AACAP Psychodynamic Faculty Training and Mentorship Initiative (PFTMI) Takes up the Challenge

AACAP

A Publication of the News n May/June 2021 n Volume 52, Issue 3

Inside. . . Cover Photo: Alex Sittig AACAP 2021 Virtual Annual Meeting...... 117 Psychopharmacology Corner: Ketamine Treatment of Pediatric Depression – What Can We Learn From the Experts?...... 118 Teaching Psychodynamics During COVID-19: AACAP Psychodynamic Faculty Training and Mentorship Initiative (PFTMI) Takes Up the Challenge...... 122 Nebraska Regional Council: AACAP Grant Improves Advocacy for Children in Nebraska...... 124 Lessons Learned from Teens, Screens, and the Year of COVID-19...... 126 Visit www.aacap.org/AnnualMeeting-2021 for the latest information! AACAP

VIRTUAL 68TH ANNUAL OCT MEETING

18–30 Save the Dates New Research Poster Deadline: June 7, 2021 Preliminary Program Available: Mid-June Member Registration Open: August 3, 2021 General Registration Opens: August 10, 2021 2021

James J. McGough, MD Tami Benton, MD Sandra B. Sexson, MD Nicole Cotton King, MD Program Chair Deputy Program Chair Local Arrangements Chair Local Arrangements Chair TABLE of CONTENTS

COLUMNS Neera Ghaziuddin, MD, Section Editor • [email protected] AACAP 2021 Virtual Annual Meeting ...... 117 Psychopharmacology Corner: Ketamine Treatment of Pediatric Depression – What Can We Learn From the Experts? • Joshua Kriegel, MD, Boris Lorberg, MD, MBA, Michael Bloch, MD, and Jennifer Dwyer, MD, PhD . . . . . 118 Teaching Psychodynamics During COVID-19: AACAP Psychodynamic Faculty Training and Mentorship Initiative (PFTMI) Takes Up the Challenge • Michael Shapiro, MD, Martin Drell, MD, and Rachel Ritvo, MD...... 122

COMMITTEES/REGIONAL ORGANIZATIONS Ellen Heyneman, MD, Section Editor • [email protected] Nebraska Regional Council: AACAP Grant Improves Advocacy for Children in Nebraska • Joan Daughton, MD, Cindy Ellis, MD, Beth Ann Brooks, MD, Daniel Gih, MD, and Melissa St . Germain, MD...... 124

FEATURES Alvin Rosenfeld, MD, Section Editor • [email protected] Lessons Learned from Teens, Screens, and the Year of COVID-19 • Paul Weigle, MD...... 126

MEETINGS Courtney McMickins, Section Editor • [email protected] New Research Call for Papers...... 129

FOR YOUR INFORMATION Communications & Member Services • [email protected] Honor Your Mentor...... 132 Membership Corner...... 135 In Memoriam ...... 135 Welcome New AACAP Members...... 136 Returning to School: Helping Kids Adjust and Adapt • David Fassler, MD...... 137 Thank You for Supporting AACAP!...... 139 Classifieds...... 142

On the cover: First-grade friends gather for a picture after an afternoon of after school covid-safe fun! MISSION STATEMENT MISSION OF AACAP NEWS The Mission of the American The mission of AACAP News includes: 1 Communication among AACAP members, components, and leadership . Academy of Child and Adolescent 2 Education regarding child and adolescent psychiatry . Psychiatry is to promote the 3 Recording the history of AACAP . 4 Artistic and creative expression of AACAP members . healthy development of children, 5 Provide information regarding upcoming AACAP events . adolescents, and families through 6 Provide a recruitment tool . advocacy, education, and research, EDITOR ...... Uma Rao, MD and to meet the professional needs MANAGING EDITOR ...... Rob Grant PRODUCTION EDITOR ...... Reilly Polka of child and adolescent psychiatrists COLUMNS EDITOR ...... Neera. Ghaziuddin, MD throughout their careers . COMPONENTS EDITOR ...... Ellen Heyneman, MD OPINION EDITOR ...... Megan Baker, MD – Approved by AACAP Membership FEATURES EDITOR ...... Alvin Rosenfeld, MD December 2014 PSYCHOPHARMACOLOGY EDITOR ...... Boris Lordberg, MD

AACAP EXECUTIVE COMMITTEE 2020-2021 COUNCIL Gabrielle A . Carlson, MD, President Balkozar S . Adam, MD Warren Y . K . Ng, MD, President-Elect Adrienne L . Adams, MD The American Academy of Child and Mary S . Ahn, MD Cathryn A . Galanter, MD, Secretary Shirley Alleyne, MB, BS Adolescent Psychiatry promotes the healthy Bennett L . Leventhal, MD, Treasurer Boris Birmaher, MD development of children, adolescents, and Shinnyi Chou, MD, PhD Melvin D . Oatis, MD, Chair, families through advocacy, education, and Jennifer L . Derenne, MD Assembly of Regional Organizations Robert S . Holloway, MD research . Child and adolescent psychiatrists of Child and Adolescent Psychiatry Anita Kishore, MD are the leading physician authority Heidi Büttner Fordi, CAE, Cordelia Ross, MD on children’s mental health . For more Executive Director Marian A . Swope, MD information, please visit www.aacap.org . Sala Webb, MD

JERRY M . WIENER RESIDENT MEMBER Cordelia Ross, MD JOHN E . SCHOWALTER RESIDENT MEMBER EXECUTIVE DIRECTOR Heidi B . Fordi, CAE JOURNAL EDITOR Douglas K . Novins, MD AACAP NEWS EDITOR Uma Rao, MD PROGRAM COMMITTEE CHAIR James J . McGough, MD

COLUMN COORDINATORS Suzan Song, MD, MPH, PhD, [email protected] International Relations Jeffrey Hunt, MD, [email protected] Clinical Case Reports and Vignettes Balkozar Adam, MD, [email protected] Diversity and Culture Maria McGee, MD, MPH, [email protected] Ethics Kim Masters, MD, [email protected] Acute Care Psychiatry Charles Joy, MD, [email protected] Poetry Dale Peeples, MD, [email protected] Youth Culture

AACAP News is an official membership publication of the American 3615 Wisconsin Avenue, N W. . Academy of Child and Adolescent Psychiatry, published six times annually. Washington, D C. . 20016-3007 This publication is protected by copyright and can be reproduced with the permission of the American Academy of Child and Adolescent Psychiatry. Publication phone 202 .966 .7300 • fax 202 4. 64 0. 131 of articles and advertising does not in any way constitute endorsement or approval by the American Academy of Child and Adolescent Psychiatry. © 2021 The American Academy of Child and Adolescent Psychiatry, all rights reserved Executive Office

5/25/2021

On behalf of AACAP’s Executive Committee, please know that AACAP will hold our 2021 Annual Meeting virtually, rather than in Atlanta as originally planned. This was an extremely complex decision and one that was thoroughly vetted. Please know our decision was made in the best interest of our members’ and attendees’ safety, health, and well-being.

We appreciate the significant feedback from our members, as your input played a large role in the overall decision. We will miss the togetherness, camaraderie, and fun that comes with attending an in-person Annual Meeting, however, we know we can create and deliver a fantastic virtual experience for all attendees.

The Executive Committee decided on a virtual format for 2021 for three key reasons:

● As a community of physicians, we feel strongly about supporting responsible public health. We are very excited about the scientific success of vaccines and we hope that the vaccine rollout swiftly continues so that we can return to some normalcy. However, it was our judgment that, currently, there are too many risks and uncertainties to safely hold a large-scale meeting with thousands of our colleagues in October. ● We want to ensure equitable and wide participation. A virtual platform will enable many more attendees to participate again this year, eliminating issues with continued travel restrictions and difficulties, uncertainties related to vaccines, and potential financial constraints at institutions or for important communities, such as trainees. ● Building on a successful 2020 meeting, the Program Chairs and staff are already hard at work to provide an even better virtual experience. We are working on creating new and improved ways to connect and network, offering more opportunities for live educational engagement, and expanding the time to earn CME credits.

Plan to join us October 18-30, 2021, when we will bring together child and adolescent psychiatrists and other professionals from around the world to connect, learn, mentor, and network—albeit virtually. Similar to 2020, we will offer a two-week format, with the week of October 25-30 having all of the live sessions. More schedule and content details will be available in mid-June. Over the coming weeks, we will be talking to committee chairs, exhibitors, members, presenters, and sponsors, about our plans.

We are excited to again provide cutting-edge scientific programming and, as the world emerges from an unprecedented pandemic, AACAP’s leadership continues to explore how we can sustain, unite, and engage our vibrant community in new ways.

Stay tuned for more information and we can’t wait to see you online this fall! Questions? Contact [email protected].

Thank you for your ongoing support during these complex times.

Sincerely,

Gabrielle A. Carlson, MD Cathryn A. Galanter, MD Melvin D. Oatis, MD President Secretary Assembly Chair AACAP

Warren Y.K. Ng, MD, MPH Bennett L. Leventhal, MD President-Elect Treasurer

MAY/JUNE 2021 117 COLUMNS

PSYCHOPHARMACOLOGY CORNER Ketamine Treatment of Pediatric Depression – What Can We Learn From the Experts?

■ Joshua Kriegel, MD, Boris Lorberg, MD, MBA, Michael Bloch, MD, and Jennifer Dwyer, MD, PhD

Among the most exciting psychopharmacology developments over the last and met the severity criterion of a score decades has been the promise of ketamine as both a novel, more rapid, and >40 on the Children’s Depression Rating possibly more effective antidepressant and anti-suicide treatment . Joshua Scale–Revised (CDRS) . The primary Kriegel, MD, a psychiatry resident interested in therapeutic uses of psychedelics outcome measure was a score on the and Boris Lorberg, MD, have asked two of the leading experts in pediatric use of Montgomery-Åsberg Depression Rating ketamine to answer some of our readers burning questions . Scale (MADRS) 24 hours after treatment . MADRS was used because it is well vali- dated in adolescents, and the MADRS is more sensitive than the Hamilton Dr. Lorberg and Dr. Kriegel: What is adolescence, and there is no guaran- Depression Rating Scale (HDRS) to the current evidence base for ado- tee that ketamine works to the same short-term changes in symptoms (the lescent ketamine treatment? How degree, or even in the same ways in CDRS is based on the HDRS) . We made does it differ from the evidence in the pediatric patients as it does in adults . this decision a priori prior to seeing adult population? Until recently, clinicians have only had any of the data as it was expected that a handful of case reports, an open label the CDRS would be less sensitive and Dr. Bloch and Dr. Dwyer: While there trial with thirteen patients (Cullen et has only been used over the weekly are only two FDA-approved medications al, 2018), and in April, we published time course . for pediatric unipolar depression (fluox- the first pediatric placebo-controlled etine, escitalopram), when one considers randomized control trial of IV ketamine We found that a single ketamine infusion that suicide is the second leading cause (Dwyer et al, 2021) . Fortunately, our significantly reduced depressive symp- of death in adolescents, the critical need group and others have several pediatric toms 24 hours after infusion compared for more effective medications becomes studies in the pipeline, including studies with midazolam (MADRS score: mid- obvious . Adult psychiatry has a much at UT Southwestern Medical Center azolam, mean=24.13, SD=12 0. 8, 95% larger evidence base for pharmacologic in Dallas, University of Minnesota in CI=18 .21, 30 0. 4; ketamine, mean=15.44, treatment strategies treatment-resistant Minneapolis, Nationwide Children’s SD=10 0. 7, 95% CI=10 .51, 20 .37; depression in general compared to Hospital in Columbus, Cleveland Clinic mean difference= -8 6. 9, SD=15 0. 8, Child Psychiatry (Dwyer et al, 2020), in Ohio, and Chinese PLA General 95% CI= -16 7. 2, -0 6. 5, df=15; effect and ketamine is no exception . For adults Hospital in Beijing, China . size=0.78) . In secondary analyses, the with treatment-resistant depression, the treatment gains associated with ketamine evidence of short-term antidepressant In our proof-of-concept randomized, appeared to remain 14 days after treat- response is convincing . While some double-blind, single-dose crossover ment, the latest time point assessed, as encouraging longer-term studies have clinical trial, 17 adolescents (ages 13–17) measured by the MADRS (but not as been conducted in adults, key questions with a diagnosis of major depressive measured by the Children’s Depression remain regarding the optimal ways to disorder received a single intravenous Rating Scale–Revised) . Ketamine was sustain short-term benefits and the safety infusion of either ketamine (0 .5 mg/ associated with transient, self-limited of prolonged repeated exposures . kg over 40 minutes) or midazolam dissociative symptoms that affected (0 0. 45 mg/kg over 40 minutes), and the participant blinding, but there were no Pediatric studies are important since alternate compound two weeks later . serious adverse events . Glutamate and GABA neurotransmit- All participants had previously tried at ter systems continue to mature during least one antidepressant medication

