Ambulatory and Community

The rotations will focus on ambulatory and community settings.  As the fellow’s knowledge and confidence increases, their autonomy will as well. They will start to be provided with indirect supervision in clinic settings.

Outpatient Medication Management & Psychotherapy

Fellows will continue in their outpatient medication management and psychotherapy clinics in the second year. They will enhance their assessment, formulation and treatment skills while continuing to receive supervision in these experiences..

School & Community Consultation

Fellows will participate in school based behavioral treatment team meetings and collaborate with multidisciplinary members of the school community. Fellows participate in a consultative care rotation with local pediatric offices where they gain experience directly collaborating with pediatricians to enhance the patient care of children in our community.

Specialty Clinics

  • Fellows will participate in the Eating Disorder Program servicing inpatient and partial hospitalization levels of care at Forest View Hospital.
  • Residential treatment of patients at Wedgwood Christian Services will allow fellows to explore in-depth needs of children and teens experiencing complex mental health and behavioral concerns. Fellows will specifically treat teens with history of trauma including sexual trafficking and children with developmental disabilities as well as sexual behavior struggles in the residential programs.
  • Fellows will be able to rotate in the ECT/TMS or Neuromodulation Clinic at Pine Rest.
  • At Helen DeVos Children’s Hospital, fellows will participate in the psychiatric treatment of medically complex children and adolescents as well as preschool aged children.

More specialty treatment options are available as elective experiences as well.


Fellows will receive elective rotation time during their second year. Fellows can expand their knowledge and clinical experience in a variety of ways during elective time. We are continuing to build and expand our existing elective opportunities. Recent electives our fellows have selected to participate in include: observation and participation in an adolescent healthy life skills group therapy series as well as participating in the creation of behavior plans for youth with Autism Spectrum Disorder who are engaging in applied behavior analysis treatment.

Scholarly Activity & Research

There is dedicated time given to each fellow for the purpose of developing and completing a scholarly activity or research project. There are many different research opportunities available to our trainees and we have a dedicated Research Steering Committee that meets regularly at Pine Rest. Fellows are expected to complete a project of their choosing during their time in the fellowship program. Trainees here at Pine Rest have presented their work at regional and national meetings.


We are currently developing a telepsychiatry rotation experience given the increasing interest expressed by our trainees and the need identified for these services in our state.

Forensic Experience

Our program has forensic experience opportunities provided to the fellows in their second year. We have forensic services available at Pine Rest in our Psychological Consultation Center where fellows may observe cases as they are available. We have also partnered with the county Juvenile Detention Center. We continue to work on enhancing these experiences.