Child and Adolescent Psychiatry Fellowship Program | MedStar Georgetown | MedStar Health

The MedStar Health—Georgetown University Hospital Fellowship Program in Child and Adolescent Psychiatry

We are very pleased that you are interested in learning more about our training program. We are a relatively young program, founded in 2010 and also connected to the collective knowledge and experience of a Child and Adolescent Psychiatry division that has been thriving for over 50 years. In our training program, we have taken the opportunity to start fresh and have implemented innovative, evidence-based teaching and skills-building methods.

We also emphasize having fun while learning and building meaningful relationships with each other along the way. These relationships create a sense of safety and security that helps our trainees take chances, reflect honestly on their strengths and vulnerabilities, challenge each other and their supervisors, and explore the many exciting opportunities available within our division and within the Washington, D.C., metro area as a whole. We strongly believe that diversity, inclusion, equity, justice and authenticity are essential elements of a thriving learning environment, and we consider them among our core values. Our faculty also place a strong emphasis on positive psychiatry, a strengths-based approach to assessment and treatment that centers on promoting well-being, and we practice what we preach clinically by working actively to improve the well-being of our faculty, trainees, and staff.

Why train here

In our training program, we have implemented innovative, evidence-based teaching and skills-building methods. We strive to create a learning experience that embodies the mission of our entire Child and Adolescent Psychiatry division. Our program mission is to: 

  • Prevent and alleviate youth mental health problems

  • Promote positive youth mental health

  • Build health equity

We do this by providing state-of-the-art, research-based psychiatric care that is holistic, family-centered, community-based, and culturally attuned to the diverse communities of the D.C. metro area.

As a clinical Division, we focus on improving access to care for families in the D.C. metro area through working in schools and primary care clinics in underserved areas as well as by accepting the broadest range of public and private insurance of any academic clinic in the area. We are also specifically interested in allying with, learning from, and providing support to the historically marginalized African-American/black and Latinx communities living in Washington, D.C.,

To learn more about the training program, read this letter from the Division Chief.

Curriculum

The overall seminar experience for the first year is focused on:

  • Adhering to adult learning theory principles

  • Being interactive and experiential

  • Staying as clinically relevant as possible

  • Providing opportunities to practice teaching PGY3 psychiatry residents, PGY3 pediatric residents, and medical students

For the second year, the overall seminar experience is focused on:

  • Adhering to adult learning theory principles

  • Being interactive and experiential

  • Staying as clinically relevant as possible

  • Providing opportunities to practice teaching CAP 1s, PGY3 residents, and medical students

Rotations

 

 CAP 1 YEAR ROTATION SCHEDULE
 Rotation  4 Months
Adolescent Inpatient
 4 Months
Adolescent Outpatient – IOP/PHP
 3 Months
Inpatient and Outpatient
  1 Month
 Site  MedStar Montgomery Medical Center  MedStar Montgomery Medical Center  Consultation-Liaison
MGUH/MWHC/DC Public Schools 
 Project/ Elective Time
 % Time/Week   80% 80%  80%  80% 
Weekly Outpatient Clinic
Medstar Georgetown Hospital 10%

Weekly Seminars
MGUH 10%
 

 

CAP 2 YEAR ROTATION SCHEDULE 
Fellows 1 & 2 Mon Tues Wed Thurs  Fri
AM Mary’s Center Community Mental Health Weekly Seminars
 
Project/ Elective Time  Mary’s Center Community Mental Health
 
WISE School Based Mental Health 
PM Mary’s Center Community Mental Health Medstar Georgetown Hospital Outpatient Clinic  Medstar Georgetown Hospital Outpatient Clinic Mary’s Center Community MH
 
WISE School Based Mental Health 

 

Fellow 3 Mon Tues Wed Thurs  Fri
AM MedStar Fort Lincoln Community Mental Health Weekly Seminars
 
Project/ Elective Time  MedStar Fort Lincoln Community Mental Health
 
WISE School Based Mental Health
PM MedStar Fort Lincoln Community Mental Health Medstar Georgetown Hospital Outpatient Clinic  House of Ruth Early Childhood Mental Health Clinic MedStar Fort Lincoln Community Mental Health
 
WISE School Based Mental Health

Diversity and inclusion

As reflected in our Fellowship Program and Clinical Division mission statements and core values, equity, authenticity, diversity, and inclusion are central to both our clinical work and our training program.