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In addition to the need for a longer-term balance of being both appropriately acute effects of a single dose are well- study, we also will need to learn how cautious and sufficiently aggressive known and regarded as relatively safe well our findings will generalize to the in offering interventional psychiatric with monitoring . It is important to note community . Monitoring of research stud- treatment modalities . that a lower dose of ketamine is used in ies is very intensive; for instance, every depression studies (0 .5 mg/kg infused patient has a 24-hour phone number to Dr. Lorberg and Dr. Kriegel: What is over 40 minutes) compared with the call if they encounter problems . Patients the youngest age in which ketamine doses used in anesthesia settings . We have a high level of contact with study would be a reasonable option? have not seen emergent psychosis or staff . They also undergo regular urine mania in our treatment trials, but this toxicology screens . Dr. Bloch and Dr. Dwyer: There is no is something we screen for, and we specific age cutoff — we consider the exclude participants with a history of Appropriate monitoring is critical both key to be meeting criteria for treatment psychosis or mania . for assessment of efficacy and for moni- resistance . It often takes time to try toring of any safety issues . If patients standard treatments like SSRIs and psy- The most common pediatric side effects do not respond to ketamine, hopeless- chotherapy, and in general we are not with the antidepressant dosing we have ness and suicidal urges may increase . considering interventional psychiatric studied are as follows: If patients do have a clinical response, techniques before adolescence (younger they may experience vulnerability if the than 11-12 years old) . Also, the older the ■ nausea and vomiting improvement is only short-lived . adolescent is, the more comfortable we ■ increased pulse and blood pressure are using ketamine, given the greater In our pediatric experience, and in the evidence base from the adult studies ■ dissociation and anxiety; dissociative adult literature, if a patient responds to a and increased capacity for nuanced symptoms can include perceptual single ketamine infusion, they will make understanding of the potential risks and disturbances, such as feeling like you gains within one to three days of initial benefits . Currently, we are not aware of are in a dream, disconnected from treatment; but if they only receive one any evidence that ketamine interferes your body, like you are moving in treatment, symptoms generally return with puberty . slow motion, or parts of your body over one to two weeks . Studies are are unusually large or small . underway to better determine treatment Dr. Lorberg and Dr. Kriegel: Are regimens to extend the benefits of a there any relative contraindications The longer-term side effects, particularly single treatment, but regardless of the to ketamine? of repeated exposures, are not fully paradigm, close monitoring is critical for known, and this uncertainty drives risk mitigation when patients either do Dr. Bloch and Dr. Dwyer: Psychosis and concerns around whether and how to not respond or have a relapse . substance use disorders are the primary utilize maintenance ketamine treatment . exclusion criteria in research trials and in Data that give us pause come from Dr. Lorberg and Dr. Kriegel: When our clinical practice . both human studies of ketamine use would you consider ketamine to be a disorder and animal studies highlighting reasonable option? Dr. Lorberg and Dr. Kriegel: What the potential for neurotoxicity, particu- about borderline personality traits and larly in the developing brain . Studies Dr. Bloch: I believe that as clinicians, we ketamine use? in adolescent animals show that some are far too cautious in offering aggressive chronic ketamine regimens cause white treatment to depressed, suicidal adoles- Dr. Bloch and Dr. Dwyer: We often matter changes as well as neuronal cell cents who have withdrawn from life and find it difficult to sort out personality death . Human studies also highlight the fallen off their developmental trajectory . disorders from severe depressions in potential for chronic cystitis and hepato- It is of critical public health concern adolescence . If criteria are met for major toxicity with heavy use . Unfortunately, that while suicide is the second lead- depression, we generally consider ket- the threshold for toxicity, particularly ing cause of death in adolescents, and amine as a valid treatment option . That with cumulative exposures over time, depression is a significant, modifiable being said, a trial of DBT would also be is not known, and toxicity thresholds risk factor for suicide, we as clinicians a good complementary approach if a could be lower in adolescents compared do not have an evidence base to guide patient also has significant borderline to adults . treatment decisions after two failed personality traits . antidepressant trials . With regard to substance use risks, ket- Dr. Lorberg and Dr. Kriegel: What amine can be abused . DEA designated Dr. Dwyer: Ultimately, there needs to are the most important risks of it a schedule-3 controlled substance in be more research into interventional psy- ketamine use? 1999 . While we hope that by adequately chiatric techniques, such as ketamine, treating someone’s depression, we transcranial magnetic stimulation, and Dr. Bloch and Dr. Dwyer: Since are lowering their risk for subsequent electroconvulsive therapy to determine Ketamine is FDA approved for anesthe- substance use, it is important to include where they may be appropriate in the sia in patients above 16 and is frequently abuse potential in the informed consent sequence of treatment algorithms . used for anesthesia at younger ages in and assent discussions and to include Ideally, we would strike just the right dental and medical procedures, the questions about substance use in post- treatment monitoring .

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Dr. Lorberg and Dr. Kriegel: How do published pediatric studies yet, although where observation by qualified, trained you explain a ketamine trial to the intranasal esketamine trials in pediatric physicians and staff is possible . We parents/patients? patients are currently underway . While advise against dispensing ketamine for compounded versions of racemic ket- home administration . Dr. Bloch and Dr. Dwyer: We start amine are available, there is a concern with a discussion of how ketamine is that nasal congestion may affect absorp- We also would ask the following: very much an experimental medication, and variable absorption equates tion for pediatric depression . Then, we to variable dosing . Risks and benefits of ■ Is there a plan for treatment and define the idea of treatment resistance . IN racemic ketamine are not as well- monitoring beyond ketamine? We look for at least two antidepressant established and quantified as those of IV ■ Is there a plan for leverag- trials at appropriate doses with adequate ketamine or IN esketamine . ing all treatment modalities, duration, in addition to at least one including psychotherapy? adequate psychotherapy trial . In our While there are other potential routes of recently published trial, the mean dura- administration (PO and IM), they have ■ What is the interface with other psy- tion of illness was 21 months for current not been well-studied in adults with chiatric and medical professionals? depressive episode, so most of these psychiatric disorders . They have not participants were dealing with both high been studied at all to our knowledge in Dr. Lorberg and Dr. Kriegel: Could you severity and chronicity . We tend to think pediatric depression . We advise keeping comment on ketamine-assisted psycho- about ketamine when we would also with the routes of administration best therapy? There are clinics, such as Field be thinking about ECT . We discuss the studied in the adult literature and the Trip, that deliver psychotherapy along promising data in adults and the limited, growing pediatric evidence base, namely with the ketamine. but promising data in adolescents, and intravenous racemic ketamine and then review some of the known risks intranasal esketamine . Dr. Bloch and Dr. Dwyer: There are mentioned above . Then we explain that several studies underway that look at all the risks are not yet well-known, and Dr. Lorberg and Dr. Kriegel: how psychotherapy could be combined to participate in the trial involves taking How do you conceptualize with ketamine, particularly as a means to on a certain level of unknown risk . We ketamine maintenance? harness the potential period of enhanced also discuss the risk of no response in synaptic plasticity and to extend any advance and prepare the patient and Dr. Bloch and Dr. Dwyer: There needs experienced antidepressant benefits . the family for next steps if they do to be further research on this ques- Psychotherapy sessions do not occur at not improve after ketamine treatment . tion . In the short-term, we do four to six the time of the ketamine infusions, but We also clarify that ketamine is not a infusions and then focus on maximizing rather are interspersed at different points quick fix and does not take the place of other treatment options . In adults, main- in the week . evidence-based multi-modal depression tenance treatments decrease relapse treatment that includes psychotherapy rates . However, since there may be an Dr. Lorberg and Dr. Kriegel: and, if appropriate, family therapy . enhanced risk to neurotoxic effects of What else do you consider with ketamine at younger ages and the risks ketamine treatment? Dr. Lorberg and Dr. Kriegel: How do are not fully known, we focus our efforts you think about IV vs IM vs IN vs PO on maximizing other treatment modali- Dr. Bloch and Dr. Dwyer: Cost can ketamine options? ties and psychosocial supports . certainly be an issue . While adults with TRD may have insurance coverage for Dr. Bloch and Dr. Dwyer: We use a pro- Dr. Lorberg and Dr. Kriegel: Given FDA-approved esketamine, coverage tocol of IV dosing of racemic ketamine at proliferation of commercial ketamine for racemic intravenous ketamine is 0 .5 mg/kg over 40 min, which is the best clinics, how could one decide which variable in adults, and we have not seen studied dose and what we consider to be providers are using best practices for any instances of insurance coverage for the gold standard . The current under- pediatric ketamine treatment? adolescents . As a result, it may not be standing of the neurobiology, coupled affordable for all patients . with a small dose-finding study in adults, Dr. Bloch and Dr. Dwyer: While the suggest that both higher and lower doses FDA-approved use of esketamine In conclusion, it is most important to may have less antidepressant efficacy . By (Spravato) in adults with treatment resis- weigh the risks and benefits of each indi- using an IV administration, side effects tant depression has a REMS system, no vidual case and to be certain that there can be assessed and the medication can such system is in place for intravenous is informed consent from the parents be stopped in real time if needed . ketamine . A clinic that is administering and assent from the adolescent . Families IV ketamine should have clear plans for should clearly understand the state Intranasal esketamine (trade name: safety and efficacy monitoring, includ- of the field, where the evidence base Spravato) is approved for use in conjunc- ing access to ACLS-certified providers . remains quite small for pediatric patients, tion with an oral antidepressant in adults Treatment should include structured and doctors should be sure that the risks with treatment resistant depression or ratings of symptom severity and side (both known and unknown) are clearly depression with acute suicidal ideation . effects . Ketamine should always be communicated . m It has a REMS database . There are no administered in a health care setting

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References Jennifer Dwyer, MD, PhD, is an Assistant meta-analysis. His clinical and research Cullen KR, Amatya P, Roback MG, Albott Professor in the Child Study Center interests concentrate on depression, CS, Westlund Schreiner M, Ren Y, Eberly and the Department of Radiology and anxiety, Tourette syndrome, ADHD, LE, Carstedt P, Samikoglu A, Gunlicks- Biomedical Imaging at Yale University, trichotillomania and OCD across the Stoessel M, Reigstad K, Horek N, Tye S, and the co-director of the Yale Pediatric lifespan. He has published over 125 Lim KO, Klimes-Dougan B . Intravenous Depression Program. Her research peer-reviewed manuscripts and was Ketamine for Adolescents with Treatment- focuses on testing novel therapeutics for co-editor of the fifth edition of the Resistant Depression: An Open-Label Study . adolescent treatment resistant depression Lewis Textbook of Child and Adolescent J Child Adolesc Psychopharmacol . 2018 and using neuroimaging to explore Psychiatry. He serves on the editorial Sep;28(7):437-444 . predictors of treatment response. She boards of the Journal of the American Dwyer JB, Stringaris A, Brent DA, Bloch may be reached at Jennifer.Dwyer@ Academy of Child Psychiatry, Journal MH . Annual Research Review: Defining yale.edu. of Child Psychology and Psychiatry, and treating pediatric treatment-resistant Journal of Child and Adolescent depression . J Child Psychol Psychiatry . 2020 Joshua Kriegel, MD, is a PGY-2 Psychopharmacology and Depression Mar;61(3):312-332 . psychiatry resident at UMass. He is and Anxiety. Dwyer JB, Landeros-Weisenberger A, interested in the therapeutic potential Johnson JA, Londono Tobon A, Flores JM, of psychedelics in psychiatry and is the Nasir M, Couloures K, Sanacora G, Bloch co-founder of the Psychedelic Science MH . Efficacy of Intravenous Ketamine in Interest Group (PSIG) at UMass. Adolescent Treatment-Resistant Depression: A Randomized Midazolam-Controlled Trial . Michael H. Bloch, MD, MS, graduated Am J Psychiatry. 2021 Apr 1;178(4):352-362 . from Yale School of Medicine and completed his child and adult psychiatry Boris Lorberg, MD, MBA, is Assistant training at Yale. He is currently an Professor of Psychiatry and Pediatrics Associate Professor at the Yale Child at UMass Medical School and Medical Study Center. His research focuses Director of Adolescent Continuing Care on evidence-based medicine and Units at Worcester Recovery Center and developing improved treatments for Hospital. He may be reached at boris. individuals with mental illness across [email protected]. the lifespan using clinical trials and

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MAY/JUNE 2021 121 COLUMNS

Teaching Psychodynamics During COVID-19: AACAP Psychodynamic Faculty Training and Mentorship Initiative (PFTMI) Takes Up the Challenge

