skip navigation

Program Information

Program Director: Jamie Snyder, M. D.

Please contact our fellowship coordinator, Adrienne VanWinkle for any questions or additional information about our program.

E-mail: avanwinkle@creighton.eduPhone: (402) 552-6222 • Fax: (402) 552-6247

Child & Adolescent Psychiatry Residency Program

The Psychiatry Departments of Creighton University and the University of Nebraska take pride in their strong Child and Adolescent Psychiatry division. Trainees have the opportunity to enter the Child and Adolescent Psychiatry program anytime after their first year of training, depending on previous experience; or they may pursue the Child and Adolescent Fellowship after completing their adult training.

The Child Psychiatry Residency is fully-accredited by the Residency Review Committee of the ACGME. Training is accomplished through direct clinical teaching, didactics, individual and group supervision, and journal clubs. The main venues for the training program are multiple and allow for diversified experiences across the city of Omaha. These sites include the Creighton Psychiatry Outpatient clinic, University of Nebraska Outpatient Psychiatry Clinic, Immanuel Medical Center and Children’s Hospital. Residents also gain experience in the community through school, court, daycare, Head Start and other community consultation and supervision. Weekly didactics are attended by all fellows and at least one faculty from either university. We also draw from the vast knowledge and experience available in the Omaha community to provide expert speakers on various topics.

The program is designed to educate several fellows per training year providing the closeness and supportiveness of a small training site with academic excellence in both teaching and research at both universities. Creighton University has five full-time academic Child and Adolescent faculty while University of Nebraska has four. Both sites have psychologists, nurse practitioners, and therapists within the clinic as well. Therefore, numerous clinical faculty and/or part-time faculty are present to further enrich the learning environment. At both outpatient training sites, you will find experienced ancillary staff who have enjoyed their current positions for many years.

Typical Two-Year Didactics & Rotation Schedules

Click here to download a sample Two-Year Didactics Schedule. (468K PDF)
Click here to download a sample Two-Year Rotation Schedule. (618K PDF)

Faculty Members

To read more about each faculty member, please go to the Our Faculty & Staff page, where links exist for each faculty member.

Creighton University Full-Time Academic Child & Adolescent Psychiatry
University of Nebraska Medical Center Child & Adolescent Psychiatry

Adjunct or Emeritus Faculty

To top

Curriculum

Clinical experiences are varied and encompass all aspects of Child Psychiatry. They include a five month rotation on a twenty bed inpatient unit at Immanuel Medical Center. Caseload fluctuates between three and ten patients, although the unit is typically at capacity as two other private child and adolescent psychiatrists are also on staff. Fellows are only responsible for the patients cared for on the academic team. Two separate four-month rotations exist in which the resident directly participates in the community with which they interact. These consultation months include attending mainstream as well as alternative schools, the juvenile court system, the agency responsible for handling child abuse cases, day cares, substance abuse treatment programs, and many more. There is also a five month rotation in a twenty-bed residential treatment center at Midlands Hospital. The unit is typically at capacity and the residents get to work with 4-6 patients intensively while on this rotation, as well as being an important team member for all other patients on the unit. Pediatric Neurology is offered for two months at Children’s Hospital where the resident is involved in the outpatient neurology clinic with four outstanding Child Neurologists. In the Child and Adolescent Psychiatry outpatient clinic, residents typically see one new patient each week at each site. The faculty are always available for consultation at any time and typically spend 30 minutes staffing each new patient to go over diagnostic formulation as well as treatment planning.

It is rare to find an eating disorders program as part of any training experience. Our two-month rotation on an eating disorders unit at Children’s Hospital adds to the academic excellence of our program. While on the eating disorders rotation, the resident is intimately involved in diagnosing, decision-making and treatment planning for all patients.

Another unique experience is an six-month, one half-day per week forensic rotation. This involves completing forensic evaluations for children and adolescents involved in the juvenile court system. The resident meets with the patients and their families and staffs these patients with an attending psychiatrist in order to appropriately make recommendations in terms of their general medical care, psychiatric treatment, education, and living situation.

For further details on the curriculum and content of each rotation, please see below.

