The Johns Hopkins Hospital Department Of Psychiatry . - Hopkins Medicine
The Johns Hopkins HospitalDepartment of Psychiatry and Behavioral SciencesDivision of Child and Adolescent PsychiatryFellowship ProgramProspectus 2020 – 2021Director of Education and Training:Esther S. Lee, M.D.Email – elee121@jhmi.eduAssociate Director of Education and Training:Hal Kronsberg, M.D.Email – hal.kronsberg@jhu.eduFellowship Program Coordinator:Josh ElliottEmail – jellio26@jhmi.eduPhone – (410) 955 - 7858Address:Department of Psychiatry and Behavioral SciencesDivision of Child and Adolescent PsychiatryBloomberg Children’s Center1800 Orleans Street/ 12th FloorBaltimore, MD 21287Phone (410) 614 – 2401 Fax (410) 955 - 8691Website: y areas/child adolescent/
Table of ContentsWelcome to the Johns Hopkins Hospital .3Introductory Letter from Dr. Potash .3Introductory Letter from Dr. Grados .4Introductory Letter from Dr. Lee and Dr. Kronsberg .5Processes and Policies .6Application Process .6Resident Contracts and Policies .6Anti-Discrimination Policy .6Founding of Child and Adolescent Psychiatry at Hopkins .7Training Locations .8Charlotte R. Bloomberg Children’s Center .8The Kennedy Krieger Institute .9The Johns Hopkins Bayview Medical Center . 10Program Overview . 11First Year of Fellowship . 12Second Year of Fellowship . 14Scholarly Activities Completed By Fellows. 17Publications . 17Posters . 18Awards . 18Lectures. 19First-Year Child and Adolescent Psychiatry Fellows . 21Second-Year Child and Adolescent Psychiatry Fellows . 23Post-Graduate Plans for Kanner Fellows . 25Notable Fellowship Alumni . 26Faculty Who Often Interview . 27About Baltimore . 34Directions to the Johns Hopkins Medical Campus . 52From Washington, D.C., Virginia and the I-95 access at BWI Airport . 52From Philadelphia, New York, and Northeastern Baltimore Suburbs . 53From York, Central Pennsylvania, and Northern Baltimore Suburbs . 53From Annapolis and Maryland’s Eastern Shore . 53From Frederick and Western Maryland . 53
Welcome to the Johns Hopkins HospitalIntroductory Letter from Dr. PotashWelcome to the Department of Psychiatry & Behavioral Sciences at theJohns Hopkins Hospital. For over 100 years, our department has beenhome to some of the brightest, most innovative medical minds in theworld. Our department was established in 1909 with a generous financialgift from Henry Phipps, a Philadelphia steel magnate and major benefactorto Hopkins, in response to the horrifying conditions in American insaneasylums at the time. Dr. Adolf Meyer, the Swiss-born pathologist andpsychobiologist, became the new department’s director and built thePhipps Clinic, which opened in 1913. In 1930, the renowned Dr. Leo Kanner founded ourDivision of Child & Adolescent Psychiatry, the first of its kind in the world. These two giftedclinicians and leaders are part of a longstanding Hopkins legacy that includes a faculty ofnationally renowned clinicians, teachers, and researchers.Our department has won many national and international accolades, including being voted thebest clinical Department of Psychiatry in America by U.S. News 2011 and 2012 surveys. OurDivision of Child & Adolescent Psychiatry is a particular source of pride and is quicklytransforming itself into an international powerhouse in the areas of research and clinical care.It is no overstatement to say that Johns Hopkins is at the forefront of our rapidly developingfield. As new methods to study the brain advance, our psychiatrists continue to reshape andredefine the clinical and human face of mental health as we know it. Our programs representmedical expertise practiced within a comprehensive, systematic, and logical Meyerian approachto patient care. We at Hopkins aim to graduate physicians with the knowledge, skills, andcompassion to recognize need in the world, and the initiative to bring about change.In the early 20th century, Hopkins physicians transformed our field and forever changed ourunderstanding of the mind. We are committed to continuing this rich history of service,innovation, and discovery and hope you will join us in furthering our cause.Sincerely,James B. Potash, M.D., M.P.H.Director, Department of Psychiatry and Behavioral SciencesJohns Hopkins University School of MedicinePsychiatrist-in-Chief, The Johns Hopkins Hospital
Introductory Letter from Dr. GradosWelcome to Child & Adolescent Psychiatry at Hopkins! I am delighted to haveyou learn more about our program. Here at Hopkins we are committed tocombining outstanding patient care with academic excellence, a mission thathas defined our institution since its beginning. Our division, founded by Dr.Leo Kanner, is the oldest division of Child & Adolescent Psychiatry in thecountry. The division represents the blending of three programs: The JohnsHopkins Hospital, the Johns Hopkins Bayview Medical Center, and theKennedy Krieger Institute. The combined pursuit of teaching, clinical care, andresearch in each of these institutions has enabled us to create a division where the total isgreater than the sum of the parts.This is an exciting, dynamic time of positive change for us as we are constantly looking for waysto better our program and ourselves. Some of these changes include hiring additional full-timefaculty for our 15-bed expanded inpatient unit