Dr.NTR University of Health Sciences. Vijayawada SYLLABUS POST DOCTORAL FELLOWSHIP COURSE IN CHILD AND ADOLESCENT PSYCHIATRY

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1 Dr.NTR University f Health Sciences Vijayawada SYLLABUS POST DOCTORAL FELLOWSHIP COURSE IN CHILD AND ADOLESCENT PSYCHIATRY fr the academic year

2 FELLOWSHIP COURSE IN CHILD AND ADOLESCENT PSYCHIATRY 1. Prper name f the curse: Fellwship curse in Child and adlescent psychiatry 2. Duratin f the curse: One year 3. I. Eligibility criteria fr admissin: M.D /DNB Psychiatry recgnized by the Medical Cuncil f India / Natinal Bard f Examinatins. II. Intake capacity: 2 per year 4. Cmplete curriculum f the curse: 4.1. Statement f Gals & Specificatin f Objectives: A. Gal: The gal f this curriculum is t create a cadre f specialized psychiatric prfessinals in mental health care f children and adlescents. i) Prvide cmprehensive psychiatric care and rehabilitatin f the children and the adlescents. ii) Prvide institutinal and / r cmmunity care fr children and adlescents wh exhibit abnrmal behaviur and are scially incmpatible. iii) Cnduct camps and utreach activities t spread the message f early diagnsis and preventin f psychiatric illnesses amng children and adlescents. iv) Carry ut research in child and adlescent psychiatry B. Objectives: After cmpletin f fellwship curse in Child and adlescent psychiatry, the psychiatrist shuld be able t fulfil the fllwing bjectives. 1. Demnstrate the ability t cnduct cmprehensive psychiatric evaluatins in schl aged and adlescent patients f varying sciecnmic and racial backgrunds. 2. Demnstrate the ability t rganize and accurately dcument a cmplete psychiatric evaluatin, including histry, mental status exam, relevant physical and neurlgic findings, Bipsychscial frmulatin, Differential Diagnsis, wrking diagnsis, and plan fr schl aged and adlescent patients.

3 3. Demnstrate the ability t determine the apprpriate level f care needs fr children and adlescents wh present t the hspital, utpatient, r acute medical services fr care. 4. Demnstrate the ability t build rapprt and therapeutic alliance with children and adlescents receiving psychiatric assessment and care 5. Demnstrate a sund knwledge and advanced skills in the assessment and treatment f children and adlescents with the fllwing diagnses: a. Mental Retardatin and Develpmental Delays r Disabilities b. Autistic Spectrum Disrders c. Md Disrders d. Anxiety Disrders (including PTSD/respnses t trauma) e. Eating Disrders f. ADHD and ther disruptive behavir disrders (including ODD and CD) g. Psychsis h. Substance Use Disrders i. Adjustment Disrders j. Smatfrm and Factitius Disrders k. Parent-Child Relatinal Prblems l. Dmestic Vilence m. Self-injurius behavirs n. Suicidal ideatin and attempts. Vilent threats f behavirs 6. Demnstrate a sund knwledge and advanced skills in crisis interventins fr children and adlescents. 7. Demnstrate a sund knwledge and advanced skills in pediatric psychpharmaclgy. 8. Demnstrate a sund knwledge and advanced skills in psychtherapy fr children and adlescents, with specific assessment f the fllwing mdalities: a. Cllabrative Prblem Slving b. Parent Behaviral Management c. Cgnitive Behaviral Therapy d. Self regulatin/relaxatin techniques e. Supprtive Psychtherapy f. Family Therapy 4.2. Curse Cntent: Histry f Child & adlescent psychiatry Nrmal develpment: Develpmental lines: cgnitive, language, mral, emtinal, sexual

