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Job description
The Child & Adolescent Consultation-Liaison Psychiatrist provides psychiatric consultation, assessment, and treatment recommendations for children and adolescents receiving care in medical and surgical settings. This physician works collaboratively with pediatric teams, nursing staff, psychologists, social workers, and families to address the emotional, behavioral, developmental, and psychiatric needs of medically ill youth.
The role includes evaluation and management of acute psychiatric concerns in hospitalized children and adolescents, support for patients and families coping with illness, and guidance to medical teams regarding psychiatric diagnosis, behavioral management, psychopharmacology, and disposition planning.
This position will involve covering consults at Children Rehab and Main Campus Monday through Friday.
Key Responsibilities
Provide psychiatric consultations for pediatric inpatients and, where applicable, emergency department or outpatient specialty referrals.
Perform comprehensive psychiatric evaluations, including assessment of: mood and anxiety disorders
suicidality and self-harm risk
agitation and aggression
delirium and altered mental status
functional neurological symptom presentations
somatic symptom and related disorders
adjustment to acute or chronic medical illness
medication-related psychiatric symptoms
developmental and behavioral concerns
Develop diagnostic impressions and treatment recommendations in collaboration with primary medical and surgical teams.
Recommend and manage psychopharmacologic interventions when indicated, with attention to medical comorbidities and drug-drug interactions.
Provide crisis intervention, safety assessment, and disposition recommendations.
Support behavioral management planning for patients with complex psychiatric and medical presentations.
Collaborate closely with: pediatric hospitalists
subspecialists
intensivists
emergency medicine physicians
nursing staff
psychology
social work
child life specialists
case management
Communicate effectively with patients, families, and multidisciplinary teams regarding diagnosis, prognosis, and treatment planning.
Participate in family meetings and interdisciplinary care conferences.
Document consultations, follow-up visits, and treatment recommendations in the electronic medical record in a timely manner.
Assist with transitions of care and coordination of outpatient psychiatric follow-up or higher levels of care.
Contribute to education of trainees, medical staff, and allied health professionals regarding pediatric mental health in medical settings.
Participate in quality improvement, program development, and hospital committee work as needed.
Take part in call coverage and weekend/holiday rotation as assigned.
Qualifications
MD or DO from an accredited medical school
Completion of residency training in General Psychiatry
Completion of fellowship training in Child & Adolescent Psychiatry
Board certified or board eligible in Child & Adolescent Psychiatry
Eligible for medical licensure in Ohio
DEA registration and ability to prescribe controlled substances
Experience or strong interest in consultation-liaison psychiatry, pediatric hospital psychiatry, or integrated care
Preferred Qualifications
Fellowship or additional experience in Consultation-Liaison Psychiatry, Pediatric Psychiatry, or Psychosomatic Medicine is an advantage
Experience working in academic medical centers or children's hospitals
Interest in teaching medical students, residents, and fellows
Experience in collaborative care, trauma-informed care, and systems-based practice
Familiarity with psychopharmacology in medically complex pediatric populations
Knowledge, Skills, and Abilities
Strong diagnostic and clinical skills in child and adolescent psychiatry
Ability to assess psychiatric symptoms in the context of medical illness and developmental stage
Expertise in suicide risk assessment and crisis intervention
Knowledge of delirium, catatonia, somatic symptom disorders, and functional neurological disorders in youth
Ability to work effectively in fast-paced hospital environments
Excellent communication and interdisciplinary collaboration skills
Sensitivity to cultural, developmental, and family systems factors
Commitment to patient-centered, trauma-informed, and evidence-based care
Typical Clinical Scope
The psychiatrist may be consulted for patients with:
depression, anxiety, or trauma-related symptoms during hospitalization
suicidal ideation or suicide attempts
eating disorders with medical complications
delirium or encephalopathy
psychosis or mania in medically ill youth
behavioral dysregulation interfering with medical care
conversion disorder or functional neurological symptoms
adherence difficulties in chronic illness
psychiatric symptoms related to medications such as steroids, antiepileptics, or immunologic treatments
complex family, social, or disposition concerns
Academic and Administrative Duties
Depending on the institution, responsibilities may also include:
supervising residents, fellows, or advanced practice providers
teaching didactics or bedside consultation skills
participating in research or scholarly activityhelping develop CL psychiatry protocols and pathways
Schedule and Work Environment
Primarily hospital-based clinical work
Weekdays shared call responsibilities
Weekend rounding at Inpatient Child Psychiatry Unit (Fairview)
Opportunity for academic, teaching, and program development time depending on role design
Compensation and Benefits
Compensation is typically commensurate with experience, training, academic rank, and geographic region. Benefits may include:
health, dental, and vision insurance
retirement plan
paid time off and CME allowance
malpractice coverage
relocation assistance
academic appointment, where applicable
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Worksite address
cleveland, OH, 44101, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.