Child and Adolescent Psychiatry Fellowship

The mission of the Division of Child and Adolescent Psychiatry is to train child psychiatry fellows to diagnose and treat mental illness in children from infancy through 18 years of age and their families.  The child psychiatry fellow will understand biological underpinnings and vulnerabilities, environmental and family influences, interactions with medical illness, and neurological concomitants of the illnesses.

Antiracism statement

The Department of Psychiatry and Behavioral Sciences condemns racism, discrimination, and oppression in all forms. We affirm that racism and oppression are public health crises with serious mental health consequences for the communities we serve. 

We commit to listen to and promote Black, Indigenous and people of color. We also commit to amplify their calls for change. We have work to do. We are part of a system that has allowed racial disparities in medical outcomes to persist for far too long.

We affirm the Joint Statement on Antiracism put forth by the Association for Academic Psychiatry that condemns the long history of structural racism in our institutions. As psychiatrists and educators, we pledge to take the lead in educating ourselves and others to address these issues head-on.

Our work is guided by the following principles:

  • Amplify the voices of those most directly affected by racism and oppression to restore justice. Racism and oppression are not their responsibility to solve; the responsibility to dismantle racism falls on those who have benefited from it

  • Ensure a just, equitable, and inclusive educational, clinical, and research environment. Our Diversity and Inclusion Committee’s mission statement and ongoing initiatives address diversity in all forms as the path to excellence in each of our mission areas

  • Take all needed steps to identify and dismantle unjust and inequitable systems, as individuals and collectively. This includes systems of white supremacy, a political or socioeconomic system in which white people benefit from a structural advantage (privilege) over other ethnic groups, on both a collective and individual level, and other forms of oppression and discrimination within our medical school, our university, and society at large.

In line with these departmental principles, the UMN Psychiatry and Behavioral Sciences Education Council commits to the following actions:

  • Lead and engage in national conversations on racial justice and the dismantlement of systems of white supremacy in Psychiatry and Behavioral Sciences based on what we have learned by listening to Black, Indigenous, and people of color in Minnesota following the killing of George Floyd as a result of police brutality by former members of the Minneapolis Police Department. Additionally, we will author and post a statement naming George Floyd and summarizing these perspectives.

  • Affirm and broadcast our anti-racism statement and action steps on our websites, social media accounts, and other internal and external communications

  • Implement the curriculum developed by the American Psychiatric Association Black Caucus, entitled, “Stress and Trauma Toolkit: for Treating Historically Marginalized Populations in a Changing Political and Social Environment” in Departmental graduate medical education programs

  • Engage in proactive outreach, support, and mentorship of Black, Indigenous, and people of color, including current trainees, matched trainees and applicants engaged in the recruitment process

  • Use the lens of diversity as a driving factor during recruitment and applicant ranking activities, utilizing best practices as outlined by the Department’s Diversity and Inclusion Committee.

Diversity & Inclusion

The University of Minnesota Psychiatry Fellowship Program is committed to training a diverse generation of future psychiatrists. We firmly believe that practitioners should represent multiple backgrounds, life experiences, and viewpoints to best serve our patients and advance the field of psychiatry. Our recruitment process is mindful of every applicant’s complex background including racial identity, ethnic identity, sexual identity, gender identity, socioeconomic status, disability, religious practice, and geography. We actively recruit and support diverse residents with an understanding that these residents will strengthen our program, enhance our delivery of patient care, and foster change to reduce healthcare disparities.

Vision and Values

The University of Minnesota CAP Fellowship wants to provide its trainees with a solid theoretical framework combined with a broad clinical experience. We want our fellows to become safe, competent, and confident child and adolescent psychiatrists.  

Firstly, we have designed a didactic curriculum that gives trainees a practical and solid knowledge base that can be applied directly to clinical work. We are constantly working on making didactics as clinically relevant as possible, using basic science, clinical studies, and faculty experience to help prepare trainees for a wide variety of inpatient and outpatient clinical scenarios.  By asking multiple members of the faculty to teach these didactics, we also hope to expose fellows to many of the division and program faculty, helping build connections and relationships that can be used for consultation and networking. 

