Psychiatry Fellowships

Duke Psychiatry and Behavioral Sciences provides two psychiatry residency fellowship programs through our Psychiatry Residency Program, the Child and Adolescent Psychiatry Fellowship and the Geriatric Psychiatry Fellowship. Divisions in the Department of Psychiatry and Behavioral Sciences may provide short-term fellowship throughout the year, visit division pages for more information on each program.

Learn more about the Child and Adolescent Psychiatry Fellowship

Learn more about the Geriatric Psychiatry Fellowship

 

Child and Adolescent Psychiatry Fellowship

 

The mission of the Duke University Hospital-Child and Adolescent Psychiatry Residency Training Program is “To train leaders in clinical and academic psychiatry with an emphasis on integrating an evidenced-based approach to care for children and adolescents.”

Our focus is to provide the learning experiences necessary for the development of clinical expertise in child and adolescent psychiatry. We provide our fellows with a variety of clinical opportunities to establish a solid learning experience in core competencies, while also encouraging each child psychiatry resident to develop his or her individual career interests, including research opportunities readily available during the residency.

 

What to expect during the fellowship

The focus of lecture-based education occurs in both years during an academic half-day, a cornerstone two year case-based seminar series which review the epidemiology, diagnosis, and treatment of psychiatric disorders in children and adolescents. Embedded in this time are three case and evidence-based monthly seminars which critically appraise the approach to problems in consultation-liaison, psychopharmacology, and complex child and adolescent psychiatric presentations.

Special modules on human development, forensics, pre-school, consultation, systems based practice, neurophysiology, and psychopharmacology are also provided in addition to general coverage of child and adolescent psychiatric disorders.

First year residents attend two additional weekly seminar series at Central Regional Hospital. One on basic concepts of development and clinical care, and a second concerned with developing skills in the evaluation of the psychiatric literature, with the aim of demystifying the complex analyses in common use and their application in key therapeutic studies.

Empirically supported psychosocial treatments are taught at specific clinical rotations in both years.

Clinical training sites include inpatient and outpatient child and adolescent services. The inpatient psychiatry experience occurs during the first year of the fellowship at Central Regional Hospital Child and Adolescent Units. This state-of-the-art State hospital serves a mixture of public and private sector patients and their families. Children’s Services provides multidisciplinary diagnostic, educational, and treatment services for children age 5 years to 12 years. Adolescent Services provides diagnostic, educational, and treatment service for adolescents ages 13 years to 18 years.

A resident’s average caseload is five patients, with a progressive approach to increase a resident responsibility.  We expect that residents will be able to function at the junior attending level by the end of their rotations. During the in-patient treatment experience, residents interact with and lead multidisciplinary treatment teams. 

Outpatient training occurs during both years. First year residents conduct their training at The Duke Child & Family Study Center and the Family Studies Program. This includes concurrent supervision behind a one way mirror of diagnostic assessments and treatment cases along with a Cognitive Behavioral Therapy case conference seminar.

Second year residents participate in outpatient clinical practice at Duke and an affiliated community based outpatient practices. These clinical sites have long term treatment experience with a caseload that encompasses a wide range of ages, diagnoses, and treatment approaches that include pharmacotherapy, cognitive behavioral child and family psychotherapy, group psychotherapy and psychodynamically oriented child psychotherapy. Additional required out-patient rotations include the Center for Child and Family Health, Center for Adolescent Substance Use Treatment-CAST /Substance Abuse, Duke Center for Autism and Brain Development, and Pediatric Neurology (Epilepsy Clinic at Duke, Spasticity Clinic at Duke, and Cerebral Palsy Clinic at Duke). Elective specialty clinic rotations include Medical Genetics, Rheumatology/Pain, Pediatric Sleep Disorders, Eating Disorders, Child Abuse/Neglect Clinic, and UNC Forensics Clinic.

The second year residents also have multiple consultation experiences: Consultation-Liaison on pediatric inpatient medical/surgical units at Duke University Hospital and outpatient pediatric specialty clinics, and school consultation.

On weekdays child and adolescent fellows provide in-home advice services for junior residents in the ED who do not yet feel confident enough in their skills to contact the on-call child attending directly. On weekends, fellows cover the pediatric consultation-liaison service from home, but are expected to go into the hospital to evaluate the child directly if called. However, it is rare for such visits to occur - perhaps such an evaluation will be required two or three times per year. 

 

Application Requirements and Procedure

  • We will only consider candidates who will be eligible for a Residency Training License in the State of North Carolina (see eligibility requirements here)
  • All applicants must apply through ERAS website http://www.aamc.org/students/eras/start.htm
  • We will review applications received through ERAS when the PostOffice opens
  • The Duke Psychiatry Education Program offers J-1 visa sponsorship

 

Child & Adolescent Psychiatry FAQs

Question: Do you support Global Mental Health career goals?
Answer: Yes. With enough advance planning and collaboration, it is possible to customize the adult and child residencies to permit participation in the Global Mental Health Program, which adds additional time (usually two years) to the overall training program.

