seminars - the UIC Department of Psychiatry

UIC Psychiatry Residency BrochurePART C: SEMINARSA. INTRODUCTION3 Letter from the Department Head4 History6 Clinical Facilities8 Clinical Services DivisionsB TRAINING PROGRAM16 Message from Training Director18 The Four-Year Curriculum19 PGY-1 Year20 PGY-2 Year21 PGY-3 Year22 PGY-4 Year23 Additional Features24 FellowshipsC. SEMINARS26 PGY-128 PGY-230 PGY-332 PGY-4D. APPLICATION34 Application Procedure35 Benefits36 Chicago and EnvironsE. SCHEDULES: Seminars & RotationsF. FACULTY INTERESTSG. PHOTO GALLERY

PGY-1 SEMINARS:In addition to structured didactic experiences while on medicine, pediatrics, andneurology, psychiatry seminars in the first year include the following:INTERVIEWING SKILLS 1J. Flaherty, MDThis seminar introduces the resident to a methodof interviewing that allows an integration of subjectiveand objective observation and historical andphenomenologic data. Videotaped interviews madeby the resident or the instructor are used to providefeedback.INTRODUCTION TO PSYCHOPATHOLOGYH. Dove, MD, and PGY-IV ResidentThe goal of this seminar is to familiarize the residentwith DSM-IV diagnostic criteria. Case studiesand videotaped cases are used to highlight variousphenomena.INTRODUCTION TO BIOLOGICAL PSYCHIATRYS. Noronha, MDThis seminar presents an overview of biologicalpsychiatry. The biological basis of common psychiatricdisorders and the biological therapies are presented.Research issues are reviewed.INTRODUCTION TO ADDICTION PSYCHIATRYP. Harris, MDA series of one-hour-long seminars on substanceuse disorders provides essential knowledge in theirassessment and management.The PGY-1 seminar on Neuropharmacology isorganized and led by Erminio Costa, MD,Scientific Director, Psychiatric Institute.BIOCHEMICAL BASIS OF PSYCHOPATHOLOGY ANDNEUROPHARMACOLOGYE. Costa, MD, A. Guidotti, MDThis seminar covers current biological hypothesesabout the mind-to-brain relationship, the molecularregulation of brain function, and the mode of actionof drugs typically used in the treatments of psychiatricdisorders.EMERGENCY PSYCHIATRYR. Marvin, MDSurvey of emergency psychiatric issues likely to be encounteredby beginning residents during on-call situations. Topicsinclude syndromal assessments, consultative process, legalissues, danger assessments, treatment and disposition. Weeklyfor 8 weeks; 5 hrs each session.Robert Marvin, MD,leads the PGY-1Emergency PsychiatrySeminar & the PGY-2Essentials of ModernPsychotherapy seminar.Dr. Marvin is a UICPsychiatry Residencyalumnus and a formerChief Resident. Heserves as PGY-2 trainingcoordinator.EXPERIENTIAL PROCESS GROUPM. Zerwic, PhDThis group experience affords theresidents and opportunity to exploreand process the myriad reactions tothe process of transitioning from studentto resident to physician. All residentsare required to participate inthis learning and supportive experience.PERSPECTIVES ON THE THERAPEUTICRELATIONSHIPB. Sripada, MD and T. Jobe, MDFocuses on creating an environmentallowing treatment to occur.Emphasis on therapeutic alliance,transference, countertransferenceand defensive phenomena that canpotentially harm development of thealliance. Covers therapeutic contract,resistance to treatment, and otherissues faced by beginning residentstreating psychiatric patients.26

CULTURAL DIVERSITY IN PSYCHIATRYS. Nand, MDThis seminar is designed to help cliniciansbecome more sensitive to issuespertaining to cultural diversity. Examplesinclude racial, ethnic, socioeconomic,gender, physical, and mental diversityissues. Discussion focuses on howdiversity issues impact the overall mentalhealth care delivery system andimplications for the therapeutic alliancebetween patients and clinicians.PGY-1 seminar on Cultural Diversity led by SurinderNand, MD, Director of Mental Health Services of theVA Chicago Health Care System.INITIATION OF THE THERAPEUTIC PROCESSD. Klamen, MDUsing standardized patients, trainees are exposedto successes and pitfalls of engaging patients intreatment. Course draws from extensive literatureon the therapeutic process. Focus is on initialmeeting, interview, setting treatment structure andboundaries, eliciting information from patients andtreatment plan development.PERSPECTIVES IN COGNITIVE BEHAVIORAL THERAPYP. Wiegartz PhDCovers introductory theoretical tenets of CBT as atherapeutic treatment especially suited fortime-limited therapeutic intervention. Focuses onrecognition of basic cognitive patterns that are maladaptiveand amenable to intervention.INTERVIEWING SKILLS 2H. Dove, MDCourse focuses on refinement of the clinical interviewto specific clinical settings (ER, C/L service).In addition, emphasis is placed on developing acomprehensive case formulation drawing from thebiopsychosocial data obtained during the taking ofa clinical history regardless of format, time, or setting.INTRODUCTION TO PSYCHOPHARMACOLOGYM Schneiderhan, PharmDCourse reviews basic biochemistry and physiologycrucial to understanding pharmacological therapiesfor psychiatric illnesses. Drug absorption, metabolismand excretion mechanisms are reviewed.Residents are introduced to categories of psychotropics,mechanisms of action, side effect profiles,and efficacy studies.INTRODUCTION TO PSYCHODYNAMICPSYCHOTHERAPYJ. Perri, MDThe goal of this seminar is to introduce the residentsto basic theories and techniques related topsychodynamic, cognitive behavioral therapy(CBT), group and family, and short-term therapy.PGY-1 seminar on Introduction to PsychodynamicPsychotherpy is headed by John Perri, MD.27

