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Child & Adolescent Psychiatry Residency:  History of Program Sponsorship

 

For those not working in Child and Adolescent Psychiatry (CAP) in the greater Hartford area of Connecticut, there may be some misunderstanding about the CAP training programs in the state.  In particular, some colleagues and residents from around the country have confused The Institute of Living’s training program with a new training program at the University of Connecticut which emphasizes public sector psychiatry.  Although we are affiliated with the University of Connecticut and some of our faculty have university appointments, the training programs are distinct in regards to longevity, emphasis, number of child and adolescent psychiatrists on the faculty, patient populations served, and centralization of training sites.  The abridged history provided below should clarify the source of the confusion and help distinguish the programs. 



Our program’s name is The Institute of Living/Hartford Hospital Child and Adolescent Psychiatry Residency Training Program.  The Institute of Living is the Department of Psychiatry for Hartford Hospital.  Our institutional sponsor is the Hartford Hospital Office of Graduate Medical Education.

1961 - Training of CAP residents at The Institute of Living (IOL) began in 1961.
Early 1990’s - The two general psychiatry programs in the greater Hartford area (Institute of Living Program and University of Connecticut Program) merged under the institutional sponsorship of the University of Connecticut. The sponsorship of the Child and Adolescent Psychiatry Program, similar to its affiliated General Program, shifted to the University of Connecticut.  Despite the change in sponsorship, The Institute of Living continued to play the major role in the training of the CAP residents by providing teaching faculty, outpatient clinical experiences, partial hospital experiences, office space, computer services, and support staff.    
Late 1990’s - Centralization of the Child and Adolescent Psychiatry Residency Training Program to The Institute of Living/Hartford Hospital (IOL/HH) continued.  The Pediatric Consultation-Liaison Service moved from the University of Connecticut in Farmington, CT, to Hartford, CT, and was staffed by IOL/HH child and adolescent psychiatrists.  Inpatient psychiatric services for children were shifted to the IOL from a community hospital. 
2002 - A separate General Psychiatry Residency Training Program was reestablished at The Institute of Living/Hartford Hospital.
2004 - The institutional sponsorship of the Child and Adolescent Psychiatry Residency Training Program was returned to The Institute of Living/Hartford Hospital with the approval of the Accreditation Council of Graduate Medical Education (ACGME). 

Please note that the program number as listed in the Graduate Medical Education Directory (green book) and the full accreditation status of the program remained the same.  Importantly, the balanced nature of the program with traditional psychodynamics blending with modern neuroscience and its emphasis on the biopsychosocial model did not change.  All clinical rotations, didactics, and faculty remained the same, making this transition a smooth one in the experience of the trainees.


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