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Resources for Primary Care
Child and Adolescent Psychiatry Resources for Medical Student Educators

Geri Fox, M.D.
Provided by ADMSEP's Child and Adolescent Psychiatry in Medical Education Task Force (CAPME), in collaboration with the AACAP Training and Education Committee, and the AADPRT CAP Caucus.
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Objective

In order to ensure that all future physicians receive essential education in child, adolescent, and family mental health, we need to increase exposure to CAP in the undergraduate curriculum. ADMSEP Council has approved a list of benchmark CAP learning objectives. To help you implement these objectives, we have put together a toolbox of online resources that you may find helpful.

Please note: These resources have been generously contributed by CAP educators. The CAPME Task Force is providing them as a service to ADMSEP and AACAP members. A formal peer-review of these materials has not been conducted by the CAPME Task Force, although they may have been published elsewhere. Unless otherwise noted, you may adapt non-copyrighted presentations for your use, as long as you credit the author.

These resources are a collaborative work in progress! The CAPME Task Force will add categories and resources as needed. If you don't see what you are looking for, please send suggestions to Geri Fox at foxg@uic.edu and we will work on getting it for you. We welcome your contributions, feedback, and suggestions.  If you have additional resources to share, please email training@aacap.org.

Curricular Consultation:

  1. If you would like personalized curricular consultation from a CAP educator in your AAMC region, please email Rita Horton, MD at RHort1@lsuhsc.edu.

  2. We encourage you to consult with the CAP training director at your institution about ways to improve CAP in your medical school curriculum.

  3. You may find it useful to discuss implementation of the CAP learning objectives with other clerkship directors (particularly pediatrics and family medicine) as well as the curriculum committee at your school.

General Overview Articles RE: Teaching CAP in Med Ed:

  1. From Too Little Too Late to Early and Often: Child Psychiatry Education During Medical School (and Before and After) (L.O. #1, 2, &3)
    Martin, A., Bloch, M., Pruett, K., Stubbe, D., Belitsky, R., Ebert, M., & Leckman, J.F. (2007, January). Child and Adolescent Psychiatric Clinics of North America, 16(1), 17-43.

  2. Improving Child and Adolescent Psychiatry Education for Medical Students: An Interorganizational Collaborative Action Plan
    Fox, G., Stock, S., Briscoe, G., Beck, G., Horton, R., Hunt, J., Liu, H., Partner, A., Sexson, S., Schlozman, S., Stubbe, D., Stuber, M. Academic Psychiatry. 2012 Nov 1; 36(6):461-4.

  3. Curricular Resources for Child Psychiatry Training in Medical Student Education (L.O. #3)
    Steve Schlozman, M.D., Harvard Medical School.

  4. Exposing Osteopathic Medical Students to Child and Adolescent Psychiatry
    Samuel Pullen, D.O., Mayo Clinic

I. Didactics
1. Life-Span Development. (L.O. #1)

  1. Articles
    1. Teaching Development in Undergraduate and Graduate Medical Education
      Overview with teaching tips: Fox, G., Katz, D.A., Eddins-Folensbee, F.F., and Folensbee, R.W. (2007, January). Child and Adolescent Psychiatric Clinics of North America 16(1), 67-94.

    2. Teaching Normal Development using Stimulus Videotapes in Psychiatric Education
      Fox, G. (2003). Academic Psychiatry, 27(4), 283-288.

  2. Interviewing and Diagnostic Evaluation
    1. Forming a Rapport/The Clinical Interview
      Patient Interview Exercise (L.O. #1,2)
      Saundra Stock, M.D. and Deborah Roth, D.O., University of South Florida

    2. Diagnostic Evaluation
      AACAP Toolbox for Clinical Practice (AACAP Members Only)

  3. Lectures
    1. Overview of Theories of Child Development (L.O. #2)
      Dorothy Stubbe, M.D., Yale Child Study Center

    2. Children and Adolescent Development (L.O. #1)
      John Sargent, M.D., Tufts University School of Medicine

  4. Longitudinal Stimulus DVD curriculum project Geri Fox, M.D., University of Illinois at Chicago
    This 20-year project, designed as a resource for educators, follows the growth of two children from birth through adolescence. To view sample clips, visit http://www.psych.uic.edu/ijr/facultymember.asp?p=gfox . Contact foxg@uic.edu for more information.

