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introduction - the UIC Department of Psychiatry - University of Illinois ...

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uicPSYCHIATRYRESIDENCY EDUCATION AND TRAINING PROGRAMHENRY W. DOVE, MDDirector, Residency Education and Training Program<strong>Department</strong> <strong>of</strong> <strong>Psychiatry</strong> (MC913)912 South Wood Street, Chicago, <strong>Illinois</strong>, 60612Phone 312-996-7380 Fax: 312-996-3514e-mail recruit@psych.uic.eduwebsite: http://www.psych.uic.edu/education/residents/


<strong>UIC</strong> <strong>Psychiatry</strong> Residency BrochurePART A: INTRODUCTIONA. INTRODUCTION3 Letter from <strong>the</strong> <strong>Department</strong> 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 GALLERY2


LETTER FROM THE DEPARTMENT HEADPerhaps most important to <strong>the</strong> residency applicantis <strong>the</strong> strong future <strong>of</strong> our department at <strong>UIC</strong>. Inaddition to our greatest strengths -- students andfaculty -- we have solid support from <strong>the</strong> College <strong>of</strong>Medicine and <strong>the</strong> <strong>University</strong>. We have just completedmajor renovation <strong>of</strong> our NeuropsychiatricInstitute and development <strong>of</strong> state-<strong>of</strong>-<strong>the</strong>-art biologicallaboratories at our Psychiatric Institute. Anew building for <strong>the</strong> Institute for Juvenile Researchwill open in <strong>the</strong> fall. A new Magnetic ResonanceImaging Center is under construction.Joseph A. Flaherty, MDAshort 20 years ago <strong>the</strong> most important criterionin selecting a residency program was<strong>the</strong> school <strong>of</strong> thought that prevailed <strong>the</strong>re.But back <strong>the</strong>n, psychiatry was considered "s<strong>of</strong>t" ora pseudoscience. Today, it is critical to choose aprogram founded on sound scientific footing. Yourfuture ability to assess, diagnose and treat patientsmust be informed by <strong>the</strong> latest data, which requires<strong>the</strong> capacity to analyze data and base your treatmenton <strong>the</strong> best evidence. This can only occurwhere faculty are involved simultaneously in cutting-edgeresearch as well as patient care.<strong>Psychiatry</strong> at <strong>UIC</strong> has strong historical roots in <strong>the</strong>development <strong>of</strong> psychosomatic <strong>the</strong>ory, in sociologicaland psychological work on delinquency, and inearly work on biological treatments for depressionand schizophrenia.We have grown from those roots, integrating basicscience and clinical research with patient carewhile developing large data sets to guide treatmentand to inform public policy. A sampling <strong>of</strong> our currentefforts includes basic research into geneticand environmental influences in schizophrenia - infact, <strong>UIC</strong> is home to <strong>the</strong> country's longest runningstudy <strong>of</strong> schizophrenia. O<strong>the</strong>r projects include alongitudinal study <strong>of</strong> preteens, looking for patternsin <strong>the</strong> development <strong>of</strong> drug use and conduct disorders,and testing interventions that may preventviolence, substance abuse and HIV. We are alsodeveloping important programs exploring <strong>the</strong> biomechanismsunderlying psychosis and stem celltransplantation as a treatment for Alzheimer's disease.We are developing exciting new programs indevelopmental psychobiology, functional magneticresonance imaging and early- onset bipolardisorder.We have strong partnerships with key private andpublic agencies for our research, educational andclinical programs. With <strong>the</strong>se vital partnerships, weare determined to make a difference: to discovernew knowledge and treatments to help mentally illpatients, reduce family suffering and disintegration,and improve <strong>the</strong> social fabric <strong>of</strong> communities.Training and educating <strong>the</strong> next generation is amission <strong>the</strong> <strong>UIC</strong> faculty takes quite seriously. Wetake pride in <strong>the</strong> accomplishments <strong>of</strong> our residentsin <strong>the</strong> program and after <strong>the</strong>y graduate. And whileour central mission is to train psychiatrists, <strong>the</strong>ireducation will be enhanced by working and learningalongside o<strong>the</strong>r trainees in psychology, socialwork, sociology, nursing, and <strong>the</strong> basic sciences.We believe we have an outstanding departmentpoised to be an agent for change in auspicioustimes for <strong>the</strong> future <strong>of</strong> psychiatry. You could be animportant part <strong>of</strong> our future. We invite you to lookthrough this brochure and to visit our program, ourfaculty and our department.Warmest regardsJoseph FlahertyPr<strong>of</strong>essor and Head3