PGY-2 SEMINARSSeminars in the second year include:FORENSIC AND ETHICAL ISSUESL. Grossman, PhD (Summer)This seminar acquaints residents with the basicaspects of forensic psychiatry and helps themunderstand the differences between forensic andgeneral psychiatry.PSYCHOPHARMACOLOGYP. Janicak, MD, R. Sharma MD, and staff(Summer, Fall, Winter)This seminar is designed to provide essentialknowledge of pharmacology while the residents arebeginning their inpatient rotation. General principlesof psychopharmacology are discussed alongwith the major drug categories. The mechanism ofaction, the contraindications and indications, theside effects, and practical advice on the usage ofeach drug are provided. Residents are also introducedto the basic neurosciences in relationship topsychopharmacology.NORMAL DEVELOPMENT AND CHILD/ADOLESCENTPSYCHOPATHOLOGYG. Fox, MD (Fall, Winter, Spring)This course begins by reviewing a variety of basicdevelopmental themes: physical, cognitive, attachment,attention, language, temperament, psychosexual,psychosocial, object relation theory, andseparation-individuation. Live and videotaped interviewsof normal children at various ages are usedto supplement the readings. Next, assessmenttechniques and various therapeutic modalities withchildren and adolescents are reviewed. The finalsection reviews psychopathology and surveys themajor mental and behavioral disorders of childhoodand adolescence.PSYCHOPATHOLOGYJ. Anzia, MD (Summer, Fall, Winter, Spring)A series of discussions covers the major psychiatricsyndromes: schizophrenia, manic depressivedisease, borderline and other forms of characterpathology, organic brain syndromes, alcoholismand drug addictions, and sexual dysfunctions.Residents share responsibility with faculty for presentation,reading assignments, bibliography foreach subject, and use of current clinical illustration.A strong emphasis is placed on combining descriptiveand psychodynamic (including developmental)approaches so that theoretical concepts of disorderedpsychological functioning are addressed.RESEARCH METHODOLOGIESJ. Sweeney, Ph.D. and E. Herbener, Ph.D. (Spring)This seminar provides an introduction to clinical research in its broadest sense. Topics focus on andinclude idea/hypothesis generation through data collection, statistics, and writing and publishing papers.On-going research at UIC is reviewed.John Sweeney, Ph.D,Nationally renowned specialistin neurocognitive research,adjusts head position and thevisual stimulation system usedin an fMRI study. He is developinga new center for cognitivemedicine that will bridgepsychiatry, neurology, psychologyand neuroradiology. Dr.Sweeney teaches the PGY-2Research Methologies seminar.28

