Education

Third Year Psychiatry Clerkship

General Information

Location Instructor
University of Chicago Department of Psychiatry Shivani Kumar, MD
University of Chicago
Department of Psychiatry 

Marie Tobin, MD
Zehra Aftab, MD
Shivani Kumar, MD
Stephen Marcoux, MD

Khalid Afzal, MD
Dena Oaklander, MD
Tina Drossos, Ph.D.

ENH Northshore

Ravi Valluripalli, MD
Hao Cheng, MD

Ingalls Hospital

Carolyn Shima, MD
Diandra Lucia, MD

Objectives

  1. Perform a psychiatric evaluation on a new patient.
  2. Document that evaluation as a History and Physical.
  3. Present that evaluation orally as a seven to the ten-minute case.
  4. Evaluate document (as a SOAP notes), and present (for thirty seconds to three minutes) follow-up cases on rounds each day.
  5. Become familiar with the diagnosis of major depressive disorder.
  6. Become familiar with the diagnosis of all other psychiatric disorders.
  7. Develop a strong working knowledge of psychopharmacology, including the indications for each medication and their side effects.
  8. Become adept at assessing and addressing suicidality

Conditions that will be covered during your clerkship by observation, lectures, or reading are as follows:

Major Depressive Disorder
Schizophrenia
Anxiety Disorder
Substance Abuse
Personality Disorder
Bipolar Disorder
Generalized Anxiety Disorder
Panic Disorder
Post-Traumatic Stress Disorder
Obsessive-Compulsive Disorder
Alcohol Dependence
Drug Dependence
Delirium
Dementia
Somatization Disorder
Conversion Disorder
Factitious Disorder
Attention-Deficit Hyperactivity Disorder
Conduct Disorder
Autism
Tic Disorder
Intermittent Explosive Disorder
Anorexia Nervosa
Bulimia Nervosa
Borderline Personality Disorder
Antisocial Personality Disorder

Required Activities
You will have inpatient, outpatient, and emergency room, and in some instances, psychiatric consultation-liaison experience. There will be opportunities for patient responsibility under supervision. Specific activities, including case write-ups and case presentations, will be outlined at the orientation session at each site.  Students are assigned to outpatient clinics as indicated on individualized schedules. Students are expected to leave their inpatient or consultation-liaison activities at the assigned times in order to fulfill their outpatient responsibilities.

Sites
We utilize four different clinical sites for the bulk of the training of medical students during their psychiatry clerkship.  These are the University of Chicago Hospitals and Clinics (UC), Ingalls Memorial Hospital (ING), and Northshore (ENH); at UC, there are 3 sites - 1) Adult Inpatient Psychiatry at Ingalls Hospital, 2) Adult Consult-Liason Psychiatry 3) Child and Adolescent Consult-Liason Psychiatry. Prior to each rotation, students are emailed to ask whether they have a preference for a particular site, and we accommodate as many requests as we can. 

Absence monitoring policy
Students must report all absences from clerkship rotations outside of scheduled days off on the tracking system (details below). Truthful reporting of absences is a professionalism expectation for all students. The attendance data will be reviewed at the end of each clerkship by Clerkship Directors and administrators for discrepancies. Failure to report absences truthfully may lead to professionalism reports. Also Academic Progress Committee leaders will review this data longitudinally across clerkships. If there is a repeated pattern of absences (consistently missing/taking unscheduled days on each clerkship) this may lead to a meeting with a student to check-in regarding their progress and potential resources required.

For additional details and access to the RedCap form, please visit https://redcap.uchicago.edu/surveys/?s=XMR78CPLFRWENCMD 

Personal Issues
Some students experience particular discomfort on the psychiatry rotation because of current or past personal or family psychiatric illness on which the work with psychiatric patients focuses increased attention. Please let the clerkship director, Dr. Shivani Kumar, know so that we can help you navigate this experience.

Information for Students

Third Year Psychiatry Clerkship Lectures 

Date   Topic Lecturer Time Location
Monday 
3-18-24
  Orientation Dr. Shivani Kumar 8-10AM M-347
Monday
3-18-24
  Psychiatric Interview Dr. Shivani Kumar 10-11AM M-347
Monday
3-18-24
  Mental Status Exam Dr. Shivani Kumar 11-Noon M-347

Monday
3-18-24

  Psychosis Dr. Marie Tobin 1-3PM M-347      
Monday
3-18-24
  Mood Disorders Dr. Jon Grant 3-5PM M-347      

Wednesday
3-20-24

  Anxiety Cases Dr. Shivani Kumar 1-2PM M-347

Wednesday
3-20-24

   Psychopharmacology 1 Dr. Shivani Kumar 2-3PM M-347
Wednesday
3-27-24
  CBT/Neuropsych testing/ECT Dr. Shivani Kumar 1-2PM M-347
Wednesday
3-27-24
  Psychopharmacology 2 Dr. Shivani Kumar 2-3PM M-347
Wednesday
4-3-24
  Somatic and Trauma disorders Dr. Shivani Kumar 1-2PM M-347
Wednesday
4-3-24
  Psychopharmacology 3 Dr. Shivani Kumar 2-3PM M-347

