Child and Adolescent Psychiatry Fellowship Rotations
Year 1 Rotations
The UT Southwestern and Children’s Health℠ Center for Autism Care
The Center for Autism Care is a multi-departmental, multi-disciplinary program evaluating and serving children and adolescents with Autism Spectrum Disorder (ASD). Fellows will have the opportunity to learn about interviewing and to directly interview school-age and teenage patients for ASD diagnostic purposes with an attending physician behind the mirror and be able to compare their clinical diagnostic interview with the Autism Diagnostic Observation Schedule (ADOS) completed by the psychologist. Fellows have the opportunity to observe the ADOS, to learn how to score the ADOS, and to compare their clinical impression with the ADOS. Fellows will also be able to interview children and adolescents to detect psychiatric co-morbidity in patients, which is an important part of learning. Fellows will learn how to conduct appropriate parent/family intake interviews and a thorough developmental history to detect ASD.
The Center for Pediatric Eating Disorders at Children’s Medical Center, Plano, has 12 inpatient beds and offers Partial Hospitalization programming and an Intensive Outpatient Program. The unit admits children and adolescents between the ages of 2 and 18 years. The program also treats patients with Avoidant Restrictive Food Intake Disorder (ARFID).
Fellows function as leaders of a multidisciplinary treatment team and provide evaluation as well as integrated multimodal treatment plans for individual, group, and family therapies and psychopharmacology.
The Children’s Medical Center Eating Disorders Program is the only facility in North Texas treating children and adolescents with eating disorders and comorbidities and the only pediatric eating disorders program in the United States with a Joint Commission Disease Specific certification.
The Children's Medical Center, Dallas, Day Treatment Service is a partial hospitalization program that runs 5 days/week, 7 hours/day and is designed to increase the level of emotional and behavioral functioning of children and their families in the home, school, and community. Multimodal treatment is offered, including milieu, individual, family, and group therapy, focused on obtaining a thorough diagnostic assessment, managing psychopharmacology, and helping the patient and family develop skills to successfully manage symptoms in the home and school environment.
The Pediatric Consult-Liaison (C/L) Service is a multidisciplinary team that evaluates and treats the emotional, behavioral, and cognitive needs of patients receiving care at Children’s Medical Center, Dallas. Youth with co-morbid medical and mental health illnesses are seen in settings including inpatient medical floors, the emergency department, and outpatient clinics. During the C/L rotation, each fellow is integral in achieving the goals of the service, including facilitating early recognition and treatment of psychiatric disorders in physically ill children and adolescents, differentiating psychiatric illnesses presenting with physical symptoms, avoiding unnecessary diagnostic tests and procedures, supporting youth and their families coping with disease and its treatment, and assisting medical teams in understanding the reactions and behaviors of physically ill youth and their families.
Children’s Medical Center, Pediatric Neurology Outpatient Clinic
In addition to learning diagnostic and treatment skills in the overlap of pediatric neurology and psychiatry, fellows assist neurologists in identifying patients with underlying psychiatric illnesses and in treatment referrals. Fellows are assigned to different pediatric neurology attendings and see 2-4 cases per morning, attain histories and complete neurological exams. Common diagnoses include seizure disorders, headaches, post-traumatic stress injury, traumatic brain injury, developmental delays, and genetic syndromes.
Children’s Medical Center, Teen Recovery Substance Abuse Intensive Outpatient Program
This dual-diagnosis program for teenagers with mental illness and co-occurring substance abuse issues is an intensive outpatient program with a group-based treatment model. Fellows participate in initial substance abuse evaluations and provide psychiatric management as appropriate and participate in group therapy.
The Henry Wade Juvenile Justice Center, a low security level county juvenile detention center located in Dallas, houses male offenders convicted for crimes under Texas state and federal laws. As part of their forensic experience, fellows conduct evaluations and medication management appointments with Child and Adolescent Psychiatrists at the detention center and have opportunities to attend group therapy sessions.
Rees-Jones Center for Foster Care Excellence
This multi-disciplinary program based in pediatrics has services from child and adolescent psychiatry, psychology, child protective services, and pediatrics so that children in foster care may have one place to come for their care. The team works collaboratively with child-placing agencies and community providers to coordinate treatment for this vulnerable population. Fellows will evaluate children and adolescents and develop treatment plans with the multi-disciplinary team.
The St. Anthony School rotation involves the fellow being on site at St. Anthony School to observe class time and consult with staff while learning about the educational system in Texas. St. Anthony School is a respected private school where some students have learning differences and developmental issues and the school develops individual strategies for children and their families to support academic success.
Terrell State Hospital includes a child unit, girls unit, and boys unit, with bed capacity up to 30. Patients have a broad range of diagnosis, including some forensic cases. The average inpatient stay is approximately 6 weeks, but acute admissions are also seen, as well as complex cases that may be hospitalized for months. The campus has a school that patients attend and where fellows have the opportunity to rotate.
