The clinical paradigm of the training program embraces the integration of psychopharmacology and psychotherapy skills, including specific training in psychodynamic, cognitive-behavioral, family, interpersonal, and multi-modal therapies. Residents have a two-year long outpatient experience, allowing for long-term treatment experiences. The outpatient clinic is fortunate to have a mixture of publicly funded and privately insured patients. Careful attention is given to residents' obtaining experience with patients who have a variety of different disorders and levels of symptom severity.

Our location in Doernbecher Children's Hospital provides an exceptional pediatric experience in the second year. Services requesting consultations run the gamut from the trauma unit, hematology-oncology service, general medical-surgical service, and the Shriner's Children's Hospital for orthopedic diseases.

We provide a very strong and enduring community child psychiatry experience. In the first year, residents rotate through a mental-health-supported classrooms in a primary school. This community-based program is an example of an integrated service model that is gaining prominence across the country. In the second year, residents develop their own contract with a selected community consultation site. This year-long rotation provides an opportunity for the resident to develop a career focus, as well as skills in negotiating contracts and new consultation relationships. In addition, we have an early childhood experience in a psychiatric day treatment program for three to six year old children, a forensic experience in a high-security youth correctional facility, and rotations in two programs for mental retardation and developmental disabilities.

Research and critical thinking are emphasized in the program. A monthly journal club, under the leadership of the chief resident, starts with a course on research methodology. Residents and invited clinical faculty select current literature to review in journal club. Residents are encouraged to participate in and develop research projects. Recent research projects in which residents participated have included a study of Romanian orphanages, a study of psychiatric problems in pediatric inpatients, and a study of psychiatric problems in Japanese students in Oregon.

The residency provides a carefully selected range of supervised clinical experiences in the following settings:

• Albertina Kerr Developmental Disabilities Center
• Child and Adolescent Psychiatry Outpatient Clinic, OHSU
• Children and Adolescent Mental Health Unit, Providence Hospital
• Child Development and Rehabilitation Center, OHSU
• Children's Psychiatric Day Treatment Center, OHSU
• Community Psychiatry Elective
• Portland Public Schools
• Christie School
• Oregon Youth Authority/MacLaren Correctional Facility
• Pediatric Consultation-Liaison Service, OHSU
• Pediatric Neurology Clinic, OHSU