■ Michael Shapiro, MD, Martin Drell, MD, and Rachel Ritvo, MD

s the second-ever cohort of In some cases, the shift to televideo ■ Revamping a program’s entire participants set to work on proved advantageous as screen sharing psychotherapy curriculum, by Atheir projects for AACAP’s new allowed pairs to look at projects together Sheena Joychan, MD (Institute of Psychodynamic Faculty Training and in real-time, including multimedia and Living/Hartford Hospital), and Lee Mentorship Initiative (PFTMI) program, visual presentations . Ascherman, MD (UAB Birmingham) . the PFTMI administrators and the ■ Improving access to psychodynamic mentor-mentee pairs were forced to find We quickly learned that COVID-19 supervision for CAP fellows, by Paria new ways of managing their work . The not only forced the PFTMI to shift its Zarrinnegar, MD (Oregon Health PFTMI, which launched in 2018, aims activities online, but the mentees—as & Science University), and Susan to support and advance the teaching of well as educators across the country— Donner MD, (UCLA) . psychodynamics in child and adolescent were forced to adapt their projects to psychiatry fellowship programs . The online teaching formats in their home ■ Seminar series focusing on gen- Initiative pairs early career and junior institutions . Being able to see how early der identity and trauma utilizing faculty mentees with more experienced career educators adapted their teaching contemporary books and movies, by mentors with the goal of creating and was quite stunning . As video teaching Shobha Chottera, MD (Seton Hall/ implementing projects to improve train- became the norm, innovative ways of Hackensack), and Ted Gaensbauer, ing and education in psychodynamics . using multimedia to teach psychody- MD (University of Colorado) . namic concepts came to the forefront, For the first year of the PFTMI, men- including the use of video clips and Though we all missed the opportunity tees presented their projects at the computer presentations . to interact with each other face-to-face, in-person 2019 AACAP Annual Meeting at least we were able to interact online in Chicago . Due to COVID-19, a live This year’s projects included: and share in the fruits of the labor . As a meeting did not happen this year . result, several of the pairs are now col- Instead, the mentees were given a Zoom ■ Curriculum on the psychodynamics laborating on a symposium submission platform to share their projects as others of prescribing medications in child for AACAP’s 68th Annual Meeting to watched, asked questions, and provided psychiatry, by Rangsun Sitthicahi, share the projects and experiences . support and encouragement . Those MD (UMass), and Horacio Hojman, who attended included the mentors MD (Brown University) . The PFTMI continues to acknowledge and members of the Psychotherapy and address the many barriers and ■ Lectures on defense mechanisms Committee and the Training & resistances to teaching and learning psy- using role-play, by Hal Kronsberg, Education Committee . chodynamics, despite the fact it is a core MD (Johns Hopkins), and Victor psychotherapy for CAP programs per the Fornari, MD (Zucker School of Typically, the mentees and mentors meet ACGME . Barriers include: Medicine at Hofstra/Northwell) . regularly throughout their project year, and this year the pairs and the commit- ■ Eight-week seminar series on attach- ■ Managed care and financial strains tees needed to adapt their meetings and ment and object relations using have de-emphasized psychotherapy communications because of the pan- mixed media and readings, by Cody as being done by child psychiatrists demic . While some pairs were forced Roi, MD (Louisiana State University), ■ The need to train a new generation to give up in-person meetings, virtual and Laura Prager, MD (Mass of psychodynamic CAP role models, meetings replaced monthly phone calls . General/Harvard)

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teachers, and supervisors, as many have retired or nearing retirement GET INVOLVED! ■ Difficulty keeping up with new teaching modes and incorporating adult learning theory ■ The need to consistently exhibit the clinical utility of psychodynamics in multiple “real-life” clinical encounters ■ Assumptions about the evidence- base for psychodynamics, requiring the review of existing research that shows that psychodynamic psychotherapy has proven efficacy in the child and adolescent population for specific conditions such as Background depression, anxiety, and personality disorders AACAP’s Psychodynamic Faculty Training and Mentorship Initiative (PFTMI) aims to advance psychodynamic psychotherapy training in child and adolescent The PFTMI has already launched the psychiatry programs by focusing on faculty development through a one-year 2020-21 (Year 3) program with five pairs mentoring program . of mentees and mentors who have been “virtually” introduced to each other How Does It Work? to help them springboard their project In collaboration with an assigned mentor, awardees design a psychodynamic ideas . We will soon begin soliciting training project to address needs within their child and adolescent psychiatry applications for Year 4, for both mentors programs . Participants in the PFTMI also gain access to a network of leaders in and mentees . Interested AACAP mem- psychodynamic child and adolescent psychiatry . bers who teach psychodynamics should consider applying as a mentee or men- Awardees are expected to 1. Attend a planning session, offered in conjunction tor! More information and applications with AACAP’s Annual Meeting, 2. Complete their project through the subse- can be requested from Anneke Archer at quent year . 3. Present their project to the group at the end of their mentorship [email protected] . m year 4. Provide a summary of the work . 5. Share their work on AACAP’s website if appropriate . Dr. Shapiro is associate clinical professor A stipend of up to $450 is provided to cover Annual Meeting expenses to attend of Psychiatry at the University of Florida required project planning and networking events . College of Medicine in Gainesville, FL, and an inaugural mentee graduate of the PFTMI. He may be reached at Who Should Apply? [email protected]. Applications are currently closed for the 2021-2022 cohort of mentees . For the 2022-2023 cohort, faculty at all stages of their careers and all positions within Dr. Drell is past president of AACAP a training program who wish to enhance their psychotherapy curriculum may and the Carl P. Adatto, MD Professor apply for consideration to participate as a mentee in this Initiative . of Community Psychiatry at Louisiana State University Medical School in New Application Deadline: To be announced for 2022 Orleans, Louisiana. He may be reached at [email protected]. Become a Mentor! Dr. Ritvo is assistant clinical professor AACAP members with experience in the teaching and supervision of psy- of Psychiatry and Behavioral Sciences chodynamic knowledge and skills, who are willing to cultivate professional at George Washington University and relationships with the awardee(s), while supporting the development and Children’s National Medical Center. implementation of the proposed training project are invited to sign-up to serve She recently retired from the faculty of as mentors . the Washington Baltimore Center for Psychoanalysis, and her private practice Learn more! in Kensington, MD. She may be reached at [email protected]. For information, visit https://www.aacap.org/PFTMI or email training@aacap. org with questions .

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NEBRASKA REGIONAL COUNCIL AACAP Grant Improves Advocacy for Children in Nebraska

■ Joan Daughton, MD, Cindy Ellis, MD, Beth Ann Brooks, MD, Daniel Gih, MD, and Melissa St. Germain, MD

he Nebraska Regional Council about which we feel passionate and can provide . These events will also allow us of the American Academy of provide expert information . to learn senators’ legislative initiatives TChild and Adolescent Psychiatry for each upcoming legislative session . (AACAP) and the Nebraska chapter of While we were unable to physically Once the pandemic allows, we plan to the American Academy of Pediatrics be at our Capitol this year due to the make yearly trips to the Capitol with (NE AAP) were awarded a 2020 AACAP pandemic, we were able to send our members and trainees to establish work- Advocacy and Collaboration Grant . brochure, a cover letter, and a bound ing relationships with key senators and This grant allowed the creation of the journal with our contact information their staff . Nebraska Advocates for Child Health, a inside to every state senator, regional group of child and adolescent psychia- city council members, University of In 2021, the Nebraska Advocates for trists, pediatricians, and developmental Nebraska Medical Center leadership, Child Health is partnering with the pediatricians, working collaboratively and Nebraska’s US Congressional del- Maternal and Child Health Bureau- to improve advocacy for children’s egation and Senators . funded Nebraska LEND (Leadership health across the state of Nebraska . Education in Neurodevelopmental and Using grant funds, we provided educa- Our Nebraska ROCAP provided 11 Related Disabilities) Program to provide tion for members of both groups from letters of support or opposition to bills ongoing policy and advocacy training local advocacy experts as well as the presented in the Nebraska legislature and experiences for pediatric residents/ AAP Senior Director of Federal and in 2020; we also provided testimony fellows and child and adolescent psy- State Advocacy and the AAP Advocacy on two bills . The Nebraska AAP sent chiatry fellows . Our AACAP and NEAAP Communications Manager . We offered nine position letters during the 2020 members will serve as the trainers and an introduction to advocacy activity for legislative season . mentors, thus ensuring sustainability trainees in pediatrics and child psychia- and future growth for the Nebraska try and purchased Improving Healthcare We intend to have one member from Advocates for Child Health . through Advocacy and The Citizen’s each organization lead the Nebraska Guide to Influencing Elected Officials: Advocates for Child Health into the The pandemic initially delayed our Citizen Advocacy in State Legislatures future . We plan to meet every other efforts but we were able to successfully and Congress: A guide for Citizen week during the legislative season convert our objectives into a virtual Lobbyists and Grassroots as resources and quarterly thereafter . We hope to format which allowed easier collabora- for our members and trainees . forge more personal relationships with tion between our two organizations and our representatives through increased greater availability from senators, local We were excited to host our first annual one-on-one conversations and annually leaders, and national advocacy experts . one-hour discussion with Nebraska provide advocacy training for trainees Building on our commitment to collabo- legislators where we learned effective in both programs . We have established rate, we are hopeful for a stronger and advocacy techniques as well as what a gmail account to allow for ongoing more productive relationship between issues the senators anticipated consider- contact: NEChildAdvocates@gmail. both groups which will allow for more ing in the upcoming legislative session . com . Annual meet and greet events with structured, targeted, and widespread We created a brochure and cover letter senators will continue to offer opportuni- advocacy for children’s health needs which detail general child health topics ties to educate them on important issues in Nebraska . affecting our patients and the care we

124 AACAP NEWS COMMITTEES/REGIONAL ORGANIZATIONS

Our educational sessions were promoted 2020. She is also the current President of University of Michigan and Creighton on the NE AAP website, Facebook and the Nebraska Chapter of the American University. He is a proud member of Twitter pages . https://nebraska-aap.org/ Academy of Pediatrics. She is inspired by the American Association for Directors child health advocates within the AAP of Psychiatric Residency Training and This is the link to our ROCAP and strives to add strength to the voices currently serves as the 2019-2021 YouTube channel . https:// of children in our community. President of the Regional Organization www.youtube.com/channel/ (Nebraska) of Child and Adolescent UC05Q0Vbo0Jbp0NGaLT_HxYQ Dr. Brooks is a graduate of the University Psychiatry (American Academy of Child of Nebraska College of Medicine who & Adolescent Psychiatry state chapter.) These are the links to our training completed psychiatry residency training Dr. Gih achieved distinguished fellow sessions: Advocacy Basics: Writing and a fellowship in child and adolescent status for both the American Psychiatric Letters and Testifying: https://youtu.be/ psychiatry in Detroit. Subsequently she Association and the American Academy vDuYiT-TQsU earned a Master of Science in Health of Child & Adolescent Psychiatry. Services Administration. Dr. Brooks Advocacy Basics: Identifying & was a faculty member at Wayne State Dr. Cynthia Ellis is a Professor of Connecting with your Lawmaker: University School of Medicine where she Pediatrics and Psychiatry at the https://youtu.be/ItJAoEEgzrI directed medical student education in University of Nebraska Medical Center psychiatry where she retains Professor in the Department of Developmental Advocacy Basics: Understanding the Emerita status. Dr. Brooks has been Medicine at the Munroe-Meyer Institute Legislative Process: https://youtu.be/ active in numerous professional for Genetics and Rehabilitation. G6uvvuy220k organizations, was a member of the She is board certified in Pediatrics, editorial board of The Journal of the Developmental/Behavioral Pediatrics This is the link to our child health discus- American Academy of Child and and Neurodevelopmental Disabilities. sion with Nebraska Senators John Arch, Adolescent Psychiatry, and is a former Dr. Ellis received her medical degree Anna Wishart, and Machaela Cavanaugh director and chair of the American from the University of Nebraska Medical https://youtu.be/7kHLLi40CYw m Board of Psychiatry and Neurology. Center and completed residency training She returned to her Nebraska roots in in Pediatrics and fellowship training 2013 and resides in Lincoln where she in Child and Adolescent Psychiatry at Dr. Daughton specializes in child has a limited consulting practice; she the Medical College of Virginia/VCU. and adolescent psychiatry, treating is an Adjunct Professor of Psychiatry at She has been practicing in the field of patients with a broad range of illnesses the University of Nebraska College of Developmental/Behavioral Pediatrics for including mood, anxiety, behavioral Medicine. Dr. Brooks is the legislative over 20 years. Her clinical expertise is in and developmental disorders. She chair of the Nebraska Regional the psychopharmacological management attended Loyola University Stritch Organization of Child and Adolescent of children with developmental School of Medicine for medical school. Psychiatry and for the Nebraska disabilities and other behavioral She completed her general and child/ Psychiatric Society. disorders. She has also published adolescent psychiatry residencies at the extensively in the field. Dr. Ellis is the Creighton/Nebraska Training Program. Daniel E. Gih, MD (he/him/his) is Director of the Munroe-Meyer Institute’s Her interests include community Associate Professor and Director of MCH-funded LEND (Leadership outreach, the adoption and foster care Education in the UNMC Department Education in Neurodevelopmental and system, lesbian-gay-bisexual-transgender of Psychiatry. He currently serves Related Disabilities) and ALA (Autism health issues, and school-based health on the UNMC College of Medicine Leadership Academy) Interdisciplinary care. Dr. Daughton sees patients in Curriculum Committee and is the Training Programs. Dr. Ellis has served as the Children’s Behavioral Health clinic, founding program director (PD) of the the medical director for numerous public Dundee Pediatrics Clinic, and four UNMC psychiatry residency program. school and interdisciplinary community- schools in the Omaha Public School He completed his medical education based programs and as a research System as a part of One World school- at the University of Iowa, and training consultant in the field of developmental based health centers. in adult and child psychiatry at the disabilities. She also participates in a University of Michigan where he number of other leadership positions on Dr. Mel St. Germain was born and raised started his faculty career. While on the committees and boards. in Omaha, Nebraska. She volunteered at faculty at Michigan, he co-founded and Children’s hospital as a teenager and has directed the University of Michigan always loved pediatrics. She completed Comprehensive Eating Disorder medical school at UNMC and Pediatrics Program, the state’s only academic residency through UNMC/Creighton/ partial hospitalization program for eating Children’s Hospital and Medical disorders for children and young adults. Center in Omaha. She worked as a His clinical interests include psychiatric pediatrician with Children’s Physicians education, severe mood disorders for 11 years before taking on the role of in adolescents, electroconvulsive Vice President and Medical Director of therapy, and eating disorders. Dr. Gih Children’s Physicians and Urgent Care in holds adjunct faculty positions at the