Year 2 Rotations
The Children's Medical Center Psychiatry Outpatient Clinic provides ongoing care of patients who are discharged from the psychiatric inpatient and day treatment services, as well as evaluating community referrals and providing treatment for children and their families at the outpatient level of care. Child and Adolescent Psychiatry Fellows conduct evaluations and treatment with a wide range of children and adolescents. The Outpatient Clinic is a required 12-month rotation for second-year fellows. Fellows see approximately 2-4 new cases each week and have 10-15 follow-up appointments per week. Specialty Clinics are offered in the areas of depression and early childhood multidisciplinary assessments. The depression clinic provides evidence-based assessments and treatment, as well as access to research protocols. Two hours per week are spent in group supervision during the depression clinic meetings.
The Suicide Prevention and Resilience at Children’s (SPARC) program is an intensive outpatient program focused on teenagers who are experiencing or have recently had suicidal ideation but do not require hospitalization. Patients step down from higher levels of care or are referred from the emergency department or outpatient therapy. The program is group based, and patients learn coping skills, communication skills, and ways to manage emotions. Fellows attend groups, evaluate patients, manage medications, and coordinate care with other services.
Community Psychiatry Workforce Expansion (CPWE) is a program funded by the Texas Legislature through the Texas Child Mental Health Care Consortium that allows fellows and residents to have a community psychiatry experience under the supervision of a UT Southwestern Faculty child psychiatrist. Trainees carry a caseload of patients and work with a multidisciplinary team in a community mental health center to provide care and learn the unique aspects of this population. Rotations include on site care at urban centers and virtual care for more rural settings. Multidisciplinary team meetings and case staffing are part of the training.
Electives
- Additional psychotherapy experiences
- Specialized consultation-liaison psychiatry clinics: such as REACH (Referral and Evaluation of at Risk Children), COACH (childhood obesity), pain management, sleep medicine, AYA (Adolescent Young Adult Medicine)
- Research work with faculty in areas such as the use of Ketamine
- CPAN (Children's Psychiatry Access Network)
- TCHATT (Texas Child Health Access Through Telemedicine)
Fellow Accomplishments
Kaylee Davis-Bordovsky served as the Area 5 Resident-Fellow Member Representative for the American Psychiatric Association Assembly. She attended both Area 5 and National Assembly Meetings and served on the Access to Care Committee and the Nomination Committee. During her time in the Assembly, she authored and co-authored three Action Papers that were passed and implemented within the APA. She also served on the Program Evaluation Committee and was selected as Co-Chief Fellow of the Child and Adolescent Psychiatry fellowship. She served as an APA Foundation Child and Adolescent Fellow and was a member of the School Mental Health Workgroup from 2021-2023. She attended the APA Annual meetings during her term and helped publish resources for schools through the APA Foundation.
Ian Parsley served as Co-Chief Fellow for the UTSW CAP fellowship for the 2023-2024 academic year. He also received the AACAP Educational Outreach Program Award for Fellows, which included funding to attend the 2024 AACAP annual meeting.
Amandeep Singh received the AACAP Educational Outreach Program Award for Fellows, which included funding to attend the 2024 AACAP annual meeting.
Amanda Su served on the Program Evaluation Committee and served as a first-year fellow representative during fellowship. She was selected as Co-Chief Fellow of the Child and Adolescent Psychiatry fellowship.
Amanda Su co-authored the article “Intermittent Theta Burst Stimulation (iTBS) and Resting State Functional Connectivity in People Living with HIV/AIDS (PLWHA) Who Smoke Tobacco Cigarettes: A Preliminary Pilot Study.” published in Frontiers in Psychiatry in March 2024.
Amandeep Singh was first author on a poster presented at the 2024 APA conference titled “Sleep State Misperception Following a Traumatic Brain Injury” and first author on poster presented at the 2023 APA conference titled “Successful Use of ECT to Eliminate Self-Injurious Behaviors in an Adolescent with Autism Spectrum Disorder.”
Kaylee Davis-Bordovsky received the Child and Adolescent Psychiatry Fellow Teaching Award in 2023. This award recognizes outstanding trainees for their teaching of medical students on their clerkship rotations.
Ian Parsley acted as a facilitator for medical student Team-Based Learning activity on Child Development and Sim Lab activity as part of their Psychiatry Clerkship.
Ian Parsley received a Child and Adolescent Psychiatry Education Award to attend the 2024 AACAP Legislative Conference in Washington DC. At this conference, he participated in shaping AACAP advocacy priorities for the upcoming year and met with multiple members of Congress to promote access to mental healthcare and mental health parity.
Kaylee Davis-Bordovsky was a recurrent speaker for the Girls Empowered by Mavericks (GEM) Program where she spoke to hundreds of high school athletes about mental health and mental illness. She also routinely volunteered her time speaking to high school classes about psychiatry and mental illness, including at Highland Park’s Moody Innovation Institute.
