Child & Adolescent Consultation-Liaison Psychiatrist

Cleveland Clinic; Cleveland (OH); On-site; USD 242,000 - 375,000; Full time

Benefits offered by this job

Health insurance

Retirement plan

Paid time off and CME allowance

Malpractice coverage

Relocation assistance

Academic appointment

Job summary

Cleveland Clinic Children’s is seeking a Child & Adolescent Consultation-Liaison Psychiatrist to provide psychiatric consultation, assessment, and treatment recommendations for medically ill children and adolescents in hospital settings.

You will collaborate with pediatric teams, nursing staff, psychologists, social workers, and families to address emotional, behavioral, developmental, and psychiatric needs.

Qualifications

• MD or DO from an accredited medical school.
• Completion of residency in General Psychiatry and fellowship in Child & Adolescent Psychiatry.
• Board certification or eligibility in Child & Adolescent Psychiatry; Ohio licensure eligibility.

Responsibilities

• Provide psychiatric consultations for pediatric inpatients and related settings.
• Perform comprehensive psychiatric evaluations including mood, anxiety, suicidality, delirium, and developmental concerns.
• Develop diagnostic impressions and treatment recommendations with medical teams.
• Manage psychopharmacologic interventions with medical comorbidity awareness.
• Collaborate with hospital teams including pediatric hospitalists, subspecialists, nursing, psychology, and social work.
• Participate in family meetings, care conferences, and documentation in EMR.

Skills

Clinical assessment

C&A psychiatry

Crisis intervention

Interdisciplinary collaboration

Education

MD/DO from an accredited medical school

Residency in General Psychiatry

Fellowship in Child & Adolescent Psychiatry

Board certified or board eligible in Child & Adolescent Psychiatry

Job description

• nursing staff

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 activity
• helping 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.

• 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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About Us

At Cleveland Clinic Children's, every child receives world-class care. At our main campus in the heart of Cleveland, Ohio, as well as at our community hospitals and Family Health Centers located throughout northern Ohio, children and families receive compassionate care from nationally and internationally renowned pediatricians and pediatric sub-specialists.

• More than 300 pediatric medical and surgical specialists staffing the ~400 inpatient beds and 50 outpatient clinics forming the Cleveland Clinic Children's network, providing over 1 million outpatient visits, 20,000 hospital admissions, over 12,000 surgeries, and accepting over 1,400 hospital transfers per year.
• More than 100 pediatric physicians are recognized annually as being among the "Best Doctors in America."

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Cleveland is part of Northeast Ohio which is composed of six metropolitan areas. Each of them provides affordable real estate, excellent schools, safe communities as well as an abundance of outdoor activities. Find out here how great it is to live in Cleveland!

Disclaimer

The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances.

Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.

Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility.

Cleveland Clinic is pleased to be an equal employment opportunity employer.

The salary range displayed in this job posting reflects the anticipated salary range for new physicians hired into full-time (100% FTE) positions. This range is generally aligned with or below the 50th percentile of nationally recognized compensation benchmarks by specialty. A successful candidate's actual compensation will be determined in accordance with fair market value, considering factors such as professional experience, clinical expertise, board certification, work history, and FTE. This stated range excludes the value of Cleveland Clinic's comprehensive benefits package, which includes healthcare, dental, vision, retirement, and other offerings.

Pay Range

Minimum salary: $241,750

Maximum salary: $374,500