4 Crss-sectinal perids: infancy, early childhd, schl age, adlescence Influences n develpment: Abuse Parental lss Chrnic illness Substance abuse HIV Genetics Others Psychiatric disrders: Develpmental disrders: Autistic spectrum disrders including Asperger's disrder, pervasive develpmental disrders Learning disrders and cgnitive disrders Disrders f attentin and behaviur Attentin deficit hyperactivity disrder Oppsitinal defiant disrder Cnduct disrder Psychtic disrders Childhd nset schizphrenia Md disrders Depressin Biplar disrder Anxiety disrders Panic disrder Separatin anxiety Generalized anxiety disrder Phbias ; scial phbia Pst traumatic stress disrder Obsessive Cmpulsive Disrder Other anxiety prblems Eating disrders Anrexia nervsa Bulimia nervsa

5 Gender identity disrder Gender identity disrder in children Substance abuse: Physical r sexual abuse Relatinal disrders Adjustment disrder Schl behavir prblems Mental retardatin Psychpharmaclgy: Different classes f psychtrpics Safety efficacy and effectiveness f medicatins Adverse reactins Infrmed cnsent Imprtance f decisin making Frensics, legal, scial and ethical issues: Diagnsis: Physical and labratry assessment Psychlgical testing and evaluatin f the child Clinical practice: Frmulatin f medicatin Family therapy Individual therapy Dialectical behavir therapy Play therapy (psychdynamic therapy) Interpersnal therapy Cgnitive behaviur therapy Brief psychtherapy Parent management training Mtivatinal interviewing Genetics /genmics/imaging/nvel therapeutics Cnsultatin prcess System based practice Cmmunity practice: Practical aspects f mental health care f rural children Clinical child psychlgist Child mental health scial wrker

6 Mental health nurse Fster care prgramme Chemical dependence prgrammes Cmmunity system f mental health care Cmmunity interventin prgrammes General Tpics: Research methdlgy Teaching methdlgy 5. TEACHING SCHEME: 5.1 Teaching Learning Methds and Activities: The fllwing rganized learning experiences shuld be prvided t the students. Case presentatin & case management in OPD & Indr wards: The student will present cases daily n clinical runds t the faculty members f the department. The students shall be prvided facilities t manage cases f higher and greater cmplexity by allwing them graded respnsibility. PG lectures, Seminars, sympsia, panel discussins f suitable tpics: These will be held nce a week. Tpics f cmmn interest t fellws will be cvered in the prgram. Jurnal clubs: These will be held nce a week. Medical audit / fatality case discussins: This will dne nce in 15 days. Interdepartmental meetings will be rganized with Neurlgy, Rehabilitatin, Gastrenterlgy, etc. Departmental clinical wrk: Research. The fellw will be als invlved in varius clinical research wrk being undertaken in the department by the faculty members. Teaching experience: The fellws will participate in all aspects f teaching specially practicals, demnstratin & tutrials. During their tenure, they will be wrking under faculty members n rtatin basis as per the alltment f the teaching schedule. Cmmunity services: The training f fellws will invlve learning experience Derived frm r Targeted t the needs f the cmmunity. It shall therefre be necessary t expse the students t cmmunity based activities Training prgram: Duratin f Curse ne year Outpatient service 6 mnths Child and adlescent inpatient unit 4 mnths Substance abuse services 15 days Pediatric neurlgy 15 days

