Triple Board Curriculum
5 year overview
 Residents spend the first year of their training in pediatrics, providing both inpatient and outpatient care. In the second year, they spend six months in pediatrics, where they serve as a supervising resident and 6 months in inpatient adult psychiatry. The third year provides an introduction to inpatient child psychiatry and opportunity to consolidate the pediatric skills as a senior resident. In the fourth year, residents provide outpatient adult psychiatry services to a diverse group of adult psychiatry patients and become skilled in psychotherapy as well as psychopharmacological interventions. The fifth year focuses on outpatient child psychiatry, with opportunities to provide clinical care for children with a range of psychopathology in a wide variety of community and hospital-based settings. Residents have pediatric continuity clinic for five years. In the first year, they see pediatric patients in a community clinic at a homeless shelter. After the first year, the Tulane Triple Board residents see their pediatric continuity patients in the “Triple Board Clinic” where they are supervised by Triple Board and categorical pediatric faculty. The clinic focuses on primary care, but provides residents an opportunity to evaluate and treat a small number of patients with primary-care level mental health concerns. Residents attend didactics throughout the five years. They run a Triple Board–specific journal club and meet regularly with the Training Director for informal lunch meetings that allow all time for socializing as well as discussion of the program. Residents also meet annually with the Training Directors of all 3 programs and the Chairmen of Pediatrics and Psychiatry to provide more formal feedback about the strengths and needs of the program.
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PGY-1
12 months Pediatrics
(Tulane University Hospital for Children and Ochsner Hospital)
Residents begin their training with immersion in the foundations of pediatric medicine. They provide treatment in two New Orleans hospitals as well as a range of community based outpatient clinics that provide a diversity of patient populations and exposure to a range of faculty. Residents have close supervision and support as they begin their residency. Highlights include family centered rounds on the Ochsner inpatient hospital wards and the triple board clinic, where residents care for their pediatric continuity patient as well as a small number of child psychiatry patients, with supervision by pediatric and triple boarded faculty.
* Pediatric Selectives- To be board eligible, all triple board residents complete pediatric neurology and three other “class A” electives during residency. Class A electives include Allergy/Immunology, Infectious Diseases, Cardiology, Nephrology, Endocrinology, Genetics, Pulmonary, Gastroenterology, Rheumatology, Hematology/Oncology. In addition, residents may elect one “true” pediatric elective during their training.
PGY-2
6 months General Psychiatry
6 months Pediatrics
Residents become supervising residents in pediatrics in the second year and develop a higher level of autonomy, though still with faculty teaching and clinical back-up. Inpatient general psychiatry provides the first transition out of pediatrics and resident rotate at DePaul Hospital and Southeast Louisiana Hospital, a state hospital that serves patients from most of the state of Louisiana.
* Pediatric Selectives- To be board eligible, all triple board residents complete pediatric neurology and three other “class A” electives during residency. Class A electives include Allergy/Immunology, Infectious Diseases, Cardiology, Nephrology, Endocrinology, Genetics, Pulmonary, Gastroenterology, Rheumatology, Hematology/Oncology. In addition, residents may elect one “true” pediatric elective during their training.
PGY-3
6 months Child Psychiatry (inpatient)
6 months Pediatrics
In the third year, residents solidify their pediatric skills as senior residents on the wards and NICU. In this last 6 month block, they have two months elective months. Third year also provides the first introduction to child psychiatry. Residents rotate at Southeast Louisiana hospital on the inpatient unit and an innovative day hospital program. Intensive child psychiatry didactics help residents to develop a strong base in child psychiatry clinical skills and evidence based practice.
* Pediatric Selectives- To be board eligible, all triple board residents complete pediatric neurology and three other “class A” electives during residency. Class A electives include Allergy/Immunology, Infectious Diseases, Cardiology, Nephrology, Endocrinology, Genetics, Pulmonary, Gastroenterology, Rheumatology, Hematology/Oncology. In addition, residents may elect one “true” pediatric elective during their training.
PGY-4
12 months Adult Psychiatry
In the fourth year, residents focus on outpatient adult psychiatry. During most of the year, residents have opportunities to see their own outpatients in the Tulane Behavioral Clinic, where a priority is placed upon developing therapy skills as well as establishing a strong clinical knowledge of psychopharmacological treatment. Psychotherapy training at the psychoanalytic institute and CBT training provide a range of psychotherapy didactics and individual supervision gives residents opportunities to discuss the implementation of these and other therapeutic approaches in their own outpatients. Residents continue to see a small number of child psychiatry outpatients as well.
PGY-5
12 months Child Psychiatry
The fifth year provides the opportunity for residents to consolidate their child psychiatry skills as well as to prepare for their post-residency professional life. Tulane Child Psychiatry training focuses on outpatient, community based treatment, with many opportunities to work with traditionally underserved patients. A new partnership with the Louisiana Office of Mental Health provides one of many exciting opportunities for residents to evaluate and treat child psychiatry patients in a community based outpatient setting. At this stage of training, residents are given opportunities for independent work as well as substantial supervision time and on-site clinical supervision with a faculty member. We believe it is important for residents to be proficient in psychopharmacological treatment, but residents at Tulane Triple Board develop skills in a range of psychotherapy modalities with children and their families. Residents have the opportunity to learn cutting-edge evidence based therapies such as preschool cognitive behavioral therapy and parent-child interaction therapy. The Tulane Child Psychiatry Division includes internationally known infant mental health faculty members and residents have opportunities to develop proficiency working with very young children.
Tulane University, New Orleans, LA 70118 504-865-5000 website@tulane.edu