Fellowship Program Mission Statement

We strive to create a learning experience that embodies the mission of our entire Child and Adolescent Psychiatry Division: to prevent and alleviate youth mental health problems, promote positive youth mental health, and build health equity by bringing state-of-the-art, research-based psychiatric care that is holistic, family-centered, community-based, and culturally attuned to the diverse communities of the Washington DC Metro Area. As a clinical Division, we focus on improving access to care for families in the DC Metro Area through working in schools and primary care clinics in underserved areas as well as by accepting the broadest range of public and private insurance of any academic clinic in the area. We are also specifically interested in allying with, learning from, and providing support to the historically marginalized African-American/black and Latinx communities living in Washington, DC.

Core Values

  •  Diversity and intersectionality
    • Diversity - Cognitive
      • The differences in how we interpret, reason and solve and how these different styles can offer unique perspectives to a group. Cognitive diversity is inextricably linked to identity (compositional) diversity.
    • Diversity - Compositional
      • The numerical and proportional representation of various racial and ethnic groups.
    • Intersectionality
      • The interconnected nature of social categorizations such as race, class, and gender as they apply to a given individual or group, regarded as creating overlapping and interdependent systems of discrimination or disadvantage.
  • Inclusion and authenticity
    • Inclusion
      • The act of actively involving every employee's ideas, knowledge, perspectives, approaches, and styles to maximize success and creates the sense for the employee that they are part of the fundamental fabric of the organization.
    • Authenticity
      • A quality of being genuine and feeling safe to allow each of your identities to manifest without the fear of being judged. 
  • Equity
    • Equity in health is the absence of systematic disparities in health (or in the major social determinants of health) between groups with different levels of underlying social advantage/disadvantage—that is, wealth, power, or prestige (Braveman 2003). We apply this same principle to our clinical and educational teams, striving to eliminate systematic disparities in opportunities for growth, mentorship, advancement, and promotion among our faculty, staff, and trainees.
  • Growth mindset
  • Humor and fun
  • Intellectual curiosity as well as humanistic curiosity
  • Service and sense of community responsibility
  • Humility and Service: Joining with, learning from, and sharing with families
  • Accountability to colleagues and community
  • Positive psychiatry & Personal Wellbeing
    • We have a strengths-based approach to assessment and treatment that centers on promoting well-being, and we practice what we preach by working actively to improve the well-being of our faculty, trainees, and staff.

Equity, Diversity and Inclusion in Recruitment

Overall, we use a Holistic Review Framework drawn from the AAMC's Roadmap to Diversity document, as we feel that is the gold standard for increasing diversity in our program and creating a sense of inclusion and equity in our recruitment process. It is also essential in maintaining an inclusive culture for trainees once they join our program and ensuring they have equitable opportunities for advancement and leadership opportunities.

  • We deliberately put together our Recruitment Committee to be representative of the diversity of our training program.
  • As a committee, we integrate knowledge and skills from training in implicit bias reduction when reviewing letters of recommendation.
  • We utilize ranking criteria that account for life experience that might make an applicant better prepared to work with the under-served, marginalized communities we serve.
  • We have virtually eliminated the impact of exam scores in our assessment process given that exams are typically biased towards students who attended better funded schools.
  • We deliberately develop our criteria for ranking both applications and applicants during and after their interview days BEFORE we review applications and maintain those criteria throughout the recruitment process.
  • The criteria are specifically chosen to help us determine which applicants will best help us achieve our mission and uphold our values.
  • Behavioral Interviewing: For the past six years, we have utilized behavioral interviewing to create equity across applicant interviews and to decrease the influence of implicit bias on the questions that individual applicants are asked.
  • As a committee, we reflect on our process each year and seek to improve it based on the outcome of our recruitment process and the changing demographic makeup of our patient population.

