Training Sequence

The Triple Board Resident Training Program at Cincinnati Children’s is a five-year program that combines training in pediatrics, psychiatry and child and adolescent psychiatry. The training sequence for each year is:

Rotations

Summary: 12 blocks of Pediatrics, 1 block of Child Psychiatry (each block is 4 weeks)

Rotations:

  • 3 blocks of Inpatient Pediatric Hospital Medicine
  • 2 blocks of Inpatient Subspecialty Medicine (Nephro / Endo, Pulmonary or Cardiology)
  • 1 block of Inpatient Pediatric Neurology
  • 1 block of Newborn Nursery
  • 1 block of NICU (Good Samaritan Hospital or University of Cincinnati NICU)
  • 1 block of Adolescent Medicine
  • 2 weeks of Advocacy Elective
  • 2 weeks of OPA Intern (Outpatient Pediatric Medicine)
  • 1 block of Emergency Pediatric Medicine
  • 1 block of Child and Adolescent Inpatient Psychiatry (College Hill Campus)
  • ½ day per week - Continuity Clinic (PPC, Hopple or Private Practice)
  • 1 block of Vacation

Summary: 8 blocks of Adult Psychiatry, 5 blocks of Pediatrics (each block is 4 weeks)

Rotations:

  • 1 block Adult Psychiatry Consults (University of Cincinnati)
  • 1 block of Adult Neurology Consults (University of Cincinnati)
  • 1 block of Substance Use Disorders (VA and University of Cincinnati)
  • 2 blocks of Inpatient Adult Psychiatry (VA or Ridgeway)
  • 2 blocks of Night Float (Ridgeway Psychiatric Emergency Room)
  • 1 block of Child and Adolescent Psychiatry Consults (Cincinnati Children's)
  • 1 block of Hematology / Oncology or GI
  • 1 block of NICU (Good Samaritan Hospital or University of Cincinnati NICU)
  • 1 block of Emergency Medicine
  • 1.5 blocks of Pediatric Elective Time
  • ½ day per week - Continuity Clinic (PPC, Hopple or Private Practice)
  • 1 block of Vacation (split between Pediatrics time and Psychiatry time)

Summary: 12 blocks of Adult Psychiatry, 1 block of Pediatrics (each block is 4 weeks)

Rotations:

  • 9 blocks of Outpatient Adult Psychiatry (Clinics spread out throughout the week)
    • UC Student Health Clinic
    • Resident Mood Clinic
    • Central Community Clinic
    • VA
    • Psychotherapy
    • Supervision Time
  • Weekend and Holiday Psychiatry Emergency Services shifts, Weekend Central Clinic Call
  • 2 blocks of Inpatient Adult Psychiatry (VA or Ridgeway)
  • 1 block of Adult Psychiatry Elective Time
  • 1 block of Pediatric ICU
  • ½ day per week - Continuity Clinic (PPC, Hopple or Private Practice)
  • 1 block of Vacation (during Adult Psychiatry time)

Summary: 8 blocks of Pediatrics, 5 blocks of Child Psychiatry (each block is 4 weeks)

  • 1 block of Pediatric ICU
  • 2 blocks of Pediatric Hospital Medicine (Senior)
  • 1 block of OPA Senior (Outpatient Pediatric Medicine)
  • 1 block of Emergency Medicine
  • 2.5 blocks of Pediatric Electives (including ½ block of acute care elective)
  • 1 block of Partial Hospitalization Program
  • 1 block of Child Psychiatry Consults (Cincinnati Children's)
  • 1 block of Inpatient Neurodevelopmental Unit
  • 1 block of Inpatient Child and Adolescent Psychiatry
  • 1 block of PIRC / Substance Use
  • CAP Call Duties: Night calls, Weekend calls and Day calls
  • ½ day per week - Continuity Clinic (PPC, Hopple or Private Practice)
  • 1 block of Vacation (split between Pediatrics and Psychiatry time)

Summary: 13 blocks of Child and Adolescent Psychiatry (each block is 4 weeks)

  • 13 blocks of Outpatient Child and Adolescent Psychiatry (Clinics spread out throughout the week)
    • Psychopharmacology Clinic
    • Community Psychopharmacology Clinic (Best Point)
    • Neurobehavioral Clinic
    • School and Forensic Electives
    • Psychotherapy Clinic
    • Supervision Time
  • CAP Call Duties: Night calls, Weekend calls, and Day calls
  • ½ day per week - Continuity Clinic (PPC, Hopple or Private Practice)
  • 1 block of vacation

Didactics

  • Daily Pediatric Didactics (morning report and noon conference)
  • Triple Board Meeting (weekly on Tuesdays)
  • Triple Board Specific Didactics (four ½ days per year)
  • Daily Pediatric Didactics (morning report and noon conference while on Pediatrics)
  • Adult Psychiatry Didactics (1/2 day on Thursdays)
  • Triple Board Meeting (weekly on Tuesdays)
  • Triple Board Specific Didactics (four ½ days per year)
  • Adult Psychiatry Didactics (1/2 day on Thursdays)
  • Daily Pediatric Didactics (morning report and noon conference during PICU)
  • Triple Board Meeting (weekly on Tuesdays)
  • Triple Board Specific Didactics (four ½ days per year)
  • Daily Pediatric Didactics (morning report and noon conference)
  • CAP Didactics (Tuesdays and Fridays)
  • Triple Board Meeting (weekly on Tuesdays)
  • Triple Board Specific Didactics (four ½ days per year)
  • CAP Didactics (Tuesdays and Fridays)
  • Triple Board Meeting (weekly on Tuesdays)
  • Triple Board Specific Didactics (four ½ days per year)

Call

Call is variable depending on the year of training. Call starts second year during Adult Psychiatry (late call shifts during IP Psychiatry and Adult Psychiatry Consults). There is also 24-hour call on Hematology / Oncology or GI during Pediatrics.

Third year call is typically weekend shifts in the Psych Emergency Room and covering back up call for Central Clinic. During third and fourth year you take 24-hour call in the PICU. During fourth and fifth year in CAP, you take weekend calls (home + in hospital), night calls (home call), and day calls monthly. Call is very manageable and there is always a backup attending during these call shifts.

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