Triple Board Residency Program

Academic Activities

Over the years, our residents have pursued a variety of academic interests within the three specialties. Part of our training is geared towards developing an expertise in an area of child psychiatry, and, ideally, this process develops over the five years of training. Our residents have presented posters, published letters, articles and chapters, and have participated in national committees as a way to enhance their experiences in a particular academic interest. Furthermore, many of our residents have received grants that have enhanced their ability to explore different areas of pediatrics and psychiatry.

Publications:

Recently and in the past, residents have published articles in both pediatric and psychiatry journals, along with writing for national newsletters and a chapter of a textbook.

Grants:

In the last several years, two different residents have received funding from the AAP CATCH grant program, which emphasizes the development of community-based programs that increase access to care. Our residents have also been successful in receiving competitive Education Outreach Program grants through AACAP that have enabled attendance to the annual national AACAP meetings.

Committees:

Our residents serve on a number of local and national committees in both pediatrics and child psychiatry. We currently have residents who serve as members on several AACAP components and a work group, the Utah Board for Reach Out and Read and the Board of Directors for the Utah Psychiatric Association.

Program Policies

How to Apply

Medical Student Elective

Each year, the Triple Board Residency Program offers PGY-1 positions. All positions are filled through the National Resident Matching Program and applications are accepted only through the Electronic Residency Application Service (ERAS)®, which transmits residency applications, letters of recommendation, dean's letters, transcripts and other supporting credentials to residency program directors. Applications must be received by the Residency Training Office by December 15 of the year prior to the scheduled starting of PGY-1 year.

Required application materials to be submitted to ERAS include:

  • ERAS online application form
  • Personal Statement (please limit to one page)
  • Dean's letter
  • Medical school transcript
  • Three letters of recommendation
  • Curriculum vitae
  • USMLE score reports
  • ECFMG certificate, if applicable

International Medical Graduate Requirements

Applications will only be accepted through ERAS. International Medical Graduates should apply through the ECFMG office - see instructions at www.aamc.org or contact the ECFMG office for further information.

In general, most of the international medical graduates we interview meet the following requirements:

  • Green card, J-1 visa (not sponsored) or documentation of US citizenship
  • Valid ECFMG certificate with clinical skills assessment certification
  • Evidence of a minimum of one year of clinical experience in the United States including two letters of recommendation from academic physicians with whom you have worked

Interview Process

We conduct two-day interviews on Tuesdays and Wednesdays or Wednesdays and Thursdays, with one day each for pediatrics and the psychiatry programs. Interviews are scheduled from November 1, 2011 through February 8, 2012. We encourage early interviews as the calendar fills up quickly, particularly during December and January. We arrange for nearby complimentary hotel accommodations for 2 nights.

The University of Utah School of Medicine does not discriminate on the basis of sex, race, age, religion, color, national origin, disability or veteran's status.

Medical Student Elective

An elective rotation is not required, but is encouraged. An elective rotation is a great way to ascertain whether or not the program is a good fit. Also, a rotation allows for close interaction with residents and faculty, providing a great opportunity for networking and letters of recommendation.

Rotations must be scheduled well in advance with the University of Utah School of Medicine and the Triple Board Training Program. An application must be submitted in writing or via email. For more information, contact the following:

Glenda Evans

Training Coordinator

Child & Adolescent Psychiatry Training Program

University of Utah

650 E. Komas, Suite 208

Salt Lake City, UT 84108


Phone: (801) 581-3936

Fax: (801) 585-9096
Email: Glenda.Evans@hsc.utah.edu

Five-Year Rotation Schedule

Please note that this is a general schedule. The specific order of monthly rotations within the six month blocks may vary.

Intern Year

Track A-starting with Pediatrics

July-Dec ED Wards NS/Advocacy Endocrine NS/Elective WBN
Jan-June UUMC VA Adult/Neuro Crisis UNI or UUMC UNI

Track A-starting with Psychiatry

July-Dec UUMC VA Adult/Neuro Crisis UNI or UUMC UNI
Jan-June ED Wards NS/Advocacy Endocrine NS/Elective WBN

Half day per week at pediatric continuity clinic; half day per week at psychiatry didactics

Before residency starts, our interns orient to both pediatrics and adult psychiatry, getting to know the residents they will be working with for the next three to four years. Before the first day of residency, a weekend rafting trip to Moab offers a great chance to have fun with your fellow pediatric residents and some faculty. Afterwards, while one intern spends the first 6 months in the ER, on the pediatric inpatient services, in endocrinology and in the nursery with the rest of his/her pediatric colleagues, the other intern is learning about how to practice inpatient psychiatry in multiple settings. Both interns participate in their pediatric continuity clinic throughout the year (more details below). At midyear, the interns switch.