Secondly, we provide clinical education that gives a breadth of experiences in different clinical settings and international patient populations. We pay close attention to making sure that trainees have an appropriate balance between education and preparation for the “real world” of clinical practice, while still meeting ACGME requirements and helping trainees get ready for board examinations.  At the University of Minnesota, one of our greater strengths is experience with very acute inpatient populations. We prepare our psychiatry trainees for the full range of clinical severity of the child and adolescent population that they might encounter in future clinical practice.  We do this with support and guidance from experienced faculty so that trainees can practice managing extremely acute psychiatric cases in a supported environment. Another great strength of ours lies in the tremendous diversity of the cities of Minneapolis and St. Paul.  Our patient population is a mix of rural and urban, and of Native American, Caucasian, African-American, Hispanic, Somali, Hmong, as well as various African and Middle-eastern nationalities. Our trainees have extensive experience liaising with county and tribal services, working with interpreters, and learning to navigate socio-political, cultural, and religious contributors to patient health. When our fellows graduate, they are well-versed in case formulation, holistic and family-centered care, and a wide variety of pharmacologic and non-pharmacologic interventions for pediatric mental illness.

We want our fellows to feel welcomed, supported, and safe.  We continue to create and improve feedback mechanisms and a culture that supports open communication, bidirectional feedback, transparency, and improvement for both fellows and faculty.  We also want fellows to feel that they are being treated as junior peers to faculty rather than students, and that their input is welcomed and listened to as we continue to support their education.  Our program currently meets all ACGME requirements, but we want to build a program that is more than just adequate.  We are aiming for excellence, and we are seeking colleagues who will collaborate with us to achieve this.

Training

Apply

The Department of Psychiatry has four positions available each year in the Child and Adolescent Psychiatry Fellowship.

Our fellowship participates in the National Resident Matching Program through ERAS, the Electronic Residency Application Service. All supporting documents, including letters of recommendation, must be submitted electronically as part of the ERAS submission.

Letters of Recommendations

We require three letters of recommendation total. One letter must be from your training director in general psychiatry, detailing your psychiatric education to date. The letter should include the rotations that you have taken and any rotations that may need to be completed in Adult Psychiatry for Board eligibility. Please use this form if your program does not have a standard form. Two other letters are required; these can be in regards to Medical School, Internship, or Residency. Of the three, one letter must be from a child and adolescent psychiatrist.

Visa Sponsorship

The J-1 physician visa sponsored by ECFMG is the preferred visa status for foreign national trainees in all UMN graduate medical education programs; therefore, the Department of Psychiatry sponsors J-1 visas, and H-1B visas (in some situations).
More information on the J-1 and H-1B visas can be found on the UMN-GME webpage: International Medical Graduates & Visas

Application Deadlines

Please refer to the ERAS website and the National Resident Matching Program (NRMP) for deadlines.

Interviews

Applicants considered for a position to the University of Minnesota will be offered an interview with the program director and selected faculty. These Interviews will be conducted at the end of September through October.

Interested in learning more about our program? Please visit our recruitment page!

Rotations

Fellowship Year 1

Our first year curriculum focuses on the management of children, adolescents, and families who are in crisis or are struggling with severe mental illness.  First year rotations are divided into 1-3 month blocks, during which fellows rotate through inpatient, day hospital, and consultation services.  This experience is supplemented by continuity clinic, longitudinal psychotherapy experience, and our didactics series.  

Inpatient Child and Adolescent Psychiatry - We offer clinical experiences at two inpatient facilities.  At the University of Minnesota Medical Center (UMMC West Bank) fellows rotate on our general unit and the intensive treatment center - the only ICU level psychiatric unit for children in the state of Minnesota.  Our other site, PrairieCare at Brooklyn Park, is a private, free-standing psychiatric hospital. These facilities serve a diverse patient population with a broad spectrum of diagnoses and symptom severity.

Inpatient Adolescent Mental Illness/Chemical Dependency - Also at UMMC West Bank, fellows rotate on a unique unit that features assessment and treatment of adolescents in mental health crises who are experiencing the impacts of problematic substance use.

Consult Liaison - At the University of Minnesota Masonic Children's Hospital, a building physically connected to UMMC West Bank, fellows provide consult liaison services to our busy pediatrics services. Fellows will gain experience managing common medical complications of mental health crises as well as psychiatric manifestations of rare and complicated disorders.

Day Hospital - Fellows rotating through the day hospital participate in the treatment and care of adolescents participating in structured intensive outpatient and partial hospital programs for mental health conditions.

Psychotherapy - Fellows learn core psychotherapy principals through multiple clinical cases carried throughout their training. Modalities fellows may have opportunities to practice include: cognitive-behavioral therapy, exposure and response prevention, psychodynamic psychotherapy and others.