and outpatient services, developing strongcollaborations with other disciplines, broadening our reach into the surrounding communities,initiating new areas of research, and cementing our historical relationship with the KennedyKrieger Institute through the addition of our Collaborative Continuity Clinic.Under the guidance of Program Director Dr. Esther Lee and Associate Program Director Dr.Hal Kronsberg, our child fellowship has undergone positive transformations through cuttingedge didactics and enriching, immersive, and evidence-based clinical experiences. Our culture ofinquiry and devotion to patient care is thriving and we strive to continuously improve.The top priority here at Hopkins is to provide outstanding medical care to the youngsters andfamilies who come through our doors. We believe that creating a friendly and supportivelearning environment where colleagues can combine strengths and learn from one another isabsolutely vital towards this end.In our future fellows, we are looking for physicians who bring a sense of compassion,dedication, and clinical curiosity to the work they do with children and their families. We arecommitted to training fellows who will become leaders in the areas of clinical service, research,medical education, and administration.If you share this commitment to serve and the vision to lead, we do hope we will hear fromyou.Sincerely,Marco Grados, M.D., M.P.H.Associate Professor of Child & Adolescent PsychiatryInterim Director of Child & Adolescent Psychiatry, The Johns Hopkins Hospital
Introductory Letter from Dr. Lee and Dr. KronsbergDr. Esther S. LeeDr. Hal KronsbergThank you for your interest in the Child & Adolescent Psychiatryfellowship training program at the Johns Hopkins Hospital. We aredelighted that you are considering our program for further training.The Division of Child & Adolescent Psychiatry is steeped in the veryhistory of American psychiatry, starting with our founding father, Dr.Leo Kanner, who established our division in 1930. Our program isbuilt upon the unmatched intellectual resources of Hopkins and theunwavering commitment to the education and training of the nextmedical generation.Our program begins the first year with a thorough grounding in acutecare, experienced through state-of-the-art inpatient units that treat awide range of ages and diagnostic categories. Trainees rotate throughour inpatient unit and day hospital program. Our consult-liaisonrotation is designed to maximize exposure to medically ill children withpsychiatric illnesses, as well as provide exposure to a range of pediatricneurological issues. The first year also includes two months of electiverotations designed to supplement clinical knowledge in the areas ofsubstance abuse and treatment, developmental disorders, school-basedpsychiatry, forensics, and pediatric neurology. From an outpatientperspective, residents have a weekly clinic allowing for a longitudinaloutpatient experience throughout the two-year fellowship.The second year of training is focused solely on outpatient care. Trainees rotate through theChildren’s Mental Health Clinic in downtown Baltimore as well as the DevelopmentalDisabilities Clinic at the world-renowned Kennedy Krieger Institute. Learning experiences inbasic psychotherapy are also included in this year, as is one elective day per week in whichtrainees can pursue their own professional interests in any area within the specialty.Child & Adolescent Psychiatry here at Hopkins is on the cutting edge of our field. In addition topreparing our fellows to be excellent clinicians, we also aim to graduate inquisitive, lifelonglearners who will make profound and positive differences in the lives of the children they treat.We are pleased with your interest in becoming a part of the Hopkins legacy and we lookforward to meeting you soon.Sincerely,Esther S. Lee, M.D.Director of Education and TrainingThe Johns Hopkins HospitalHal Kronsberg, M.D.Associate Director, Education and TrainingThe Johns Hopkins Hospital
Processes and PoliciesApplication ProcessApplications for six first-year child and adolescent psychiatry fellowship positions are acceptedthrough the Electronic Residency Application Services (ERAS).Resident Contracts and PoliciesInformation about the resident contract, benefits, salary, and the Johns Hopkins GraduateMedical Education Policies for Interns and Residents can be found at the link listed below.These policies also include our policy on criminal background checks. Links to all of the policieslisted in the last page of the resident contract are included on the idents/index.htmlAnti-Discrimination PolicyThe Johns Hopkins University is committed to equal opportunity for its faculty, staff, andstudents. To that end, the university does not discriminate on the basis of sex, gender, maritalstatus, pregnancy, race, color, ethnicity, national origin, age, disability, religion, sexualorientation, gender identity or expression, veteran status or other legally protectedcharacteristic. The university is committed to providing qualified individuals access to allacademic and employment programs, benefits and activities on the basis of demonstrated ability,performance and merit without regard to personal factors that are irrelevant to the programinvolved.