COMPARATIVE PSYCHOTHERAPYM. Levey, MD (Winter, Spring)This course reviews, compares, and contrasts themajor foci of psychotherapy and examines thebasic "curative" elements across the psychotherapies.NEUROPSYCHOLOGY AND PSYCHOLOGICALTESTINGNeil Pliskin, PhD (Spring)Introduction to Neuropsychology and the indicationsfor psychological testing and interpretation ofpsychological tests. In addition, residents aretaught how to synthesize the information obtainedfrom psychological testing in arriving at a clinicaldiagnosis.COGNITIVE-BEHAVIOR THERAPYC. Carmin, PhD (Spring)This course introduces the principles of cognitivebehavior theory and its efficacy in the treatment ofvaried psychopathological states. Didactics andvideotapes of actual treatment sessions are usedto facilitate learning.THE ESSENTIALS OF MODERN PSYCHOTHERAPYR. Marvin,MD (Summer, Fall, Winter, Spring)The goal of this seminar is to help residents gainan understanding of psychodynamics and how thismay be applied to working with a wide variety ofpatients in therapy. The uses of psychodynamicpsychotherapy, the selection of appropriate casesand mechanics (time, setting, termination), issuesof self-awareness, transference/countertransferenceare addressed.RESEARCHERSWHO TEACHCLINICAL RESEARCHPhilip G. Janicak, MD (center), Director ofthe Psychiatric Clinical Research Centermeeting with faculty and staff. Dr.Janicak, co-author of a texbook on psychopharmacology,teaches PGY-2 andPGY-3 residents on this subject togetherwith Rajiv Sharma, MD, (left).BASIC SCIENCEPGY-1IN ADDITION TO WEEKLY SEMINARS, ALLTHROUGH PGY-4 RESIDENTS ARE MANDATED TOATTEND A VARIETY OF DIDACTICS, SUCH AS JOUR-NAL CLUBS, CASE CONFERENCES AND GRANDROUNDS. SOME OF THEM IN THE PGY-2 YEARARE AS FOLLOWS:RESEARCH JOURNAL CLUBRequired for all PGY-2 residentsP. Janicak, MD, R. Sharma, MD,Residents learn statistical analysis and the criticalreviewing of data reported in published articlesunder the supervision of a researcher. Residentslearn to present research reviews to a clinical audience.Weekly for 1 hour, during the PGY-2 year.PSYCHIATRY TEACHING ROUNDS AT VA HOSPITALRequired for PGY-2 on rotation at VA HospitalYakov Gertsberg, MDCase discussions, joint interviews, and discussionof relevant literature.Alesandro Guidotti, MD, senior scientist,together with Dr. Costa has helped builda team of top-level scientists at thePsychiatric Institute. He teaches thePGY-1 seminar on the Biochemical Basisof Psychopathology andNeuropharmacology.29

PGY-3 SEMINARSSeminars in the third year include:ADVANCED PSYCHODYNAMICPSYCHOTHERAPYJ. Winer, MD (Summer, Fall, Winter,Spring)This seminar is designed to illustrate theprinciples of individual dynamic psychotherapy.Residents present theirpatients in a group setting. The seminarleader encourages a discussion of what ishappening in the therapy (e.g., transference,countertransference) and what thedifferent options are at each therapeuticjunction. Discussions are supplemented byreadings in psychotherapy including historicalarticles concerning its development.PGY-4 residents also attend.understand what information is available about theorganization, what additional information needs tobe gathered, and how one can attempt to makesome assessment of whether organization structure,values, and culture mesh with the needs ofthe individual applicant.CONTINUOUS CASE CONFERENCEV. Saft, MD (Summer, Fall, Winter, Spring)This seminar is clinically based and affords the residentan opportunity to present and discuss psychotherapeuticwork and case management withpatients in a longitudinal format with a senior facultymember and peers. Emphasis is placed onunderstanding the nature of transference, countertransferenceand defense utilization as they occurin the therapeutic process and their impact in psychotherapyoutcomes.MANAGED CARENPI Staff (Spring)Topics related to managed care and its impact onmental health care systems and patient treatmentwill be discussed in depth. Residents learn the bestmethods of constructive engagement and maximalutilization of resources in order to meet the mentalhealth care needs of patients.Jerome Winer, MD, Professor of Psychiatryand Director of the Institute forPsychoanalysis, supervises residents’ clinicalwork in psychotherapy and teaches thesenior residents concepts of advancedpsychodynamic psychotherapy in his PGY-3 /PGY-4 seminar.FAMILY THERAPYD. Baptiste, PhD (Summer)Techniques of family intervention are emphasizedin a format that provides didactic material, coupledwith clinical case consultation. Through videotapereview and one-way mirror observation, familiesare seen by the seminar leaders and other residents.The case dynamics and possible interventionsare then discussed.ADVANCED PSYCHOPHARMACOLOGYP. Janicak, MD, R. Sharma MD, and staff(Summer, Fall, Winter, spring )This seminar is designed to provide advancedknowledge of psychopharmacology and treatmentstrategies.REALITIES OF PSYCHIATRYS. Nand,MD (Summer, Fall)This seminar focuses on organizational structureand administration. Starting from a perspective ofexploring resident experiences during job interviews,an attempt is made to have the residentJudith Richman, PhD, who leads the seminar onSocial Psychiatry, with Department Head JoeFlaherty, MD.30

