films, including 5-6 films previewed for the Telluride film festival before public viewing.
- Opera North and the Lebanon Opera House in Lebanon, NH, provide high quality theatre and opera productions, in addition to live concerts.
- Northern Stage in White River Junction, VT, is the preeminent year-round theater company in the region, offering professional productions of world premieres, classics, and musicals.
- Museums: the Hood Museum (photo shown on right, courtesy of Dartmouth) at Dartmouth; Montshire Museum of Science in Norwich, VT
- Vermont Institute of Natural Sciences
- The Upper Valley Trails Alliance (UVTA) strives to form and support partnerships with any town, organization or person in the Upper Valley willing to work on the improvement and sustainable development of public trails.
View area photos by visiting the links below:
For more on life in the upper valley, visit this web page.
- Boston: 2 – 2.5 hours by Dartmouth Coach
- NYC: 4 hours by Dartmouth Coach
- Montreal: 3 hours by car