Psychiatry Clerkship Orientation Information

Orientation:
Students rotating at Advocate Lutheran General Hospital are required to attend the mandatory UIC general orientation, which takes place on Zoom and usually starts at 8:15 am.  Once the general orientation is over, students are to follow instructions sent by the Advocate Lutheran General Hospital coordinator.

Site Director:
Laura Murphy, MD
Department of Psychiatry
Phone: (847) 723-5807
Email:  Laura.Murphy2@aah.org

Site Coordinator:
Marisol Hernandez-Martinez
Phone:  (847) 723-6464 (internal: 21-6464)
Fax:  (847) 723-5029
Email: marisol.hernandez-martinez@aah.org
Website

Reporting Place
Advocate Lutheran General Hospital
Medical Student Office, 6 South
1775 Dempster Street
Park Ridge, IL 60068

Further site reporting instructions will be provided via email the week prior to the rotation start date.

Address/Location
1775 Dempster Street
Park Ridge, IL 60068

Parking Instructions:

• Parking is across the street from the hospital (north of Dempster at the Luther Lane traffic light).
• Students are permitted to park in any open surface parking lot.
• Public Safety will remotely open the gate to the North garage when the surface lot is full – this entrance is on Luther Lane at the gate with the booth.
• If you are not able to find parking and the North Garage is not open, check the following:
  • Extended surface lot near the water tower on the west end of the lot (behind the garage)
  • Gravel overflow lot on the far east end of the surface lot
• Alternatively, you can call Public Safety at 847-723-5123 to ask that the North Garage gate be raised.

**Students are not permitted to park in the garages in front of or next to the hospital. These areas are designated for patients, and parking there will result in a parking citation ($50) and/or dismissal from your clinical rotation.

Parking Registration:

• Your vehicle’s license plate number will be registered with the Public Safety Office.
• Any changes to your license plate number must also be registered with Public Safety.

Clinical Rotations:
Primary focus is general adult inpatient psychiatry.  Medical students may also see child, adolescent, and/or geriatric patients.

Rotation Objectives:

• Concepts
  • Demonstrate knowledge of commonly seen psychopathology in the settings assigned to (inpatient adult, consult, outpatient adult, inpatient child and adolescent).
  • Demonstrate knowledge of pharmacologic agents used in the settings
  • Demonstrate growing knowledge in non-pharmacologic treatment modalities used in all settings, including supportive, cognitive, interpersonal, and psychodynamic therapies (if child and adolescent setting elected, add play therapy also).
• Skills
  • Demonstrate the ability to form a therapeutic alliance with psychiatric
  • Demonstrate the ability to work as part of a treatment team with other health professionals.
  • Demonstrate the ability to conduct and document thorough and well-organized psychiatric
• Methods
  • Didactic seminars assigned readings and 3 write-ups.
  • Attendance at morning report and clinical rounds on the inpatient units with residents and
  • Practice based learning activities including patient evaluations, consultations, etc. under the supervision of a resident or
  • One presentation on a clinical

Rotation Description:

• Psychiatric units are located on the 5th floor in the main hospital and are as follows:
  • 5 Center – Adults
  • 5 East – Older Adults
  • 5 West – Children and Adolescents
• Each student will be assigned to adult inpatient, consults, and child and adolescent psychiatry, or a combination of these experiences.

Highlights/Unique Features
Full continuum of care – child, adolescent, adult, old-adult for all levels of care – inpatient, day hospital, outpatient for both psychiatry and addictions.

Resident/Attending Involvement
Approximately 60% of the student’s time on this rotation will be supervised directly by residents, 20% by faculty members, and 20% will be indirect supervision or independent activities.

Amenities

• Fitness Center – A student rate is available for monthly memberships. For more information, contact the Fitness Center at (847) 723-6138 or e-mail at lgh- fitness@advocatehealth.com.
• Internet Access – Students can access the internet/intranet from any hospital computer. To access the internet via personal devices (i.e., phones, laptops, tablets), students can use the hospital’s guest Wi-Fi network; the password- protected network and intranet are not available on personal
• Library – The medical library contains specialty-specific texts, journals, and equipment and is located on 9 West. Any items checked out from the library must be returned before or on the day of
• Locker Room (M4) – The keypad code for the doors closest to the entrance to the M4 locker room on 2 South is 6475. This code will also allow access to the men’s bathroom in that
• Medical Student Lounge – Students are permitted to use the Medical Student Lounge, as long as their preceptor is aware. Students must comply with all rules posted in the Medical Student Lounge. The lounge is located outside the library on 9 West. The keypad code is 6464.