  5. Developmental Neuropsychiatry Lecture: The Process of Development
    John Sargent, M.D., Tufts University School of Medicine

  6. Exercise: Interview someone about a health care experience and write a reflection paper regarding the impact of the person's stage in development and environment on that experience. (L.O. #1,2)
    Saundra Stock, M.D., and Deborah Roth, D.O., University of South Florida

2. CAP topics (to teach in Psychopathology course, clerkship lectures, workshops, etc.):

  1. CAP Overview Lectures:
    1. Introduction to Child and Adolescent Psychiatry (L.O. #5)
      Howard Liu, M.D., University of Nebraska Medical Center

    2. Psychiatric Disorders in Childhood and Adolescence (L.O. #5)
      Rita Horton, M.D., Louisiana State University HSC, Shreveport

    3. Pediatric and Adolescent Mental Health  (L.O. #4,5)
      John Sargent, M.D., Tufts University School of Medicine

    4. Sample Course Syllabus of Lecture Topics (L.O. #1-5)
      Andres Martin, M.D., M.P.H., Yale Child Study Center

    5. Lecture: Introduction to the Study of Child & Adolescent Psychopathology
      Jess Shatkin, M.D., M.P.H., New York University

    6. Lecture: The History of Mental Health Treatment
      Jess Shatkin, M.D., M.P.H., New York University

  2. Workshops: Five Workshops for M-2s (Developmental Disorders, Eating Disorders, Mood Disorders, Psychopharm, and Substance Abuse) (L.O. #1,4)
    Andres Martin, M.D., M.P.H., Yale Child Study Center

  3. AACAP Practice Parameters are clinical practice guidelines developed by the AACAP Committee on Quality Issues (Co-Chairs: Oscar G. Bukstein, M.D., M.P.H. and Heather J. Walter, M.D., M.P.H.) to encourage best practices in child mental health. This site provides links to the complete text of all parameters for a wide variety of common CAP disorders and issues.

  4. CAP Psychopharmacology:
    1. Lecture: Practical Psychopharmacology in Children and Adolescents (L.O. #5)
      Anoop Vermani, M.D., University of Illinois at Chicago

    2. The AACAP Parent Medication Guides are helpful for many common situations.

  5. CAP Mood Disorders:
    1. A/V Integrated Learning Module: Adolescent Depression Module (part of the ADMSEP Clinical Simulations Initiative)
      Howard Liu, M.D., University of Nebraska Medical Center
      **We are hoping to get more CAP modules under development, as part of the ADMSEP Clinical Simulations Initiative, to post here. If you would like to develop a module at your institution, contact hyliu@unmc.edu.

    2. Lecture: Basic Management of Juvenile Mood Disorders (L.O. #5)
      Jeffrey Hunt, M.D., Brown University

    3. Lecture: Primary Care Recognition and Management of Suicidal Behavior in Juveniles (L.O. #4)
      Jeffrey Hunt, M.D., Brown University

    4. Lecture: Mood Disorders in Children and Adolescents (L.O. #5)
      John Sargent, M.D., Tufts University School of Medicine

  6. ADHD
    1. AACAP ADHD Resource Center

    2. Lecture: ADHD
      Jess Shatkin, M.D., M.P.H., New York University

  7. Autism
    1. Lecture: Autism
      Saundra Stock, M.D., University of South Florida

    2. Lecture: Autism Spectrum Disorders
      Jess Shatkin, M.D., M.P.H., New York University

    3. Massive Online Open Course: Autism and Related Disorders
      Fred Volkmar, M.D. and Yale University

    4. AACAP Autism Resource Center

  8. Anxiety
    1. Lecture: Anxiety Disorders in Children and Adolescents (L.O. #5c)
      Sucheta Connolly, M.D., University of Illinois at Chicago