MAY/JUNE 2021 125 FEATURES

Lessons Learned from Teens, Screens, and the Year of COVID-19

assignments, many formerly successful students fell behind; some even failed “As child and adolescent school for the first time . psychiatrists, it is our duty to Many teens spent their days isolated in educate patients and their bedrooms, often in bed during the day, families about the need for frequently napping, sleeping later and staying up later at night, and exposed to a healthy balance in daily less sunlight . Young people were eating activities, and to help them fewer regular meals and snacking more, ■ Paul Weigle, MD especially skipping breakfast and eating achieve it.” more at night . Combined with less physi- t’s hard to believe that it’s been just cal activity, this often led to significant over a year since the COVID-19 weight gain . To compensate partially are spending more time on screen pandemic began, bringing radical I for reduced in-person interaction, teens entertainment, and less on extracurricu- changes into our lives, and even spent far more time on social media, a lar activities, non-screen hobbies, and more so into the lives of adolescents . poor substitute . That left many feeling socializing in person . They experience Uncertainty, social isolation, and paren- lonely, disconnected, or feeling that they more insomnia and get less physical tal distress presented insults to mental were missing out . activity and sunlight exposure . These health and greatly colored the problems changes have seen steady, concomitant our patients brought to us . The quarantine may have enabled increases in rates of depression, self- some positive trends as well, including harm, and suicide .2,3 Perhaps the most significant change decreased drug use and vaping (in part in the lives of youth was a drastically owing to reduced opportunities to pur- What have we learned from this? A reduced time in school brought about by chase and share substances) and fewer lifestyle dominated by screen media is a distance and hybrid learning . This year, suspensions for in-person bullying and poor substitute for one in which sleep, most adolescents spent far less time aggressive behavior in school (presum- exercise, in-person interactions, and going to and being at school, time only ably because youth were in school less diverse in-person pursuits are prioritized . partially replaced by a shorter virtual often, in less-crowded classes which Excessive screen engagement among school day, a dearth of extracurricular were easier to supervise) . teens is becoming more common as activities, and decreased homework social media, gaming, and streaming expectations . This created a vacuum of Whole family systems have been also platforms become more sophisticated, several hours per day that was imme- stressed by forced crowding, fear, engaging, easy to access, and habit- diately filled by video games, social uncertainty, and the economic, practi- forming . However, it puts youth at a media, and streaming services . Some cal and health stressors of COVID-19 . higher risk for depression, anxiety, and studies documented a near-doubling in Additionally, poor quality sleep, social dysfunction in multiple domains 4. As daily entertainment screen time, with the isolation, poor diet, decreased exercise screen media continues to evolve, both greatest increases in social media and and sunlight exposure, and declines children and teens will require more multiplayer online games like Fortnite in academic performance contributed effective limits to screen media access and Roblox . Combined with virtual to the increased incidence of depres- in order to maintain a healthy balance school hours, this meant that teens were 1 sion and anxiety in youth evidenced and structure in their lives, since they are engaged with screens almost all of their by research data and referrals for care . less likely to manage this on their own . waking hours . The explosion in psychiatric referrals The thankless job of providing needed overwhelmed the capacity of child & limits and structure falls most heavily The time adolescents spent in vir- adolescent psychiatrists, so it fell upon on parents, a task for which many find tual school often had their attention pediatricians to treat an unprecedented themselves ill-equipped . divided between Zoom classrooms and number of cases, pushing many beyond social media, streaming videos, and what their experience and training had As child and adolescent psychiatrists, it games . That diluted the quality of their prepared them for . is our duty to educate patients and their education . Without in-person adult families about the need for a healthy bal- supervision, many distance learners It’s worth remarking that the rapid ance in daily activities, and to help them were unable to resist online distractions changes brought on by COVID in the achieve it . This involves improved child- to focus on school work . Combined with lives of adolescents only exacerbated parent communication, more effective a deficit of reminders to stay on task and a number of trends which have been limit-setting, parental control settings immediate reinforcement for completing occurring for decades . Namely, youth on WIFI and devices, encouraging

126 AACAP NEWS FEATURES physical and extracurricular activities, 2 . Center for Behavioral Health Statistics and Paul Weigle, MD, DFAACAP, is associate cultivating improved decision making Quality . (2018) . 2017 National Survey on medical director at Natchaug Hospital around media choices, and aggressively Drug Use and Health: Methodological of Hartford Healthcare and associate addressing complicating conditions such summary and definitions . Rockville, MD: Substance Abuse and Mental Health professor of psychiatry at UConn School as depression and ADHD . To support Services Administration . of Medicine. He serves as the co-chair healthy limits, we can advocate for of the AACAP’s Media Committee, and government regulations on software and 3 . Twenge JM, Joiner TE, Rogers ML, Martin on the Institute of Digital Media and media corporations . We can ensure that GN . Increases in Depressive Symptoms, Child Development’s National Scientific the lessons this year has taught us about Suicide-Related Outcomes, and Suicide Rates Among U .S . Adolescents After 2010 Advisory Board. He can be reached at adolescent mental health are not forgot- and Links to Increased New Media Screen [email protected]. ten but enable us to shape a happier Time . Clinical Psychological Science . and healthier future for the patients and 2018;6(1):3-17 . families who depend on us . m 4 . Imran, N ,. Aamer, I ,. Sharif, M . I ,. Bodla, Z . H ,. & Naveed, S . (2020) . Psychological References burden of quarantine in children and 1 . Duan L, Shao X, Wang Y, et al . An adolescents: A rapid systematic review investigation of mental health status of and proposed solutions . Pakistan journal children and adolescents in china during of medical sciences, 36(5), 1106 –1116 . the outbreak of COVID-19 . J Affect Disord. 2020;275:112-118 .

Get in the News! All AACAP members are encouraged to submit articles for publication! Send your submission via email to AACAP’s Communications Department ([email protected]) . All articles are reviewed for acceptance . Submissions accepted for publication are edited . Articles run based on space availability and are not guaranteed to run in a particular issue .

■ Committees/Assembly. Write on behalf of an AACAP committee or regional organization to share activity reports or updates (chair must approve before submission) .

■ Opinions. Write on a topic of particular interest to members, Citations and References including a debate or “a day in the life” of a particular person . AACAP News generally follows the American Medical Associate ■ Features. Highlight member achievements . Discuss movies or (AMA) style for citations and references that is used in the Journal literature . Submit photographs, poetry, cartoons, and other of the American Academy of Child and Adolescent Psychiatry art forms . (JAACAP) . Drafts with references in incorrect style will be AACAP News ■ Length of Articles returned to the author for revision . Articles in should have no more than six references . Authors should make ◗ Columns, Committees/Assembly, Opinions, Features – sure that every citation in the text of the article has an appropriate 600-1,200 words entry in the references . Also, all references should be cited in ◗ Creative Arts – up to 2 pages/issue the text . Indicate references by consecutive superscript Arabic ◗ Letters to Editor, in response to an article – up to 250 words numerals in the order in which they appear in the text . List all authors’ names for each publication (up to three) . Refer to Index Production Schedule Medicus for the appropriate abbreviations of journals . AACAP News is published six times a year – in January, March, May, July, September, and November . The 10th of the month (two For complete AACAP News Policies and Procedures, please months before the date of issue) is the deadline for articles . contact [email protected] .

MAY/JUNE 2021 127 MEETINGS Center for the Study of Traumatic Stress

CSTS | Department of Psychiatry | Uniformed Services University | 4301 Jones Bridge Road, Bethesda, MD 20814-4799 | www.CSTSonline.org Managing the Stress of Returning to Work after COVID-19: A Guide for Supervisors

The COVID-19 pandemic has procedures that impact worker required physical distancing, which Although some workers look forward to well-being and productivity. altered many aspects of personal face-to-face interactions with co-workers ■ Be Creative — Consider and occupational life, including and supervisors, others are likely practices that balance the reduced in-person work. A shift to mutual strengths of virtual remote work/tele-working changed to feel reluctant. and in-person work to create how workers manage daily routines, strategies that are positive develop work goals, perform tasks, for workers, as well as the and interact with one another. organization. Living with ongoing uncertainty caused by the ■ Encourage Healthy Routines — Encourage employees pandemic has been challenging for many workers to get regular and adequate sleep, eat nutritious meals, and their families. However, as rates of COVID-19 and engage in daily physical activity. infection decline and more people are vaccinated, many ■ organizations are resuming in-person activities to improve Develop Goals — Review how best to align workers’ productivity and work performance. Although some short- and long-term goals with in-person activities. workers look forward to face-to-face interactions with co- Help to Transition to In-Person Work workers and supervisors, others are likely to feel reluctant. It is helpful to anticipate challenges returning to in- ■ Re-establish Routines — Facilitate opportunities for person work, including: 1) re-establishing routines and workers to re-establish routines that will foster a sense schedules; 2) defining new goals and tasks; of community in the workplace. 3) establishing workplace safety procedures, and; ■ Encourage Connections — Help workers connect 4) addressing uncertainty and worker questions about regularly with each other to provide peer support, help policy and procedures. Supervisors can assist workers to with problem-solving, and build team connections. return to the workplace by implementing simple practices, ■ Incorporate Breaks — Recommend workers take which are listed below. regular breaks and, whenever possible, go outside to get exposure to fresh air and daylight. Help to Prepare for In-Person Work ■ Communicate about Safety — Regularly send clear ■ Anticipate Concerns — Be prepared to offer messages to workers about how the workplace is additional assistance and support to workers who do staying up to date and complying with health and safety not feel comfortable returning to work. guidelines. ■ Involve Personnel — Ask workers about challenges of ■ Manage Uncertainty — Help workers understand returning to work and potential solutions; individual that information about COVID-19 and return-to- conversations, group discussions, and surveys can all work is likely to evolve, and as a result leadership will be useful. continually adjust practices and procedures to optimize ■ Address Challenges — Help workers plan how best the work environment. to take care of family needs (e.g., vulnerable family ■ Facilitate Growth — Model for workers how best to members, child care needs, and others). adapt their skills and coping strategies as they return to ■ Reduce Barriers — Assist their transition back to in- work, and encourage their successful practices. person work by reviewing and modifying policies and

128 AACAP NEWS MEETINGS

New Research Call for Papers

AACAP’s 68th Annual Meeting takes place October 18-30, 2021, virtually. Abstract proposals are prerequisites for acceptance of any presentations . Topics may include any aspect of child and adolescent psychiatry: clinical treatment, research, training, development, service delivery, administration, etc .

Verbal presentation submissions were due February 16, 2021, and may no longer be submitted . Abstract proposals for (late) New Research Posters must be received by June 7, 2021 . All Call for Paper applications must be submitted online at www.aacap.org . If you have questions or would like assistance with your submission, please contact AACAP’s Meetings Department at 202 9. 66 7. 300, ext . 2006 or [email protected] .

Don’t Miss This Opportunity to SAVE Money!

AACAP members who refer a new Annual Meeting exhibitor can receive a $100 discount on their Virtual Annual Meeting registration . All referrals must be first-time AACAP exhibitors and must purchase a virtual exhibit booth for AACAP’s Virtual Annual Meeting .