Updated: 12/07/22

Orientation

Students rotating at the Jesse Brown Veterans Affairs Medical Center are required to attend the mandatory UIC general orientation, which takes place on Zoom and usually starts at 8:15 am.  Once the general orientation is over, students are to follow instructions, which are emailed by the Dr. Tammy Tamayo.

Site Director:
Tammy Tamayo, MD
Psychiatry Service MP 116A
Jesse Brown Veterans Administration Medical Center
820 South Damen
Chicago, IL 60612
Email: Tammy.Tamayo@va.gov

Staff Coordinator:
Ms. Laynie Klawer, MHA
Phone: (312) 569-6461
Fax: (312) 569-8083
Email:  Laynie.Klawer@va.gov
Room 10506 (Damen Pavilion)

Address/ Location
820 S. Damen
The Jesse Brown Veterans Affairs Medical Center is across from the University of Illinois medical complex. The John H. Stroger, Jr. Hospital and St. Luke’s Medical Center are close by.

Public Transportation/ Parking
The Douglas/Howard train station is on Polk Street, three blocks from the medical center. State transport buses are also available right in front of the medical center. Free street parking is available only on a first come basis. $5.75 garage parking with ID. Enter from Taylor or Ogden. 

Administration Requirements

• JBVA Orientation Manual, must be reviewed 3 weeks prior to the start of the rotation.
• Application packet, which is emailed by the staff coordinator should be completed at least 6 weeks prior to the start of the clerkship.
• Key Deposit: Medical Students reporting to Psychiatry at JBVAMC will be required to present a $20 key deposit when rotating on the Psychiatry Inpatient Units.  The deposit will be refunded when the key is returned at the end of the service.
• Clearance Process (ID Badge, Building and Computer Access):
  Students will be notified by the Human Resources staff when clearance has been issued for their upcoming clinical activity scheduled at Jesse Brown.  Students who have not been cleared will not receive a VA ID.  You are instructed to wear your University ID while on JB campus at all times.  In addition, you will be given the appropriate Building Access Card for the section or service you will be rotating under.   Further information will be forwarded when the logistics of this process are worked out. If you have any questions regarding your rotation, computer access, scrub cards, etc. please contact your Program Coordinator or the Service-level Coordinator at Jesse Brown.
• Students will be notified when the VA ID process has resumed.
• Students scheduled at the VA must take care of two administrative requirements, immediately or at least 2-3 weeks prior to the start date of the rotation.  This must be taken care of immediately to avoid possible delays in granting computer access.
• Mandatory Fingerprinting:  If you have NOT been fingerprinted in the past 120 days for the the VA, this must be taken care of immediately.  Fingerprinting is available on the following schedule:
  • Where: HR Office, 4^thFloor Taylor Pavilion, JBVA, 820 S. Damen Ave
  • When: Monday to Friday; 8:00am to 11:00am(must be in HR by 11am); 1:00pm to 3:00pm (must be in HR by 3pm)
  • No appointment is necessary / 1^stcome – 1^st serve.
• Mandatory JBVA training: training information can be found on the OSA web site, as well as on Blackboard.  Once you have registered for TMS, please email ChicagoTMSTrainees@va.gov
  We encourage you to take care of this immediately. Computer access will be given at the specific service level.

Clinical Rotations
Clinical rotations consist of inpatient assignment which involves 60% of the time. Other experiences include outpatient assignment at the Mental Hygiene Clinic.

Call Schedule and Location
Students assigned to Jesse Brown Veterans Affairs Medical Center are assigned to night call 3 times per rotation, overnight, including a Saturday, Sunday or Holiday. Night call is assigned by the Department of Psychiatry at the University of Illinois.

Highlights and Unique Features
Jesse Brown Veterans Affairs Medical Center serves only veterans and their families. They present a wide range of problems. Since treatment is free, many are chronically ill, inner-city residents who use these services. As such, students are exposed to a particular cross section of the population.

Resident/ Attending Interactions
Students are supervised directly by the attending in the inpatient service. Only during the night-call and weekend calls are they are supervised by residents.

Amenities
A well-stocked library is available.

Updated: 12/07/22

Orienation:
Students rotating at the John J. Madden Health Center are required to attend the mandatory UIC general orientation, which takes place on Zoom and usually starts at 8:15 am.  Once the general orientation is over, students are to follow instructions sent by the Psychiatry coordinator found on the email that contains the onboarding paperwork.