Continuity Clinic - Fellows carry a diverse outpatient panel throughout their two years of fellowship - providing experience in continuity of care for a diverse patient population.

Year 1 Example Schedule:

Year 1 sample schedule updated

Fellowship Year 2

Our second year curriculum focuses on the longitudinal management of children, adolescents, and families living with mental illness.  Rotations are divided into half days, during which fellows spend time in various outpatient experiences including general clinics, specialty clinics, integrated care, community consultation and more.  While there are still some required experiences, fellows have more flexibility in creating an experience tailored to their future career goals.  

Continuity Clinic - Fellows continue their continuity clinic experience through both years of fellowship - they will carry much of their patient panel through the entirety of their fellowship training.

Psychotherapy - Fellows continue their psychotherapy training and have an opportunity in second year to increase their therapy caseload to gain additional experience with other therapy modalities, more complex case, and to work with other therapy supervisors.

Child Psychiatry Specialty Clinics - Fellows have the opportunity to join the teams of several disorder-specific specialty clinics which are staffed by faculty with clinical expertise in specific patient populations. Opportunities include early stage mood disorders, anxiety disorders, neurodevelopmental disorder, and psychotic disorders.

Family Consult Clinic - Specializing in complicated, ambiguous, or treatment refractory patients and families, the family consult clinic provides a unique clinical experience for our fellows. Fellows participate in an assessment process that transcends traditional divisions of individual and family therapy in order to deliver holistic and family-centered care with the support with an expert family therapist.

School Consultation - Fellows provide in-person consultation to level 4 schools in the surrounding area. Opportunities include in-class observation, psycho-education of school staff, advanced formulation, participation in Individualized Education Plan meetings.

Autism Spectrum Disorders - An in-depth experience through a community organization that specializes in the assessment and treatment of autism spectrum disorders and other developmental conditions. This includes observing structured ASD assessments, case consultation, and supervision, an international expert and researcher in autism spectrum disorders.

Community Psychiatry - Fellows will spend time in the outpatient psychiatry clinics at both Hennepin Healthcare and Smiley's family medicine clinic.  These are specific training experiences in community psychiatry that serve primarily under-served populations of children and adolescents with mental health needs.

Electives - Fellows have an opportunity to participate in multiple electives to explore specific areas of interest. These include additional experiences in psychotherapy, developmental and behavioral pediatrics, outpatient adolescent chemical dependency, research projects etc.

Year 2 Example Schedule:

year 2 sample schedule 

Training Sites

University of Minnesota Medical Center (UMMC West Bank)

UMMC Riverside6A Dual Diagnosis

6A is the MICD inpatient adolescent unit, where teens not only meet criteria for inpatient mental health admission, but also struggle with substance use.  Programming on the unit is run more like a CD program, and each patient has a formal CD assessment as part of their evaluation.  Teams are very collaborative, and fellows will have the opportunity to work with CD counselors and case management.  The University teaching team lives on this unit, so fellows have the opportunity to act as a "sub-attending," supervising residents and medical students with the support of the attending.  Fellows may carry some patients of their own, while supervising other learners on others, or may divvy up patients between medical students and residents, acting purely in a supervisor role.  This depends on fellow experience and preference, as well as the number of other learners on the team.

4B Adolescent Day Treatment

4B is the adolescent partial hospitalization program (PHP) where teenagers are enrolled in outpatient programming for five hours a day for a period of about 2-3 weeks. Programming includes group therapy, art and music therapy, skills based psychotherapy, and school. Fellows will work alongside Dr. Kumra seeing new admissions to the program and doing follow-ups for the other patients 2-3 times per week. Typical patients on 4B include those who have recently been discharged from our inpatient unit and are dealing with depression, anxiety, environmental stressors, or familial strife, but may also include elements of psychosis, substance use, or eating disorders. Dr. Kumra typically has a medical student on the team who will take some of the patients, and fellows play a role in their teaching and providing feedback. Patients are typically seen in the morning or early afternoon and the rest of the day is available for reaching out to families by phone, coordinating with other providers, completing documentation, and reading assignments provided by Dr. Kumra. All new admissions are scheduled in advance, so it's rare that there are any surprises in what is on a given day's schedule.  

