Graduate Medical Education (GME): Child Psychiatry
National Institutes of Health - Bethesda, MD

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Graduate Medical Education (GME): Child Psychiatry

Judith Rapoport, MD
Entry Id: TP-5

Overview
The Child Psychiatry Branch, National Institute of Mental Health, is a clinical research branch that focuses on the diagnosis, etiology, and treatment of childhood onset psychiatric disorders. Our overarching objective is to explore biological aspects of severe child psychiatric disorders. Our studies bring us into increasing collaboration with systems neuroscience laboratories both in the NIH campus and elsewhere.

Since 1990, study was initiated on Childhood Onset Schizophrenia, a rare condition which usually has its initial presentation as a behavioral and/or developmental disorder. Childhood Onset Schizophrenia may represent an unusually severe and homogeneous subgroup of the disorder that will inform research on the later onset schizophrenia.

Structure of the Clinical Training Program
The Child Psychiatry Branch has available a 2-6 year research fellowship in clinical child psychiatry open to physicians who have at least one year of training in child psychiatry (additional child psychiatric, pediatric, pediatric neurology or basic science training is welcome). The fellow will share the role of primary physician in charge of a 4-bed inpatient unit for severely disturbed children. We are currently conducting open trials of the atypical neuroleptics olanzapine, risperidone and clozapine as well as a new non-drug brain stimulation therapy (rTMS), in a multidisciplinary setting. Training in MRI brain imaging and clinical genetics are also part of this fellowship.

Program Faculty and Research Interests

Judith L. Rapoport, MD Dr. Rapoport is the Chief of the Child Psychiatry Branch. She is known for her work in pediatric psychopharmacology, and studies on hyperactive, obsessive compulsive and schizophrenic children.

Jay N. Giedd, MD Jay N. Giedd, MD coordinates the structural brain imaging studies in normal and psychiatrically impaired children. A longitudinal study of normal brain development is in progress and this is closely coordinated with studies of brain development in schizophrenic and hyperactive children, as well as studies of children with sex chromosome abnormalities. New studies utilizing Diffusion Tensor Imaging, a new MRI technique are also ongoing.

Nitin Gogtay M.D . coordinates the clinical studies and coordinates analyses of childhood onset schizophrenia imaging studies. He is utilizing both molecular genetic and familial risk to example brain developmental trajectories in early onset psycoses.

Anjene Addington PhD , a statistical geneticist, is examining data from several whole genome scans with primary focus on rare Copy Number Variants.

Philip Shaw MD, PhD is studying brain development in ADHD. His studies have examined the relationship between IQ, gender, stimulant drug exposure, and clinical outcome to brain developmental trajectories.

Collaborative studies are ongoing with senior research scientists at the Montreal Neurological Institute, UCLA, the Rockefeller University, Yale University and elsewhere.

Application Information

Physicians who have completed an accredited Psychiatry residency program who are BC/BE in child psychiatry are encouraged to apply. Pediatricians and Pediatric Neurologists may also apply. For further information, the applicants should contact Judith L. Rapoport, MD.

The NIH is dedicated to building a diverse community in its training and employment programs.

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