I recently learned of the fact that Larkin psychiatry residents will no longer be doing core child and adolescent psychiatry rotations at Miami Children's Hospital. In addition to the initial disappointment this news brought, I reflected on how valuable these 7 weeks at MCH have been towards my training. The majority of Larkin psychiatric residents will not be entering a child and adolescent fellowship, and thus will draw upon their core training for future patient care. It highly probable that every resident who graduates from Larkin psychiatry will at some point in their future treat many children or adolescents. Because of the high demand for child and adolescent psychiatry, general psychiatrists are often responsible for treatment of children and adolescents. Having this experience at Miami Children's Hospital will not only make me a better physician and psychiatrist, it will afford better outcomes and opportunities for my hypothetical future patients. Such a shame and injustice it would be to know that LCH was capable of providing this excellent training to all residents, but failed to do so.

Though my experience here at Miami Children's Hospital is coming to a close in the next week, I think everything ought to be done in order to persuade the powers that be to reconsider the decision to end the contract with LCH has with MCH. Those who have come before have reported such a wonderful experience and consider themselves better physicians because of it. For some, part of the reason they became a psychiatry resident at Larkin hospital was because of the child and adolescent training at Miami Children's Hospital. For others, this training has inspired them to seek fellowship training in child and adolescent psychiatry.

For these reasons, I propose we petition those that are capable of overturning this decision. I suspect that all residents would eagerly sign such a petition. This is a grassroots effort to maintain our current standard of excellent training. There is no substitution for Miami Children's Hospital training.

This is a grassroots effort to maintain our current standard of excellent training. There is no substitution for Miami Children's Hospital training.