Exhibitors can connect with more than 4,000 child and adolescent psychiatrists and other medical professionals, as well as advertise in several of the Annual Meeting publications . Typical AACAP exhibitors include recruiters, hospitals, residential treatment centers, medical publishers, and much more . To review more details on these opportunities, please visit www.aacap.org/ AnnualMeeting-2021 .

Show your support for AACAP and save today!

Questions? Email [email protected] or call 202 9. 66 7. 779 .

MAY/JUNE 2021 129 AACAP’s Online CME Activities | Earn CME from anywhere, at anytime!

Online Learning Portal Pathways Your One-Stop Education Source

Pathways serves as your continuing medical education home, giving you access to a variety of online courses and activities, including:

Clinical Essentials: A Series of Online CME Courses in Child and Adolescent Psychiatry

• Autism Spectrum Disorder • Chronic Pain Management These self-study online CME • Depression courses feature premium • Emotional Dysregulation quality materials that have • Neuromodulation been curated by our experts • Positive Parenting Practices • Sleep to deliver the most high-yield • Substance Use Disorders content on the topic. • Suicide

Visit www.aacap.org/onlinecme to learn more AACAP: Your One Stop for CME and MOC Resources

Lifelong Learning Modules Live/Virtual Meetings Earn one year’s worth of both CME and self- (www.aacap.org/cme) assessment credit from one ABPN-approved Pediatric Psychopharmacology Institute source. Learn from approximately 35 journal — Up to 12.5 CME Credits articles, chosen by the Lifelong Learning Douglas B. Hansen, MD, Committee, on important topics and the Annual Update Course latest research. — Up to 18 CME Credits Visit www.aacap.org/moc/modules to find Annual Meeting out more about availability, credits, and — Up to 50 CME Credits pricing. • Annual Meeting Self-Assessment Exam — 8 self-assessment CME Credits Improvement in Medical • Annual Meeting Self-Assessment Workshop — 8 self-assessment CME Credits Practice Tools • Lifelong Learning Institute featuring the (FREE and available to members only) latest module AACAP’s Lifelong Learning Committee has developed a series of ABPN- Online CME approved checklists and surveys to (www.aacap.org/onlinecme) help fulfill the PIP component of your Questions? MOC requirements. Choose from over Clinical Essentials Contact us at 20 clinical module forms and patient — Up to 6 CME credits per topic [email protected]. and peer feedback module forms. Current Topics in Pediatric Patient forms also available in Spanish. Journal CME — (FREE) Up to 1 CME credit per article per month AACAP members can download these On Demand: Douglas B. Hansen, MD, tools at www.aacap.org/pip. Annual Update Course — Up to 15 CME credits

www.aacap.org/moc

MAY/JUNE 2021 131

11619 AACAP MOC Ad_Update 1.indd 1 3/11/21 12:10 PM FOR YOUR INFORMATION Honor Your Mentor

Below are eight recognitions that didn’t make it into the last issue . We hope you enjoy reading them!

Honoring: Julie Balaban, MD and Craig Donnelly, MD Submitted by: Sarah Vaithialingam, Daniel Bigman, MD, Joel Peterson, MD, Dinesh Sangroula, MD, Linda Gao, MD, Omar Shah, MD

The term mentor is derived from a character in Homer’s “The Odyssey.” In the story, Athena took on the appearance of an old man to guide Telemachus during his time of difficulty. Like Athena, our mentors Dr. Donnelly and Dr. Balaban undoubtedly appear old (we can hear the work piling on as we poke fun). However, as young Child and Adolescent Psychiatry Fellows who started this adventure during the Covid-19 pandemic, we can also say that they have undoubtedly guided us through some of the more challenging parts of medicine. They have used their experience and leadership to teach us how to effectively drive and direct clinical care, as well as navigate institutional barriers. They have given advice not because they like to hear themselves talk, but because they genuinely want us to benefit from their wisdom. And they know how to deliver feedback in a way that’s constructive, kind, and direct. We are truly grateful to have them as part of our lives and would love the opportunity to honor their hard work and dedication.

Honoring: Kathryn Cullen, MD Submitted by: Rana Elmaghraby, MD

Dr. Kathryn Cullen is a wonderful mentor. I have worked with her for over a year now on various scholarly work from posters to opinion pieces. She groomed me to be a sound professional and researcher. Dr. Cullen showed me how interesting and enjoyable research can be. She welcomes my questions with an open heart and is willing to spend time out of her busy schedule to guide me. She has everything that makes her a great mentor. She was one of the mentors that sparked my interest in child and adolescent psychiatry.

Honoring: Antoine Douaihy, MD Submitted by Gil Hoftman, MD, PhD

“In a real sense all life is interrelated. All [people] are caught in an inescapable network of mutuality, tied in a single garment of destiny.” Dr. Martin Luther King, Jr. Dr. Douaihy’s mentorship on the dual-diagnosis inpatient unit was a transformative experience. He modeled channeling empathy into action daily using motivational interviewing; I am grateful to call Antoine my mentor, role model, and friend. He gracefully combines detailed instruction with a broad conceptual framework that fosters meaning in each encounter. Fundamentally, Antoine confirms we are human first, mutually interconnected “in a single garment of destiny.”

132 AACAP NEWS FOR YOUR INFORMATION

Suma Jacob, MD, PhD Submitted by: Rana Elmaghraby, MD

Dr. Suma Jacob has everything that qualifies her not only a great but a phenomenal mentor. She is so humble and professional that I aspire to reach her level one day. She helped me navigate my path and determine how to narrow my research interest. In addition, she makes it seem possible to be able to integrate work-life balance and not worry about jeopardizing one or the other. She has involved me in her community outreach work to increase awareness of managing ASD. I am honored to call her my mentor and grateful for the opportunity to work with her.

Honoring: Sheryl Kataoka, MD Submitted by: Misty Richards, MD, MS

Dr. Sheryl Kataoka cares deeply for those around her. She leads by example, models integrity in her everyday actions, and reminds us all that being a kind, good human being matters most. Despite being one of the most accomplished faculty members in our child division at UCLA, she carries herself with humility and grace. She wants the best for those around her and, as a result, cultivates a wonderful environment for her colleagues/mentees to thrive. On a personal level, Sheryl has been my mentor for close to four years. She has shepherded me through my transition from child fellow to junior faculty at UCLA, and I am so grateful for her honesty, vision, and belief in me through all the twists and turns. She reminds me to always do what is right, to try to be kinder and wiser every day, and that there is incredible value in giving back to the community and those around you. I am grateful to Sheryl for not only being one of the best mentors, but for being a trusted, invaluable friend.

Ayesha Mian, MD Submitted by: Aisha Sanober, MBBS, FCPS

I had not truly imbibed the meaning of mentorship until I met Dr. Mian. Over time, her input in all things small and large has greatly inspired me. She has a skill for knowing when to challenge my thought process and to help repackage my many cluttered ideas into a coherent proposition. Dr. Mian has taught me to look every challenge in the eye and face it. Her visionary and value-centered guidance challenged me to think beyond my clinical work and take responsibility for the bigger picture. She truly believed in my potential, which made all the difference in my ability to ultimately reach where I am today.

MAY/JUNE 2021 133 FOR YOUR INFORMATION

Honoring: Sigita Plioplys, MD Submitted by: Agnes K. Costello, MD

I had a chance to work closely with Dr. Sigita Plioplys as a child psychiatry fellow at Ann and Robert Lurie Children’s Hospital in Chicago in 2008. At the time, she had just created a multidisciplinary diagnostic clinic for children with comorbid neurological and psychiatric illnesses. My time with her taught me that the most complicated patients are not to be feared, that nonverbal does, in no way, mean non-communicative, and that families of these children can find relief just from having a good formulation of their child’s brain and behavior explained to them. Neurodiversity was still not an official “thing” back then, but looking back, she taught me how to respect and find the positive in even the most “differently wired” brains. This has shaped the way I have practiced to this day, and I am grateful for her influence.

Honoring: Maria Sauzier, MD Submitted by: Shireen Cama, MD, Priya Sehgal, MD MA, Lee Robinson, MD, Jennifer Harris, MD, Josepha Immanuel, MD, Courtney McMickens, MD MPH, Elizabeth Fenstermacher, MD, Erin Belfort, MD

Dr. Maria Sauzier has been a beloved mentor to us and many other child & adolescent psychiatrists throughout her years of service, supervision, and teaching at the Cambridge Health Alliance. For over 20 years, Dr. Sauzier organized the Harvard Consolidated Seminar—a rich learning experience where CAP fellows from Cambridge Health Alliance, Boston Children’s and Massachusetts General Hospital gathered for weekly lectures and discussions with eminent clinicians and scholars. Dr. Sauzier has a genuine interest in the well-being of her trainees and colleagues. With grace, wisdom, and generosity of her time, she is always ready to lend a listening ear, consult on a case, or offer support for a personal concern. Dr. Sauzier has an incredible gift of making everyone feel seen, valued, understood and special to her. Your legacy continues to ripple on! We love you, Maria, and are grateful to have a mentor like you!

134 AACAP NEWS FOR YOUR INFORMATION

Membership CORNER

Asian American and Pacific Islander Renew for 2021 Resource Library Developed by AACAP’s Asian Caucus, this resource library provides resources for Asian American and Don’t procrastinate! Make the effort and Pacific Islander (AAPI) families to effectively support get it out of the way! their children, educate others, take action, and more .

Renew today at www.aacap.org!

In Memoriam

James Harris, MD Baltimore, MD Lecture Series on Improving Health Equity During the COVID-19 Era Sponsored by the Diversity & Culture Committee, this four-part lecture series explores complex social issues that have been further impacted by the pandemic . www.aacap.org