HISTORY: Three Institutes Integrated into One <strong>Department</strong>The Neuropsychiatric Institute, from its very inception in 1941, reflects in its very architecture<strong>the</strong> close collaboration <strong>of</strong> mind / brain researchers: psychiatry is located in <strong>the</strong>south tower and neurology in <strong>the</strong> north tower.NEUROPSYCHIATRIC INSTITUTEEntrance to NPI, housing <strong>the</strong>Residency Training andEducation Office as well as residents’personal <strong>of</strong>ficesSince its opening in 1941, <strong>the</strong> <strong>Illinois</strong> Neuropsychiatric Institute(NPI) has fostered or given birth to exciting and importanttrends in psychiatry and neurology. Today, <strong>the</strong> NPI housesboth <strong>the</strong> <strong>Psychiatry</strong> and Neurology Residency Training Programs aswell as <strong>the</strong>ir outpatient clinics.Originally <strong>the</strong> institute was directed as a joint venture between <strong>the</strong><strong>Department</strong>s <strong>of</strong> Neurology and <strong>Psychiatry</strong> at <strong>the</strong> College <strong>of</strong>Medicine, with neurology patients, <strong>of</strong>fices, and labs located in <strong>the</strong>north tower, and psychiatry patients, <strong>of</strong>fices, and labs in <strong>the</strong> southtower.Dr. Francis Gerty, <strong>the</strong> first chairman <strong>of</strong> <strong>the</strong> <strong>Department</strong> <strong>of</strong> <strong>Psychiatry</strong>,brought toge<strong>the</strong>r an outstanding interdisciplinary group, which includedFranz Alexander, founder <strong>of</strong> <strong>the</strong> Chicago Psychoanalytic Institute;Frederick Gibbs, a pioneer in <strong>the</strong> description <strong>of</strong> temporal lobe epilepsywho discovered many electroencephalographic correlates <strong>of</strong>behavior in psychiatric patients; Percival Bailey, a neurosurgeon witha psychiatric background; W. S. McCullough, who developed computationalmodels <strong>of</strong> brain function; Ladislas von Meduna, <strong>the</strong> developer<strong>of</strong> metrazol convulsive shock <strong>the</strong>rapy and o<strong>the</strong>r organic <strong>the</strong>rapies for medical psychosis; and Abraham A. Low, whodeveloped <strong>the</strong> recovery method <strong>of</strong> self-help for recently discharged psychiatric patients. Several years ago Dr. Gerty, atage 99, in a videotaped interview, described <strong>the</strong> interdisciplinary ferment at NPI in its early years in a manner anticipating<strong>the</strong> present.In <strong>the</strong> 1960’s Dr. Melvin Sabshin, <strong>the</strong> second chairperson <strong>of</strong> <strong>the</strong> <strong>Department</strong> <strong>of</strong> <strong>Psychiatry</strong>, created a section <strong>of</strong> medicalpsychology and added anthropologists and sociologists to NPI to create a framework for a public and community psychi-4


atry department. The legacy <strong>of</strong> this era was a vigorousgrowth in <strong>the</strong> direction <strong>of</strong> social psychiatry.Under his aegis <strong>the</strong> department additionally built astrong psychoanalytical psycho<strong>the</strong>rapy group.During <strong>the</strong> 1980’s, under <strong>the</strong> direction <strong>of</strong> Dr. LesterRudy, <strong>the</strong> department began a process <strong>of</strong> remedicalizationwith formation <strong>of</strong> many specializedprograms such as an Affective Disorders Clinic anda Comprehensive Care Clinic for schizophrenicpatients. A strong collaboration with basicresearchers at <strong>the</strong> <strong>Illinois</strong> State Psychiatric Institute(ISPI) was fostered.INSTITUTE FOR JUVENILE RESEARCHFounded in 1909, <strong>the</strong> Institute for JuvenileResearch (IJR) is <strong>the</strong> first and oldest child guidanceand research facility in <strong>the</strong> country. In 1990IJR was fully integrated into <strong>the</strong> department. Thatintegration has led to <strong>the</strong> development <strong>of</strong> an outstandingchild psychiatric clinical, educational, andresearch group within <strong>the</strong> department. Over <strong>the</strong>past several years <strong>the</strong> Institute for JuvenileResearch has again developed pioneeringapproaches to dealing with major social andbehavioral problems that beset society, includingareas <strong>of</strong> high-risk behaviors in children and adolescents,aggressive and violent behaviors, andissues <strong>of</strong> child abuse. IJR will move to a modernnew facility in <strong>the</strong> fall <strong>of</strong> 2003.Institute for Juvenile Research in 1990. It is <strong>the</strong>first and oldest child guidance and research facilityin <strong>the</strong> country.THE PSYCHIATRIC INSTITUTESince its founding in 1955 and <strong>the</strong> merger with <strong>UIC</strong>in 1994, <strong>the</strong> <strong>Illinois</strong> State Psychiatric Institute (ISPI)trained over 600 psychiatry residents in an inpatientfacility that housed adult and child patients aswell as a renowned clinical research program.Themerger integrated <strong>the</strong> research and training activitiesinto <strong>the</strong> department in a collaborative programwith <strong>the</strong> <strong>Illinois</strong> <strong>Department</strong> <strong>of</strong> Mental Health andDevelopmental Disabilities and <strong>the</strong> <strong>Department</strong> <strong>of</strong><strong>Psychiatry</strong> at <strong>the</strong> <strong>University</strong> <strong>of</strong> Chicago. Severalmajor research groups have been recruited into <strong>the</strong>department, including a world-class basic scienceresearch group under <strong>the</strong> leadership <strong>of</strong> Dr. ErminioCosta and an equally distinguished mental healthservices research group under <strong>the</strong> leadership <strong>of</strong>Dr. Judith Cook. A new collaborative program tostudy brain-body interactions is being conductedby Dr. Sue Carter and Dr. Stephen Porges.The excitement <strong>of</strong> <strong>the</strong> Neuropsychiatric Institute in<strong>the</strong> 1940s is recreated by <strong>the</strong> integration <strong>of</strong> NPI,IJR, and <strong>the</strong> PI today.The Psychiatric Institute houses <strong>the</strong> basic scienceand clinical research laboratories as well as facultyand departmental administrative <strong>of</strong>fices.5


