About the Triple Board Program The University of Hawai‘i offers a fully accredited five-year Triple Board Residency Training Program that satisfies the training requirements for certification in Pediatrics, General Psychiatry, and Child & Adolescent Psychiatry. Established in 1995 as the first newly approved triple-board program after the original pilot 6 programs (established in 1986), this program offers the resident the benefit of combining three of Hawai‘i’s best and oldest training programs. MISSION The mission of the University of Hawai'i Integrated Triple Board Residency Program is to educate and train physicians who will be qualified pediatricians, general psychiatrists and child and adolescent psychiatrists. Using a developmentally informed biopsychosocialcultural approach, these graduates integrate their skills to optimize the medical care of children, adults, and families. This program provides a foundation for leadership in academic and clinical settings in Hawai'i, the Pacific Basin, and the global community. VISION The University of Hawai'i Integrated Triple Board Residency Program strives to train outstanding physicians who are recognized locally and nationally for clinical and academic excellence in all three specialties, for advocacy in enhancing communities' access to mental health care and pediatric care, and for strength in collaborative research involving pediatrics and psychiatry. Our vision is to be the best Triple Board program in the world with a commitment to culturally effective care for children, adults, and families. TRIPLE BOARD PROGRAM GOALS The Triple Board program strives to train competent pediatrician/general psychiatrist/child and adolescent psychiatrists who will be uniquely qualified to lead the community in improving children’s and families’ access to primary care and mental health care and uniquely qualified to excel in academic areas where there is a strong interface between pediatrics and psychiatry. Unique to Hawai‘i is the truly multicultural environment, which allows outstanding cross-cultural training to occur throughout the entire program. The program is co-directed by the Program Directors for Pediatrics, General Psychiatry, and Child and Adolescent Psychiatry. PROGRAM DESIGN The University of Hawai‘i program has a cohesive curriculum of clinical and didactic instruction with graded responsibility over the 5 years of patient care and teaching. Unifying and mandatory elements in all 5 years of training include: weekly pediatric continuity clinics, monthly interdisciplinary meetings for all combined residents and Triple-board Program faculty; and individual supervision with psychiatry faculty, who are able to enhance the resident’s appreciation of and ability to address psychosocial issues, even around general pediatric cases. Pediatrics has a full-time equivalent of 24 months, general psychiatry 18 months, and child and adolescent psychiatry 18 months. Vacation is shared proportionally by all three specialties. Time for professional meetings in both pediatrics and psychiatry is supported. TRAINING CURRICULUM The first year of the program is predominantly pediatrics, in which the resident acquires basic skills in the evaluation and management of the entire spectrum of basic medical problems. Call is generally once every fourth night (in house) for the pediatric services at Kapi‘olani Medical Center for Women and Children. Didactic experiences are provided through pediatric conferences and grand rounds. The second year of the program is one-half pediatrics and one-half psychiatry, in which the resident acquires, advanced pediatric skills and basic general psychiatric skills. Call on the pediatric services is generally once every fourth night. Call in general psychiatry occurs at the Queen’s Medical Center, occurs roughly once every fourth night, and is predominantly training call (partially in-house), supervised by an upper-level resident. Didactic experiences are provided through pediatric conferences and grand rounds and through the basic general psychiatry didactic curriculum, Department of Psychiatry case conference, and grand rounds. The third year of the program is predominantly general psychiatry, in which the resident acquires advanced skills in the evaluation and management of the entire spectrum of general psychiatric problems. Most overnight in-house call occurs in the context of the “night float” system: 2 to 4 weeks out of the third year are devoted to night float experience; the remainder of the time, short call and infrequent “relief call” occurs. Didactic experiences are provided through the advanced general psychiatry didactic curriculum, department case conference, and grand grounds. The fourth year of the program is one-half pediatrics and one-half child and adolescent psychiatry, in which the resident acquires advanced and consultative pediatric skills and basic child and adolescent psychiatric skills. In returning to the pediatric rotations after having gained skills and knowledge in psychiatry, the resident is able to begin to integrate the various perspectives of the program for the benefit of patient care. Call in pediatrics is generally once every fourth night in house, while call in child and adolescent psychiatry consists of beeper coverage for the child and adolescent psychiatric services at Kapi‘olani Medical Center (emergency room and pediatric wards), Queen’s Medical Center (emergency room and adolescent inpatient units), and Hawai‘i Youth Correctional Facility. Residents also participate in multidisciplinary treatment approaches and learn to collaborate amongst multiple agencies to promote positive outcomes for children and families. Residents are also encouraged to seek training on psychological testing. Didactic experiences are provided through pediatric conferences and grand rounds and through the child and adolescent psychiatry orientation seminar; the basic child and adolescent psychiatry didactic curriculum; and Department of Psychiatry grand grounds. The fifth year is predominantly child and adolescent psychiatry, in which the resident acquires advanced child and adolescent psychiatric skills. Rotational call and didactics are similar to that described for the child and adolescent psychiatry portion of the fourth year. About the Triple Board Program Sample Rotation Schedules Examination and Research Requirements Training Sites TB Graduate Demographics Research Opportunities How To Apply VISA/ECFMG Requirements Interviews Contact Information Triple Board Program Main Page