Fellowship Culture

  • We deliberately address issues of culture, ethnicity, race, and difference during our fellow orientation each year and explicitly state our intention to create an inclusive learning environment.
  • Our department formed an Equity, Diversity, and Inclusion Committee, currently chaired by Dr. Kristine Goins, who will be the Associate Program Director of the fellowship starting July 1st, 2020. The committee is charged with formulating our program and departmental diversity statement, sharing recommended strategies and best practices for everyone who is involved in the recruiting process, and developing and implementing policies and processes to promote equity, diversity, and inclusion in the department.
    • Several CAP Division faculty members are on the committee, including Dr. Kristine Goins, Dr. Erica Coates, Dr. Colin Stewart, and Dr. Matthew Biel.
  • Curriculum
    • Fellowship leadership is actively working on developing a comprehensive two-year curriculum in Sociopolitical Determinants of Mental Health, Structural Competency, and Social Justice. Elements of this curriculum already exist but the expansion of this curriculum is one of the explicit goals of the fellowship leadership team for AY 2020-2021.
      • Within this broader curriculum’s umbrella will be a new curriculum on How to be an Anti-Racist Child and Adolescent Psychiatrist that will include seminar, experiential, project-based, and advocacy components.
    • Resources
      • As a clinical and research faculty, we have expertise and experience in community mental health, community-based research, and clinical and organizational approaches to promoting equity, diversity, and inclusion. 

Equity, Diversity and Inclusion at Georgetown School of Medicine

What’s happening in the DMV

  • Living and working the DMV area: 

    The “DMV” area which refers to DC, Maryland, and Virginia, is an excellent place to both live and work, as our faculty and fellows will attest. Living either within the nation’s capitol or very close to it offers so many unique and diverse experiences. 

    Washington D.C Neighborhoods: 
    DC is a large city made up of multiple neighborhoods, each with its own culture and attractions. Take a look at this website to learn more about each neighborhood:
    https://washington.org/dc-neighborhoods

  • Getting around D.C.: 

    Many faculty and fellows utilize public transportation, including the “metro” and bus system. Washington D.C. has one of the cleanest public transportation systems in the country. DC is a very pedestrian friendly city, and the wide streets allow for good walkability without congestion as compared to other cities. It is also being more bike-friendly as well with the addition of designated bike lanes. Additionally, there are numerous bike share and scooter rental options to help you get around DC. 

    Metro system: https://wmata.com/ 

    For those not close to a metro line, driving is certainly an option, though commute times can vary significantly depending on traffic. Ride share services are very easily accessible, as are taxis. 

    There are also two major airports, Dulles International Airport and Reagan National airport, which allow for easy and convenient travel nationally and internationally. 

  • Diversity in the DMV: 

    A highlight of living in the DMV area is the cultural and ethnic diversity of the population. In addition, the DMV area has a robust and thriving job market in a variety of fields and attracts people from a broad range of backgrounds and experiences. 

  • Areas of Interest: 

    • Advocacy and Community Engagement: As our nation’s capital, Washington D.C. certainly offers numerous opportunities for those who are interested in advocacy. Below are a list of some of the national organizations with headquarters in DC, including AACAP which is down the street from the Georgetown psychiatry clinic!
      AACAP: https://www.aacap.org/AACAP/About_AACAP/Contact.aspx
      APA: https://www.psychiatry.org/about-apa/apa-headquarters
      AAMC: https://www.aamc.org/about/contact/

      If you are interested in local volunteer/service opportunities, the DC area is home to numerous non profit organizations that are always looking for passionate volunteers.
      https://www.american.edu/ocl/volunteer/nonprofit-directories.cfm
    • Cultural Experiences/Places to Visit: Though the monuments and museums are traditionally considered “tourist attractions,” there is a plethora of free museums with rotating exhibits so there is always something new to see, or more to learn. In addition to the historic monuments and free museums, there are numerous other locations worth visiting, as referenced on this website: 
      https://travel.usnews.com/Washington_DC/Things_To_Do/

      Some highlights include: 

      • The Smithsonian museums 
      • The US Capitol Building and Library of Congress 
      • Monuments: Lincoln, WWII, Martin Luther King Jr, Vietnam and Korean War Veterans 
      • The Botanic Gardens
      • Smithsonian’s National Zoo
      • Washington National Cathedral
      • Arlington National Cemetery 

      A unique experience is Passport DC, which occurs annually as a celebration of the cultural diversity in Washington D.C. and includes a tour of various embassies. The link below offers information for Passport DC 2020: 
      https://www.culturaltourismdc.org/portal/passport-dc1

      History buffs will have plenty to explore in the DMV area, such as Mount Vernon, Lincoln’s Cottage, and Fort McHenry. 

