The Johns Hopkins Hospital Department Of Psychiatry And Behavioral .
The Johns Hopkins HospitalDepartment of Psychiatry and Behavioral SciencesDivision of Child and Adolescent PsychiatryFellowship ProgramProspectus 2021 – 2022Director of Education and Training:Hal Kronsberg, M.D.Email – hal.kronsberg@jhu.eduAssociate Director of Education and Training:Jennifer Goetz, M.D.Email – jlgoetz@jhmi.eduAssociate Director of Education and Training:Nadia Zaim, M.D.Email – nzaim1@jhmi.eduFellowship Program Coordinator:Denise JonesEmail – djones4@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. Campo .4Introductory Letter from Dr. Kronsberg, Dr. Goetz, and Dr. Zaim .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 . 15Scholarly Activities Completed By Fellows. 18Publications . 18Posters . 19Awards . 20Lectures. 19First-Year Child and Adolescent Psychiatry Fellows . 22Second-Year Child and Adolescent Psychiatry Fellows . 23Post-Graduate Plans for Kanner Fellows . 26Notable Fellowship Alumni . 26Faculty Who Often Interview . 28About 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 Sciencesat the Johns Hopkins Hospital. For over 100 years, ourdepartment has been home to some of the brightest, mostinnovative medical minds in the world. Our department wasestablished in 1909 with a generous financial gift from HenryPhipps, a Philadelphia steel magnate and major benefactor toHopkins, in response to the horrifying conditions in Americaninsane asylums at the time. Dr. Adolf Meyer, the Swiss-bornpathologist and psychobiologist, became the new department’sdirector and built the Phipps Clinic, which opened in 1913. In1930, the renowned Dr. Leo Kanner founded our Division ofChild & Adolescent Psychiatry, the first of its kind in the world.These two gifted clinicians and leaders are part of a longstandingHopkins legacy that includes a faculty of nationally renowned clinicians, teachers, andresearchers.Our department has won many national and international accolades, including being voted thebest clinical Department of Psychiatry in America by U.S. News and World Report’s 2020survey. Our Division of Child & Adolescent Psychiatry is a particular source of pride and isquickly transforming itself into an international powerhouse in the areas of research and clinicalcare.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. CampoIt is my privilege to welcome and introduce you to the Divisionof Child and Adolescent Psychiatry at Johns Hopkins School ofMedicine and the Kennedy Krieger Institute. I was humbled tobe named director of this storied division late in 2020, and Iremain awed by the program’s storied tradition and history of“firsts”. It was here that our first Director Leo Kanner foundedthe nation’s first division of child and adolescent psychiatry, firstdescribed childhood autism as we currently know it, andauthored the first American textbook of child and adolescentpsychiatry. Additional firsts in research include the firstlongitudinal studies of children with autism, the first applicationof randomized controlled trials in pediatric psychiatry, andseveral landmark pediatric psychopharmacology trials.From the outset, our division has avoided the false conceptualdichotomies that have handicapped modern psychiatry byfostering “brainlessness” on the one hand and “mindlessness” on the other. Our longstanding andproductive affiliations and collaborations with Johns Hopkins pediatrics and the Kennedy KriegerInstitute speaks to an ongoing commitment to advancing the care of children and adolescents in generalmedical settings and with a broad spectrum of brain-based and genetic disorders.A disproportionate number of America’s most influential child and adolescent psychiatrists have beentrained and/or made their home here. Our faculty is proud of our history of training the nextgeneration of leaders in child and adolescent psychiatry, and has played an influential role in shapingtraining efforts at the national level by emphasizing the importance of developmental neuropsychiatryand neuroscience, integration with pediatrics, community service, and prevention. We are especiallyproud of our long history of advocacy that targets stigma and advances the care of children and familiesstruggling with neurodevelopmental and mental disorders. We appreciate the importance of our workto the vulnerable communities we serve, and strive to develop a workforce that reflects the vibrancyand diversity that surrounds us.What I think you will find most impressive about our training program is the quality, dedication, andcharacter of our faculty, trainees, and staff. This is a group that is not satisfied with “good enough”, yetvalues and supports one another as we work together to build and sustain a culture of excellence. Ifyou think of your future work in child and adolescent psychiatry more as a calling than simply a job, ifyour aspiration is nothing short of excellence, and if you value working with connected and supportiveothers of like-mind, I very much encourage and welcome your interest. I am personally thrilled to behere, and suspect you will be as well.Wishing you every success in your efforts,John V. Campo, MDLeonard and Helen R. Stulman Professor (PAR) and Director of Child and Adolescent PsychiatryInterim Director of Child & Adolescent Psychiatry, The Johns Hopkins Hospital