CLINICAL FACILITIESOutpatient Care Center Building, <strong>the</strong> Neuropsychiatric Institute and <strong>the</strong> <strong>University</strong> <strong>of</strong> <strong>Illinois</strong> Hospital at<strong>the</strong> intersection <strong>of</strong> Taylor and Wood streetsTHE NEUROPSYCHIATRIC INSTITUTE (NPI)The Neuropsychiatric Institute is <strong>the</strong> flagship site <strong>of</strong><strong>the</strong> <strong>UIC</strong> <strong>Department</strong> <strong>of</strong> <strong>Psychiatry</strong>, an integraldepartment in <strong>the</strong> 100-year-old <strong>UIC</strong> College <strong>of</strong>Medicine. The institute has achieved a nationalreputation for its excellence in academic psychiatry.One <strong>of</strong> <strong>the</strong> state's first psychiatric residencyprograms was created here in 1946. We have educatedand trained leaders in psychiatry locally andnationally. Psychiatric outpatient services and facultyand residents’ <strong>of</strong>fices are in <strong>the</strong> NPI building.UNIVERSITY OF ILLINOIS AT CHICAGO HOSPITALINPATIENT UNITThe <strong>Psychiatry</strong> Inpatient units are located across<strong>the</strong> street from <strong>the</strong> NPI in <strong>the</strong> <strong>University</strong> <strong>of</strong> <strong>Illinois</strong>at Chicago Hospital. The inpatient units consist <strong>of</strong>a 20 bed general psychiatric unit, a 15-bedresearch unit, and a 9-bed adolescent unit dedicatedto wards <strong>of</strong> Cook County. Patients are admittedbased on severity <strong>of</strong> illness and need for psychiatricinterventions on an inpatient basis. Suitabilityfor our specialty services (women’s mental health,neuropsychiatry, or research) are also determiningfactors.INSTITUTE FOR JUVENILE RESEARCH (IJR)The Institute for Juvenile Research, established in1909, constitutes <strong>the</strong> Division <strong>of</strong> Child andAdolescent <strong>Psychiatry</strong> for <strong>the</strong> <strong>Department</strong> <strong>of</strong><strong>Psychiatry</strong> at <strong>UIC</strong>. In addition to its important rolein <strong>the</strong> training <strong>of</strong> medical students and general psychiatryresidents, IJR also <strong>of</strong>fers child and adolescentpsychiatry fellowship programs. Individual<strong>the</strong>rapy with children and adolescents, family <strong>the</strong>rapy,and marital <strong>the</strong>rapy allows for training in avariety <strong>of</strong> treatment modalities. IJR provides comprehensiveservice to <strong>the</strong> community through directclinical service to area residents, consultation toschools and neighborhood agencies, and its activeresearch program emphasizing <strong>the</strong> biological andpsychosocial correlates <strong>of</strong> dysfunctional behavior.JOHN J. MADDEN MENTAL HEALTH CENTERMadden MHC is located next to <strong>the</strong> campus <strong>of</strong>Loyola <strong>University</strong> Medical Center and <strong>the</strong> HinesVeterans Administration Hospital in Maywood, awestern suburb <strong>of</strong> Chicago. As part <strong>of</strong> <strong>the</strong> statewidenetwork <strong>of</strong> care provided by private and publicmental health services, Madden MHC maintains6


