Location: Connecticut Childrens
Medical Center (CCMC)
Committee Members: Child & Adolescent Psychiatry
Duration: One or two months, full time
Months Offered: All year
No. Of Students: 1 per rotation
Prerequisite: Third Year Curriculum
Contact Person: Lisa Karabelnik, M.D. at (phone) 545-8662; (FAX) 545-8661.
DESCRIPTION OF PROGRAM
Goals and Objectives:
1. To gain appreciation of the multifaceted aspects of serious illness, both medical
2. To develop the clinical strategies necessary for conducting a therapeutic interview
of the pediatric inpatient or outpatient and family; for generating a differential
diagnosis; and for developing a long-term problem-oriented treatment plan.
3. To enhance the skill of physician self-observation, in which the student strives to
recognize both helpful productive and counterproductive emotional reactions which affect
course of medical illness.
The Child and Adolescent Psychiatry Section at Connecticut Childrens Medical
Center, the Emergency Psychiatric Service, the Pediatric Consultation/Liaison Service, and
Outpatient Ambulatory Services represent the services which contribute to this elective.
Clinical hours are routinely held between 8:00 a.m. and 5:00 p.m. Monday through Friday.
Regularly scheduled activities include the following:
Monday: 10:00-11:00 a.m. Consultation/Liaison Rounds
Tuesday: 8:00-9:00 a.m. Pediatric Grand Rounds
Wednesday: 8:00-9:00 a.m. Psychiatry Grand Rounds, Child and Adolescent Didactics
Friday: 9:00 a.m. - 12:00 noon Child & Adolescent Didactics, Braceland Building,
Institute of Living
Proposed Activities and Responsibilities:
1. With support of close supervision:
(a) To conduct interviews of the patient and family.
(b) To develop an assessment and working diagnosis.
(c) To develop and follow-through with a treatment plan which is brief and focused on
the solution of a specific problem.
(d) To write a consultation which is accurate, clear and helpful.
(e) To enhance the skill of physician self-observation.
2. To participate in individual supervision with child and adolescent faculty.
3. To choose a topic of interest as the focus of a literature search and brief
Facilities that will be available:
The clinical settings for pediatric psychiatry encompass each service at CCMC which
provides treatment to children, adolescents, and their families. These include the
inpatient pediatric service, the outpatient pediatric and psychiatry ambulatory and
specialty clinics, and the emergency room.
One to one teaching will be provided during scheduled hours each week, in addition to
clinical case supervision. Weekly teaching conferences will also be available at CCMC and
Hartford Hospital and include Psychiatry departmental grand rounds and case conferences.
Amount and Type of Supervision:
One to one supervision will be provided on a daily basis and on a selective basis. This
intensive format is designed to provide each student with the opportunity to learn at her
or his own pace. Supervision will focus on two major areas: concrete clinical skills and
the more elusive task of physician self-observation.
Jellinek & Herzog. (1990). Psychiatric Aspects of General Hospital Pediatrics.
Lewis & Volkman. (1990). Clinical Aspects of Child and Adolescent Development.
Greenspan, S. (1991). Clinical Interview of the Child. 2nd Edition, American