Founding of Child and Adolescent Psychiatry at HopkinsLeo Kanner, M.D. (1894-1981) was a man of manyfirsts. Born in Austria and educated in Germany, heimmigrated to the United States in 1924. In 1930,shortly after coming to The Johns Hopkins UniversitySchool of Medicine, Professors Adolf Meyer, Directorof Psychiatry, and Edwards A. Park, Director ofPediatrics, selected Dr. Kanner to develop our nation’sfirst child psychiatry service in a pediatric hospital.Dr. Kanner was the first physician in the United Statesto be identified as a child psychiatrist. His textbook,Child Psychiatry (1935), was the first English languagetextbook of child psychiatry. His first use of the term“child psychiatry” in the title aptly captured the scopeof the field and identified child psychiatry as a medicaldiscipline. In 1943, Dr. Kanner first described thesyndrome of infantile autism. His concise and cogentclinical descriptions of children with autism continues toinform, and is the standard against which currentdiagnostic criteria are based. Dr. Kanner continued as the Director of Child and AdolescentPsychiatry at The Johns Hopkins Hospital until his retirement in 1959, although he remainedactive until his death at age 87.The division strives to continue the work started by Dr. Kanner by integrating empiricallybased state-of-the-art clinical care, commitment to education and training, and the developmentand dissemination of new knowledge. The Johns Hopkins Division of Child & AdolescentPsychiatry Residency Program is a two-year program dedicated to training academic leaders,master clinicians, productive researchers, and public mental health leaders of the future. Allchild and adolescent psychiatry residents are called Kanner residents to honor the legacy andmission of Dr. Leo Kanner.Building upon the vision of its founders, the Division of Child and Adolescent Psychiatryremains at the forefront of patient care, professional education, and research. The division iscomprised of three sites – Charlotte R. Bloomberg Children's Center, Kennedy Krieger Institute,and The Johns Hopkins Bayview Medical Center.
Training LocationsCharlotte R. Bloomberg Children’s CenterBloomberg Children’s Center – Exterior(Top)Bloomberg Children’s Center – Interior(Bottom)Three hospital-based intensive evaluation and treatmentprograms are offered at the Bloomberg Children’sCenter. There are two hospitalization units. The Childand Adolescent Psychiatry Inpatient Unit is a 15-bed unitthat offers comprehensive diagnostic evaluation andtreatment of children and adolescents (typical age rangesfrom 5-17 years old) with a variety of emotional andbehavioral problems including mood disorders, anxietydisorders, psychotic disorders, severe disruptivebehavior, and suicide attempts. The Day Hospital (PartialHospitalization) has 12 openings and serves patients ages5-17 years old. It serves as a 'step-up' program forpatients in community outpatient programs who needmore intensive treatment and as a 'step-down' programfor patients on inpatient units who are transitioning backto outpatient care. Finally, the Consultation LiaisonService provides clinical assessments, treatment, andreferrals for any child in the Johns Hopkins Children'sCenter. The service focuses on the collaborativerelationship with primary care teams in pediatrics like theemergency department, the inpatient pediatric services,and some outpatient pediatric settings as well.
