Additional Core Rotations
During the blocks at the Dartmouth-Hitchcock Medical Center, residents are assigned to 2-3 month part-time rotations in the areas of pediatric neurology, childhood developmental disorders, community psychiatry and school observations and consultation. The pediatric outpatient neurology experience takes place at DHMC. The Child Development Clinic in the Department of Pediatrics at DHMC is directed by faculty developmental pediatricians who specialize in the sequelae of neonatal problems and developmental syndromes. The community psychiatry rotation takes place at an affiliated community mental health center under the direction of a faculty child psychiatrist. School observations and consultations take place in nearby public schools under the direction of a faculty child/adolescent psychiatrist and consulting psychologist.
Also, during the blocks at DHMC, residents are assigned to the inpatient pediatric consultation service for approximately 5-10% of their time each week. On this service, residents see children and adolescents on pediatric or other specialty services. Patients range in age from infancy through adolescence and are referred for evaluation for a wide variety of psychiatric problems, as well as problems with adjustment to medical disability or medical procedures, compliance with medication and separation from family and peers. Assessment involves clinical interviews of patients, various family members and medical personnel. Therapeutic interventions include behavior modification, pharmacotherapy, individual psychotherapy, family therapy, staff-focused consultation and referrals to appropriate treatment resources.