Masonic Institute for the Developing Brain (MIDB)

MIDBWe in the division of child and adolescent psychiatry are very excited to have moved to the Masonic Institute for the Developing Brain (MIDB) in October 2021. This new initiative brings together experts from diverse fields across the University of Minnesota (e.g. Child Psychiatry, Pediatric Psychology, Pediatric Neurology, the Institute of Child Development, and the Institute of Community Integration) to work side-by-side toward MIDB's mission: to advance brain health from the earliest stages of development into adulthood, supporting each individual’s path to becoming a valued and active member of their community. The Child and Adolescent Psychiatry outpatient clinic, research and education activities are now housed in this beautiful, newly-renovated facility where integration with experts and learners from other fields fosters interdisciplinary collaborations and spark new ideas. This state-of-the-art new clinical-research-policy center is devoted to excellence, innovation, discovery and service to the community.

PrairieCare

PrairieCarePrairieCare is a stand alone CAP hospital in a suburb of Minneapolis.  They accept patients of all ages and diagnoses, though they do not have an ITC or ICU level of care.  Rotating at this for profit hospital in the community, provides a valuable opportunity to work in a setting quite different from the university system.  Fellows typically carry fewer patients on this rotation so they may take a deeper dive into each patient case.  The attending on this rotation is very committed to fellow education, and does "chalk talks" several times a week.  This is the only first year rotation that is off site, it is about a 20 minute drive from the Riverside hospital.

Masonic Children's Hospital

Masonic Children's HospitalPeds Neurology

This one month rotation takes place primarily at Masonic Children's Hospital.  Fellows act as part of the peds neurology consults service.  Fellows see children of all ages, infants to teens, with a wide variety of neurologic problems.  Some afternoons, fellows also attend peds neurology clinics depending on covering attending and consult work load.  There are typically neurology residents and medical students on this rotation as well.  This is the only "off service" rotation of fellowship.

Consults

This rotation takes place at Masonic Children's Hospital, providing consult-liaison services to the primary pediatric teams.  Fellows see a wide variety of conditions including adjustment to chronic illness, psychogenic disorders, medical workup of new psychiatric symptoms, psychiatric disorders affecting the patient’s treatment, behavioral problems on the medical floors, delirium, management of psychiatric medications while treating a comorbid medical condition, and evaluation of suicidal ideation.  Fellows are first page, and manage the team with significant autonomy, though a CL attending is always available for support.

Fraser Minneapolis

FraserThis rotation serves to complement the educational experience of the fellowship with a deeper focus on early childhood development and neurodevelopmental disorders, including developmental delays, autism spectrum disorder, and its comorbidities. This is a largely observation based rotation which takes place at Fraser Minneapolis, a nationally recognised provider of autism and early childhood mental health services.  Fellows have the opportunity to observe diagnostic assessments, including the ADOS, and feedback sessions with families.  They are also able to observe both children with various neurodevelopmental disorders and mental health concerns, as well as neurotypical children, in group settings group settings in order to make observational peer comparisons with typical and atypically developing children.

Family Consults Clinic

Each week, for a portion of the year, fellows attend Family Consult Clinic with a psychology faculty member.  In this unique clinic, the lead psychologist, all participating fellows, and the family are present in the room.  This allows fellows to not only observe the family dynamics and the interventions of the psychologist, but to provide input as they become more comfortable with family interventions.  There is time for discussion of cases built into the clinic block.  Previous fellows have consistently reported this is a very high yield learning experience that increases comfort working with families and expands knowledge of dynamics and development.  This clinic also provides a valuable service, allowing fellows to refer patients and their families who are in need of family assessment or intervention. 

916 School District

PankaloThis rotation provides an opportunity to learn more about higher level schools and the services they offer, while gaining experience as a consultant.  The children in these level 4 schools have not been able to succeed in mainstream schools and need additional support due to neurodevelopmental disorders, mental illness, or other emotional and behavioral issues. Fellows spend a half day per week in the school, working with teachers, administrators, and support staff to optimize the interventions various children recieve.  In a consultant role, fellows must work to share their medical knowledge and style of thinking and formulating cases with the school staff.  The capacity to formulate a differential diagnosis, to include pertinent data in support of their formulation, and to then evolve a plan of treatment is not a common part of school teachers' experience and understanding of behavior.  This rotation also gives fellows a better understanding of the importance of collaborating with schools in psychiatry practice, they services they can offer, and their limitations.