      Music, Art and Theater: From small, intimate venues to large performing arts centers, you will always be able to find a concert or performance to attend in Washington D.C. 

      The John F. Kennedy Center for the Performing Arts offers free performances on a regular basis. Wolf Trap is a popular music venue in Vienna, Virginia, and offers a wide range of performances.  http://www.kennedy-center.org/
      https://www.wolftrap.org/
      https://washington.org/visit-dc/live-music-venues-washington-dc
      https://washington.org/theater-performing-arts-washington-dc
      https://culturecapital.com/feature/98/galleries-in-metro-dc

    • Eclectic Food Scene: Many faculty and fellows are self proclaimed “foodies” and will enthusiastically agree that the DMV area is home to an extremely diverse food scene. From food trucks to Michelin star restaurants, the DMV has what you’re craving. 

      https://dc.eater.com/

      In addition to the thriving food scene, D.C. is home to multiple breweries. Virginia Wine country is also a short drive away. 

    • Sports: Whether you’re a die-hard sports fan or the occasional spectator, it’s always fun to catch a Nationals game or root for the Caps. There are multiple major sports team in the area including the Washington Redskins, Washington Capitals, Washington Nationals, D.C. United, Washington Mystics and Washington Wizards. There are also multiple universities in the area if you prefer college sports. 

    • Outdoor Activities: Mountains and beaches are both easily accessible from the DMV area. There is hundreds of miles of walking/hiking trails within and nearby the DC area, and beautiful parks to explore including Rock Creek Park and Great Falls Park. Shenandoah National Park is a 75 mile drive from the DC area.
      https://washington.org/visit-dc/free-things-to-do-outdoor-activities
      https://www.nps.gov/locations/dc/index.htm

Wellbeing in the Georgetown CAP training program

Wellness and well-being are priorities within the MedStar Georgetown Child and Adolescent Psychiatry (CAP) fellowship for patients and their families as well as fellows and faculty. There have been numerous efforts within the CAP fellowship and child psychiatry division to promote well-being. Beginning the 2019-2020 fellowship year, there is a newly developed “culture” chief resident role in order to help develop and maintain wellness and social activities for fellows.

Wellness efforts include:

  • Two retreat days, usually one day in the fall and one day in the spring, funded by the fellowship for team building activities and providing program specific feedback
  • CAP get-togethers with faculty, staff and fellows within the CAP division
  • Free access to the gym at the 2115 Wisconsin Ave building
  • Financial support to attend national conferences such as AACAP
  • Catered lunch for fellows with Grand Rounds speakers

MedStar Health has many additional well-being efforts to provide support to residents/fellows:

  • The Physician Concierge Service connects MedStar Health physicians with a personalized assistant service to provide a wide range of services for emotional, social, physical, or financial challenges
  • MedStar Health Care@work program provides Care.com assistance for emergency childcare or adult care
  • Care for Caregiver program provides support for caregivers
  • Access to confidential self-assessment tools with resources for additional support
  • Complimentary access to BoardVitals for board preparation via Dahlgren Memorial Library/Georgetown University
  • Biostatistics assistance for research through MedStar Health

The Georgetown University School of Medicine has also recently developed a committee on Medical Student Well-Being. Committee members include several Department of Psychiatry faculty including Emily Aron, MD, Mayada Akil, MD, and Stacey Kaltman, PhD. Click here to learn more.

Application information

Interested in applying?

Contact us

If you have a passion for excellence in medical training, look to the opportunities at MedStar Health. We offer the best aspects of academic medicine, research, and innovation combined with a complete spectrum of clinical services to advance patient care. We invite you to learn how we can help your professional development.

KenAndra De Saussure
Program Coordinator
Kenandra.T.Desaussure@gunet.georgetown.edu
202-944-9323

202-944-5405


Colin Stewart, MD
Training Director
colin.e.stewart@gunet.georgetown.edu