MAY/JUNE 2021 135 FOR YOUR INFORMATION Welcome New AACAP Members Nadina Abdullayeva, MD, Nicholas Dumlao, MD, Ellen Joo Kim, MD, Saint Louis, MO Nikhil Rao, MD, Portland, OR Miami, FL New York, NY Rachel Kim, Rockford, IL Amanda Reinhart, Rockford, IL Oluwatosin Adebiyi, Denver, CO Mahmoud Dweik, MD, Dona Kiriella, Staten Island, NY Miles Reyes, Riverside, CA Rabeeka Aftab, MBBS, Karachi, Brooklyn, NY Christopher Kline, MD, Kaitlynn Richardson, Chicago, IL Sindh, Pakistan Amanda Eberhardt, MD, Ann Arbor, MI Roberto Rivera, Jr., MD, Mesude Selin Aktan Guloksuz, Wilmington, DE Karis Dampier Knight, MD, Birmingham, AL MD, MRCPsych, Eamon Egan, MB, ChB, Hamilton, Tallahassee, FL Ahraz Rizvi, Lawrenceville, GA Dunstable, Bedfordshire Waikato, New Zealand Kenton Ko, MD, Honolulu, HI Juliette Romeus, Gainesville, FL Bibi Alamiri, MD, Winchester, MA Daniel Eleyahouzadeh, Yumi Kovic, MD, Shrewsbury, MA Loraine Rosentsveyg, MD, Eric C. Alcera, MD, Great Neck, NY Rachael Kuch-Cecconi, MD, Brooklyn, NY Point Pleasant Beach, NJ Fatten Elkomy, MD, PMHNP-BC, Fayetteville, NY Kiley Rucker, Los Altos, CA Columbia, MO Namira Ali, Overland Park, KS Emily Rachel Lafferman, Brandi J. Rudolph Bolling, MD, Raghad Alkhafaji, MD, Joplin, MO Bryan Ellerson, MD, Owings Mills, MD Birmingham, AL Miami Beach, FL Tomeika Anderson, DO, Ann Landowne, MD, Geneva, NY Christian Saavedra Chavez, Fortville, IN Zehra Erdeve Temiz, MD, Shadi Lavasani, MD, Temple, TX San Diego, CA Alpharetta, GA Gina Andraos, Palm Beach, FL Scott Leary, Miami, FL Briana Sacco, MD, Ihuoma Erondu, Chicago, IL Joshua Anthony, MD, Nashville, TN Hyuk Lee, MD, Haeundae-gu Corpus Christi, TX Gabrielle Armijo, El Cajon, CA Rissa Fedora, DO, Boca Raton, FL Busan, Republic of Korea Abiba Salahou, Auburn Hills, MI Michael James Arnold, MD, Veronica Fellman, MD, Brian Levins, Jr., MD, Augusta, GA Leanne Salanga, MD, Brooklyn, NY Saint Bernard, OH Henry Lewis, Dublin, OH Long Island City, NY LaToya Floyd, MD, Great Falls, MT Sagarika Arogyaswamy, Jessica Lienesch, Cincinnati, OH Kirsten Salmela, MD, Kathryn Forneris, Redlands, CA Ming Liu, MD, San Francisco, CA Washington, DC Commerce City, CO Yvorn Aswad, MD, Providence, RI James Luccarelli, MD, DPhil, Rheba Sam, East Meadow, NY Stanley M. Fuentes, Heinrich Aurnhammer, Boston, MA Shilpa Sammeta, MD, Beckley, WV Madisonville, LA Indianapolis, IN Mary Lunde, DO, Sartell, MN Brittany D. Samson, MD, Marta Galecki, MD, Atlanta, GA Megan Ayala, Miami, FL Austin Lynch, Athens, GA Sahuarita, AZ Camilla Gallin, Chicago, IL Maanasa Bandla, DO, Boston, MA Abraham Maaz, MD, Miami, FL Shaquille Sandy, Brooklyn, NY Mary Galuska, Mount Pleasant, MI Marilyn Barragan, Chicago, IL Sundeep Madireddi, MD, Smriti Sasikumar, Paphos, Cyprus Aleksandra Gasparova, Largo, FL Roman Becicka, MD, Revere, MA Rego Park, NY Alexis Schirado, Parker, CO Annalyn Gibson, MD, Alexander Bejna, MD, Saginaw, MI Denise Makala, MD, Charlotte, NC Suzanna Sellars, DO, Rochester, NY Haley Berka, MD, San Diego, CA Darren Mancuso, DO, Philadelphia, PA Simran Gidwani, La Jolla, CA Catalina Berthet, MD, Chicureo Fort Belvoir, VA Ananya Sen Gupta, Plainfield, NJ Emma Kate Gilbert, MBBS, Colina, Metropolitana Naila Maniar, MD, Northridge, CA Kishan Shah, MD, Newark, NJ FRANZCP, Westmead, NSW, Santia, Chile Nikesh Shah, Garden City Park, NY Australia Paige Marchini, Rockford, IL Sonam Bhakta, MD, Anam Shaikh, MD, Long Beach, NY Vihasa Govada, Philadelphia, PA Alexandra Marcovicci, Corpus Christi, TX New Orleans, LA Akarsh Sharma, New York, NY Evan Gregg, MD, San Antonio, TX Yash Bhatia, West Chicago, IL Jesse Martinez, Jr., MD, Oliver Shore, Gainesville, FL Alma Guerra, MD, Pittsford, NY Avni Bhatt, El Dorado Hills, CA Hoover, AL Justin Singh, MD, Hialeah, FL Joanne Ha, Boston, MA Puneet Binepal, New York, NY Christina Maslo, MD, Edmonton, Olga Sinyavskaya, MD, Alaa Hajeissa, Hickory Hills, IL Trina Biswas, Augusta, GA AB, Canada Providence, RI Fadi Hamati, Chicago, IL Jessica Bodden, Hawthorne, CA Ryan Mather, MD, New York, NY Gabriele Slaughter, Dallas, TX Hira Hanif, MD, Houston, TX Karin Borgmann-Winter, MD, Sarah Meyers, DO, Cranford, NJ Jinhyuk Song, Augusta, GA Cady Hansen, Brooklyn, NY Conshohocken, PA Andrew Michaelis, Chicago, IL Laura Stilwell, Durham, NC Daniel Hart, MD, Monrovia, MD Farishta Boura, Leesburg, VA Lily Millen, MD, Worcester, MA Eric Swanson, MD, Indianapolis, IN Shahrzad Hassanbeigi Daryani, Anisa Bravo, Loves Park, IL Victoria Moors, Philadelphia, PA Christelle Tan, MD, Cincinnati, OH Chicago, IL Lauren Brown, Lawrenceville, GA Matthew William Morrison, MD, Maura Tappen, MD, Rochester, NY Sara B. Heron, MD, San Jose, CA Lauren Burton, MD, Tampa, FL Andrew Thomas, MD, Sugarcreek Jad Hilal, Pittsburgh, PA Morgantown, WV Cedar James Neary, MD, Township, OH Margaret Kay Ho, Kowloon, Dominique Byrd, Fairborn, OH Spokane, WA Jerry Trotter, MD, Norfolk, VA Hong Kong SAR Marissa Caan, MD, Cambridge, MA Austin Nguy, Santa Ana, CA Carolyn Turcott, MD, Emily Hochstetler, MD, Omaha, NE Yang Cai, Cleveland, OH Ngozi Nnadi, MD, New Milford, NJ Pewaukee, WI Sarah Homitsky, MD, Gibsonia, PA Vincent Cali, Bayside, NY Elizabeth E. Ohiku, MD, Terri Turner, MD, Bowie, MD Eric Huynh, Little Rock, AR Brielle Cardieri, MD, New York, NY Minot, ND German E. Velez, MD, Alexandra Carter, MD, Ijeoma Ijeaku, MD, MPH, Monique Ortiz, San Diego, CA Jamaica Plain, MA Cherry Valley, CA Alexandria, VA Peng Pang, MD, Staten Island, NY Gretchen Vigil, MD, Iowa City, IA Brianan Irons, La Jolla, CA Elizabeth M. Caudill, MD, Kira Veloso Panzer, Durham, NC Cade Walker, Ronceverte, WV Ragda Izar, Dearborn, MI Louisville, KY Agnes Park, Chicago, IL Robert Wilson, MD, Port Jefferson Greg Chen, Lillington, NC Pauline Jackson-Thompson, Jonathan M. Parker, MD, Miami, FL Station, NY Gainesville, FL Mimi Chen, New Orleans, LA Alireza Parsoei, MD, Eugene, OR Dirk Winter, MD, PhD, Sonia Jacob, DO, Philadelphia, PA Chantele Collings-Faulkner, Jacob Pascual, Graham, NC New York, NY Cory Jaques, MD, Visalia, CA Guyton, GA Rohit Pawar, MD, Ellisville, MO Joshua R. Wortzel, MD, MPhil, Michael Jayson, Fort Lauderdale, FL Rachel M. Collins, MD, Morgan Pegg, Brookfield, WI Rochester, NY Evergreen, CO Alexandra Johnson, Sruthi Poduval, MD, Herndon, VA Kevin Yang, DO, Rochester, NY Zuzana Dankova, MBBS, West New Berlin, WI Mindy Prows, MD, Saginaw, MI Idil Yazgan, New Haven, CT Vancouver, CB, Canada Supriya Juneja, Columbia, SC Mario Pucci, Henderson, NV Nina Yokochi-Funkhouser, DO, Gabriel Davis, Brooklyn, NY Yukyung Jung, MD, Alexandra Pumilia, DO, Wilmington, NC Kartik Depala, Kansas City, MO Flower Mound, TX Fiskdale, MA Alexandra Yoon, MD, Navdeep K. Dhillon, MD, Tamzin Kaiser, Miami, FL Shilpa Puri, MD, Fishers, IN Arlington, VA Macon, GA Nauman Khan, MD, Omar B. Qari, Philadelphia, PA Michelle Zaydlin, MD, Miami, FL Alicia Ding, Philadelphia, PA Corpus Christi, TX Juan Quiros, MD, Miami, FL Katie-Joy Zimmerman-Winslow, Martha Duah, Loma Linda, CA Meghna Khosla, MD, Brooklyn, NY Fort Lauderdale, FL Shirmela Rambally, MD, Valley Stream, NY

136 AACAP NEWS FOR YOUR INFORMATION

Returning to School: Helping Kids Adjust and Adapt By David Fassler, MD

This has been a challenging year for many children, adolescents and families. In much of the country, schools and businesses are now gradually starting to reopen. Here are a few tips for parents to help their kids adjust and adapt:

1. Don’t try and rush back to a full “pre-pandemic” schedule right away. Let kids resume activities at a gradual pace.

2. Some kids may be eager to return to school full-time, while others may be more anxious and hesitant. It may also take time to adjust to more rigorous academic schedules and expectations.

3. Help kids modify their sleep schedules so they can get up in time for school.

4. Accept that the “new normal” is not yet predictable. Anticipate disruptions as school policies and schedules evolve.

5. Continue to follow current CDC guidelines with respect to masks and social distancing.

6. Talk to your kids. Ask them about their concerns and worries. Acknowledge their fears and answer questions honestly, using words and language they can understand.

7. Help kids regain a sense of control. Give them choices where there are choices.

8. Try and develop a consistent routine and schedule. Kids are reassured by structure and predictability.

9. Start making future plans (e.g., vacations, holiday celebrations, visits to relatives, etc.).

10. Watch for signs of stress including changes in mood, sleep or appetite. Talk to your child’s pediatrician, family doctor, or school counselor. If problems persist, ask for a referral to a trained and qualified mental health professional.

Fortunately, most kids are quite resilient. They’ll be happy to be back at school, seeing friends and playing outside. However, by providing thoughtful attention and support, we can help them adjust, adapt and successfully cope with the current and ongoing challenges they face.

David Fassler, MD is a child and adolescent psychiatrist practicing in Burlington, Vermont. He is also a Clinical Professor of Psychiatry at the University of Vermont Larner College of Medicine, and member of the Consumer Issues Committee of the American Academy of Child and Adolescent Psychiatry.

MAY/JUNE 2021 137 FOR YOUR INFORMATION

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138 AACAP NEWS FOR YOUR INFORMATION

Thank You for Supporting AACAP! AACAP is committed to the promotion of mentally healthy children, adolescents, and families through research, training, prevention, comprehensive diagnosis and treatment, peer support, and collaboration . We are deeply grateful to the following donors for their generous financial support of our mission .

$1,000 to $2,000 Where Most Needed Sandra Mitzner, MD Life Members Fund Jorge E . Fernald, MD Aida Music, MD McDermott Family Charitable Fund Theodore John Gaensbauer, MD Jeffrey H . Newcorn, MD Elisa Newman, MD $500 to $999 Up to $99 Garth Olango, MD Combined Federal Campaign Giving Campaign for America’s Kids Lidija Petrovic-Dovat, MD Mental Health and Addiction Network American Psychiatric Association Robert A . Root, MD Stephanie Hope Ameis, MD James J . Staudenmeier, MD Life Members Fund Brigitte Bailey, MD Jeffrey Stearns, MD John E . Dunne, MD Tami D . Benton, MD Suzanne Sumida, MD John Eichten, MD Carol A . Beresford, MD Stephen M . Taylor, MD, MPH Alberto C . Serrano, MD in honor of Robert L . Brown, Jr ,. MD Alayne Yates, MD Lisa M . Toepp, MD Brady G . Case, MD William J . Swift, III, MD in memory of Iona Tripathi, MD Joseph Green, MD & Jack Westman, Anupama Chauhan, MD Catharyn A . Turner, II, MD MD Raymond E . Chong, MD Thaddeus P . M . Ulzen, MD Stewart Teal, MD Vegas Coleman, MD Marianne Z . Wamboldt, MD John A . Traylor, MD in memory of Irving Steven W . Croley, MD Patricia Wesley, MD Phillips, MD T . Shawn Crombie, MD Laura Whitman, MD Mary E . Diamond, DO $100 to $499 Laura M . Wieczorek, MD Jean N . Dortilus, MD Lawrence Willison, IV, MD, PhD Campaign for America’s Kids Paula Gewarges, DO Marianne Wudarsky, MD Nerissa Galang-Feather, MD Danielle Brooke Goerke, DO Jun Yin, MD Patricia L . Goetz, MD Aateqa Ismail, MD Risa Gold, MD Life Members Fund Virginia A . Jaschke, MD Manmohan Pothuloori, MD Richard Morse, MD Michelle Jorgensen, MD Marta E . Wild, MD David Kaufman, MD Where Most Needed Edwin Williamson, MD Kimberly Kavanagh, MD John Hertzer, MD Life Members Fund Vininder Khunkhun, MD Hector R . Bird, MD Sheree Krigsman, MD Theodore John Gaensbauer, MD Gonzalo Laje, MD, MHSc Michael J . Maloney, MD Susan Lurie, MD Sandra B . Sexson, MD Robert F . Maddux, MD Leonel Urcuyo, MD Syed Z . Manzoor, MD Maria A . McCarthy, MD Leatherman-Ritvo Fund for the Advancement of Psychodynamic Lisa Jane McCurry, MD Understanding and Psychodynamic Karl McIntosh, MD Child Therapies in Honor of Martin Nora K . McNamara, MD Drell, MD, Samuel Ritvo, MD, and Huey B . Merchant, MD Lucille B. Ritvo, PhD Jennifer Minami, MD Martin J . Drell, MD

Every effort was made to list names correctly . If you find an error, please accept our apologies and contact the Development Department at [email protected] .