Salary and Benefits

Salary and Benefits

    • Vacation: 20 days per year (do not roll over)

    • Sick Days: 10 days per year

    • Conference Days: 5 days per year (can be used for Step/COMLEX/Board prep)

    • Interview Days: 3 days in the second year of the fellowship

    • Salary (UMN GME 2022-2023)

      • FY1: $69,393.00

      • FY2: $71,583.00

    • Book Fund/Travel Fund

      • FY1: $200

      • FY2: $200

    • Parking is free at UMMC

    • Medical, dental, disability and life insurance are offered through the University of Minnesota GME Office in addition to optional flexible spending accounts and voluntary retirement options. For more information on UMN GME benefits please go to:  https://shb.umn.edu/health-plans/rfi

Program Faculty and Fellows

Program Leadership and Faculty

Program faculty include a diverse group of psychiatrists and psychologists with varying areas of expertise and backgrounds.  Over the two year program, fellows will have the opportunity to work with many of our division faculty, as well as providers from other systems in the twin cities metro area.  Below, is a list of the program faculty who nearly all fellows encounter during their time here, listed by their primary role.  There are additional departmental and division faculty involved in our program via presentation of didactics, elective experiences, service coverage, research opportunities and consultation.

Program Leadership:

Jacquetta Blacker                              
Jacquetta Blacker, MD                             
Program Director                                        
Child & Adolescent Psychiatry 
Deputy Division Director                     
                                                                                                                                    
Aimee Murray                              Katie Cullen                               
Aimee Murray, PsyD, LP                    Katie Cullen, MD
Assistant Program Director              Child & Adolescent Division Chair
Psychotherapy Training Lead           Co-Director Early Stage Mood Disorders Clinic
F1 Psychotherapy Supervisor           Co-Director Research on Adolescent Depression (RAD) Laboratory
 

First Year Faculty

Gail Bernstein                              Jonathan Homans                              
Gail Bernstein, MD                             Jonathan Homans, MD                     
Clinic Supervisor                                 Fellowship Clinic Lead                      
Endowed Professorship in Child &       Clinic Supervisor  
Adolescent Anxiety Disorders           
 
Sanjiv Kumra                              Raghu Gandhi headshot                                                                                        
Sanjiv Kumra, MD                              Raghu Gandhi, MBBS, MD                                                           
4B Day Treatment Attending            6A Dual Diagnosis                                                        
                                                              Inpatient Attending                                                                        
 
Charles Lewis                              Amanda Schlesinger                              
Charles Lewis, MD                              Amanda Schlesinger, MD                 
CAP Inpatient Attending                     Consult Liaison Attending                
Director of the ABF Laboratory          Early Stage Mood Disorder                             
(Adolescent Brain Function)              Clinic Attending                                             
 
Shamala Tamirisa, MD
Shamala Tamirisa, MD
PrairieCare CAP Attending
 

Second Year Faculty

Afshan Anjum                              Travis Dunn                              
Afshan Anjum, MD, MS                     Travis Dunn, MD                                
Psychosis Clinic Attending               Allina Clinic and Integrated                
                                                              Care Attending                                    
 
Anne Gearity                              Travis Fahrenkamp headshot
Anne Gearity, PhD                              Travis Fahrenkamp, MD
Family Consult Clinic Specialist       Hazelden Addiction Treatment Center Attending
Psychotherapy Supervisor
 
Danielle Goerke                              Suma Jacob                              
Dani Goerke, DO                                 Suma Jacob, MD                                
Allina Clinic & Day                              Fraser Autism Experience Lead        
Hospital Attending                             Director of Autism Research                
                                                             U of M Autism Initiative (UMAI)
                                                             Steering Committe Member
                                                             Director of Autism Research Laboratory
 
Nakita Natala                              Katie Steingraeber                              
Nakita Natala, MD                              Katie Steningraeber, MD                  
Voyager Autism Clinic                        Voyager Autism Clinic                        
Co-Director                                           Co-Director                                         
                                                              Smiley's Integrated Care
                                                              Outpatient Attending            
 
John Wermager
Hennepin HealthCare Community
Clinic Attending        

First Year Fellows (AY23)

Rachel Kay headshot

Rachel Kay, MD
kayxx031@umn.edu               

Second Year Fellows (AY23)

Justin Garcia                              Erin Meyers
Justin Garcia, MD, MS                       Erin Myers, MD
garc0644@umn.edu                     myer0289@umn.edu