Introduction
Training methods include formal seminars, clinical conferences, individual and group supervision and rounds on each rotation. The first year focuses on ambulatory care and consultation. The residency class consists of eight residents per year. Except for the site(s) of elective option(s), all residents will have the same core clinical and educational rotations.

The first year is divided into two six-month blocks. During one six-month period, residents will rotate through the MGH Consultation Liaison Service to Pediatrics. This, for labeling purposes, is called the “Pediatrics Consultation Half.” In the other six-month block, the “Selective Half,” residents will have rotations in the Boston Juvenile Court, the Taft School and other local schools and approximately four to six hours per week of elective (“selective” time). It is expected that two-thirds of this time will be centered at MGH or McLean Hospital, with residents’ selecting from many activities available for specialized learning. Additional time may be spent virtually anywhere among the affiliated institutions or in metropolitan Boston. In year two, there are approximately 30 hours per week for eight months on the McLean inpatient and partial hospital services. During the entire second year, 20 hours per week will be devoted to outpatient cases, clinical supervision and academic seminars.