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MAY/JUNE 2021 141 FOR YOUR INFORMATION CLASSIFIEDS ARIZONA was named Business of the Year and nationally recognized for our excellence Company: B E. . Smith (1250950) Exceptional Innovator by the Greater with multiple awards for quality of care, Title: Director, Behavioral Health Phoenix Chamber in 2018 . Phoenix innovation, and leadership . Palo Alto Job ID: 14708136 Children’s Hospital partnered with Foundation Medical Group is affiliated URL: https://jobsource.aacap.org/ Dignity Health Mercy Gilbert Medical with Palo Alto Medical Foundation, a jobs/14708136 Center to construct a state-of-the-art not-for-profit health care organization, Women’s and Children’s Pavilion, set to providing operational and administrative Job Description: open in Spring 2021, adding a 60-bed support, including the latest technology, Serve on the Senior Leadership Team Level III NICU, a 24-bed pediatric ER, allowing physicians to focus on deliver- at Phoenix Children’s Hospital, A six peds ORs, and 24 more general ing exceptional patient care . EEO – Equal Top Rated Location for Both Delivery pediatric beds . The Community Phoenix, Employment Opportunity . of Pediatric Care and to Work in Arizona’s lovely capital city, boasts a Job Requirements: Healthcare! The Position the Director warm climate, a bevy of cultural and of Behavioral Health Services will lead Psychiatry Residency Child and historical attractions and breathtaking Adolescent Psychiatry Fellowship the successful delivery of inpatient scenery . Truly an adventurer’s paradise, and outpatient behavioral and mental the area provides trails for hikers, bikers, FLORIDA health initiatives for Phoenix Children’s and equestrians, along with mountains, Hospital, including oversight for opera- skiing, and lakes . Enjoy one of Arizona’s Company: Lee Health (1233957) Title: Golisano Children’s Hospital of tional, strategic, and financial outcomes . four professional sports teams or year- Southwest Florida (Lee Health) is seeking Reporting to the Physician in Chief/Chief round golf at one of the hundreds of area a Pediatric Psychiatrist! Operating Officer–Phoenix Children’s courses . Phoenix offers an average high Job ID: 14797932 Medical Group, the Director will work temperature of 85 degrees more than URL: https://jobsource.aacap.org/ in close partnership with hospital and 325 days of sunshine per year . ambulatory leadership to drive innova- jobs/14797932 tive, high-quality services for all patients CALIFORNIA Job Description: and families across the behavioral health Company: Sutter Health - Bay Area Position Information: Lee Physician care continuum . Additional responsibil- (1250789) Group (LPG) – Pediatric Behavioral ity areas include capital planning, new Title: Psychiatry, Child & Adolescent Health is seeking a full time BC/BE program development, and employee BC/BE Child and Adolescent Psychiatrist to join recruitment, retention, and education . Job ID: 14708395 our dynamic multidisciplinary team . Must bring significant management URL: https://jobsource.aacap.org/ Candidate for this position must have experience, including 5+ years in group jobs/14708395 completed an Adolescent and Child practice management with an emphasis Psychiatry Fellowship from an ACGME Job Description: in behavioral or mental health, reim- accredited program . Applicant must hold Palo Alto Foundation Medical Group bursement, or academic medicine in a current Florida license or be eligible for is seeking a part-time or full-time, a multi-specialty physician practice . A licensure . This practice is comprised of BC/BE Child/ Adolescent Psychiatrist clinical background or leadership of a 3 psychiatrists, 5 Clinical Psychologists, Highlights Join a dedicated team of clinical program, as well as experience 2 licensed clinical social workers, 2 Adult Psychiatrists, Child/ Adolescent working with pediatric populations, is mental health workers, 3 social workers, Psychiatrist, Nurse Practitioners, preferred . Master’s degree preferred . neurology, developmental, and several Therapists and Medical Assistants The Organization As one of the larg- other critical support staff . Practice Unique integrative behavioral health est children’s hospitals in the country, based experience in working with devel- program, working closely with pedia- Phoenix Children’s Hospital delivers care opmental medicine is a plus . Potential tricians and therapists with a shared across more than 75 pediatric specialties plans to expand with consultative liaison EMR Opportunity to grow new pro- and is recognized as a Gold status leader services and partial hospital program – grams and develop special interests No in ECMO . Phoenix Children’s Hospital experience in these areas is preferred . call required Opportunity to partner is Arizona’s only nationally recognized This main practice location is across and educate other specialties about pediatric hospital by U.S. News & World the street from Golisano Children’s behavioral health Practice in beautiful Report; 2018-2019 marked the hospi- Hospital in Fort Myers, Florida . EPIC is beachside community, with close prox- tal’s eighth year earning this prestigious the electronic medical record . Call for imity to San Francisco and other greater ranking . Phoenix Children’s Hospital was this position with full complement is 1:4 Bay Area cities Schedule flexibility Palo also cited as a top-50 pediatric facility in weekends . Benefit Highlights: Offers Alto Foundation Medical Group We all 10 medical specialties for the 2019- a competitive compensation package are one of the largest multi-specialty 2020 list . In 2018, Phoenix Children’s with salary and bonus opportunities medical groups in the country, made up was named among the “150 Top Places Generous paid time off Sign on bonus & of over 1,600 physicians in 40+ special- to Work in Healthcare” for the fifth relocation package Malpractice through ties, in practices throughout the San consecutive year . Phoenix Children’s sovereign immunity 403(b) retirement Francisco Bay Area . Our organization is

142 AACAP NEWS FOR YOUR INFORMATION plan with match Short term/long term average and a variety of housing options, provide surgical services and around disability Fort Myers: In Fort Myers, including beautiful homes in historic the clock care at some of the area’s top there is something for everyone . With and Victorian districts Excellent public hospitals . TSPMG offers a competitive warm weather all year round, the area and private schools as well as multiple salary, a generous retirement package, has numerous outdoor activities right at local colleges and universities An abun- paid time off, health, dental, vision, your fingertips, such as, boating, play- dance of outdoor recreation, including and life insurance, long and short-term ing golf, fishing, enjoying the wildlife, kayaking, canoeing, golfing, hiking, disability, relocation allowance, and beautiful walking trails, and so much biking, and fishing Access to an array more . We also offer numerous clinical more! Fort Myers also has numerous of amenities, including an international and non-clinical learning opportunities restaurants, plenty of shopping close airport Travel + Leisure ranks this city #4 and physician leadership development . by in our malls and outlets, art, history, in “Best Cities in the United States” For Atlanta, our home for more than 30 and a wide variety of festivals all year immediate consideration please inquire years, is a thriving metropolis that blends round . Fort Myers International Airport with an updated copy of your CV so southern charm with modern art, music, is easy to get to, easy to use, and offers we can discuss the position by phone . and culture . Learn more about our beau- numerous direct flights and connections Also, inform me of your best available tiful southern city at http://www.atlanta. to meet all your travel needs . Those times to speak . I look forward to your com/ . We are an equal opportunity in this area are also able to enjoy the reply and thank you for your review . employer . All applicants will be consid- Key West Express which allows for a Please do not delay as we anticipate a ered for employment without regard to 3-hour boat ride down to Key West! significant response . Please contact Sara race, color, religion, age, sex, sexual ori- Fort Myers is minutes away from Sanibel Goble at medcareers@merritthawkins. entation, gender identity, national origin, Island, Captiva, and Naples . This area is com or at 866-826-1217 and reference veteran, or disability status . We maintain also centrally located between three of CPSY-133993 a drug and nicotine free workplace and Florida’s major cities, Orlando, Tampa, perform pre-employment substance and Miami . If you are interested in GEORGIA abuse testing . learning more about this opportunity, Company: The Southeast Permanente Job Requirements: please e-mail your CV to our Physician Medical Group (1123444) Education, Training, & Experience Board Recruitment Office at physicianrecruit- Title: Child/Adolescent Psychiatrists- Certified or Board Eligible in child/ [email protected] . Atlanta, Georgia adolescent psychiatry Ability to obtain Job ID: 14739694 GEORGIA an active medical license in the state URL: https://jobsource.aacap.org/ of Georgia Functions well in a team Company: Merritt Hawkins (1096672) jobs/14739694 environment, contributing to and sup- Title: Program Director | Brand New Job Description: porting organizational goals Desire to Fellowship Starting | Leadership From The Southeast Permanente Medical be part of a growing and high-volume Day 1 | Coastal Southeast Area Group (TSPMG) is seeking child/ psychiatry practice . Job ID: 14739447 adolescent psychiatrists to join our URL: https://jobsource.aacap.org/ busy out-patient practice for locations GEORGIA jobs/14739447 throughout the metropolitan Atlanta Company: Gateway Community Service Job Description: area . Our behavioral health depart- Board (1252526) A well-established organization is seek- ment is one of the largest groups in Title: Child Psychiatry Program Director ing a qualified Child Psychiatrist to serve Atlanta with over 30 psychiatrists and and Clinical Faculty – Savannah as Program Director for a newly accred- 70 therapists . The Kaiser Permanente Job ID: 14750620 ited Child and Adolescent Fellowship . medical centers give our patients access URL: https://jobsource.aacap.org/ This is a wonderful opportunity to to primary care and a wide range of jobs/14750620 develop your own role and educa- specialties . Additional support for our Job Description: tional curriculum while working with physicians includes nursing staff, clinical Gateway CSB is seeking an experi- Fellows in a new program . Opportunity pharmacy specialists, crisis therapists enced Child Psychiatrist as Fellowship Highlights Academic and clinical posi- and ability to offer treatment options Program Director and is also seeking tion with mostly outpatient clinical work for our patients . Minimal call schedule . Child Faculty for its newly accred- Protected academic time Work with The Southeast Permanente Medical ited Child & Adolescent Psychiatry outstanding leadership Monday-Friday, Group (TSPMG) is one of Georgia’s Fellowship in Savannah . Responsibilities largest independent, physician-owned, no call, no weekend options . Nestled include didactics and supervision for the along the beautiful Atlantic Coast, this multi-specialty medical groups . More Child Fellowship and in the Psychiatry charming, sought-after destination is than 500 physicians and 150 associ- Residency and direct patient care in out- filled with gorgeous beaches, a thriv- ate practitioners work together in a patient settings . The residency webpage: ing arts scene, and events and activities unique integrated care model to provide www G. atewaypsychiatry org. Faculty high-quality care to over 300,000 throughout the year . Surrounded by position is with Mercer University breathtaking scenery, you’ll enjoy a Kaiser Permanente members . Care is School of Medicine . remarkable quality of life in one of the delivered at 26 medical offices featuring nation’s top cities . Community Highlights state-of-the-art equipment, labs, imag- A lower cost of living than the national ing services, and pharmacies . We also

MAY/JUNE 2021 143 FOR YOUR INFORMATION

Job Requirements: research in mental illness and advocacy treatment team to provide outpatient Current board certification in Child throughout the state of Kentucky and psychiatric services for adults and & Adolescent Psychiatry Experience beyond . These pursuits have helped the children which include Psychiatric in GME teaching and administration department win the American College evaluation Developing effective, multi- Research experience . of Psychiatrists’ Award for Creativity disciplinary treatment plans Psychiatric in Psychiatric Education not once, but management & follow-up Individual and KENTUCKY twice . To apply, please submit a CV a group based treatment sessions Use Company: University of Kentucky and cover letter along with application . of electronic medical record (EPIC) You Department of Psychiatry (1248986) Applications will be reviewed immedi- can practice in a location that provides Title: Associate Professor / Professor ately and will continue until the position unsurpassed natural beauty, safe com- Job ID: 14659057 is filled . Demonstrated ability to relate munities, excellent schools and nearly URL: https://jobsource.aacap.org/ and communicate with internal and unlimited four season outdoor recre- jobs/14659057 external faculty, staff, and other clients of ation! This vibrant city is located on the the department . Penobscot Bay in the heart of Midcoastal Job Description: Maine . It is renowned for its impor- The Department of Psychiatry at the Job Requirements: tance to Maine’s lobster industry and its University of Kentucky College Of Completion of residency in Psychiatry . working waterfront . Rockland upholds is Medicine is seeking a board certified Knowledge of psychiatric practices in a reputation as a unique, creative com- Associate Professor or Professor to variety of clinical, teaching, and research munity and as a premier destination for serve as the Director for the Child & environments, as well as a demonstrated experiencing all that Maine offers . We Adolescent Division . The candidate must ability in teaching students at all levels in an academic environment . Experience welcome your inquiry & CV by email be committed to excellence in clinical to Steve Stout, MD, VP Med Affairs in serving as a division director or in a care as well as teaching, administration, Ambulatory Svcs, MBH Psychiatry leadership role is essential for this posi- support of division research activities [email protected] and professional development . Required tion . Board certification in Adult and experience includes previous experi- Child Psychiatry by the American Board Job Requirements: ence in providing psychiatric services of Psychiatry and Neurology Current The ideal candidate will have: Training to children and adolescents, as well licensure, or eligibility to obtain licen- and/or experience in clinical treatment as experience in teaching medical sure, to practice medicine in the state of adults and children Strong verbal and students, residents, and other health of Kentucky . Current DEA-x license/ written communication skills Ability professionals . This position will be buprenorphine waiver or eligibility to to adapt to frequent change and fast instrumental in expanding outpatient obtain the waiver immediately upon paced environment . physician coverage for the diagnosis employment . Previous experience in and treatment of psychiatric conditions providing psychiatric services to children MICHIGAN as well as the diagnosis and treatment and adolescents in an academic medical Company: Spectrum Health - Helen of adolescent patients with substance center setting . Previous experience as a DeVos Children›s Hospital (1253080) use disorders . In addition, this position clinician educator and as a is preferred . Title: Child & Adolescent Psychiatry will assist in providing on-call cover- Opportunity in booming Grand Rapids, age of the inpatient Child & Adolescent MAINE Michigan service . This position will serve as the Company: Maine Health / Maine Job ID: 14797495 Director of the Child & Adolescent Behavioral Healthcare (1251551) URL: https://jobsource.aacap.org/ Division and will be responsible for Title: Child Psychiatrist-Outpatient jobs/14797495 managing all clinical, educational and Rockland and Pen Bay Pediatrics Clinic Job Description: research activities of faculty and staff Job ID: 14721697 Helen DeVos Children’s Hospital within the Division in collaboration URL: https://jobsource.aacap.org/ (HDVCH) offers an excellent oppor- with other leadership in the Department jobs/14721697 tunity for a full-time BC/BE Child and of Psychiatry and other departments Job Description: Adolescent Psychiatrist . The ideal can- across UK Healthcare, the UK College Live & Work in MAINE… i. n that order! didate enjoys working collaboratively to of Medicine and other departments Maine Behavioral Healthcare (MBH), a evaluate and treat children with complex and organizations . Reporting directly member of Maine Health, is seeking an medical needs including developmen- to the Chair, this Division Director role Outpatient Child Psychiatrist to work in tal disabilities . About the practice: will provide leadership in the areas MBH Rockland and in Pen Bay Pediatric The growing multidisciplinary team of outpatient access to clinical care, Clinic, located in Rockland, ME . Our includes child psychiatrists, neuropsy- research projects and related deliver- outpatient practices provide an array chologists, pediatric psychologists, and ables and education to residents and of services for adults, adolescents, and behavioral medicine physicians, among medical students in both the inpatient children challenged with mental health, others . Our large patient population is and outpatient settings . The Department developmental disorders, co-occurring, served through consult-liaison services, of Psychiatry at the University of and/or substance use issues . The outpatient consult bridge clinic, outpa- Kentucky College of Medicine strives to responsibilities of this Child Psychiatrist tient practice, and our autism center of provide the highest level of patient care, include working with an interdisciplinary excellence . We are open to a variety of innovative educational programs, active

