Tuesday and Thursday Morning Seminars


Tuesday at 10am - Development Seminar

Seminar Leader: Craigan Usher, MD

Seminar Focus: In this seminar, fellows examine the work of major developmental theorists, such as Lev Vygotsky, John Bowlby, Mary Ainsworth, Peter Fonagy, and many others. Videos from Geri Fox's longitudinal study of development and from popular culture, such as the British Up documentary series are also considered. During the second-year of this seminar, a major theoretical text is examined and fellows are asked to take turns reading and presenting this. The development of language, interpersonal relationship patterns, gender identity, and identity as whole and the extent to which these are shaped by cultural influences is considered. Residents also go on "field-trips" to observe typically developing children and we also engage in live interviews of children/families. As part of this course fellows are also asked to read and review at least one children's or young adult (YA) book, TV show and/or film and discuss these.

Some Publications by Dr. Usher:

Usher CT. "Paging" child and adolescent psychiatrists: reviewing the developmental canon. J Am Acad Child Adolesc Psychiatry. 2012 51(12):1229-31.

Usher CT. Review of Self-Agency in Psychotherapy by Jean Knox. Clinical Social Work Journal. 2012; 40(2).

Usher CT. Problematic behavior of patients, family, and staff in the intensive care unit. In Irwin RS and Rippe JM (Eds), Irwin and Rippe's Intensive Care Medicine (7thEd). Philadelphia, PA: Lippincott, Williams and Wilkins. 2011

Usher CT. Review of The Social Neuroscience of Empathy edited by Jean Decety and William Ickes. Clinical Social Work Journal. 2011; 39(2): 212-214.

Usher CT. Review of Well Enough Alone by Jennifer Traig. Psychosomatics. 2009; 50(6): 430-431.

Caplan JE, Usher CT, Jellinek, MS: Psychotherapy with Children. In Carey WB, Crocker AC, Coleman WL, Elias ER, & Feldman HM (Eds). Developmental-Behavioral Pediatrics (4th Ed). Philadelphia, PA: Saunders. 2009

Usher CT. Review of We Need to Talk About Kevin by Lionel Shriver. J Am Acad Child Adolesc Psychiatry.  2008; 47(12):1465-1466.

Tuesdays at 11am - Phenomenology & Evidence-Based Treatment

Seminar Leader: Kathryn Flegel, MD

Seminar Focus: In this seminar, faculty members and fellows engage in an in-depth discussion of methods of evaluation, diagnostic criteria, differential diagnosis, and medical and non-medical treatment of major mental illnesses which impact children and adolescents. The etiology, assessment and treatment of individual disorders, such as Attention-Deficit/Hyperactivity Disorder, Schizophrenia Spectrum Disorders, or Anxiety Disorders are explored over several weeks with review of relevant literature.

Thursday 830AM—Case Conference

Seminar Leader: Ajit Jetmalani, MD

Seminar Focus: The PGY-3 general psychiatry residents and child and adolescent psychiatry fellows join forces for this weekly case conference. The presenter outlines relevant biopsychosocial data and poses a particular question or clinical challenge to the group for consideration. With a patient/family's permission, presenters often utilize video recorded material. Cases are presented over two weeks, with the first week intended to review history and hone questions, the second to explore the case in more depth.

Some Publications by Dr. Jetmalani:

Terr LC, Abright AR, Brody M, et al. When formulation outweighs diagnosis: 13 "moments" in psychotherapy. J Am Acad Child Adolesc Psychiatry. 2006 45(10):1252-63.

Jetmalani, A. Psychopharmacology. In Cheng K, Myers KM, eds. Child and Adolescent Psychiatry: The Essentials. 2nd ed. Lippincott Williams & Wilkins; 2010: 455-491.

Thursday 10AM—Systems and Family Therapy Seminar

Seminar Leaders: Ivan Inger, PhD, Jeri Inger, LCSW and Meg Cary, MD, MPH

Seminar Focus: With the seminar leaders, fellows focus on the systems surrounding children, adolescents, their parents and broader families, and on systems of support—including child psychiatry itself. This seminar involves a review of the history of family therapy and a focus on the practice of systemic family therapy. Seminars often include review of relevant literature, watching videos of prominent family therapists and pioneers in the field, directly observed work with families, and participation in the reflecting-team model—wherein families meet with their therapist through a one-way mirror then move to the other side of the mirror to observe the fellows/faculty members "reflect" on what they saw and heard.

Some publications by Dr. Inger and Dr. Cary:

Inger, I. (2013). "The Road Taken: A Brief History of a Dialogic Family Therapy." Chapter 3, pp.51-65, InPositions and Polarities In Contemporary Systemic Practice: The Legacy of David Campbell. London, Karnac.

