Clinical Training

Clinical Training

Duke Child and Adolescent Psychiatry (CAP) fellows provide patient care in a variety of clinical settings to establish a solid foundation in core competencies. In addition to core clinical rotations, fellows have the time and opportunity to pursue specific clinical and academic interests in a range of specialty clinics. All fellows enjoy protected academic time.

First Year Experience:

First-year CAP fellows rotate on Central Regional Hospital (CRH) Child and Adolescent Units. One of three state psychiatric inpatient facilities in North Carolina, CRH serves a broad range of patients and families from central and coastal North Carolina, where multidisciplinary treatment teams comprising physicians, psychologists, social workers, nurses, and behavioral specialists collaborate to treat children from across the state. 

First-year fellows spend roughly one-third of their time at CRH working with latency-age children and two-thirds of their time working with adolescents. Trainees work with patients experiencing autism spectrum disorder, gender dysphoria, early onset psychosis, complex chronic medical problems, and complex psychosocial problems, as well as mood and behavioral disorders.

Fellows also spend time rotating on the Child and Adolescent Psychiatry inpatient consultation-liaison service at Duke Children’s Hospital. Fellows round with multidisciplinary teams including psychologists and social workers in Duke intensive care units and pediatric floors and develop expertise treating infant delirium, eating disorders, and mood disorders, among other conditions. 

Fellows also develop psychotherapy skills during two outpatient therapy half-days. They receive weekly scheduled supervision and weekly didactics alongside psychology pre-doctoral trainees. They also participate in the Duke Family Studies clinic, a unique training model that incorporates live-observed supervision facilitated by a two-way mirror and computer console feed. With teams of learners and weekly systems-based didactics, trainees acquire invaluable techniques and perspective on family system dynamics and pathology.

Second Year Experience:

Second-year CAP fellows devote their time to acquiring outpatient child psychiatry experiences. Fellows benefit from core clinical experiences at the Child and Development and Behavioral Health Center and continuing their work in the Psychosocial Treatment Clinic; they also enjoy protected academic time.

Additionally, second-year fellows participate in a wide range of specialty clinics and enjoy the freedom to develop particular interests through electives. Current and past fellows have spent time in a range of Duke clinics, community clinics, and clinics embedded within local schools. 

Please see the links below to learn more about core and elective Duke outpatient training sites: