Rotations/Education/Curriculum
Rotation Schedules:
CAP 1 Year:
- CHCS: Center for Health Care Services outpatient psychiatry
- Community Rotation: A mixture of various outpatient/residential settings
- C&L: Consultation and Liaison Service at University Hospital
- Clarity Inpatient: Inpatient and PHP experiences
- Didactics/Psychotherapy: Every Tuesday
CAP 2 Year:
- Clarity Outpatient: 2 days of outpatient psychiatry
- Telepsychiatry: 2 days of outpatient telepsychiatry with Hill Country and Gulf Bend Mental Health Authorities
- Elective: ½ day of elective time which can be devoted to a wide variety of academic pursuits
- Didactics/Psychotherapy: Every Tuesday
Sample Didactics/Psychotherapy Schedule:
Every Tuesday
0800 – 0900: Psychotherapy/Career Supervision
0900 – 1000: Board Prep/Individual Study Time
1000 – 1100: CAP 1 & CAP 2: Lecture
1100 – 1200: CAP 1: Neurobiology Course, CAP 2: Advanced Psychotherapy Course
1200 – 1300: Lunch/CAP Café (At least one lunch per month with Program Director/Program Coordinator)
1315 – 1430: Department Grand Rounds
1500 – 1600: Case Reflections
1600 – 1800: See Psychotherapy Patients
Clarity Inpatient Psychiatric Unit
-20 weeks in total during CAP 1 year
-A collaboration between the UT Health San Antonio Psychiatry Department and Clarity Child Guidance Center
-Combination of traditional inpatient psychiatric care and crisis evaluation
-Patient ages 3-17 with a diverse array of both “classic” and rare pathology
Clarity Outpatient Clinic
– This the primary child and adolescent psychiatry outpatient clinic experience in CAP 2 year with ½ day experience in CAP 1 year performing Inpatient and C/L discharge follow up appointments
– Care for a diverse range of patients from a variety of racial, ethnic, and socioeconomic backgrounds with wide-ranging psychopathology
– Increase comfort level in managing complex psychotropic regimens with ever-expanding levels of autonomy and opportunities for education of medical students/residents
Pediatric Consultation and Liaison at University Hospital
-10 weeks minimal experience primarily during the CAP 1 year
-Pediatric specific Consult and Liaison work at the only pediatric level 1 trauma center in San Antonio, TX
-Interaction with a plethora of services to include pediatrics, trauma surgery, general surgery, hematology/oncology, OBGYN, and transplant medicine
-Large diversity of both patient demographics and pathology
Psychotherapy Clinic/Supervision
-Dedicated half-day weekly for psychotherapy with emphasis on long term psychotherapy
-Reserved for child and adolescent-aged patients
-Weekly engage in both individual and group psychotherapy supervision alongside longitudinal supervisor and co-fellows, respectively
-Psychotherapy specific didactics given by experienced providers and psychologists
Center for Health Care Services (CHCS)
-20 weeks in total during CAP 1 year
-Outpatient services provided to our local mental health authority
-Care for a diverse population consisting of a large amount of underserved children and adolescents with a wide variety of psychopathologies
Bridge Outpatient Clinic
-A part of the Community rotation in the CAP 1 year
-Classic outpatient child and adolescent psychiatric care
-Multisystem care model with embedded therapy and other resources (financial, food, etc)
School Consults
-Updating
Pediatric Neurology Outpatient Clinic
– ½ day per week experience as part of Community rotation in CAP 1year
– Gain valuable experience with common neurological conditions in childhood
– Work with seasoned attending whom we often share patients that have comorbid neuropsychiatric illness
UT Health San Antonio CAP Outpatient (ADVANCE) Clinic
– Work side-by-side with Department Chair to provide psychiatric care for a unique patient population
– Experience a high-paced “private-practice style” environment within an academic setting
– A part of the Community rotation in the CAP 1 year
Cyndi Taylor Krier Juvenile Detention Center:
– The Cindi Taylor Krier Juvenile Detention Center is a long term correctional facility for minors in Bexar County.
– Our fellowship program provides psychiatric services to the population there with the goal of mental health recovery and improved behavioral functioning.
– Our fellows rotate at this clinic during the Community rotation of CAP 1 year.
Bexar County Juvenile Detention Center:
– This rotation is located at the Bexar County Juvenile Detention Center where minors are awaiting trial or long term correctional placement.
– The clinic provides psychiatric care through the duration of the detainees stay for a large gambit of psychiatric conditions.
– Our fellows rotate at this clinic during the Community rotation of CAP 1 year.
Trauma Clinic:
– This clinic is embedded in the University Hospital Trauma Surgery clinic for children and adolescents needing evaluation for PTSD in the aftermath of various emergency trauma situations.
– The clinic also provides treatment with pharmacotherapy and trauma focused CBT. Our fellows rotate at this clinic during the Community rotation of CAP 1 year.
Bridge Emergency Shelter
– Part of Roy Maas Youth Alternatives programs
– 24/7 shelter for vulnerable minors (runaways, victims of sex traffic, etc)
– Provides medical, dental, financial, academic needs for the residents up to 90 days
– This is a CAP 2 longitudinal rotation
– Very high rates of hx of abuse, neglect and criminal activity
– Allows a lot of autonomy and unique “outpatient” rotation in inpatient setting
Meadowlands Group Homes
– Part of Roy Maas Youth Alternatives programs
– Group home setting for children (age 6-18) with chronic placement issues
– Very high rates of hx of abuse, neglect, and criminal activity
– Another very unique “outpatient” rotation in inpatient setting
– A part of the Community rotation in the CAP 1
Community Telepsychiatry at Gulf Bend or Hill Country:
-This is one of the primary rotations during CAP 2 year, consisting of 1.5 days weekly of telepsychiatry work with various rural clinics
-Unique telepsychiatry experience that allows for us to provided access to care for much of South and Central Texas communities
– Current clinic include:
– Gulf Bend
– Boerne
– Canyon Lake
– Del Rio
– Fredericksburg
– Hondo
– Junction
– Kerrville
– Llano
– New Braunfels
