Objective: The authors describe curricular modifications created in response to the changing culture of medical education, health care systems, academic medicine, and generational differences. The authors propose a model child psychiatry inpatient curriculum that is sustainable within a community teaching hospital in the 21st century. Methods: The authors built upon the existing literature in health care financing, academic medicine, effective leadership, and the collective clinical, educational and administrative experience of its faculty to design a model inpatient curriculum that should be portable to other training programs. Results: An innovative training model was developed, implemented, and improved over a 5-year period without any additional fiscal resources. Conclusion: This training model has the potential to improve patient care, resident training, interdisciplinary functioning, and resident satisfaction.