a close link with community providers in <strong>the</strong> surroundingareas. Services provided include shortterm,intermediate-term, and long-term inpatientcare for adults, treatment services for adults withmental illness, and specialized services forpatients diagnosed as both mentally ill andmentally retarded.COMMUNITY MENTAL HEALTH COUNCIL, INC.Located on Chicago's South Side, <strong>the</strong> CommunityMental Health Council provides comprehensivealcohol/substance abuse treatment and relatedservices, including intake/ assessment/screening,crisis intervention, psychiatric treatment, group andfamily <strong>the</strong>rapy, day treatment, and victim servicesto a primarily African-American, primarily poorpatient population. PGY-3 and PGY-4 residents on<strong>the</strong> community track will be working with an adultchronically mentally ill outpatient and day treatmentpopulation, providing medication management.They will do evaluations for adults who applyfor outpatient services as part <strong>of</strong> a diverse clinicalexperience.VETERANS ADMINISTRATION (VA) CHICAGOHEALTH CARE SYSTEM -- WEST SIDE DIVISIONThe West Side Division <strong>of</strong> VA Chicago is withinwalking distance from <strong>the</strong> <strong>UIC</strong> College <strong>of</strong> Medicinecampus. It is a 172-bed facility with integrated residencyprograms in all disciplines, including psychiatry.A comprehensive range <strong>of</strong> services is available,including emergency treatment, inpatient andoutpatient treatment, consultation/liaison, day hospitalization,and addiction services. There are 44general psychiatry beds and a 40-bed residentialfacility linked with outpatient addiction treatmentservices. There is a day patient program and anIntensive Psychiatric Community Care programproviding outreach services. A large outpatientaddiction treatment program <strong>of</strong>fers specializedtreatment for alcoholism and includes amethadone clinic. Outpatient mental health servicesinclude clinics for geriatric patients, women,chronically mentally ill, veteranswith posttraumatic stressdisorder, and affective disorders.In addition to its importantrole in <strong>the</strong> general training<strong>of</strong> residents, major trainingopportunities are availableat <strong>the</strong> VA in <strong>the</strong> areas <strong>of</strong>primary care psychiatry, substanceabuse, and geropsychiatry.West Side Veterans’s Administration Hospitalatrium, site <strong>of</strong> many outpatient clinics7


CLINICAL SERVICES DIVISIONSThe <strong>Department</strong> has six clinical divisions:Addictions, Child and Adolescent<strong>Psychiatry</strong>, General <strong>Psychiatry</strong>,Neuropsychiatry, Neuropsychology,Psycho<strong>the</strong>rapy, and Women's MentalHealth. Each division <strong>of</strong>fers specializedservices which will be described below.In addition to <strong>the</strong> clinical divisions, <strong>the</strong><strong>Department</strong> has a successful CaseManagement Program. The case managersserve patients who have major psychiatricdisorders and need assistancewith issues such as housing, entitlements,and accessing medical care.Kathleen Kim, MD, Deputy Head and Director<strong>of</strong> Clinical ServicesThe <strong>UIC</strong> <strong>Department</strong> <strong>of</strong> <strong>Psychiatry</strong> providesprimary clinical services to our localcommunity and tertiary services to <strong>the</strong>greater Chicago metropolitan area.We have 62,000 outpatient visits per yearand 900 discharges from our inpatientservices. We teach and train medical students,psychiatry residents, child psychiatryfellows, psychology interns, and socialwork and nursing students.Our goal is to become <strong>the</strong> provider <strong>of</strong>choice for mental health services in both<strong>the</strong> public and private sectors <strong>of</strong> Chicago.We use new knowledge from neuroscienceto develop early intervention andprevention programs for major psychiatricdisorders like schizophrenia, bipolar disorder,and dementia. We also developinnovative methods for <strong>the</strong> delivery <strong>of</strong>mental health services to children andadults in a variety <strong>of</strong> settings which utilizecommunity models <strong>of</strong> intervention.Inner courtyard walkway leading from residents’<strong>of</strong>fices and psychiatry outpatient clinics in <strong>the</strong>Neuropsychiatric Institute to clinical rotation sitesat <strong>the</strong> West Side VA Medical Center.8