144 AACAP NEWS FOR YOUR INFORMATION practice types . As the prime pediatric MISSOURI more information, please contact Lisa clinical academic partner of Michigan Company: Mercy Clinic (1234991) Hauck, MBA | Senior Physician Recruiter State University College of Human Title: Seeking Child & Adolescent 314-364-2949 | fax: 314-364-2597 Lisa. Medicine, Helen DeVos Children’s Psychiatrist for Outpatient Practice [email protected]| Mercy ne. t EEO/AA/ Hospital offers teaching opportunities Job ID: 14804282 Minorities/Females/Disabled/Veterans and academic appointments for qualified URL: https://jobsource.aacap.org/ MONTANA/NORTH DAKOTA candidates . This position can support a jobs/14804282 J1 waiver or H1b visa candidate . About Company: Sanford Health (1254263) HDVCH: Ranked in 8 specialties (2020- Job Description: Title: Child and Adolescent Psychiatry 21) by the US News & World Report Mercy Clinic is seeking a full-time BC/BE Opportunity | Bismarck, ND Best Children’s Hospitals, Helen DeVos Child & Adolescent Psychiatrist to join Job ID: 14797829 Children’s Hospital is a state-of-the-art, an established, outpatient practice with URL: https://jobsource.aacap.org/ fully integrated, 236-bed free standing four Board-Certified Child & Adolescent jobs/14797829 dedicated children’s hospital located on Psychiatrists . This Position offers: Job Description: the main campus of Spectrum Health . Highly competitive guarantee, and a Sanford Health is seeking a Board Annually, there are approximately 8760 busy Child & Adolescent Psychiatrist Certified/Board Eligible Child and inpatient and 124,600 ambulatory visits, can earn up to $400k on the Physician Adolescent Psychiatrist to join a success- as well as over 55,185 children seen in Compensation Plan Fellowship Stipend ful, well-established group of providers! the Pediatric Emergency Department Attractive Commencement Bonus • Join a multi-specialty group of four (Level 1 Trauma rated) . HDVCH also Monday through Friday scheduling, adult and two child/adolescent psychia- has one of the nation’s largest Level 4 no weekends: RN answers all patient trists• Collaborative environment with NICU’s with 108-beds . As a Spectrum phone calls; MA check in patients and flexible and personalized scheduling• Health HDVCH employed physician administrative billing support Outpatient Large referral area of western North you can anticipate: Competitive salary care only Shared outpatient clinic call Dakota, eastern Montana, and northern Starting bonus Student Loan Repayment coverage Highly competitive two-year North Dakota• Robust Behavioral Health assistance (if eligible) Medical, Dental income guarantee wRVU Compensation staff includes 4 APPs, 7 Psychologists, and Vision plan options 403b & 457b Plan after guarantee Residency Stipend 3 Social Workers, 15 Nurses, and 6 retirement planning with employer for early commitment Comprehensive Psychiatric Tech (CNA’s)• 23 bed inpa- contribution CME funds with addi- benefits package & relocation assis- tient unit Nationally competitive 2 year tional funds for licensure, board fees, tance Professional liability coverage salary guarantee with a comprehensive and dues Concierge services to help Qualification for the Public Service physician benefit package including promote work/life balance Paid time Loan Forgiveness Program About Mercy 401k, Health, Dental, Vision, Paid CME, off, 30 days per year Relocation assis- Clinic Child Psychiatry: Largest child & Paid Vacation, Malpractice, Disability tance Malpractice coverage About adolescent psychiatry group in Missouri Grand Rapids Grand Rapids is the Two inpatient behavioral health units and Relocation Allowance . (27 beds) designed to provide a heal- second largest city in Michigan, from its SOUTH CAROLINA humble beginnings as a historic furniture ing, kid-friendly environment, staffed manufacturing center, to today’s bustling by our inpatient Child & Adolescent Company: Prisma Health (1250388) downtown scene with hundreds of local Psychiatrists 24-hour in-house pediat- Title: Child Consultation - Liaison restaurants and craft breweries, earn- ric hospitalist coverage 175 pediatric Psychiatry ing it the nickname Beer City, USA . It is providers on staff with over 80 fel- Job ID: 14732776 the economic and cultural hub of West lowship-trained pediatric specialists URL: https://jobsource.aacap.org/ Michigan, the fastest growing major Educational program for University of jobs/14732776 city in Michigan, and one of the fastest Missouri medical students Member of Job Description: growing cities in the Midwest . Grand Children’s Hospital Association System- Prisma Health, the largest not-for- Rapids is home to ArtPrize, concert and wide EPIC EMR Our Child & Adolescent profit healthcare provider in South theater venues, museums, Frederick Psychiatry Group is a part of Mercy Carolina, currently seeks BC/BE Child Meijer Gardens & Sculpture Park, city Clinic a strong, physician-led and profes- & Adolescent Psychiatrists to join our owned parks, and is located just 30 sionally managed multi-specialty group . growing psychiatry department . The minutes away from the beautiful west With over 2,500 primary care and spe- department is expanding our clinical, Michigan lakeshore . cialty physicians, Mercy Clinic is ranked education, and research missions and one the largest integrated physician looking for great candidates to help Job Requirements: organization in the country by SK&A . Medical Degree (MD or DO) BC/BE us grow! Successful candidates will Mercy hospitals and clinics are based in have the opportunity to work within Child & Adolescent Psychiatry Ability to St . Louis County and surrounding com- obtain a full Michigan medical licenses our children’s hospital and outpatient munities near excellent neighborhoods, clinics . Ideal candidates should have and DEA BLS of ACLS if appropriate public and private schools, five-star within 90 days of starting . an interest in teaching and eligibility restaurants, music venues, parks, hiking for faculty appointment with University and biking trails, an international airport, of South Carolina School of Medicine and more! Become a part of our legacy Greenville, located on Prisma Health’s and help us build a healthier future . For

MAY/JUNE 2021 145 FOR YOUR INFORMATION

Greenville Memorial Medical Campus . Group and are key elements of a high Director . Rotational evening/weekend Details Include: Candidate must be performing, integrated, physician led coverage with VCU Division of Child fellowship-trained and BE/BC in child organization . Participates in responding and Adolescent Psychiatry for inpatient and adolescent psychiatry Experience or to requests for proposals for managed services is shared within the Medical interest in working in a consultation-liai- care contracts . Participates in the estab- Staff . All successful candidates will be son role and outpatient clinics Monday lishment of quality assurance programs, Board Eligible/Board Certified in Child - Friday work schedule with 1:7 weekend utilization management programs, and Adolescent Psychiatry, be licensed inpatient coverage Academic faculty patient education services, and patient or eligible to be licensed to practice in position working with fellows, residents satisfaction programs . Assists Employer Virginia and have demonstrated clinical and medical students Competitive in obtaining and maintaining all licenses, experience with pediatric patients and compensation Rich benefits package permits and other authorizations, plus their families, fostering an interdisciplin- including relocation, malpractice, health achieving any applicable accreditation ary team approach . Experience in an and dental insurance CME allowance . standards that relate to the business of academic setting is preferred . We offer Physician’s Practice or Department . a unique, inclusive, and collaborative Job Requirements: environment to support the candidate’s Engages in the diagnosis, prevention, or VIRGINIA interests and strengths with their clinical treatment of disease, defects or injuries Company: Graystone Group (1208803) assignment and other responsibilities . and recommend or prescribe treat- Title: Child and Adolescent Psychiatry VCU Department of Psychiatry employs ments for the relief or cure of physical, M60295 over 80 fulltime faculty and has well- mental or functional ailments or defects . Job ID: 14712477 funded research in genetics, addictions, Renders medical treatment to his or URL: https://jobsource.aacap.org/ child and women’s mental health and her patients consistent with generally jobs/14712477 psychopharmacology . VCU is a large accepted professional standards of care urban university with robust health sci- Job Description: without regard to their ability to pay ence campus and 750-bed university Child and Adolescent Psychiatry for such treatment and without regard hospital . Richmond, the State Capital, M60295 Virginia Commonwealth to race, creed, color, sex, religion, has moderate climate and a rich mix of University, Department of Psychiatry national origin, or age . Completes history with modern facilities, excellent, is recruiting Child and Adolescent accurate, legible, and timely records affordable suburban housing, and public/ Psychiatrists with academic career with respect to all medical examina- private schools . Interested applicants interests to provide clinical care, con- tions and procedures; to accurately use should apply online at https://www. sultation, and supervise/teach medical Current Procedural Terminology and vcujobs.com/postings/104940 . Only students/ residents/fellows and work International Classification of Diseases electronic applications will be accepted . codes . Provides after hours call cover- with Advanced Practice Nurses . This All submitted applications must include age equally with other physicians of the position provides a unique opportunity a letter of interest, diversity statement to work with Children’s Hospital of Practice unless there is an agreement and CV . Questions should be directed Richmond (CHoR) pediatric specialties otherwise . Complies with standards of to Tammy Beltz, HR Manager at Tammy. and the Virginia Treatment Center for accepted medical practice, the rules and [email protected] . Virginia Children’s (VTCC) inpatient and outpa- regulations of managed care organiza- Commonwealth University is an equal tions and other payors, including but tient services . The position will focus opportunity/affirmative action employer . not limited to Medicare and Medicaid on outpatient services and occasional Women, minorities, veterans, and per- (except to the extent those rules conflict consultation/ liaison services for child sons with disabilities are encouraged to with Physician’s professional medical and adolescent populations . VTCC, apply . Please note: Employer work visa judgment), and the standards of the the Child and Adolescent Division of and/or permanent residence sponsorship the Department of Psychiatry works Joint Commission on Accreditation of is not available for this position . Healthcare Organizations . Enhances collaboratively within the VCU Health clinical skills by maintaining sufficient System and Children’s Hospital of VCU, continuing medical education to meet community-based child serving orga- the requirements of the Physician’s nizations, state agencies, and others to certification and/or state licensing board . deliver exemplary psychiatric services . Agrees to actively participate in non- A new, state of the art facility opened revenue generating activities which serve in 2018 with expanded capacity for to advance the Vision and Mission of inpatient and outpatient, research, and Prisma Health . As an Academic Health teaching facilities . As a VCU Department Center, these activities may range from of Psychiatry Faculty member, the serving on committees, community position is being added to the growing outreach, helping to meet the teaching, faculty team . The candidate will have the research goals and/or other activi- the opportunity to teach and work with ties as determined by the appropriate medical students, residents and fellows Department Chair . These important and expand training for pediatricians expectations are shared by all providers and pediatric specialties . The position within Prisma Health–University Medical reports to the Division Chair/Medical

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