Specific Goals and Objectives for Year 1

General Competencies

In year 1, the fellow will demonstrate increasing knowledge, skills and attitudes in the six general competencies including: clinical science/medical knowledge, patient care, interpersonal and communication skills, practice-based learning and improvement, professionalism and systems-based practice.


In the first training year, the fellow will demonstrate increasing knowledge in the following areas:

  • Normal and abnormal development in infants through adults
  • Knowledge of the biological, psychological and social contributions to psychopathology
  • The full spectrum of psychopathology in children, adolescents and families, including all DSM IV conditions
  • Methods of performing complete assessments of children, adolescents, and families, including the appropriate use of laboratory, medical and psychological tests and appropriate data gathering from past treaters
  • A sufficient knowledge of pediatric neurology, learning and language disabilities, and psychological testing to adequately screen patients, request and adequately use consultations
  • Each fellow will be familiar with neurological and medical conditions associated with psychiatric disorders
  • The indications, contraindications, benefits and potential adverse effects of hospital-based care including inpatient, partial hospital treatments and residential treatments
  • Knowledge related to risk assessment and potential dangerousness
  • Basic knowledge regarding the mechanisms of action, indications, risks and benefits of psychotropic medications as part of the overall treatment regimen for children and adolescents with functionally-impairing psychopathology
  • Familiarity with systems involved with children and adolescents, including schools, protective services, juvenile justice, and the full range of services in a comprehensive continuum of care
  • The basic information presented in the Year 1 clinical and didactic curriculum of the training program, augmented by self-directed learning, in biological, social, and clinical sciences related to child and adolescent psychiatry
  • Principles of medical ethics in care of children, adolescents and families in multiple settings


In the first training year, the fellow will demonstrate increasing skill in each of the following areas:

  • The assessment of children, adolescents and families in a range of settings, including emergency department, urgent access clinic, inpatient unit, and outpatient clinic
  • The ability to develop a comprehensive differential diagnosis and multimodal treatment plan for children, adolescents and families, including the use of appropriate laboratory, medical and psychological examinations
  • The ability to comprehensively assess, discuss, document and intervene concerning the patients' potential for self-harm or harm to others
  • The ability to form a therapeutic rapport and conduct therapeutic interviews with children, adolescents and families
  • The ability to conduct a range of therapies including individual brief and long-term psychotherapy, supportive therapy, family therapy, group therapy, psychodynamic or insight-oriented psychotherapy, and pharmacotherapy and combined psychotherapy and psychopharmacology
  • The ability to evaluate and conduct emergency interventions in a range of settings, including the emergency department and urgent access clinic, inpatient and partial hospital units, outpatient clinics, and pediatric wards
  • The ability to collaborate with professionals of all disciplines in the provision of care for children, adolescents, and families
  • The ability to conduct assessments and treatments within a continuum of care
  • The ability to conduct assessments and treatments with diverse populations of children, adolescents and families with attention to differences in age, gender, race, culture and socioeconomic status


In the first training year, the fellow will demonstrate attitudes which are consistent with professionalism and ongoing professional growth, including an openness and desire to gain new knowledge to better his/her medical practice, a respectful and caring attitude towards patients and families, a respectful and collaborative attitude towards professionals in all disciplines, a commitment to ethical principles of care and practice, and holding responsibility for excellence in patient care as the highest standard. Each fellow will demonstrate the following attitudes:

  • A strong sense of responsibility for patients
  • Utilization of supervision provided to continuously improve his/her skills in the evaluation and treatment of children and adolescents with psychiatric disorders
  • Each fellow will demonstrate ethical conduct in the treatment of all patients and families
  • Each fellow will be committed to his or her continuing professional development.