The <strong>University</strong> <strong>of</strong> <strong>Illinois</strong> Hospital and Medical Center located in <strong>the</strong> heart <strong>of</strong> <strong>the</strong> <strong>Illinois</strong> MedicalCenter District, which encompasses four major hospitals and <strong>the</strong>ir clinicsGeneral <strong>Psychiatry</strong> DivisionThe General <strong>Psychiatry</strong> Division <strong>of</strong>fers a continuum <strong>of</strong> services. Residents and faculty work across levels <strong>of</strong> care ra<strong>the</strong>rthan being assigned to discrete locations or programs. The Acute Care Clinic (ACC) is a multidisciplinary specialty clinicwhich treats patients with psychotropic medications in conjunction with group, individual, and family <strong>the</strong>rapy.The Urgent Intervention Team (UIT) is our emergency psychiatry service; <strong>the</strong> Team provides diagnostic assessments anddisposition planning for patients with crises in <strong>the</strong> <strong>UIC</strong> Medical Center Emergency <strong>Department</strong>. Residents learn to dorapid assessments, crisis intervention treatment, and disposition planning as wellas to provide consultation to nonpsychiatric clinics <strong>of</strong> <strong>the</strong> <strong>UIC</strong> Medical Center. ThePartial Hospital Program <strong>of</strong>fers an alternative to inpatient treatment for patientswith exacerbations <strong>of</strong> <strong>the</strong>ir psychiatric disorders as well as a transition to <strong>the</strong> communityfor psychiatric inpatients. Residents learn about this level <strong>of</strong> psychiatrictreatment by following <strong>the</strong>ir patients during <strong>the</strong>ir partial hospital stay.The General <strong>Psychiatry</strong> Inpatient Service specializes in <strong>the</strong> treatment <strong>of</strong> patientswith acute exacerbations <strong>of</strong> psychotic or mood disorders. PGY-1, PGY-2 and PGY-4 residents train on <strong>the</strong> unit. Rotations are 2 to 3 months in length, depending onPG year. Selective six month rotation for PGY-4s serving as unit chief residentsThe General <strong>Psychiatry</strong> Consultation Liaison(C/L) Service provides consultation tomedical and surgical services. It is required for PGY 2 residents and is an electivefor PGY-4s. This experience involves direct observation and feedback for patientinterviews and presentation, review <strong>of</strong> charting, reading materials.The Medication Management Clinics provide psychotropic medications and supportive<strong>the</strong>rapy to outpatients with schizophrenia, schizoaffective disorder, andmood disorders. Residents work with a multidisciplinary team composed <strong>of</strong> anurse, social worker, and clinical pharmacologist. Patients are followed for extendedperiods <strong>of</strong> time. The Division also provides electroconvulsive treatment (ECT)for inpatients and outpatients.Dennis Beedle, MD, Chief <strong>of</strong>General <strong>Psychiatry</strong>9


Laura Miller, MD, Head <strong>of</strong> <strong>the</strong> Women’s Mental Health Services DivisionWomen's Mental Health Services DivisionThe Women's Program specializes in treatingwomen with psychiatric disorders, particularly disordersrelated to <strong>the</strong> menstrual cycle, infertility,menopause, gynecologic disorders, sexual abuseor assault, and eating disorders.The Women's Division is nationally recognized for<strong>the</strong> use <strong>of</strong> psychotropic medication and ECT duringpregnancy. The Women's Inpatient Service treatswomen who are pregnant or postpartum; patientsreceive both psychiatric and obstetric services aswell as educational groups on nutritional needsand medication during pregnancy, recognizing andmanaging labor, family planning, and parenting.The Women's Outpatient Clinic provides pharmaco<strong>the</strong>rapy,individual psycho<strong>the</strong>rapy, and grouppsycho<strong>the</strong>rapy.The Parenting Assessment Team (PAT) providescomprehensive assessments <strong>of</strong> parenting capabilityfor mentally ill parents who are alleged perpetrators<strong>of</strong> child abuse/neglect. There is also aParenting Clinic for women with major mental illnesswho have preschool children. The Clinic providesmedication management, a psychoeducationalgroup, and parenting support/rehabilitation. TheWomen's Consultation Service provides psychiatricconsultation for women patients with reproductiveand gender-related issues. TheConsultation Service provides services to <strong>the</strong><strong>Department</strong> <strong>of</strong> Obstetrics and Gynecology as wellas o<strong>the</strong>r departments and divisions within <strong>the</strong><strong>Department</strong> <strong>of</strong> <strong>Psychiatry</strong>.The Eating Disorders Clinic <strong>of</strong>fers a full spectrum<strong>of</strong> services for those suffering with an eating disorder.Anorexia nervosa, bulimia nervosa, and compulsiveovereating are treated with a multidisciplinaryapproach.PGY-2 residents work in a multidiciplinary team <strong>of</strong>psychologists, psychiatrists, social workers, andmental health counselors. This 3-month rotationsatisfies part <strong>of</strong> <strong>the</strong> required inpatient training,which includes daily clinical rounds with <strong>the</strong> attendingpsychiatrist, weekly individual supervision,weekly treatment planning meetings, weekly caseconferences, weekly community meetings withattending supervision, didactic lectures/seminarsand specific readings. A PGY-4 elective is availablewhich is tailored to <strong>the</strong> resident's needs.10