Child & Adolescent Inpatient Rotation –
Immanuel Residential Treatment Center for Children & Adolescents
  • Four months half-time (three months full-time equivalent) at the RTC over an eight-month period. This allows for lenghty continuity of card.
  • Multidisciplinary treatment team of a social worker, therapist and case manager, teachers, recreational and occupational therapists and psychiatric nurses
  • Goals and Objectives include:
    • Evaluate complex psychopathology, psychosocial factors and various therapeutic interventions
    • Develop conceptual and working knowledge of various community based systems of care
    • Learn various therapeutic interventions that are needed for each patient and family once the patient returns home or to the community
    • Develop working knowledge of the interface with other systems such as the public school system, juvenile court and various social agencies
    • Learn utilization review, appropriateness of residential treatment for their patients and how to deal with insurance reviewers
Child & Adolescent Inpatient Rotation – Acute Care
  • Required four months half-time (2 months full-time equivalent) at Immanuel Hospital
  • Work with a multidisciplinary team consisting of a psychologist, social worker, case manager, unit therapist, psychiatric nurses and psychiatric technicians
  • Teaching team consists of a child and adolescent psychiatry resident, a second year general psychiatry resident and a third year medical student
  • Goals and Objectives include:
    • Learn to use psychological testing and how to use the results from various tests in understanding and treatment planning of their patients
    • Learn to arrange therapeutic interventions with other mental health professionals such as home-based therapy, visiting nurse, and home health care support worker
    • Learn about utilization review, appropriateness of inpatient acute care for patients, and how to deal with insurance reviewers
    • Follow patients in the Partial Day Program after release from the Acute Care unit for continuity of care

Alegent Mental Health Center, recently moved the RTC from its previous location at Midlands Community Hospital into a brand new facility on the  Immanuel Hospital campus. Immanuel Hospital has two units of X beds acute care unit for children and adolescents. Child psychiatrists from Alegent Health and Creighton University Department of Psychiatry admit children and adolescents from 4-19 years of age to the unit. Approximately 500-700 children and adolescents are admitted per year. The average length of stay is 5-7 days. For more information on Alegent Mental Health Center, Immanuel Medical Center, please refer to information provide on the Training Sites page.

Child & Adolescent Inpatient Rotation – Partial Hospital

Residents do a 2-month, half-time rotation at the Partial Hospital. In this setting, children step down from inpatient, or attend during the day, for intensive treatment when chriteria for admission have not been met.

To top

Consult Call
  • Trainees are on call from home (phone call) for one week blocks, on a rotating basis, throughout the two years of training
  • Consults are done at Creighton University Medical Center, University of Nebraska Medical Center and Children’s Hospital
  • The Child and Adolescent Resident does the initial consultation within 24 hours and staffing is done with faculty
  • During the week of call, the resident has a protected time for consultation, 11:30 am until 1:00 pm
  • Consults originate from a myriad of services at various sites, i.e., pediatric intensive care, general and specialty medicine, surgery, family practice, transplant and oncology
  • The average amount of consults per week is three
  • Goals and Objectives:
    • Develop skills to perform a thorough consultation for a child and adolescent admitted for medical and/or psychiatric reasons
    • Learn to interact with various medical professionals to develop comprehensive treatment plans for children and adolescents
Pediatric Consultation Liaison Psychiatry Rotation
  • Required four-month, half-time experience
  • Sites include Creighton Russell Development Center, Salvation Army, Head Start, Native American psychiatry clinics, and substance abuse treatment programs
  • Goals and Objectives
    • Learn to interface with multiple community services and programs
    • Learn to evaluate deviations from normal development
    • Educate others in prevention of psychopathology
Community Consultation Psychiatry Rotation
(Community-Based Systems of Care)
  • Required two-month, quarter-time experience for eight months
  • Sites include juvenile court, youth detention centers, public and private schools, community based group homes, day cares for behaviorally disordered children, and residential treatment centers in the community
  • Goals and Objectives:
    • Learn to interface with multiple community services and programs
    • Become comfortable with being a consultant in all settings
Pediatric Neurology

Photo of Children's Hospital

  • Required 2-month rotation on a half-time basis at Children’s Hospital in the outpatient Neurology Clinic
  • Coordinator is Paul Larsen, M.D.
  • Goals and Objectives:
    • Clinical experience of evaluating children with neurological disorders
    • Acquire skills necessary to develop a diagnostic and therapeutic approach to common neurological problems in children and adolescents

Please find more information about Children’s Hospital on their website at www.chsomaha.org.