The Kennedy Krieger InstituteThe Kennedy Krieger Institute is aninternationally recognized institutiondedicated to improving the lives ofchildren and adolescents with pediatricdevelopmental disabilities and disordersof the brain, spinal cord, andmusculoskeletal system. Areas ofspecialization include: autism spectrumdisorders, behavioral disorders, bonedisorders, brain injury, cerebral palsy,developmental disorders, DownsSyndrome, feeding disorders, learningdisorders, muscular dystrophy,rehabilitation, sleep disorders, spinabifida, spinal cord injury and paralysis,and Sturge-Weber syndrome.Highly trained professionals from various disciplines and departments collaborate to design treatmentplans specific to each patient's needs throughout all stages of care.The inpatient programs consist of the Neurobehavioral Unit (NBU), Brain Injury ResponsivenessProgram, Pediatric Feeding Disorders Inpatient Program, Pediatric Pain Rehabilitation Program, andPediatric Rehabilitation Unit.The outpatient programs consist of 55 outpatient clinics, including the Center for Autism and RelatedDisorders (CARD), the outpatient psychiatry clinic for children with a wide range of developmentaldisabilities, and several home and community programs.A nationally recognized “Blue Ribbon School of Excellence”, Kennedy Krieger School is a leader ininnovative education for children, adolescents, and young adults with a wide range of learning,emotional, physical, neurological, and developmental disabilities to unlock the potential inside everystudent. The programs offered include: kindergarten through 8th grade, Kennedy Krieger High School,LEAP Program, Montgomery County Campus, Public School Partnership Program, and the PhysicallyChallenged Sports & Recreation Program.Finally, The Maryland Center for Developmental Disabilities at Kennedy Krieger Institute provides awide range of community-oriented programs and projects to increase services to individuals withdevelopmental disabilities to achieve their potential in work, school, and community life. Project HEAL isMaryland’s only comprehensive medical-legal partnership. A community-based program of the MarylandCenter for Developmental Disabilities (MCDD) at Kennedy Krieger Institute, Project HEAL (Health,Education, Advocacy and Law) provides comprehensive advocacy and legal services for children withintellectual and developmental disabilities and their families. Project HEAL attorneys collaborate withKennedy Krieger health care professionals and trainees to ensure that patients receive the medical andlegal care they need.
The Johns Hopkins Bayview Medical CenterThe Department of Psychiatry andBehavioral Sciences at The Johns HopkinsBayview Medical Center offers a wide varietyof outpatient, inpatient, and emergencymental health services for children,adolescents, and adults.Children, adolescents, and young adults aretreated at Bayview in a variety of settingsfrom emergency care to intensiveoutpatient programs, outpatient clinics, andcommunity programs that reach intoneighborhoods and schools.Outpatient appointments are made through each of the individual clinics or programs. Some ofthe outpatient services include: Case ManagementChildren's Center Intensive Outpatient ProgramCo-Occurring Disorders in Adolescence Program (CODA)Deaf and Hard-of-Hearing ClinicEarly Psychosis Intervention ClinicGeneral Child Psychiatry Outpatient ClinicIntensive Outpatient Program for AdolescentsLatino Family ClinicMobile TreatmentOvereating and Obesity Clinic (CHOC)Preschool Clinical ProgramsPsychiatric Rehabilitation ProgramSchool-Based Mental Health Services
Program OverviewThe fellowship in Child and Adolescent Psychiatry at the Johns Hopkins Hospital is designed toprovide a comprehensive and broad-based education in psychiatric diagnosis and treatment ofchildren, adolescents, and young adults. The program focuses on developing skills in diagnosticinterviewing, case formulation, treatment planning, and psychotherapeutic and pharmacologicmanagement in the context of a strong knowledge base in child development, principles ofresearch, and familiarity with the function and organization of health, education, and welfareinstitutions.A two-year program is offered with six residents per year led by faculty dedicated to teaching,clinical care, and individual research pursuits. Strengths include a large full-time faculty, adynamic educational program, and a diverse clinical portfolio that reflects the expertise of ourvaried faculty members. Access to the myriad resources in the Department of Psychiatry, theBloomberg Children’s Center, the Department of Pediatrics, specialists in the School ofMedicine, the Bloomberg School of Public Health, the Kennedy Krieger Institute, and otherUniversity programs contribute to a robust learning environment.
First Year of FellowshipThe first year of training focuses on the principles of diagnosis and treatment of children andadolescents who present primarily in the hospital setting. Residents learn specific interviewingtechniques and adaptations of the principles of psychopharmacology to children andadolescents. They learn about manualized psychotherapeutic techniques (including cognitivebehavior therapy, parent management training, and dialectical behavioral therapy) and nonmanualized psychotherapeutic techniques (including psychodynamically informed psychotherapy,supportive psychotherapy, and family therapy), as well as the systems of care surroundingchildren, the interactions between development and pathology, and the obstacles to care.First Year RotationsFirst year clinical rotations include:Inpatient Unit – Four monthsDay Hospital Unit – Three monthsConsultation-Liaison Service – Two monthsOutpatient Rotation – Three months (includes child neurology, school-based psychiatry,forensics, substance abuse, eating disorders, developmental disabilities)Collaborative Continuity Clinic (i.e., outpatient experience) – one half-day per weekHome-Call Coverage - once every 14 days throughout all tientConsultsInpatient Unit: The inpatient unit assesses and stabilizes acute psychiatric dysfunction throughpharmacologic, behavioral, and systems-oriented interventions. Over 400 children are treatedannually on this service with an average length of stay of approximately 8 days. Theinterdisciplinary staff consists of attending physicians, child and adolescent psychiatry fellows,adult psychiatry residents, psychology fellows, social workers, occupational therapists, nurses,and clinical care technicians.Day Hospital: The day hospital provides “step-down” care from the inpatient service and“step-up” care from outpatient programs. The length of stay ranges from 1-3 weeks. Ongoingmedication management, family work, individual treatments, and coordination of services areoffered. The interdisciplinary staff consists of an attending physician, child and adolescentpsychiatry fellows, adult psychiatry residents, psychology fellows, social workers, occupationaltherapists, nurses, and clinical care technicians.
