Combined Adult-Child & Adolescent Program

MGH/McLean offers a unique five- or six-year Combined Adult-Child & Adolescent Program including a pediatric internship at MGH with six months of pediatric rotations, one month of adult neurology, and four months of psychiatry.

Program Mission

Child and adolescent psychiatry training at MGH and McLean Hospital is based on the philosophy that no single conceptual framework is sufficient to understand human behavior. Residents are taught to approach patients and their families from a developmental perspective using five clinical orientations: psychodynamic, psychosocial, biologic, behavioral and cognitive. They are challenged to understand clinical issues in depth and to attempt formulations that integrate conceptual models. Beyond attaining essential knowledge, skills and attitudes, residents need to develop a sense of professional identity that includes being a secure physician, an advocate for children, a sensitive therapist and a thoughtful participant or consultant within team structures.

Program Overview

Child & Adolescent Mental Health at McLean

Residents spend 4 weeks at the McLean Belmont Adolescent PHP working with adolescents between the ages of 12 to 19 with a variety of psychiatric illnesses, in both in-person and virtual settings. Residents work alongside members of a multidisciplinary team where they acquire the skills to provide diagnostic and psychopharmacological evaluations of adolescents, as well as individual psychotherapy and family therapy.

Residents will learn how to co-lead psychotherapy groups (both skills-based and process-oriented). On this rotation, residents learn about childhood development, how to identify primary mental illness in childhood and adolescence, and how to deploy evidence-based treatments to adolescents across multiple different diagnostic categories

There are several ways to pursue training in child and adolescent psychiatry. MGH/McLean offers a unique five- or six-year Combined Adult-Child/Adolescent Program (Peds/Adult/Child Psychiatry, NRMP: 1261400C0). This program includes a pediatric internship at MGH with 6 months of pediatrics, one month of adult neurology and four months of psychiatry. Following completion of the internship, residents can choose to complete either two or three years in the adult psychiatry program before transitioning to the child/adolescent psychiatry program. Residents pursuing this track do not have to decide at the outset whether they wish to complete the program in five or six years, but can instead decide during the PGY-3 year. Alternatively, residents may match into the adult program and complete the four-year residency as usual prior to pursuing a child/adolescent fellowship. Finally, residents also have the option of matching into the adult program but transitioning to a child/adolescent fellowship after three years of training, often referred to as “fast-tracking.”

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Transitional Age Youth Clinic at MGH

The purpose of the Transitional Age Youth (TAY) clinic is to provide consultations for diagnostic clarification, psychopharmacology, and basic referral information to young adults. TAY refers to the age group of 18-26 y/o and represents a distinct developmental entity – Youth are transitioning to full adulthood with increased responsibilities and more independence. The TAY clinic consultation is done in the context of young adult patients who typically have not established a psychiatrist for ongoing care yet, may not have started psychotropic medications, and/or are currently being managed solely by a primary care physician. There are three core missions of the TAY clinic – Clinical Care, Education, and Research. We work with residents on how to assess TAY with a developmental lens. The TAY clinic was founded philanthropically in 2014. Currently, it is run by Dr. Yosh Kaneko (medical director) and Dr. Stephen Tourjee (associate director)

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David Rubin, MD

Director of Child and Adolescent Psychiatry Residency Training Executive
Director, MGH Psychiatry Academy

Eugene Beresin, MD

Executive Director, The Clay Center for Young Healthy Minds Senior
Educator in Child and Adolescent Psychiatry at MGH Professor of
Psychiatry, Harvard Medical School

Khadijah Watkins, MD, MPH

Department of Psychiatry

Mona Potter, MD

Associate Program Director, McLean Hospital

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