Triple Board Residency Program

The focus of the PGY-1 and PGY-2 years is to engage with children and families in pediatric care, and for Triple Board residents to establish identities as pediatricians first. Interns begin their training with work on both general pediatrics and subspecialty inpatient teams, including hematology, oncology, neurology, pulmonology, gastroenterology, nephrology, endocrinology, emergency medicine and neonatal medicine. Triple Board interns have 2-4 weeks of night float annually, as well as weekend call while on these inpatient rotations.

During intern year, the pediatric primary care experience begins with a half-day per week continuity clinic that continues for all five years of the program. Continuity clinic gives residents the opportunity to learn outpatient pediatrics and childhood development while building relationships with patients and their families over time. Clinical sites include Lucile Packard Children's Hospital, Santa Clara Valley Medical Center and affiliated outpatient community sites.

Directed readings in psychosocial pediatrics, cross-cultural healthcare, and developmental mental health across the lifespan will be guided by the Program Director, Dr. Joshi, who will be a preceptor in continuity clinics for the entirety of the 5-year program. Pediatric didactics are structured throughout the year in noon conferences and selected teaching seminars at other times.  

Triple Board residents in the PGY-3 and PGY-4 years work with adults throughout the lifespan, including transition-age youth and college populations (TAY, ages 18-25), middle-aged adults and geriatric patients, on inpatient psychiatry units, outpatient clinics, and college and community health centers. Specialty clinics in psychiatry include adult mood disorders, dual diagnosis, obsessive-compulsive disorders, and early psychosis. There are also opportunities for outpatient psychiatry electives.

Triple Board residents’ general (adult) psychotherapy training begins with an emphasis on psychodynamic psychotherapy followed by Cognitive Behavioral Therapy (CBT). Didactic seminars are one afternoon per week starting in July of the PGY3 Triple Board year and initially focus on the assessment, formulation and treatment of common conditions in general psychiatry. Other courses focus on psychopathology, cultural psychiatry, psychotherapies, interventional psychiatry, basic and advanced psychopharmacology, systems of care, and the psychiatrist's role in leadership and advocacy. Triple Board residents will cohort with the PGY2 categorical psychiatry residents to align with their clinical and didactic experiences. The Triple Board pediatrics continuity clinic continues throughout general (adult) psychiatry training. 

The PGY-4 and PGY-5 years are devoted to work with youth and families, including young children, school-age children and adolescents on inpatient psychiatry units, intensive outpatient settings (IOP), outpatient psychiatry clinics, and in schools and community sites with a cohort of categorical child & adolescent psychiatry (CAP) Fellows. Specialty clinics in the CAP-2 (PGY-5) year include general behavioral disorders, mood and anxiety disorders, autism spectrum disorders, eating disorders, child neurology and neurodevelopmental disorders, and early psychosis. Triple Board residents also conduct a mentor-guided scholarly project and have dedicated scholarly and elective time in the CAP-2 year.  

Triple Board residents’ pediatric psychotherapy training is similar to that of categorical CAP Fellows, and features Young Child Therapy, Cognitive Behavioral Therapy (CBT), Parent Management Training (PMT), and Family Therapy. Electives are available in diverse areas of child & adolescent psychiatry, including psychodynamic psychotherapy, parent-child interaction therapy (PCIT), adolescent addiction and recovery and other specialty areas, including interventional psychiatry. Each Triple Board resident is assigned to a school site in the PGY-5 year to learn about the child psychiatrist’s role in school mental health and communities. 

CAP didactic seminars are one afternoon per week starting in January of the PGY-4 year and initially focus on the assessment, formulation and treatment of common conditions in child & adolescent psychiatry. Other courses focus on psychopathology, cultural psychiatry, ethics, forensics, addiction and recovery, psychotherapies, basic and advanced psychopharmacology, interventional psychiatry, systems of care, and the psychiatrist's role in leadership and advocacy. The Triple Board pediatrics continuity clinic continues throughout child & adolescent psychiatry training. 

The Triple Board Residency Program offers competitive salaries and benefits, which can be found here.