Introductory Letter from Dr. Kronsberg, Dr. Goetz, and Dr. ZaimDr. Hal KronsbergDr. Jennifer GoetzDr. Nadia ZaimHopkins system.Thank you for your interest in the child & adolescent psychiatry fellowshiptraining program at the Johns Hopkins Hospital. We are delighted that youare considering our program and out community for further training. Ourprogram is built upon the outstanding and diverse array of clinical services,from specialized care for individuals with developmental disabilities, toinnovation in integrated care with our partners in pediatrics, to communitybased programs treating some of Baltimore’s most vulnerable youth. JohnsHopkins is also home to numerous researchers and innovators in the field ofchild and adolescent psychiatry and our faculty and institution is deeplycommitted to educating and training the next leaders in the field.Our program begins the first year with a thorough grounding in acute care atJohns Hopkins Hospital. Trainees rotate through our inpatient unit and dayhospital program, treating children and adolescents with a wide variety ofages and challenges. Our consult-liaison rotation is designed to maximizeexposure to children with medical and psychiatric illnesses, as well as a rangeof pediatric neurological issues. The first year also includes two months ofelective rotations to supplement clinical knowledge in the areas of substanceabuse and treatment, developmental disorders, school-based psychiatry,forensics, and pediatric neurology. First year also provides a comprehensiveoutpatient experience, and fellows will participate in a longitudinal outpatientexperience which lasts for both years of the fellowship.The second year of training is focused on outpatient care. Trainees rotatethrough the Children’s Mental Health Clinic in downtown Baltimore as wellas the Developmental Disabilities Clinic at the world-renowned KennedyKrieger Institute. Experiences in individual and family therapy are alsoincluded in this year. In addition, fellows have one elective day per week topursue their own professional interests in any area within the specialty,taking advantage of the rich array of clinical and academic offerings within theIn addition to preparing our fellows to be excellent clinicians, we also aim to graduate inquisitivelifelong learners who will make profound and positive differences in the lives of the children theytreat. We are thrilled with your interest in becoming a part of the Hopkins family and we lookforward to meeting you soon.Sincerely,Hal Kronsberg, M.D.Program DirectorThe Johns Hopkins HospitalJenn Goetz, M.D.Associate Program DirectorThe Johns Hopkins HospitalNadia Zaim, M.D.Associate Program DirectorThe 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 protectedcharacteristics. 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. In 1943, Dr. Kanner firstdescribed the syndrome of infantile autism. His conciseand cogent clinical descriptions of children with autismcontinues to inform and is the standard on whichcurrent diagnostic criteria are based. Dr. Kannercontinued as the Director of Child and AdolescentPsychiatry at The Johns Hopkins Hospital until hisretirement in 1959, although he remained active 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. Childand adolescent psychiatry fellows are referred to as “Kanner fellows” 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 CenterThree hospital-based rotations occur at the Bloomberg Children’s Center. The Child and AdolescentPsychiatry Inpatient Unit is a 15-bed unit that offers comprehensive diagnostic evaluation and treatmentof children and adolescents (typical age ranges from 5-17 years old) with a variety of emotional andbehavioral problems including mood disorders, anxiety disorders, psychotic disorders, severe disruptivebehavior, and suicide attempts. The inpatient unit combines outstanding medical and psychiatric carewith an evidence-based therapeutic milieu that utilizes positive behavioral intervention and supports(PBIS) to shape behavior and improve patient safety.The Day Hospital (a partial hospital program) has 12 openings and serves patients ages 5-17 years old. Itserves as a 'step-up' program for patients in community outpatient programs who need more intensivetreatment and as a 'step-down' program for patients on inpatient units who are transitioning back tooutpatient care. At the day hospital, fellows work with social workers, nurses, psychologists, andoccupational therapists to provide comprehensive individual and family treatment at the highest level ofoutpatient care.Finally, the Consultation Liaison Service provides clinical assessments, treatment, and referrals for anychild in the Johns Hopkins Children's Center. The service focuses on the collaborative relationship withprimary care teams in pediatrics including the emergency 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 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. Trainees spend both years of training seeingoutpatients at the Psychiatric Mental Health Program in close collaboration with faculty.The inpatient programs consist of the Neurobehavioral Unit (NBU), Brain Injury ResponsivenessProgram, Pediatric Feeding Disorders Inpatient Program, Pediatric Pain Rehabilitation Program, andPediatric Rehabilitation Unit.