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Child & Adolescent Psychiatry Fellowship

Message from the Training Director and Division Chief

Welcome to the Child & Adolescent Psychiatry training program at MMC and Spring Harbor Hospital. Our two-year subspecialty training program is located primarily at Maine Medical Center for outpatient and consultative services and at Spring Harbor Hospital, a 100-bed psychiatric hospital of which 40 beds are dedicated to child and adolescent programs for adolescents, children, and the developmentally delayed population.

Our goal in training is to train excellent child and adolescent psychiatrists who upon graduation may chose a clinical career, further research training, or public sector work. We want our graduates to be able to appreciate the whole child and adolescent with respect to the biopsychosocial model, developmental aspects, and family. Thus, we also support and have the expectation of psychotherapy training in multiple models (DBT, CBT, family therapy, social skills groups)throughout the two years of training. Our graduates are well-versed in pharmacotherapy, evidence-based practice, and systems of care issues to treat the child and family. Because the child and adolescent psychiatrists of the future will need to work with and through others, we emphasize learning collaborative care models with primary care physicians, consultation to schools, and to be a leader of multidisciplinary teams. In addition, our fellows are well-versed in patient safety and quality improvement initiatives.

Our child and adolescent psychiatry program is the only training program north to Montreal, south to Boston, and west to Hanover, New Hampshire. We have full access to a broad array of training resources including the juvenile justice system, school-based mental health treatments, and innovative collaborative care models of mental health services in primary care.

We are a growing program with ten child and adolescent psychiatrists directly affiliated with MMC or Spring Harbor Hospital, numerous psychologists, LICSW’s, and adjunct community faculty. Currently there is ongoing research in prevention, developmental disabilities, and early childhood trauma.

As the only training program in the largest city in Northern New England, we utilize several community resources as ancillary training sites including Longcreek Youth Correctional Facility in South Portland and The Collaborative School in Gray, a unique special education program.

Other training aspects that may be unique to our program include:

  • Adolescent Dialectical Behavioral Therapy (DBT) groups
  • Telepsychiatry to rural primary care physicians
  • Telemedicine course in Neuroscience taught by faculty at UVM
  • Clinical experience at the juvenile justice program
  • A longitudinal experience at The Collaborative School
  • Early childhood evaluations, including the Autism Diagnostic Observation Schedule (ADOS)
  • Standardized patient program for assessing competencies
  • Developmental disabilities experience
  • “Selective”/Elective: One-month block or 1/2 day longitudinal experience in the second year to focus on an area of interest which may include:
    • Neuropsychology
    • Legislative advocacy
    • Administrative psychiatry
    • Eating disorders
    • Developmental Disabilities
    • Child abuse/attachment
    • Forensics
    • College mental health

Portland (and the state of Maine) is a wonderful area with much to offer. Between the waters of nearby Casco Bay and the Calendar Islands for kayaking, fishing, surfing, and watching the migratory birds, and the White Mountains to the west, virtually any sporting activity is readily available. Public schools are excellent and Maine is a safe, supportive environment for families and young people. Portland is a vibrant, youthful town with music, artists, and even a Dog Wash! Personal development is supported along with training needs. After all, the state motto is “Maine, the way life should be”. For applicants, we look forward showing you our program and what we offer.

Sandra L. Fritsch, M.D.
Residency Director, Child & Adolescent Psychiatry
Maine Medical Center
(207) 662-4377

Douglas R. Robbins, M.D.
Director, Child & Adolescent Psychiatry Services
Maine Medical Center
(207) 662-2160

 

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