Second Year

Track A-starting with Pediatrics

July-Dec GI PICU SHF U-NICU Hem-Onc Selective
Jan-June UNI Child Psychiatry Inpatient Wasatch Canyons Residential Tx

Track B-starting with Child Psychiatry

July-Dec UNI Child Psychiatry Inpatient Wasatch Canyons Residential Tx
Jan-June GI PICU SHF U-NICU Hem-Onc Selective

Half day per week at pediatric continuity clinic; half day per week at child psychiatry didactics 

The second year is not only the first opportunity for our residents to senior in pediatrics, but also our introduction to child psychiatry. While one of the second year residents goes back to pediatrics, the other functions as a child psychiatry fellow working in inpatient and residential/day treatment settings. Again, at midyear, the residents switch roles.

Third Year

Track A & B

July-Dec ED Selective Wards ID UICU Selective
Jan-June Adult Outpatient Psychiatry

Half day per week at pediatric continuity clinic; half day per week at psychiatry didactics

The third year is when the two triple board residents start to share the same basic schedule. The resident who had practiced pediatrics in the second half of second year continues with the field for the first half of third year as the other resident, just finishing up their first 6 months of child psychiatry, joins them. This block of pediatrics is filled with further senior level experiences as well as opportunities to do electives both in Utah and abroad. In January, both third-years switch to outpatient adult psychiatry, rejoining their former fellow psychiatry residents, who are in their third year as well. A full year of continuous outpatient offers a variety of clinical experiences and settings, and most residents will choose three or four sites to work at over the course of the year. These sites include community mental health centers, student mental health, psychosomatic clinics, a substance treatment program and forensic opportunities.

Fourth Year

July-Dec Adult Outpatient Psychiatry
Jan-June ED Elective Wards Neuro Adolescent U-NICU

Half day per week at pediatric continuity clinic; half day per week at psychiatry didactics

The first half of this year is a continuation of outpatient adult psychiatry. In January, both residents return for their last six months of pediatrics, except for their continuity clinic which continues through the entire five years. Again, they have senior resident responsibilities as well as more elective time, giving residents the flexibility to choose educational opportunities that are of interest to them and that they feel will round out their pediatric experience.

Fifth Year

July-Dec Outpatient Child Psychiatry (2 1/2 days a week) combined with multiple selectives

Half day per week at pediatric continuity clinic; half day/week at child psychiatry didactics

This year is outpatient child psychiatry, in addition to the weekly half day of pediatrics continuity clinic. All residents use the University Child and Adolescent Behavioral Health Clinic as their home-base, usually having four to five half days a week to practice "bread and butter" child psychiatry with patients from all levels of socioeconomic status. The remainder of the week is filled with electives that provide exposure to such populations as children with autistic disorders, the preschool years, substance abusing and at-risk teens, adolescents and teens with court system involvement, traumatized children and rural psychiatry/tele-psychiatry opportunities. Most residents will find that instead of the required two hours of supervision a week, they will have four to five hours a week depending on their interests and electives chosen.

Pediatric Continuity Clinic

Before you are a resident, you will have the opportunity to choose from a variety of different clinical settings which will be your outpatient pediatric home for the next five years. The different opportunities include South Main Clinic, which is a predominantly underserved Spanish speaking population. Clinic 6 is a university-based clinic where the experience ranges from refugees to the children of professors and other university employees. Teen Mom Clinic offers pediatricians the chance to practice both well and sick child visits along with becoming familiar with adolescent medicine. There are a variety of private clinics with excellent pediatric attendings to choose from as well.

As a triple board resident, you are expected to attend clinic weekly while on any psychiatry rotation and all non-Q4call pediatric rotations. On pediatric rotations that are Q4 call, you will have two weeks with continuity clinic and two weeks with Wednesday afternoon psychiatry didactics.

Psychiatry Didactics

PGY-1 residents are expected to attend all Wednesday morning adult psychiatry lectures while on psychiatry.

PGY-2 residents attend child psychiatry lectures Wednesday afternoons on child psychiatry, with the exception of only attending two Wednesday afternoon didactics during pediatric months.