Site Director:
Stuart Rich, MD
Medical Director
Phone: (708)338-7250
Email: Stuart.Rich@illinois.gov

Student Contact:
Dr. Antonio Champion, Ph.D., LMSW, CWEL
Public Services Administrator
Staff Development
John J. Madden Mental Health Center
1200 S. 1st Ave. Hines, IL. 60141
708-338-7213
Email: Antonio.Champion2@illinois.gov

Hospital Prerequisites

1. Complete the Authorization for Background Check form from State of Illinois Department of Children and Family Services, Authorization for Background Check
2. Complete the CMS Release of Information form, Illinois Department of Central Management (Illinois State Police)
3. Complete the Volunteer Application—only the Name, address, phone and email portions need to be completed on page 1 and name of person to be contacted in case of emergency, relationship and phone numbers on pg. 2. You do not need to complete the hours, references, hobbies, etc.

Immunization Requirements
This requirement must be in place in the Office of Student Affairs (OSA) at least six (6) weeks before the start of the clerkship. OSA will forward completed health packet in advance of the clerkship start date. Failure to submit all completed forms will result in delaying the start of your rotations.

Address/ Location
1200 South First Avenue
Hines, IL 60141

Public Transportation/ Parking
Roosevelt Road and First Avenue buses stop at the medical campus.

Clinical Rotations
Students will be assigned to one of two acute adult inpatient units. There may also be UIC residents, but not always. There may be an opportunity for experience in the community mental health center associated with the unit under the direction of the unit psychiatrist.

Highlights/ Unique Features

• Opportunity for Mental Health Court experience (the court is located at Madden)
• Exposure to patients with a wide variety of diagnoses Involvement in Community Mental Health System
• Case conferences with University faculty and monthly journal club. Educational activities at Loyola and Hines V.A. (Grand Rounds etc.)

Resident/ Attending Involvement
Close supervision by an attending psychiatrist. Direct or indirect involvement with the resident (when present) assigned to the unit.

Amenities

• Loyola University is located across the street and students have access to its medical library.
• Cafeteria available.
• Office space provided.

 Updated: 12/8/22

The Hartgrove experience involves a 3-week rotation at Hartgrove and a 3-week rotation at UIH.  Notification of schedule will be provided 4 weeks prior to the start of the rotation.

Reporting Instructions: Site reporting instructions will be emailed to students a week before the rotation starts.

Site Director:
Dr. Sanjaya Dharmapuri
Sanjaya.Dharmapuri@uhsinc.com

Staff Coordinator:
Carol Kilgallon
carol.kilgallon@uhsinc.com

Group Director of Human Resources:
Carlos Adams
carlos.adams@uhsinc.com

Hospital Paperwork: Please email the ‘Onboarding packet and DCFS CANTS form’ to Graciela Bernal, bernal@uic.edu

Public Transportation / Parking:

• Parking lot adjacent to the hospital.
• Transportation by car:
  • From the East: Take the Eisenhower (290) West to Central Avenue.  Take exit 23b toward Central Ave. Turn left onto S Central Ave.  Turn right onto W Roosevelt rd. Hartgrove hospital is on the right
  • From the West: Take the Eisenhower (290) East to Central Avenue.  Take exit 23b toward Central Ave. Turn left onto S Central Ave.  Turn right onto W Roosevelt rd. Hartgrove hospital is on the right

Curriculum Outline

Description of Rotation/Educational Experience: The Hartgrove Hospital Curriculum will expose students to several programs which are:

• General Inpatient Treatment Programs:
  • Adolescent boys ages: 13-17
  • Adolescent girls ages: 13-17
  • Children; males and females ages: 4-12
  • Adults; males and females ages 18-65
• (Occasionally available) Partial Hospital Treatment Program:
  • Children; males and females ages: 5-10
  • Preadolescent; males and females ages: 11-13
  • Adolescent; males and females ages: 14-17
• Educational Experience – Students will gain experience on:
  • Providing treatment for children​, adolescents, and adults that might include multiple modalities of therapy including psychotropic medication.
  • Providing individualized treatment to meet each patient’s specific needs.
  • Developing a treatment team approach based on strengthening individual skills and interpersonal relationships by utilizing the existing emotional, behavioral and social resources in conjunction with environmental resources at home and school.
  • Develop behavioral management approach to treating patients which include positive reinforcement to build self-esteem and increase healthy behaviors while addressing limit setting and self-discipline.
• Rotational Goals: During this clinical rotation students are expected to attain an adequate level of knowledge and understanding of treating children​, adolescents, and adults with severe psychiatric and behavioral disorders.

