"No specialty left behind: With residency at Hillside you get experience in substance abuse, consultation-liason, child/adolescent psychiatry, geriatrics, its all here!"
-Arusha Farahani, MD Former Chief Resident, C/L Attending
Child and Adolescent Psychiatry
The Division of Child & Adolescent Psychiatry at The Zucker Hillside Hospital is a large and very active service that offers an ACGME-accredited two-year residency/fellowship program for candidates who have completed R-3 or R-4 and above in general psychiatry. Hillside general psychiatry residents have had excellent clinical and didactic exposure to child and adolescent psychiatry in their R-2 and R-3 year rotations, and thus are in a very good position to decide on a career in child and adolescent psychiatry early in their R-3 year.
Our child and adolescent psychiatry residency program has 18 total positions, and generally accepts 9 new fellows each July, making it the 3rd largest in the country. Our fellows receive very strong clinical experiences with an extremely wide patient diversity in ethnicity, socioeconomic status, and psychopathology. Except for community-based programs such as school consultation and substance abuse, all services are on campus, and thus involve minimal travel for the fellow. The primary location of the program are the facilities of Long Island Jewish Medical Center, which include the Steven and Alexandra Cohen Children's Medical Center of New York, a large modern facility with the entire range of pediatric primary and subspecialty services, one of only four free-standing children's hospitals in New York State.
The Division is one of the largest in the country, and is richly staffed with child and adolescent psychiatrists, clinical psychologists, social workers, rehab therapists, nurses and other medical health workers, all with highly diversified backgrounds and experiences. Two attending child and adolescent psychiatrists and several psychologists are fully funded by research grants, and many other attendings are trained and active in research. Current research activities and interests include treatment of bipolar, psychotic, and mood disorders; prevention of psychotic disorders; imaging studies; autism; genetics of bipolar disorder; trauma; families in crisis and transition; disruptive behavior disorders; community school programs; sexual behavior; and gender identity. Many of our attendings are active in child and adolescent and general psychiatry professional organizations locally and nationally. We actively encourage fellow participation in national meetings of the American Academy of Child and Adolescent Psychiatry and the American Psychiatric Association. Our graduates have gone on to various excellent positions throughout the country, such as becoming academic attendings, opening solo private practices, and joining group practices.
The fellowship rotations include: inpatient psychiatry, outpatient psychiatry [the busiest child psychiatry OPD in the state], crisis/ER, consultation/liaison within our large tertiary-care children’s hospital, school consultation [primary and high school], early intervention and special education, autism services, forensics, developmental and behavioral pediatrics, pediatric neurology, adolescent substance abuse in a community program, clinical research and medical student education. Additionally, we are one of the few programs in the country to offer a rotation in our large eating disorders day treatment program. Fellows may choose from a variety of electives, including independent or joint research, teaching, or advanced clinical opportunities.
Our program is renowned for our extensive didactic and experiential training in normal development, psychopathology, cognitive and behavioral therapies, psychoanalytic theory and therapies, play therapy, family therapy, group therapy, psychopharmacology, pediatric research, C&L, forensics, administrative issues, and transition into practice. We hold weekly Child and Adolescent Psychiatry Grand Rounds (as well as weekly general Psychiatry Grand Rounds), with invited local and national speakers.
Clinical Neuroscience Research
The Research Division offers two post-doctoral Research Fellowship Programs in Translational Psychiatry, emphasizing clinical, molecular and biological approaches to the heterogeneity of psychiatry disorders. One program is for psychiatrists who have recently completed their residency or those residents entering their last year of training (R-4). The other program is for recent recipients of doctoral degrees in Psychology, Neuropsychology or Neuroscience. Both programs provide advanced training in research in schizophrenia, affective disorder and related disorders. Fellows and residents are encouraged to develop independent research initiatives.
The fellowship incorporates direct involvement in research activities and a didactic program supervised by senior clinical investigators at The Zucker Hillside Hospital. Instruction in research methodology is provided through courses and supervision. Opportunities are available to work in the following specialized disciplines: clinical phenomenology including diagnosis and assessment, clinical psychopharmacology, neuropsychology, neuroimaging, positron emission tomography (PET) and magnetic resonance imaging (MRI)] and molecular genetics.
The Geriatric Psychiatry Division offers a one-year fellowship for candidates who have completed their residency. The goal of this program is to provide an in-depth exposure to the rapidly developing field of Geriatric Psychiatry. Residents participate in a breadth of clinical activities at diverse sites including: two 20-bed Geriatric Psychiatry Inpatient Units; a comprehensive Geropsychiatry Outpatient Clinic; a unique Geriatric Psychiatry Partial Hospital; a Geriatric Psychiatry Consultation-Liaison experience; homebound elderly program; and a long-term care facility.
Fellows have the opportunity to participate in on-going research initiatives in late-life depression and dementia, tardive dyskinesia, brain imaging, or to develop supervised independent projects. Clinical case conferences, family conferences, geropsychiatry journal club and a didactic curriculum comprise the structured educational activities.
Consultation-Liaison Psychiatry/Psychosomatic Medicine
The Division of Consultation-Liaison Psychiatry/Psychosomatic Medicine has available one-year, full-time fellowship positions for candidates who have completed their residency. The fellowship provides extensive clinical experience with general medical inpatients and outpatients at Long Island Jewish Medical Center and North Shore University Hospital as well as in specialized areas such as Oncology, Neurology and Obstetrics/Gynecology. Fellows are able to select two electives of interest from choices such as Palliative Care, Primary Care Medicine, Oncology, Obstetrics/Gynecology and Neurology. While the fellowship is primarily inpatient based, a supervised experience in the treatment of outpatients with HIV/AIDS with both psychiatric and medical illnesses is also provided. An outpatient experience in primary care medicine is also available if desired.
The well-developed didactic program includes course work, journal club, an interviewing class, daily supervised rounds, a fellows lecture series and clinical case conferences at Long Island Jewish Medical Center and North Shore University Hospital, as well as the availability of special research and reading courses at The Zucker Hillside Hospital. Fellows participate actively in teaching and supervision of medical students and R-2 psychiatry residents. Research participation in ongoing studies of delirium, psychiatric comorbidity in medical patients and end of life issues are possible. Fellows may also do independent clinical research or individual case studies drawn from their experience. Completion of a research project prior to graduation with a presentation to the staff is required.
The Division of Addictive Treatment Services offers a one-year ACGME accredited Fellowship in Addiction Psychiatry. Residents acquire the knowledge, skills and judgment to provide quality care as well as an understanding of the etiology and course of addictive disease. The Fellowship provides training in a range of settings including an inpatient detoxification unit, a consultation-liaison service, an outpatient methadone program, an alcohol day program, an outpatient drug free/dual diagnosis program, and an intensive outpatient service.
The curriculum provides the fellows with a comprehensive understanding of the epidemiology of substance abuse, as well as the pharmacology of all commonly abused substances and the available psychopharmacological interventions. The fellows master the biopsychosocial and functional concepts of evaluation, diagnosis, and treatment under ongoing faculty supervision.
Two positions are available every academic year. Fellows assume a leadership role as they progress through the program and contribute to the development of the substance abuse field by teaching and consulting with junior residents, medical students, house staff, and other program personnel. Upon completion of the program, the fellows will have integrated the science and therapeutic techniques of addictive illness into their general medical knowledge.
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