PGY-3/PGY-4 residents attend senior adult psychiatry lectures for both years, attending all of them while on adult outpatient psychiatry and as able while on pediatrics.

PGY-5 residents attend all child psychiatry lectures Wednesday afternoons as well as a child psychotherapy seminars Friday mornings starting in the fall.

Schedule

Pediatrics:  General hours vary depending on rotations: outpatient rotations are generally 8:00 am to 5:30 pm weekdays

Adult Psychiatry:  General hours are from 7:30 to 8:00 am to approximately 5:00 to 6:00 pm, Monday through Friday. Saturday or Sunday rounds may be required while on some rotations. Some rotations require evening clinics once per week. The emergency psychiatry rotation requires evening/night shifts.

Child and Adolescent Psychiatry Rotations:  General hours are from 7:30 to 8:00 am to approximately 5:00 to 6:00 pm, Monday through Friday. Saturday or Sunday rounds may be required while on some rotations. Short term, there may be a once-per-week evening clinical experience (such as at PCMC Adolescent Residential Treatment Center).

All rotations must comply with current ACGME requirements:  Work hours must be limited to 80 hours per week, averaged over a four-week period, inclusive of all in-house call activities. Residents must be provided with one day in seven free from all educational and clinical responsibilities, averaged over a four-week period, inclusive of call. One day is defined as one continuous 24-hour period free from all clinical, educational and administrative activities. A 10-hour time period for rest and personal activities must be provided between all daily work periods.

On-Call Schedule

Pediatrics:  Every fourth to fifth night, depending on the rotation, utilizing a night shift for most rotations

Adult Psychiatry:  One to five calls per month, depending on the year of training

Child and Adolescent Psychiatry:  Two weeks of telephone call is required during the last year of training. The rest of the child psychiatry program is call-free.

Last revised January 2012

Salaries (2012–13)

PGY-1: $50,786

PGY-2: $52,598

PGY-3: $54,625
PGY-4: $57,232

PGY-5: $59,130

Paid Leave

Paid leave includes three weeks (21 calendar days) of vacation, sick leave (maximum 12 days) and education leave (maximum five calendar days) with individual approval. Houseofficers may use some of this time for paid maternity/paternity leave with approval of the training director. If other leave is required, the houseofficer will be required to make up the additional time in order to meet ACGME requirements

Insurance

Residents have the choice of health insurance plans. Premium costs are shared between the University Hospital and the houseofficer for health coverage for the houseofficer and family. Group dental insurance for the houseofficer and family is available at a nominal charge per month. Group term life insurance in the amount of $25,000 at no charge. Additional life insurance up to a maximum of $350,000 may be purchased by the houseofficer. Malpractice insurance is provided by the hospital for professional activities that are an approved part of the training program and disability insurance with own-occupation clause in the amount of approximately $2613 per month, with built-in cost-of-living rider. Basic policy paid by the hospital. Additional options may be purchased by the houseofficer.

Meals and Housing

Meals will be provided to an on-call houseofficer required to spend the night in any affiliated hospital as part of his/her training program. Overnight accommodations are available in the hospitals for housestaff on-call. House and condominium costs are modest enough that many residents purchase their housing.

Education/Licensing/Research Expenses

All residents have a $1,000 education fund to be used over five years at their discretion for meetings, books, journals and other educational materials. Costs of DEA license, Utah medical license fees and medical license renewal fees on a pro-rated basis are paid by University Hospital and the Department of Pediatrics. Houseofficers are encouraged to participate in individual research projects and attend scientific meetings. Up to five days of educational leave per year may be taken with program director approval. Expenses incurred in association with scientific presentations by resident at a meeting will be funded by the Department of Pediatrics. A Residents' Research Fund may be available to provide small research grants.

Other Benefits

Other benefits such as reduced tuition, bookstore and athletic event discounts, and uses of recreations facilities are available to all university employees. All residents have access to networked computers, medline and email. Recognizing that some residents may experience depression, anxiety, substance abuse or marital and family stress at some time during their training, the School of Medicine provides preventive, consultative and referral services. As triple board residents with the Department of Psychiatry, many take advantage of the opportunity for individual demonstration psychotherapy and a demonstration therapy group.





Glenda Evans
Program Coordinator
Phone: (801) 581-3936

Email: Glenda.Evans@hsc.utah.edu