Scott & White welcomed approximately 110 new residents and fellows to orientation for the new academic year beginning July 1, 2006. With new residents from medical schools in 15 states and three foreign countries, Scott & White programs totaled 335 residents and fellows, a new record!

Healthcare Like No Other for More Than 100 Years
When Arthur C. Scott, M.D., and Raleigh R. White Jr., M.D., began their medical practice in Temple, Texas in 1897, they shared one fundamental conviction: medicine must serve the people.

Today, Scott & White is the largest multi-speciality practice in Texas, with more than 500 physicians who care for patients at Scott & White Memorial Hospital in Temple and at our 15 regional clinics throughout Central Texas. In addition, they deliver care to members of the Scott & White Health Plan, one of the highest rated plans in the nation.
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Child and Adolescent Psychiatry

Our Goal: To train child and adolescent residents to become competent, caring and successful practitioners in a dramatically changing healthcare environment.

Our Hope: That you will share in the excitement about our child and adolescent psychiatry residency program as you come to know us.

Program Overview
Our Child and Adolescent Psychiatry Residency Program is a two-year program intended to follow completion of three or four years of General Psychiatry residency. We offer two positions each year. Our goal is to train competent, caring child and adolescent psychiatrists prepared to practice in a variety of settings in this regional and national subspecialty shortage area.

The hallmark of our training program is the nationally recognized managed care clinic in which our child and adolescent psychiatry residents see the majority of their outpatients over the two-year period. In this setting, residents learn to manage resources while providing their patients with optimal care, including assessment, medication management, and psychodynamic, cognitive-behavioral, family, or group therapy. The patient population in the Scott & White system is culturally diverse and socioeconomically varied, with a rich variety of disorders and symptom severity as well as the gamut of payment sources. Resident caseloads are monitored to ensure a representative sampling of this population.

Supervision is provided regularly. Each trainee meets weekly with a yearly-assigned longitudinal outpatient therapy supervisor as well as a medication supervisor. In addition, each rotation is individually supervised weekly by the on-site attending faculty responsible for the rotation. Additional individual supervision is provided for cases requiring specific therapeutic techniques, such as cognitive-behavioral therapy and family therapy. Faculty members are also available for immediate supervision.

During the first year of the program, residents devoted their time primarily to conducting inpatient and partial hospital care at the Metroplex Pavilion Hospital in nearby Killeen, and studying child neurology, child development and genetics in Scott & White and school clinics. A school consultation experience is also provided at the elementary and middle school levels in both mainstream and alternative learning settings in the Temple Independent School District.

In the second year, residents concentrate on outpatient care at the Scott & White Clinic. This is supplemented with work in forensic psychiatry in a private clinic and the Bell County Juvenile Justice Department, administrative psychiatry in the Scott & White system as well as in community settings, and school consultation in the outstanding Therapeutic Learning Centers in the Killeen Independent School District. Second-year electives in research, consultation or clinical areas, in community, school, clinic or hospital settings allow residents to obtain further training in areas of interest. An interest in research is encouraged and supported by a seminar in epidemiology and research methodology and a well-developed Research and Biostatistics Department at Scott & White. Interested residents may work to obtain a masters degree in Rural Public Health from our School of Rural Public Health, part of the Texas A&M University System Health Sciences Center.

Throughout both years, residents provide consultation to our well-established primary care programs. As many as 15 primary care Scott & White satellite clinics over a six-county area refer many of our patients, providing intensive interaction with family practice and pediatrics. Scott & White also has an active telepsychiatry program, allowing residents to follow out-of-town patients in their home clinic and gain experience using this valuable technology. In addition, inpatient consultation is provided to pediatrics, orthopedic surgery, trauma and hematology-oncology services in the 486-bed Scott & White Hospital.

Didactics are provided on a two-year cyclical basis so that no matter when a resident starts the program, exposure to all the seminars is ensured. The two-year Integrated Child and Adolescent Psychopathology and Psychopharmacology; Developmental Theory, Issues, and Practicum; and Theories and Therapies series form the backbone of the seminar plan and are complemented by specialty series given every other year.

Cytopathology

A one-year fellowship, our ACGME-accredited program offers advanced training in diagnostic clinical cytopathology. Experience is provided through daily signout of gynecologic and non-gynecologic specimens, as well as training in performance and interpretation of fine needle aspiration biopsies. The Scott & White Cytology Laboratory processes a total of 45,000 specimens annually, of which 3,000 are non-gynecologic and 2,000 are fine needle aspirations. Participation in conferences and teaching of pathology residents and cytotechnologists is required. Involvement in clinical research is also encouraged. Diagnostic and research facilities are available in molecular biology, immunocytochemistry, electron microscopy and flow cytometry. The fellow participates in all aspects of the service and is given progressive responsibilities. Devoted time to specimen preparation, laboratory management and quality issues is provided.

Requirements: Candidates must have completed AP or AP/CP pathology residency and be certified or eligible in AP or AP/CP.

See more programs: Training Programs

Medical Conferences

2006

Oct 11 \t \t Child Abuse Detection and Prevention
Oct 15 - Oct 17 \t \tAdvanced Pelvic Floor Surgery
Oct 27 \t \tEighth Annual Pediatric Subspecialty for the Primary Care Provider
Oct 28 \t \t2006 Sepsis Symposium
Nov 3 - Nov 4 \t \t2006 Texas Academy of Internal Medicine
Dec 1 - Dec 2 \t \t20th Annual Update in Pelvic & Vaginal Surgery

2007

Feb 18 - Feb 23 \t \tMedical/Surgical Update 2007
Mar 31 - Apr 1 \t \tSpring Anesthesiology Symposium
Apr 11 - Apr 14 \t \t23rd Annual Family Medicine Review
Apr 26 - Apr 28 \t \tAdolescent Health Conference
Jun 7 - Jun 9 \t \t22nd Annual Emergency Medicine Review and Coding Workshop
Jun 18 - Jun 22 \t \tThe Female Patient
Jul 16 - Jul 20 \t \t26th Annual Internal Medicine Review
Jul 26 - Jul 28 \t \t15th Annual Foot Care Symposium
Nov 3 - Nov 4 \t \tTexas Academy of Internal Medicine

See more each details: Conference

This article is reposted with thanks to Scott & White Clinic and Hospital.