Consultation Liaison Service: The Consultation Liaison Service provides clinicalassessments, treatment, and referrals for any child in the Johns Hopkins Children's Center. Theservice focuses on the collaborative relationship with pediatric primary care teams, includingthe emergency department, the inpatient pediatric services, and some outpatient pediatricservices as well.Outpatient Months: This rotation was created to supplement the first-year clinicalexperience and includes additional experiences in child neurology, school-based psychiatry,forensics, eating disorders, developmental disabilities, and substance use disorders.Collaborative Continuity Clinic: The collaborative continuity clinic provides an opportunityfor trainees to work in a longitudinal outpatient setting with patients and their families. All casesare assigned by the Training Director and attention is paid to balancing age, gender, diagnoses,and treatment modality. Direct supervision is available on-site.Home-Call: The home-call experience helps fellows develop competency at performing rapidassessments of severely ill youth requiring inpatient admission and at covering inpatient issuesthat arise. An attending physician is available at all times to provide indirect supervision. Homecall coverage occurs approximately once every 14 days.First Year DidacticsThe clinical experience is enhanced by didactics specifically tailored to the knowledge base ofthe first-year fellow. A Summer Session provides information about the policies and proceduresfor documentation, communication, the differences between working with adult patients andwith child patients and their families, the initial assessment, engagement strategies when workingwith youth and families, skills in managing a crisis situation, and the attitude expected towardspatients, families, and multidisciplinary teams. In addition, throughout the year there aredidactics on critical journal reading, the consultation process, general psychopharmacology,child and adolescent psychopharmacology, ethics, forensics, influences on development, andnormal development. Also, there are lectures on psychotherapy techniques including familytherapy, cognitive behavior therapy, parent management training, and dialectical behavioraltherapy.
Second Year of FellowshipThe second year focuses upon the diagnosis and treatment of children, adolescents, and theirfamilies who present primarily in the outpatient setting. Residents develop a deeperunderstanding of therapeutic interventions in outpatient clinics and have the opportunity topursue a variety of electives. In addition, there are also opportunities to develop research skillsand participate in ongoing research with faculty guidance.Second Year RotationsSecond year clinical rotations include:Collaborative Continuity Clinic (CCC) – one half-day per weekScholarly Activity/ Administrative Day or Post-Call – 1.5 days per weekChildren’s Mental Health Clinic (CMHC) – one day per weekElective/Psychotherapy clinic – one day per weekKennedy Krieger Institute (KKI) Center for Autism and Related Disorders (CARD) orOutpatient Psychiatry Clinic – one half-day per weekHome-call coverage - once every 14 days throughout the yearFellow e/CMHC CARD/Elective Admin/LectureAdmin/ClinicElective/CMHC CARD/Elective MHC/Elective CARD/CMHC6CMHC/Elective ve/LectureHome-Call Coverage starts at 5:00pm on Monday - WednesdayCollaborative Continuity Clinic: The collaborative continuity clinic provides an opportunityfor trainees to work in a longitudinal outpatient setting with patients and their families. All casesare assigned by the Training Director and attention is paid to balancing age, gender, diagnoses,and treatment modality. Direct supervision is available on-site and indirect supervision occursthrough a longitudinal supervisor that meets weekly with the resident.Scholarly Activity/ Administrative Day: On a scholarly activity/ administrative day,residents have time to work on scholarly activities and quality improvement projects. This timecan also be used for completing notes, returning phone calls, and communicating with otherproviders to coordinate care.
Children’s Mental Health Clinic: The Children’s Mental Health Clinic is dedicated toserving the mental health needs of youth and families in the local East Baltimore community. Itis staffed by psychiatric therapists who provide a wide range of services including individual,family, and group work. Second-year fellows work with 1-2 therapists for the year, with weeklyteam supervision by child psychiatry faculty. Close collaboration with primary care providersand others involved in a youngster’s c
The Johns Hopkins Division of Child & Adolescent Psychiatry Residency Program is a two-year program dedicated to training academic leaders, master clinicians, productive researchers, and public mental health leaders of the future. All child and adolescent psychiatry residents are called Kanner residents to honor the legacy and
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