Brady Case, M.D.
Chief Resident 2007-2008
Here's what Brady has to say about the Brown fellowship...
While it may be that compromise is best—for intrapsychic conflicts, familial role disputes, or disparate impressions of efficacy and adverse effects—someone seems to have told Brown not to settle. Brown is a place where pediatricians are psychologically minded, and psychiatrists think about and attend to the body. At Brown, vast NIMH grants go to the nicest guy you’ve ever met, the one you chatted with in your training director’s yard. Here, patients come first, tied in a photo finish with research, because each has been helped to support the other. And as I have learned, fellows at Brown are supposed to go home to be a good parent and spouse. From the vantage point of the fellowship, child psychiatry looks wide open, like the young field that it is, but also densely populated with the wise, kind people who pioneered it, whose insights will never be outmoded.
Enough gushing; here is a snapshot of my second year. It started with the birth of my wonderful daughter, and an extended period of time off and flexible return to work which has allowed me to be the dad and husband I want to be. I am actively involved in two (2!) NIH funded multi-site trials here at Brown. Trained as a provider of CBT and medication management for OCD in the Pediatric OCD Treatment Study II (POTS-II), I am treating kids with significant residual symptoms despite SSRI treatment. In this I am supervised by clinician scientists at the Pediatric Anxiety Research Clinic (PARC), founded by the late, beloved Henrietta Leonard. I am also analyzing data from the Course and Outcomes of Bipolar Youth (COBY) on suicidality in pediatric bipolar disorder with the supervision of training director Jeff Hunt and department chairman Martin Keller. These opportunities fell in my lap as a Brown fellow. I am also involved with my own research on trends in emergency department visits by kids with mental disorders (collaborating with my wife, an emergency pediatrics fellow here), supported by a small AACAP grant. Entering the second year of treatment with a number of children and families, I’m receiving individual psychotherapy, family therapy, and core supervisors with extensive use of videotaped treatment sessions. Since I’m talking too much (a shock to those who know me), I’ll leave discussion of other remarkable structured clinical training experiences to Emily (with whom I’m working on estimating the prevalence of delirium in pediatric inpatients.)