    2. Lecture: Anxiety Disorders in Children
      Jess Shatkin, M.D., M.P.H., New York University

    3. Lecture: Anxiety Disorders, OCD, School Refusal
      Sucheta Connolly, M.D., University of Illinois at Chicago

    4. Handouts for Dr. Connolly's lectures: Tools for Screening and Measuring Progress (L.O. #5), Screen for Child Anxiety Related Disorders - Child Version (L.O. #5), Screen for Child Anxiety Related Disorders - Parent Version, Bright Futures - Pediatric Symptom Checklist (L.O. #4,5)

    5. AACAP Anxiety Disorders Resource Center

  9. Behavioral Disorder
          i. Lecture: Externalizing Behavior Disorder
             Jess Shatkin, M.D., M.P.H., New York University

  10. Bipolar Disorder
    1. Lecture: Bipolar Disorder- Diagnosis, Neuroscience, and Treatment
      Mani Pavuluri, M.D., Ph.D., University of Illinois at Chicago

    2. Case-Based Learning: Planning Treatment in Pediatric Bipolar Disorder
      Mani Pavuluri, M.D., Ph.D., University of Illinois at Chicago

  11. Bullying and Aggression.
    1. Lecture: Assessment and Treatment of Aggressive Behavior in Children (L.O. #4)
      John Sargent, M.D., Tufts University School of Medicine

    2. AACAP Facts for Families - Bullying

  12. Depression
    1. Lecture: Treatment of Depression in Children and Adolescents
      Saundra Stock, M.D., University of South Florida

    2. Handouts for Dr. Stock's lecture: Bright Futures - Depression Scale for Children, Teen Brochure - What's on Your Mind? (L.O. #5)

    3. Lecture: The Diagnosis and Treatment of Pediatric Depression
      Jess Shatkin, M.D., M.P.H., New York University

    4. Knowledge Network - Taking Care: Child & Youth Mental Health

    5. AACAP Depression Resource Center

  13. Eating Disorders
          i. Lecture: Eating Disorders
             Kristy Schwerin, M.D., University of Illinois at Chicago

          ii. Lecture: Eating Disorders
             Jess Shatkin, M.D., M.P.H., New York University

  14. Gene Expression and Biological Psychiatry
    1. Gene Expression, Biological Psychiatry, and the Family
      Doug Kramer, M.D., M.S., University of Wisconsin-Madison

  15. Pediatric Sleep and Elimination Disorders
    1. Lecture: Elimination Disorders (L.O. #4)
      Napatia Tronshaw, M.D., University of Illinois at Chicago

    2. Lecture: Sleep Disorders (L.O. #1,4)
      Deepti Singh Shenoi, M.D., University of Illinois at Chicago

    3. Lecture: Sleep Disorders in Children and Adolescents
      Jess Shatkin, M.D., M.P.H., New York University

  16. Fetal Alcohol Syndrome
    1. Problem-Based Learning Case and Guide: "I Want To Be A Good Boy"
      Margaret Stuber, M.D., UCLA

  17. Intellectual Disabilities and Learning Disorders
         i.  Lecture: Intellectual Disability
             Jess Shatkin, M.D., M.P.H., New York University

        ii.  Lecture: Learning Disorders
             Jess Shatkin, M.D., M.P.H., New York University

  18. Schizophrenia and Psychosis
         i.  Lecture: Pediatric Psychosis
             Jess Shatkin, M.D., M.P.H., New York University

  19. School Consultation, Learning Disabilities, and Psychological Testing
    1. Lecture: Psychoeducational Testing, Learning Disabilities, and School Consultation
      Courtenay Ainsworth. Ph.D., University of Illinois at Chicago