Neuropsychiatry DivisionThe Neuropsychiatry Division has several clinical components.It is a multidisciplinary specialty division which <strong>of</strong>fers <strong>the</strong> latestdiagnostic techniques for assessing psychiatric disorders and<strong>the</strong> cognitive and behavioral problems that affect patients withdementia, epilepsy, brain tumors, and o<strong>the</strong>r neurologic disorders.Treatment <strong>of</strong> <strong>the</strong>se patients includes methods to reducestress on family and significant o<strong>the</strong>rs.The outpatient programconsists <strong>of</strong> medication management clinics, psycho-educationaland support groups, and comprehensive extensive diagnosticevaluations.The Neuropsychiatry consultation service <strong>of</strong>fers neuropsychiatricassessment to neurology, neurosurgery, and physicalmedicine and rehabilitation services. The NeuropsychologyService <strong>of</strong>fers comprehensive neuropsychological testing toadults and children. The Neuropsychiatry Inpatient service providestreatment for patients with developmental disabilities,traumatic brain injury, and o<strong>the</strong>r consequences <strong>of</strong> neurologicdisease.Moises Gaviria, MD, Chief <strong>of</strong> NeuropsychiatryResidents rotate for two months through Neuropsychiatry in <strong>the</strong>irPGY-1 or three months in PGY-2 / PG-3 year. Both inpatient andoutpatient experience occurs. Elective rotation for PGY-4 residents is available. The resident evaluates one to three newpatients per week on <strong>the</strong> service, develops comprehensive treatment plans with <strong>the</strong> collaboration <strong>of</strong> <strong>the</strong> treatment team,and acts as <strong>the</strong> primary physician in charge for <strong>the</strong> patient. During morning report medical, behavioral, psychiatric, andneurological problems <strong>of</strong> <strong>the</strong> patients are discussed. Team meetings encompass patient management and discussion <strong>of</strong><strong>the</strong> treatment plan as well as informal teaching. Residents participate in <strong>the</strong> case conference on <strong>the</strong> unit.Fellowship in Women’s Mental HealthA one-year fellowship in Women’s Mental Health for physicians who have completed at least threeyears <strong>of</strong> psychiatry residency training is <strong>of</strong>ferred. The fellowship takes place within <strong>the</strong> Women’sServices Division, winner <strong>of</strong> <strong>the</strong> American PsychiatricAssociation’s Gold Achievement Award for innovative mentalhealth services. The Women’s Services Division provides mentalhealth services for women with reproductive and gender-relatedproblems, such as premenstrual dysphoria, pregnancy-related illness,parenting problems, menopausal mood disorders, eatingdisorders, and post-traumatic stress disorder. The didactic experienceincludes formal case studies during <strong>the</strong> Women’s HealthTutorial, a Mental Health Forum in which fellows give one presentationto faculty and staff and various lectures and forums onwomen’s health issues in <strong>the</strong> medical center. Fellows are encouragedto participate in some research or scholarly activity relatedto women’s health. It can consist <strong>of</strong> a written case report, literaturereview, coauthoring a book chapter or journal article, assistingin an ongoing research project, or conducting an independentresearch project under supervision. Fellows anticipating a careerin academic psychiatry will be encouraged to submit a paper forpublication and/or presentation at a national conference.Ellen Astrachan Fletcher, PhD,(left) and Pamela Wiegartz, PhD(right), Women’s Division facultymembers11


Child and Adolescent <strong>Psychiatry</strong>DivisionThe Child <strong>Psychiatry</strong> Division <strong>of</strong>fers a range <strong>of</strong> outpatient individual,group, family and multiple family <strong>the</strong>rapy services as well aspsychopharmacologic treatment for anxiety, mood, attentiondeficit and o<strong>the</strong>r disorders. The Child Division has two specialtyclinics: <strong>the</strong> Pediatric Stress and Anxiety Disorders Clinic, and <strong>the</strong>Pediatric Mood Disorders Clinic. The Division has a Child<strong>Psychiatry</strong> Consultation and Liaison Service which provides inpatientand outpatient services. In collaboration with <strong>the</strong><strong>Department</strong> <strong>of</strong> Children and Family Services (DCFS), <strong>the</strong> Divisionhas a nine-bed adolescent unit and an outreach team for DCFSwards with severe psychiatric disorders.Tomas Wright, MD, Director <strong>of</strong>Child & Adolescent FellowshipProgramMani Pavuluri, MD, Director <strong>of</strong>Pediatric Mood Disorders ClinicChild and adolescent psychiatry training takes place primarily in<strong>the</strong> second postgraduate year. A 10-month seminar covering allmajor topics in Child and Adolescent <strong>Psychiatry</strong> takes place duringPGY-2. This seminar uses faculty from <strong>the</strong> department as wellas outside <strong>the</strong> department. Additionally, during PGY-2, residentsrotate full time for two months in <strong>the</strong> Child and Adolescent<strong>Psychiatry</strong> Division. During this rotation residents gain experiencein inpatient and outpatient evaluation and management <strong>of</strong> childhooddisorders in a variety <strong>of</strong> settings. A specialty inpatient unitfor adolescents provides a basis <strong>of</strong> education for adolescent psychiatrythroughout <strong>the</strong> training.Outpatient treatment training continues into <strong>the</strong> third postgraduateyear. Caseloads in child, adolescent, and family <strong>the</strong>rapy aredeveloped. A six-month seminar and supervision opportunity infamily <strong>the</strong>rapy provides <strong>the</strong> foundation for working with families.Child and adolescent outpatients can be seen into <strong>the</strong> fourth year<strong>of</strong> residency.CHILD FELLOWSHIP:A fully accredited three-yearfellowship in child and adolescentpsychiatry is also available.Eight fellows in child andadolescent psychiatry also aidfaculty in teaching and supervision<strong>of</strong> residents. Applicationto <strong>the</strong> fellowship can be madeduring PG-3 year.Kourosh Dini, MD, PGY-3resident12