General Objectives:

• Learn about the assessment instruments and psychiatric scales used in the assessment of mental disorders.
• Understand the terminology used in the diagnostic process for psychiatric disorders.
• Identify the major signs of psychiatric disorders.
• Learn the etiological factors associated with major psychiatric disorders.
• Understand the role of stress and anxiety in mental health adjustment.
• Learn the basics of psychiatric interviewing techniques.
• Achieve an understanding of the DSM-5 diagnostic criteria of major psychiatric disorders in children​, adolescents, and adults.
• Identify the types of psychotherapeutic interventions appropriate for the major psychiatric disorders.
• Identify suicide risk and other psychiatric emergencies.
• Learn general management techniques for psychiatric emergencies.
• Achieve knowledge about the major types of drugs used in the treatment of psychiatric disorders.
• Learn about the community and mental health agencies available for the management of psychiatric problems and disorders.
• Understand when to refer to a psychiatrist or other mental health professional.
• Recognize the substances commonly involved in substance use disorders.

Assignments:
Assignment of a minimum of one patient on each of the three Inpatient Treatment Programs in collaboration with and as supervised by attending Psychiatrist.

• Participation in individual and group therapy process.
• Participation in Psychiatric Evaluation Process.
• Participation in the 1 Hour Seclusion & Restraint Assessments.
• Participation in History and Physical Examinations.
• Participation in Treatment Staffings.
• Participation in Medical Rounds meetings providing presentation of clinical recommendations as requested.
• Participation in Unit Meetings providing presentation of clinical training modules as requested.
• Participation in family therapy processes as applicable.
• Participation in discharge planning processes throughout the course of treatment.

Students will receive individualized experience and training in:

• Crisis Prevention Intervention (CPI) techniques and methodologies  ​
• Illinois Mental Health Code and Confidentiality Act provisions
• Federal HIPAA Administrative Simplification provisions
• Mandated Reporter Abuse & Neglect reporting protocols

Competencies:
At the completion of the rotation students will demonstrate the following competencies:

1. Assessments:
   • Conduct initial intake assessments to determine the most clinically appropriate level of care.  Note: Students rotation will consist of (4hrs.) per week in the Assessment & Referral Department to fulfill their clinical intake assessment skills.
   • Demonstrate how to conduct (Mental Status Exams, Cognitive Assessments, self-harm, and suicide assessments.
   • Demonstrate how to conduct a 1-hour Seclusion & Restraint Assessment.
2.  History & Physical Exam:
   • Demonstrate how to take and record focused histories on patients.
   • Associate patient’s complaints with their presented history.
   • Recognize and understand signs and symptoms associated with a specific diagnosis.
   • Demonstrate an understanding of what constitutes an appropriate directed physical exam after eliciting a patient history.
   • Recognize pertinent physical findings.
   • Interpret particular physical findings in order to differentiate one disorder from another.
3. Psychiatric Evaluation Process:
   • Demonstrate how to complete a psychiatric evaluation by verbalizing the key components when conducting a psychiatric evaluation.
   • Students must demonstrate knowledge of (Anxiety Disorders, Attention Deficit Disorder, Mood Disorders, Personality Disorders, Psychotic Disorders, Substance Use Disorders, Eating Disorders, Acute Reaction to Stress, Child Abuse, and Domestic Violence).
   • Identify signs and symptoms of psychiatric disorders.
   • Complete written psychiatric report.
4.   Clinical Intervention/Therapy:
   • Demonstrate knowledge of how to facilitate clinical groups which include Process Groups and Family Therapy.
   • Demonstrate understanding of patient treatment plan.
   • Development of treatment plan.
   • Demonstrate an understanding of discharge planning process.
   • Recognize indications for use of medications.
   • Demonstrate understanding of appropriate follow-up schedule or monitoring approach regarding a therapeutic regiment.
   • Demonstrate understanding of the actions to take in response to acute, specific drug toxicity.
   • Demonstrate understanding of safe and effective selection and administration of drugs.
   • Demonstrate and understanding of the importance of patient compliance with treatment and techniques to increase compliance.
   • Demonstrate knowledge of how to work with multidisciplinary treatment team.
5. Presentation:
   • Provide oral presentation of treatment progress, medical concerns, and other issues relative to assigned patients in (Medical Rounds, and Unit Meetings).
   • Provide clinical training to front line staff on selected topic during Unit Meetings.

 Call Schedule and Location: Currently there is no call schedule.

Resident / Attending Involvement: Close supervision by the Attending Psychiatrist; Participation in Medical Committees as applicable.

Updated:  12/07/22

Orientation:
Takes place via Zoom on the first Monday of the rotation.  This session is mandatory for all the students who are doing the 6-week Psychiatry Clerkship, regardless of site assignment.  Session regularly starts at 8:15 am.