  20. Systems of Care
    1. AACAP Systems of Care and Collaborative Models

  21. Working with Families
    1. Lecture: Families (L.O. #1,4,&6)
      John Sargent, M.D., Tufts University School of Medicine

    2. The AACAP Facts for Families are helpful for many common situations.

  22. Multidisciplinary Collaboration in Treatment
    1. AACAP Collaborative Models

  23. CAP Substance Abuse
    1. Lecture: Adolescent Substance Abuse (L.O. #4)
      John Sargent, M.D., Tufts University School of Medicine

    2. Lecture: Altered States: Alcohol and Substance Use and Abuse in Adolescents
      Jess Shatkin, M.D., M.P.H., New York University

    3. AACAP Substance Abuse Resource Center

  24. Child Maltreatment, Trauma, Violence, and PTSD
    1. Lectures: Children's Responses to Terror and Trauma (L.O. #4,6), Eight Guides to Trauma Treatment (L.O. #5c)
      John Sargent, M.D., Tufts University School of Medicine

    2. Lecture: Child Abuse and Neglect
      Shannon Wagner Simmons, M.D., M.P.H., University of Illinois at Chicago

    3. AACAP Child Abuse Resource Center

    4. The National Child Traumatic Stress Network

  25. Tourettes Syndrome and Tic Disorders
          i.  Lecture: Tourettes Syndrome & Tic Disorders
              Jess Shatkin, M.D., M.P.H., New York University 

II. Clinical Exposure

  1. Please ensure that every clerkship student receives at least a half-day of CAP exposure. If their primary site is all adults, arrange for them to be excused for the CAP experience. This could be an outpatient clinic or a school consultation, for example. This works best if there is a CAP mentor at the site.

  2. Identify a variety of CAP settings in the community, such as outpatient clinics or school consultation. Your AACAP regional organization should be able to help identify settings. The severity of pathology on the inpatient unit can be overwhelming for an initial experience.

  3. Encourage M-1s to apply for AACAP Summer Medical Student Fellowships.

  4. Ask community child psychiatrists to be longitudinal care preceptors. Your AACAP regional organization should be able to help identify volunteer faculty.

  5. M-4 CAP electives overview

    1. Sample electives:
      1. Pediatric-Psycho Oncology Elective
        Andres Martin, M.D., M.P.H., Yale Child Study Center

      2. Elective in Child Psychiatry (L.O. #1-5)
        Adrienne Adams, M.D., Rush University Medical Center

III. Research and Mentoring

  1. Encourage medical students to sign up for a mentor through AACAP's Mentorship Network.

  2. Encourage students to apply for the AACAP Summer Fellowship Programs (both Spurlock and CFAK).

  3. Create list of CAP fellows, CAP faculty, and community child psychiatrists who are willing to be advisors and mentors for medical students. Clinical activities could range from chatting over lunch to providing shadowing opportunities. CAP researchers may be able to provide research assistant opportunities for medical students.

IV. Psychiatry Interest Group/PsychSIGN
Assign a CAP faculty advisor as well as a general psychiatry advisor to the psychiatry interest group. Sponsor local and regional interest group events that are CAP-related. These may be interdisciplinary cooperative efforts, such as with pediatrics and family medicine, discussing child PTSD or ADHD.

  1. Keep the psychiatry interest group informed about AACAP opportunities. These include free medical student membership, national and state activities, and special medical student programs at the annual meeting. The site lists summer fellowship opportunities just for medical students. This site also provides articles, brochures and videos describing careers in CAP and workforce issues.

  2. Encourage medical student involvement with PsychSIGN.

  3. CAPME Medical Student Resources
    Anita Chu, M.D. (University of Virginia) and Myo Myint, M.D. (Tulane University) This document provides links to awards and fellowships from various organizations. This list would be useful for medical students and residents interested in CAP opportunities, and could be shared with the psychiatry interest group.

  4. Share the article, "Child Psychiatry is Amazing" by Brian Smith, M.D.
If you have technical difficulties opening any of the resources, email training@aacap.org.

Last updated on March 26, 2013.
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