 

Question: Are there research opportunities within the child training program?
Answer: Yes. There are a variety of research opportunities in different areas including clinical drug trials, developmental epidemiology, trauma, autism, and ADHD.

 

Geriatric Psychiatry Fellowship

The Department of Psychiatry and Behavioral Sciences, in cooperation with the Center for the Study of Aging and Human Development, offers a 12 month training program in geriatric psychiatry, designed to train psychiatrists to provide care, function as consultants, interpret research findings, and serve as educators in the subspecialty of geriatric psychiatry. To accomplish these objectives, the fellowship provides:

  1. supervised clinical training in interdisciplinary inpatient, outpatient, and long term care settings;
  2. a comprehensive conference/seminar program and didactic curriculum; and
  3. the opportunity for supervised participation in funded clinical research projects in aging.

These training methods emphasize scholarship and self-instruction, and foster acquisition of knowledge and clinical skills in geriatric psychiatry; emphasize biopsychosocial concepts and an interdisciplinary approach to assessment and management; and promote development of leadership and skills for educating other health professionals. Each component of the curriculum includes program and performance evaluations in areas corresponding to the program objectives.

The clinical training is fully accredited by the Accreditation Council for Graduate Medical Education (ACGME) so that upon successful completion of the one year program, fellows may take the American Board of Psychiatry and Neurology exam in Geriatric Psychiatry.

Beyond the first year, fellows may do an additional year of training in clinical research under the mentorship of our research faculty. The format offers flexibility allowing participants to customize their training experience according to their personal career goals.

 

Clinical Training

Clinical training occurs over 12 months in broadly 3 blocks of 4 months duration, each spent primarily (but not exclusively) at Duke University Medical Center, Durham VA Medical Center, and Central Regional Hospital (CRH) in Butner, NC.

Duke University Medical Center (4 month block):

Memory Disorders Clinic: 20%
Neuropsychological Assessment Clinic: 20%
Geriatric Evaluation and Treatment Clinic: 5%
VA Geriatric Psychiatry Outpatient Clinic: 5%
ECT Service at Duke: 10%
Research/ Elective: 10%
Psychiatric Outpatient Clinic: 10%
Nursing Home Rotation: 20%

 

Durham VA Medical Center (4 month block):

Geriatric Consult-Liaison and Pain and Palliative Care consultation: 70%
Geriatric Evaluation and Treatment Clinic: 5%
VA Geriatric Psychiatry Outpatient Clinic: 5%
ECT Service at Duke: 10%
Psychiatric Outpatient Clinic: 10%

 

Central Regional Hospital, Butner, NC (4 month block):

Inpatient CRH: 90%
Psychiatric Outpatient Clinic: 10%

 

Key Strengths of Our Program

  1. A great mix of inpatient and outpatient rotations across three healthcare delivery systems, including a leading university affiliated medical center, a VA system, and a state psychiatric hospital.
  2. ECT rotation at one of the best ECT programs in the country, leading to ECT certification.
  3. Group psychotherapy supervision for therapy with older adults.
  4. Mentoring in research is available to fellows and the majority of our fellows present at the American Association of Geriatric Psychiatry meeting, or co-author peer-reviewed publications.

 

How to apply for the Geriatric Psychiatry Fellowship

We will only consider candidates who will be eligible for a Residency Training License in the State of North Carolina (see eligibility requirements here)

Required application materials:

  • Completed Application
  • Personal statement
  • Three letters of recommendation (At least one from residency training director or chair)
  • Medical school transcript
  • USMLE (Step 1, Step 2, and Step 3) score transcript (all attempts, all scores)
  • Sample patient encounter note (For purposes of legal compliance, private patient details should be de-identified)
  • Additional documents may be requested in the future by the Graduate Medical Education office

Please note that the program does not support any visas (only US citizens and green card holders need apply).

Interviews

The Geriatric Fellowship Selection Committee will interview applicants from the summer through the fall. To accommodate special circumstances, interviews can be set up at other times during the year.

We look forward to seeing you during the coming months!

Contact Information

Program Training Director
DUMC Box 3837
Durham, NC 27710
(919) 684-2258
 

What Made You Choose Duke? An Interview with former Geriatric Fellow, Matt Warren, MD

 

Once I decided to do a fellowship in Geriatric Psychiatry, I began with the ACGME website to see a list of all the current available programs.I was looking for one with an excellent academic reputation, a breadth of variety in training settings, outstanding teachers and access to top researchers in the field.Duke certainly met all these criteria.Furthermore, my wife and I wanted to live in a part of the country where we would enjoy being for a year but also consider staying afterwards.The Triangle area (Raleigh, Durham and Chapel Hill) is absolutely wonderful.It has four seasons, a low cost of living and quick access to beaches and mountains.We have sincerely enjoyed our time here.