Reporting Instructions:
Coordinator will inform the class a week before with start time.  However, students who rotate at UIH usually attend the mandatory orientation on the first Monday of the rotation and report to UIH on Tuesday.

 Site Director:
Jenifer Lloyd, MD
Assistant Professor of Clinical Psychiatry
Email: jlloyd5@uic.edu

Clerkship Coordinator:
Graciela Bernal
Phone: (312) 996-9187
Email: bernal@uic.edu

UIH Address/Location:
1740 W. Taylor Street
Chicago, IL 60612

Offices Address/Location:
912 W. Wood Street
Chicago, IL 60612

Public Transportation/Parking:

• Pink Line EL train – Polk and Paulina Streets Stop
• Congress EL train – Medical Center Stop
• Street metered parking
• University of Illinois Parking System
• Commuter Bus to Union Station

Curriculum Outline
As their primary site, students are assigned to either an adult inpatient unit or the consultation-liaison service. Each student is typically assigned to an adult outpatient clinic 1-2 afternoons per week.

• UIH (Outpatient/Thresholds) — This rotation option has been developed in collaboration with a community organization called Thresholds which works with the homeless and mentally ill population in the city. During the 3 weeks of Outpatient/Thresholds students will spend 2 days per week with Thresholds. These experiences involve meeting patients/clients (many have not identified as patients) either directly on the streets or at a Thresholds shelter setting (Safe Haven). On Thresholds days students will primarily work with Social Workers in these settings attempting to engage clients and assist them with getting plugged into psychiatric and medical care and housing services. Students will get a unique experience with a front-line homeless outreach organization, and students’ emerging medical and psychiatric skill set can be helpful in triaging clients in need of more urgent attention. The remaining 3 days per week during these 3 weeks will be traditional outpatient psychiatric settings at UIH. The other 3 weeks are on an academic inpatient or consult service at UIH. This is an opt-in experience only as the Thresholds portion will be outside of a traditional hospital/medical setting and a desire to work with such a population/setting
• UIH (Inpatient-focused) — Both 3-week blocks will be on academic inpatient or consult services at UIH. There will be some longitudinal half days of clinic and some days assigned to ECT.

 What is THRESHOLDS?
Thresholds provides services and resources for persons with serious mental illnesses and substance use disorders in Illinois. We work with many populations, including youth and young adults, veterans, young mothers, deaf, and individuals experiencing homelessness, among others.

Which Thresholds Programs will I work with?
One day per week will be with each of these two Thresholds Programs:

• Homeless Outreach Program provides assertive outreach, linkage to primary and psychiatric care, and resource referral to persons experiencing homelessness with serious mental illnesses. The program employs the skills of licensed clinical social workers on the streets, in shelters, and any other location where people who are homeless may be found.
• Safe Haven is a low barrier and low demand housing for folks who are chronically homeless and have not been successful accessing the more traditional housing resources. Members live there with 24/7 desk clerks for general health and safety and two full time community support workers to provide clinical and case management services.

So, this rotation won’t be in a traditional medical, hospital, or clinic setting?
Nope. You will work primarily work with social workers and other Thresholds staff in attempting to engage and assist clients in getting connected to psychiatric, medical, and housing services. In addition to gaining experience with a front-line homeless outreach organization, your emerging medical and psychiatric skill sets can be helpful in triaging clients in need of more urgent attention.

Is this a mandatory part of my clerkship?
Flexibility in moving around the city and the desire to work with such a population/setting are pre-requisites. Thus, this is an “opt-in” only experience, and no one is required to participate. However, if you decide to “opt-in,” then this does become a mandatory part of your clerkship (see below).

How is the Thresholds experiences assessed?
During this experience you will most often NOT be working directly with an attending psychiatrist. You may work with a variety of Thresholds team members. Thus, this portion of your clerkship will be graded on a pass/fail system. You are expected to be present and available to the Thresholds team on Tuesdays and Thursdays x 3 weeks. You are expected to interact with Thresholds staff and clients with the same level of professionalism and respect as all of your other clerkship experiences. If for any reason you need to be away from the Thresholds experience on a Tuesday or Thursday, please communicate beforehand with both the Thresholds team and the UIC Clerkship leadership (Drs Cooper and Blitzstein).

Highlights/ Unique Features
The patient population is diagnostically and socioeconomically diverse. The inpatient unit includes a unique program for pregnant mentally ill women. Faculty are highly regarded for combining somatic, psychodynamic, behavioral and family approaches to treatment.

Resident/ Attending Involvement
Students are assigned to a resident and an attending on inpatient units. Students are directly supervised by attending(s) in outpatient clinics.

Updated 12/07/22