To top

Eating Disorders Rotation
  • Required two-month, half-time rotation with Dr. Martin Harrington conducted at Children’s Hospital
  • Attend daily multidisciplinary treatment team meetings as well as round with the staff psychiatrist
  • Participate in diagnosis, decision-making, and treatment planning for patients' eating disorders as well as psychiatric and medical co-morbidities
  • Follow patients along the continuum of care, in the Eating Disorders Day Hospital and Eating Disorders Outpatient Clinic
  • Opportunity to participate in clinical research on eating disorders
  • Goals and Objectives:
    • Develop working knowledge of evaluation and management of eating disorders in children and adolescents
    • Become familiar with community resources available for children and adolescents with eating disorders
    • Review literature and evidenced-based medicine pertaining to eating disorders
Forensic Juvenile Court Evaluations
  • Required six-month, one-half day per week rotation in the second year of training
  • Evaluate juveniles who are involved in the legal system and court-ordered to complete a full psychiatric evaluation
  • A family assessment and drug and alcohol assessment are performed by a therapist; psychological testing is performed by a psychologist; and the psychiatric evaluation is performed by the resident
  • Interviews take place at the youth detention centers or in an office at Heartland Family Services
  • Goals and Objectives:
    • Learn how to interact with the juvenile court system, as well as with other mental health professionals in order to devise the best treatment plan for each juvenile

Heartland Family Services is a non-profit, non-sectarian counseling agency, within which a division exists to complete comprehensive court-ordered psychiatric evaluations.

Child & Adolescent Psychiatry Outpatient Rotation
  • Two-year, half-time rotation for first- and second-year child and adolescent psychiatry residents
  • Located at the Creighton University Department of Psychiatry as well as University of Nebraska Outpatient Psychiatry Department
  • Creighton University Department of Psychiatry Clinic is staffed by five child and adolescent psychiatrists, a full-time therapist, a psychiatric nurse, nurse practitioner, and two psychologists
  • University of Nebraska Outpatient Psychiatry Clinic is staffed by five child and adolescent psychiatrists, two licensed mental health practitioners who are full-time child and adolescent therapists, and one full-time child and adolescent nurse practitioner
  • Group therapy is supervised by a psychologist at the Alegent Health Behavioral Clinic for 4-6 months of the outpatient experience
  • First- and second-year child and adolescent residents see two new assessments per week
  • New intake assessments are scheduled for 90 minutes, 60 minutes for the child and adolescent resident to conduct initial comprehensive evaluation followed by 30 minute staffing with assigned child and adolescent faculty
  • Family Therapy Practicum Seminar twice per month
  • Site supervisor meets with the resident for one hour per week to discuss specific case management, pharmacotherapy and administrative issues
  • Psychotherapy supervisor is assigned for one hour each week to focus on psychotherapeutic issues and applications
  • Goals and Objectives:
    • Learn comprehensive evaluation and treatment approach to children and adolescents
    • Learn to interact with all community resources
    • Develop working knowledge of group therapy for children and adolescents
    • Understand family systems, family interactions, family roles, family psychopathology and how these family issues affect our patients' lives
    • Learn to plan and implement family interventions to promote normal growth and development of children and adolescents
    • Integrate psychotherapy and psychopharmacology into daily clinical practice

To top

Elective Rotations
  • Pediatric Neurology
  • Genetics at Meyer’s Rehabilitation Institute
  • Forensic Child and Adolescent Psychiatry
  • Research Elective
  • Administrative Child and Adolescent Psychiatry
  • Managed Care
  • Rotations are optional for 2 months on a half-time basis or 1 month full-time during the second year of training
  • Educational goals for elective rotations are identified and discussed with the resident prior to the rotation

Research Rotation
  • Optional Rotation
  • Dr. Shashi Bhatia at Creighton
    • Research patients and supervision for these patients can be integrated into the resident’s regular clinic schedule

A research seminar is required for all fellows and occurs in two, one-week blocks in the first year of training. These two weeks are protected time and no clinical duties are expected. This seminar is given through the University of Nebraska Medical Center and encompasses topics from writing a grant to analyzing statistical data.

Teaching Opportunities

Fellows participate in training other professionals and in helping train psychiatry residents and medical students who rotate through the program. Fellows have the opportunity to be an ongoing lecturer to medical students in lecture format and/or in small groups at both universities.

Applications

Common Child & Adolescent Application

Prospective child & adolescent fellows will need to submit a formal application during the year preceding their projected entry into the program. Completion of a general psychiatry residency is mandatory, as is a current license to practice medicine or eligibility for receiving one in the state of Nebraska. For more information, please contact us.

Program Director: Jamie Snyder, M.D.

E-mail: mailto:jamiesnyder@creighton.edu  Phone: (402) 552-6006

 

Fellowship Program Coordinator: Jeanna Reusink
E-mail: mailto:jeanna@creighton.eduPhone: (402) 552-6222 • Fax: (402) 552-6247