7 Develpment/learning disabilities 15 days Pediatric psychlgy 15 days

8 5.3 Presentatins: In additin t attending all the academic sessins, the candidate needs t make a minimum number f presentatins in these academic sessins during the training perid f 1 year Frequency # Presentatins a. Seminars / Sympsia 1 per mnth b. Jurnal club 1 per mnth c. Clinical case cnference 1 per mnth d. Research cnference at state level - 1 e. Research cnference at natinal level - 1 f. Bedside presentatin 1 per mnth g. Interdepartmental meeting 1 per mnth h. Grand runds 1 per week i. Mrtality meeting and audit meeting 1 per mnth j. Recrd meetings Once in 2 weeks k. Teaching learning prcess will als take place during the daily ward runds and during teaching runds # May be increased if required Lg bk The fellws shall maintain a Recrd Bk (Lg Bk) f the wrk carried ut by them n day t day basis & training prgram undergne during the perid f training including details f prcedures carried ut independently r assisted by the candidate. The lg bk will be checked by the faculty members imparting the training. Candidates will be required t prduce lg bk duly certified by the guide at the time f practical examinatin Develpment f attitude: It is a very imprtant aspect f management f the psychlgically handicapped children and adlescents. It wuld be the cnstant endeavr f the faculty t develp desirable attitudes in the fellws during the curse by persnal examples, interactin and grup discussin. Cnstant watch will be maintained during their wrk in the wards t ensure that this bjective is being met. Althugh there will be n frmal evaluatin f attitude, sme aspects f this dmain wuld be cvered during the frmative evaluatin fr cntinued internal assessment. 6. Text bks and reference bks: American Academy f Child Psychiatry (1983), Child Psychiatry: A Plan fr the Cming Decade.Washingtn, DC: American Academy f Child Psychiatry

9 Clinical neurlgy fr psychiatrists Jacbsn: psychiatric secrets, 2 nd ed hanley and belfus. Lewis's Child and Adlescent Psychiatry: A Cmprehensive Textbk, 4th Editin (Lewis, Lewis's Child and Adlescent Psychiatry) by Fred R. Vlkmar Lewis's Child and Adlescent Psychiatry Review: 1400 Questins t Help Yu Pass the Bards by Yann B. Pncin Kaplan and Sadck's Cncise Textbk f Child and Adlescent Psychiatry by Virginia A. Sadck Dulcan's Textbk f Child and Adlescent Psychiatry by Mina K. Dulcan Rutter's Child and Adlescent Psychiatry by Sir Michael Rutte Pediatric Psychpharmaclgy by Andres Martin Child and Adlescent Clinical Psychpharmaclgy (Green, Child and Adlescent Clincial Psychpharmaclgy) by Wayne H. Green Tarascn Pcket Pharmacpeia 2011 Classic Shirt-Pcket Editin (Tarascn Pcket Pharmacpeia: Classic Shirt-Pcket Editin) by MD, FAAEM, FACMT, Editr in Chief, Richard J. Hamiltn Clinical Manual f Pediatric Psychsmatic Medicine: Mental Health Cnsultatin With Physically Ill Children And Adlescents by Richard J. Shaw Clinical Manual fr the Psychiatric Interview f Children and Adlescents by Claudi Cepeda Evidence-Based Psychtherapies fr Children and Adlescents, Secnd Editin by Jhn R. Weisz PhD

10 Mtivatinal Interviewing with Adlescents and Yung Adults (Applicatins f Mtivatinal Interviewing) by Sylvie Naar-King Talking Back t OCD: The Prgram That Helps Kids and Teens Say "N Way" -- and Parents Say "Way t G" by Jhn S. March MD Treating Child and Adlescent Depressin by Jseph M. Rey Principles and Practice f Pediatric Sleep Medicine by Richard Ferber Principles and Practice f Child and Adlescent Frensic Psychiatry by Elissa P. Benedek Child and Adlescent Neurlgy fr Psychiatrists by Audrey M. Walker The Harriet Lane Handbk: Mbile Medicine Series, Expert Cnsult: Online and Print, 18e by Jhns Hpkins Hspital On Call Psychiatry: On Call Series, 3e by Carl A. Bernstein MD MAT Maxwell Quick Medical Reference by Rbert W. Maxwell Quick Reference t the Diagnstic Criteria frm DSM-IV-TR by American Psychiatric Assciatin 7. List f Jurnals (Previus three years): Child abuse and neglect Child and adlescent psychiatric clinics f nrth America Drug and alchl dependence General hspital psychiatry Jurnal f anxiety disrders Jurnal f behaviur therapy and experimental psychiatry Jurnal f substance abuse treatment

11 Jurnal f the American academy f child and adlescent psychiatry Psychiatry research Psychiatry research: Neurimaging General hspital psychiatry Jurnal f the American academy f child and adlescent psychiatry Psychiatric clinics f nrth America