Psycho<strong>the</strong>rapy DivisionThe Psycho<strong>the</strong>rapy Division serves as a primary educational experiencefor psychiatry residents and psychology trainees in <strong>the</strong> <strong>Department</strong> <strong>of</strong><strong>Psychiatry</strong>.The Psycho<strong>the</strong>rapy Division <strong>of</strong>fers a variety <strong>of</strong> modalities <strong>of</strong> outpatient psycho<strong>the</strong>rapy,including brief and long-term psycho<strong>the</strong>rapy, cognitive behavioral<strong>the</strong>rapy, group <strong>the</strong>rapy (over 20 different groups), and family/marital<strong>the</strong>rapy. The Division has a specialized Anxiety Disorders Program whichevaluates, treats, and conducts research on panic disorder, phobias,obsessive compulsive behavior, and o<strong>the</strong>r problems that involve anxiety.Residents learn how to do comprehensive assessment and cognitivebehavioral treatment <strong>of</strong> <strong>the</strong>se disorders.Beginning in PGY-1, <strong>the</strong> formal course work on psycho<strong>the</strong>rapy augments<strong>the</strong> residents' clinical work. Most senior faculty members <strong>of</strong> <strong>the</strong> <strong>Department</strong><strong>of</strong> are available as supervisors for residents, in addition to clinical facultyfrom <strong>the</strong> Chicago Institute for Psychoanalysis.The Psycho<strong>the</strong>rapy experience begins in PGY-2 with two patients.Residents follow a minimum <strong>of</strong> two long-term psycho<strong>the</strong>rapy patients whoremain with <strong>the</strong> resident <strong>the</strong>rapist over <strong>the</strong> course <strong>of</strong> <strong>the</strong>ir training experience.In PGY-3 residents have a minimum <strong>of</strong> six individual patients in addition togroup, child, and family cases.In PGY-4, a minimum <strong>of</strong> four cases are maintained but some residentschoose a larger caseload <strong>of</strong> patients or specialize in a particular approachduring that year.There is an extensive group psycho<strong>the</strong>rapy program, varying from psychodynamicto more supportive, focused groups. All residents are assigned asupervised group experience. Residents function as co<strong>the</strong>rapists with experiencedstaff group <strong>the</strong>rapists.Jill Anderson, Ph.D, RN, ABPP,coordinates Psycho<strong>the</strong>rapyServices, teaches and supervisesresidents for GroupPsycho<strong>the</strong>rapy.Child Fellow Martins Adeoye, MD, and PGY-3 residentNelda Scott, MD after <strong>the</strong> weekly residents meeting,which provides a forum to dicuss current concerns<strong>UIC</strong> is a perfect fit for me, as Iam interested in communitypsychiatry as well as women'sissues, and in both <strong>of</strong> <strong>the</strong>seareas residents receive supervisionfrom world-renownedexperts in <strong>the</strong> field: Dr. Carl Bellin community psychiatry and<strong>the</strong> psychiatric issues <strong>of</strong> AfricanAmericans; and Dr. Laura Millerfor women’s mental health. Iwas also attracted by <strong>the</strong> diversity<strong>of</strong> patients, including <strong>the</strong>indigent, <strong>the</strong> veterans and <strong>UIC</strong>students.Nelda Scott, MD13


