The Stanford Community Track Child and Adolescent Psychiatry Fellowship position is a separate ACGME approved track with a different program number, NRMP # 1820405F1. One of the 7 Fellowship positions per year in the Stanford Fellowship Program is classified as this Community Track slot. The rationale for this position is to provide emphasis on clinical training and research experience in community child and adolescent psychiatry. Because of the tremendous need for child and adolescent psychiatrists with expertise in community child and adolescent psychiatry, including knowledge about public sector care and culturally informed approaches, this Fellowship position was created in 2007.
The Fellow’s employment, salary, and benefits will be administered through Stanford, just like the fellows in the six categorical positions of the Stanford Child and Adolescent Psychiatry Fellowship. Shashank V. Joshi, MD, is the Training Director for the Fellowship, and Tamar Meidav, MD, is the Site Director for rotations based at San Mateo County sites.
The first-year (see diagram below) consists of three blocks of clinical work, with a half-day of protected research time (see diagram below). These full-time blocks include one day (Wednesdays) per week of didactics and long-term cases at Stanford and at the East Palo Academy High School (EPAA HS). The overall training is generally similar to the training received by the six categorical Fellows at Stanford, with a major difference being the emphasis on outpatient work with underserved youth and families.
The second-year (see diagram below) consists of three year-long experiences: outpatient-child psychiatry at the LPCH / Stanford Clinics, one half day (Wednesdays) per week of didactics (5 hours per week), long-term cases, and pediatric neurology, one half day of behavioral consultation and follow-up at a community-based clinic (The Ravenswood Family Health Center (RFHC) in East Palo Alto); and one day of community-based clinical research with research mentorship and statistical / epidemiological support from Stanford. With regard to clinical supervision, the Fellow will receive at least two hours of individual supervision per week: one hour with a San Mateo County faculty member and one hour with a Stanford faculty member.
As with the Categorical Fellows, 50% percent of the hours devoted to outpatient experiences will be spent face-to-face with patients, with the other 50% consisting of supervision, team meetings, and administrative time.