PG-3 RESIDENTS LEARN ABOUTPUBLIC PSYCHIATRY FROMNATIONAL RESEARCH ANDTRAINING CENTER (NRTC)FACULTYPUBLIC PSYCHIATRYL. Razzano, PhD,S. Pickett, PhD (Spring)A series of seminars in publicpsychiatry will cover topicssuch as health care deliverysystems and models, economicsof health care, qualityassurance, and mental illnessprevention.Judith Cook, Ph.D., and staff, in the field, conducting astudy of Illinois women welfare recipients’ efforts to returnto work and financial self suffiency. The Mental HealthServices Research Program (MHSRP), directed by Dr.Cook, conducts research on health services, treatmentinterventions and needs assessment of people withsevere mental disorders and others with health needs,such as those with HIV/AIDS.Members of the NRTC, Drs. Lisa Razzano and SusanPickett, participate in the education of residents via thePGY-3 seminar on Public PsychiatrySOCIAL PSYCHIATRYJ. Richman, PhD (Spring)The goal of this course is to familiarize and sensitizeresidents to past and current research in socialpsychiatry that directly affects the spectrum of psychiatryfrom individual therapy to community consultation.Major areas reviewed include psychiatricepidemiology; the social psychology of inpatientmilieu; immigration and mental health; the effectsof social class, race, and ethnicity on psychiatricsymptoms; and the diagnosis, treatment, and cultureof poverty.CLINICAL NEUROPSYCHIATRYT. Jobe, MD, M. Gaviria, MD, O.DeLeon,MD (Fall)This course reviews basic elements of neurochemistryand neurophysiology, considers theoreticalissues, and emphasizes modern clinical neuroscienceapplications such as photon emissiontomography (PET) scans, magnetic resonanceimaging, electroencephalographs, and brain imaging.COGNITIVE BEHAVIORAL PSYCHOTHERAPYC. Carmin, PhD (Summer, Fall, Winter)This is an advanced course in cognitive-behavioraltherapies as they apply to various psychiatric conditionssuch as depression, anxiety, and stress disorders.GROUP PSYCHOTHERAPYJ. Anderson, PhD (Fall)This seminar reviews the theoretical basis for andthe fundamental process of group psychotherapy.Practical issues in the phases of group therapy aswell as efficacy studies are presented. Some of theissues are illustrated by use of audio and videorecorded sessions from resident-run groups.Neuropsychiatry faculty members Ovidio DeLeon,MD (left), Thomas Jobe, MD, and DivisionHead, Moises Gaviria, MD, supervise and teachresidents.31

PGY-4 SEMINARSSEMINARS IN THE FOURTH YEAR INCLUDE:FACULTY IN THE SPOTLIGHTGERIATRIC PSYCHIATRYK. Kim, MD (Winter)This seminar provides an overview of the psychology,epidemiology, psychopathology, and psychobiologyof the elderly patient and will include a discussionof treatment issues in this age group.MULTIPERSPECTIVE CASE CONFERENCER. Moline, MD, M. Evans, PhD, R. Manev, MD(Winter, Spring)Course focuses on the inevitability of combinedmodalities in treating mental disorders.Psychodynamic, cognitive-behavioral and psychopharmacologicaltherapies are discussed ascomplementary treatment modalities. Emphasis ison successful integrative strategiesSPECIAL TOPICS IN PSYCHOTHERAPYR. Moline, MD, V. Saft, MD (Fall, Winter, Spring)Residents focus on the theoretical nature of personalitydisorders and the psychotherapeuticapproach to managing this population of individuals.Psychotherapy techniques and managementare demonstrated from case material presented bythe residents and a senior attending psychiatrist.WOMEN'S MENTAL HEALTH TUTORIALL. Miller, MDCase-based conference focusing on women'smental health. Neuro-endocrinology, gender andparenting role and function are all reviewed ascausational factors in women developing psychiatricdisorders.Debra Klamen, MD, MHPE, completed herresidency at UIC’s Department of Psychiatryin 1989. She was recently appointed theAssociate Dean of UndergraduateCurriculum at the College of Medicine. Shecontinues to teach and supervise residentsand medical students. Klamen attributesmuch of her sucess to her training and experiencein Psychiatry. “Psychodynamics areeverywhere,” she says. “Understandinggroup dyanmics helps a lot in the politicalnegotiation of curricular change.”NEUROPSYCHIATRY OF PSYCHOTHERAPYV. Barry, MDFocuses on growing evidence regarding neurologicalbrain changes that occur as a consequence ofpsychotherapeutic treatments. The seminar facilitatestrainee's ability to link basic neurosciencewith psychotherapeutic theory.ADMINISTRATIVE PSYCHIATRYD. Beedle, MD and staffCourse covers issues inherent in managing anddelivering mental health services in a variety ofsettings, including academic medical centers, publicpsychiatric institutions, and private practice.THERAPEUTIC HYPNOSISM. Flynn, PhDTherapeutic application of hypnosis as a treatmentmodality is reviewed. Theoretical knowledge andclinical practicum are provided for residents to gaincompetency in the utilization of hypnosis as atreatment modality.Steven Weine, MD, is a clinician, advocate,researcher and author of “When History is aNightmare,” a book on ethnic cleansing inBosnia and elswhere and what it has done tolives and culture. He is the director of theInternational Center on Human Responsesto Social Catastrophes. Dr. Weine supervisessenior residents in adult psychotherapy.32