Addictions <strong>Psychiatry</strong> DivisionThe Addiction Division specializes in <strong>the</strong> assessment andtreatment <strong>of</strong> clients with primary addiction disorders aswell as with dual-diagnoses (mental illness and substanceabuse). It <strong>of</strong>fers a range <strong>of</strong> outpatient services: a heroindetoxification program, a small methadone maintenanceprogram, a gambling treatment program, and severalintensive outpatient programs. The gambling and intensiveoutpatient programs have educational modules andgroup meetings. The Division has a multidisciplinary staffand expanded service hours (most evenings andSaturdays). In addition, <strong>the</strong> Division provides consultationand liaison service to inpatient medical and surgicalservices.The addictions rotation is available as one <strong>of</strong> <strong>the</strong> choicesin <strong>the</strong> multi-specialty track for <strong>the</strong> PGY-3. Residents rotatethrough this clinic for 2 months doing outpatient treatment.Elective rotations are also available for PGY-4 residents.Residents’ time is divided equally among participation in<strong>the</strong> outpatient addictions group sessions, individual psycho<strong>the</strong>rapy,and medication management. Residents onthis service will follow an average <strong>of</strong> 2-3 patients at anyone time.ADDICTIONS PSYCHIATRY FELLOWSHIP:The Addictions Fellow receives training in several <strong>UIC</strong> andaffiliated sites, such as <strong>the</strong> West Side VA Hospital andClinics. The program consists <strong>of</strong> trainining in <strong>the</strong> followingareas: intensive outpatient treatment, consultation-liaison,methadone maintenance treatment, adolescent addictionsas well as dual-diagnosis experience. The program isdesigned to provide a solid foundation in <strong>the</strong> evaluation,consultation, and treatment <strong>of</strong> patients with primary alcoholand drug abuse and <strong>the</strong>ir families; medical and surgicalpatients in <strong>the</strong> emergency department, including acuteintoxication and overdose; psychiatric inpatients and outpatientswith chemical dependecies and co-morbid psychopathology.Research and didactic oportunities areavailable.Jack Weinberg Library <strong>of</strong> <strong>Psychiatry</strong>:A <strong>Department</strong>al ResourceThe Jack Weinberg Library is located in <strong>the</strong> Psychiatric Institute building. It is a collection<strong>of</strong> books, journals, and videos dedicated to psychiatry, psychology, and related scientifictopics. It is staffed by a full time Iibrarian specializing in psychiatry, Margo McClelland, whocan assist faculty and residents with research and online searches. The library has computersdedicated to Medline, Ovid, and o<strong>the</strong>r online resources. It is linked to <strong>the</strong> <strong>UIC</strong> mainlibrary and <strong>the</strong> <strong>UIC</strong> medical Library <strong>of</strong> <strong>the</strong> Health Sciences.MargoMcClelland,librarian, JackWeinbergLibrary14


Neuropsychology DivisionThe Neuropsychology Division provides comprehensiveinpatient and outpatient assessment servicesfor adult, geriatric, and pediatric patients inwhom impairments <strong>of</strong> cognitive or neuropsychiatricfunctioning are evident or suspected. TheNeuropsychology Division <strong>of</strong>fers assessment andtreatment recommendations for a wide range <strong>of</strong>conditions that may affect functioning, includingsuspected memory problems, cognitive and emotionaleffects <strong>of</strong> various neurological conditionssuch as Alzheimer's disease, stroke, epilepsy, multiplesclerosis, brain tumors, and Parkinson's disease,effects <strong>of</strong> traumatic brain injury, alterations inmental status associated with various medical conditions,attention-deficit disorders, learning disorders,and various psychiatric conditions. TheDivision provides training for postdoctoral fellowsas well as psychology interns.Cheryl Carmin, PhD, Director,Anxiety Disorders ClinicPsychology Program andResidency TrainingThe relationship between <strong>the</strong> Psychology Programand <strong>the</strong> Residency Training Program consists in asharing <strong>of</strong> psychology faculty members whose distinctivepsychological approach is used to provideboth academic seminars and clinical training to psychiatryresidents in several areas.• PGY-3 and PGY-4 seminars in psychologicaltesting, cognitive behavioral psycho<strong>the</strong>rapy, andmultiperspective approach are taught by psychologyfaculty members Linda Grossman, PhD,Michael Evans, PhD, Cheryl Carmin, PhD., andPamela Wiegartz, Ph.D.• Testing batteries are administered through <strong>the</strong><strong>Department</strong> <strong>of</strong> Psychology and are available toresidents upon request.• Supervision for PGY-3 and PGY-4 residentswith patients being treated with CBT approach isprovided by psychology faculty.• The Anxiety Disorders Clinic is under <strong>the</strong>direction <strong>of</strong> psychologist Cheryl Carmin, PhD, whosupervises <strong>the</strong> clinical work <strong>of</strong> residents on thisrotation.• The Neuropsychology Program includesEileen Martin, PhD, ABPP, and Martin Harrow,PhD, ABPP. PGY-4 residents may choose to doresearch in this area as an elective.• Medical Psychology, which deals with transplantand cancer patients, bridges <strong>the</strong> dividebetween <strong>the</strong> two formerly separate areas <strong>of</strong> medicineand psychology and is headed by SusanLabott, PhD, ABPP.Neil Pliskin, PhD, Chief <strong>of</strong>Neuropsychology15

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