Inger, I. (1998). "A cross-cultural consultation and training Exchange." Journal of Systemic Therapies, 1(17): 45-61.

Inger, I. & Inger, J. (1994). Creating an Ethical Position in Family Therapy; London, Karnac.

Inger, I. (1993) "A dialogic perspective for family therapy: the Contributions of Martin Buber and Gregory Bateson." Journal of Family Therapy, 15:293-314.

Inger, I. & Inger J. (1990). Co-constructing TherapeuticConversations: A Constultation of Restraint. London, Karnac

Cary M. Review of We The Animals by Justin Torres. J Am Acad Child Adolesc Psychiatry. 2010; 51(12):1095-1096.

Thursday 11AM—Psychotherapy Seminar

Seminar Leaders: Carol Arland, PsyD, Deborah Wise, PhD, Ajit Jetmalani, MD

Seminar Focus: This seminar focuses first on the core features of successful psychotherapeutic treatments of any modality, including discussion of creating and maintaining a therapeutic space where individuals, regardless of age or purpose for being in therapy, feel safe. Relevant literature that helps elucidate principles of psychotherapy and which helps child and adolescent psychiatrists consider novel ways of addressing clinical dilemmas are reviewed. Specific instruction regarding several types of psychotherapy—Interpersonal Psychotherapy for treatment of Adolescents with Depression (IPT-A), Psychodynamic Psychotherapy, Play Therapy, Cognitive Behavioral Therapy (CBT), Parent Child Interactive Therapy (PCIT), and the Collaborative Problem Solving (CPS) intervention strategy—is provided. Sessions include reviewing readings along with case presentations—which again, with patient/parent consent, often include video-recorded material.

Thursday 1200PM—Journal Club (once-a-month)

Seminar Leader: Eric Fombonne, MD

Seminar Focus: Journal Club is intended to sharpen fellows skills in studying studies and examining scientific literature. After an initial review of statistical/research methodology, together with Dr. Fombonne, fellows critically review articles relevant to child and adolescent psychiatry. This includes an examination of scientific merit, how a study finding contributes to the field or helps clarify a current controversy. Participants are encouraged to discuss the implications of the research findings for pediatric mental health practice and policy.

Some publications by Dr. Fombonne:

Fombonne E. Epidemiology. In: Lewis's Child and Adolescent Psychiatry: A Comprehensive Textbook, 4th Edition. Eds. A Martin & F Volkmar. Lippincott, Williams and Wilkins Publishing, 2007, pp. 150-171.

Fombonne E., Marcin C., Bruno R., Manero C., Diaz Marquez C.Screening for autism in Mexico. Autism Research 2012,

Fombonne E, Zakarian R, Bennett A, Meng L, McLean-Heywood D. (2006) Pervasive developmental disorders in Montréal, Québec: prevalence and links with immunizations. Pediatrics, 2006, 118:139-150.

Chakrabarti S, Fombonne E, Pervasive developmental disorders in preschool children. Journal of the American Medical Association (JAMA), 2001: 285: 3093-3099.

Fombonne E, The Chartres study. I. Prevalence of psychiatric disorders among French school-aged children. British Journal of Psychiatry, 1994, 164, 69-79.

Fombonne E, The use of questionnaires in psychiatry research: measuring their performance and choosing an optimal cut-off. Journal of Child Psychology and Psychiatry, 1991, 32, 4: 677-693.

1200PM—Residency Training Committee Meeting (first Thursday of each month)

Seminar Leader: Chief Fellow

Seminar Focus: This is not so much a seminar, but a business meeting led by the chief fellow or her designee. The committee is responsible for providing guidance, support, and recommendations for program improvement to the Training Director, Director of the OHSU Child & Adolescent Psychiatry Outpatient Department, and the Chair of the OHSU Division of Child & Adolescent Psychiatry. Specifically, the committee must help with:

-Planning, developing, implementing, and evaluating all significant features of the training program (please note, there is also an annual full-day retreat where fellows meet separately then present their recommendations for the program to the training director of chief of child psychiatry)

-Determining curriculum goals and objectives;

-Evaluating the teaching staff and rotation experiences; and

-Determining, developing, implementing, and evaluating a Quality Improvement (QI) Project each academic year.

Notes on Educational Seminars

1 Please note that this is protected time with faculty coverage of CL service and other service requirements.

2 This seminar is a combined effort with the general psychiatry residents who, during their PGY-3 year, rotate in the child and adolescent psychiatry outpatient department for ½ day.

3 There is some deviation from the schedule, wherein we will use time to prepare for guest lecture visits, for example as part of the Woodcock Lecture series.

4 Please note that Residency Training Committee (RTC) takes place on the first Thursday of every month while Journal Club takes place the fourth Thursday.

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