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 CenterBefore becoming part of theJohns Hopkins Medicinesystem, Baltimore CityHospital was a vitalcommunity hospital in EastBaltimore. In 1984, Baltimoretransferred ownership toJohns Hopkins, where itwould continue to serve as acommunity hospital while alsoproviding innovative and muchneeded care to the diversepatients in its surroundingareas.The Department of Psychiatry and Behavioral Sciences at The Johns Hopkins Bayview MedicalCenter offers a wide variety of outpatient, inpatient, and emergency mental health services forchildren, adolescents, and adults.Children, adolescents, and young adults are treated at Bayview in a variety of settings fromemergency care to intensive outpatient programs, outpatient clinics, and community programsthat reach into neighborhoods and schools. Johns Hopkins Bayview Medical Center is thehome of some of the division’s largest and most innovative community-based programs, such asChild Mobile Treatment and School-Based Mental Health Services. Both of these programsprovide care outside of the traditional clinic setting to some of Baltimore’s most vulnerableyouth, and provide outstanding training opportunities for trainees who wish to pursuecommunity psychiatry when they graduate.Outpatient appointments are made through each of the individual clinics or programs. Some ofthe outpatient services include: Children'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 fellowships per year (though seven in the current F2class) led by faculty dedicated to teaching, clinical care, and individual research pursuits.Strengths include a large full-time faculty, a dynamic educational program, and a diverse clinicalportfolio that reflects the expertise of our varied faculty members. Access to the myriadresources in the Department of Psychiatry, the Bloomberg Children’s Center, the Departmentof Pediatrics, specialists in the School of Medicine, the Bloomberg School of Public Health, theKennedy Krieger Institute, and other University programs contribute to a robust learningenvironment.
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. Fellows 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 (I) – roughly four monthsDay Hospital Unit (DH) – roughly two monthsConsultation-Liaison Service (CL) – roughly three monthsOutpatient Rotation (E1, E2, ED) – roughly three months. These include child neurology,school-based psychiatry, child mobile treatment, forensics, substance abuse, eatingdisorders, developmental disabilities.Collaborative Continuity Clinic (i.e., outpatient experience) – one half-day per weekHome-Call Coverage – weekends only, on average one day in every 16E1E1E1E1CLCLCLCLCLEDEDVED
CLVIIIIIE2E2E2E2Inpatient Unit: The inpatient unit provides assessment and stabilization of kids and teens inacute psychiatric crisis through pharmacologic, behavioral, and systems-oriented interventions.Over 400 children are treated annually on this unit with an average length of stay ofapproximately 8 days. The interdisciplinary staff consists of attending physicians, child andadolescent 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 (specifically Parent Management Training), individualtreatments, and coordination of services are offered. The interdisciplinary staff consists of anattending physician, child and adolescent psychiatry fellow, adult psychiatry resident, psychologyfellows, social workers, occupational therapists, nurses, and clinical care technicians.Consultation Liaison Service: The Consultation Liaison Service provides interdisciplinaryclinical assessments, risk assessments, brief intervention, medication management, and level-ofcare recommendations for any child in the Johns Hopkins Children's Center. The servicefocuses on the collaborative relationship with pediatric primary care teams, including theemergency department, the inpatient pediatric services, and some outpatient pediatric servicesas 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. Fellows areexposed to a variety of psychiatric practice models and treatment modalities which help themdecide later how they want to spend elective time in year two.Collaborative Continuity Clinic: The collaborative continuity clinic provides an opportunityfor trainees to work in a longitudinal outpatient setting with patients and their families. Allpatients are assigned to balance age, gender, diagnoses, and treatment modality. Directsupervision is provided in real-time and on-site.Home-Call: Call during first and second year is “home call,” meaning fellows need not stay inthe hospital when not engaged in clinical work. The home-call experience helps fellows developcompetency at performing rapid assessments of severely ill youth requiring inpatient admissionand at covering inpatient issues that arise. An attending physician is available at all times toprovide indirect supervision. Averaged over the year, call coverage occurs approximately oneday in every fourteen.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, child and adolescentpsychopharmacology, ethics, forensics, development, and the social determinants of health.Also, there are lectures on psychotherapy techniques including family therapy, cognitivebehavior therapy, parent management training, and dialectical behavioral therapy.
Second Year of FellowshipThe second year focuses on the diagnosis and treatment of children, adolescents, and t
the nation's first division of child and adolescent psychiatry, first described childhood autism as we currently know it, and authored the first American textbook of child and adolescent psychiatry. Additional firsts in research include the first longitudinal studies of children with autism, the first application
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