Wednesday
4-10-24

  Addictions Dr. Shivani Kumar 1-2PM M-347

Wednesday
4-10-24

  Personality disorders Dr. Shivani Kumar 2-3PM M-347
Wednesday
4-17-24
  Medical/Legal Cases Dr. Shivani Kumar 1-2PM M-347

Wednesday
4-17-24

  Child Psychiatry Dr. Shivani Kumar 2-3PM M-347

Wednesday
4-17-24

  Review Dr. Shivani Kumar 3-5PM M-347

READING LIST

We continue to incorporate a written examination into the rotation.  You will have plenty of opportunities to practice this by working through tests from board review books that are on reserve in Crerar Library Reserve Section, under "Psychiatry Third Year Clerkship" the call # is YP70987.  FYI, these books to help you prepare for this exam are listed below:

Blueprints - the first page says "Psychotic Disorders"
Blueprints in Psychiatry
Murphy MJ, Cowan RL, Sederer LI
Blackwell Science Inc (1997)
ISBN: 0865425035

Appleton & Lange - the first page says "Definitions"
Appleton and Lange's Review of Psychiatry
Easson WM
5th edition (1996)
McGraw-Hill Professional Publishing
ISBN: 0838502474

Swanson - first page says "Psychiatry/Behavioral Science and Communication"
Family Practice Review: A Problem-Oriented Approach
3rd Edition
Swanson RW (1996)
Mosby-Year Book
ISBN: 081518624X
* Previous oral exams with answers - the first page says "The Music Student" Of course, these are for you to study for the oral examinations, but they are on reserve in the same area.
* NMS - first page says "NMS" (there are three parts - comprehensive, study questions, and answers).

Psychiatry (The National Medical Series for Independent Study)
3rd Edition
Scully JH (1996)
Lippincott, Williams & Wilkins
ISBN: 0683062638

Pretest - first page says "Evaluation, Assessment, and Diagnosis"
Psychiatry: PreTest Self-Assessment and Review
9th Edition
Mezzacappa GM (2000)
McGraw-Hill Professional Publishing
ISBN: 0071361553 

/NIGHT/WEEKEND/HOLIDAY CALL

All students will take call at The University of Chicago. There are two types of call while on psychiatry.  First, all students will be assigned a Saturday or Sunday here at University of Chicago.  Call begins at 8 AM and ends in the evening, between 6 and 10 PM depending on the day's work.  You will work with the on call resident on new patients from the emergency department and the consultation service and round with the attending when they arrive to see new patients.  Second, students assigned to UC CL or UC child will be assigned a Saturday morning at Ingalls.  This will provide an opportunity to see the inpatient unit and round with the attending.  Students should arrive at Ingalls at 8 AM to work with the resident and prepare for rounds.  In general rounds last from 9 AM until about 12 PM and rarely extend longer.  Once rounds at Ingalls are over students are finished for the day.  Students will not be assigned to the following University holidays:  Memorial Day, Independence Day, Labor Day, Thanksgiving, Christmas, and New Year's Day.  Contact the resident on call upon your arrival to the University of Chicago Hospital.  Pager for the resident on call is 188-7032.  ER number is (773) 702-6250.  Call schedules are available for Rotations:

CALL SCHEDULE ROTATION

Sunday Monday Tuesday Wednesday Thursday Friday Saturday
3/17/24 3/18/24 3/19/24 3/20/24 3/21/24 3/22/24 3/23/24
Prior to Rotation Psychiatry Orientation No Student No Student No Student No Student Lu/Thomas
Ingalls Call
Akbar/Carrier
3/24/24 3/25/24 3/26/24 3/27/24 3/28/24 3/29/24 3/30/24

Thorndike/ Rodriguez

No Student No Student No Student No Student No Student

Hamzat
Ingalls Call
Kim/Udemgba

3/31/24 4/1/24 4/2/24 4/3/24 4/4/24 4/5/24 4/6/24

 

 

No Student No Student No Student No Student No Student

Ekwonu/Udemgba
Ingalls Call
Thorndike/Thomas

4/7/24 4/8/24 4/9/24 4/10/24 4/11/24 4/12/24 4/13/24

Akbar/Dimitroyannis

No Student

No Student

No Student No Student No Student

Allen
Ingalls Call
Rodriguez

4/14/24 4/15/24 4/16/24 4/17/24 4/18/24 4/19/24  
Carrier/Kim

No Student

No Student No Student No Student EXAM
 
 

Third Year Psychiatry Schedules

UC Hospitals

Name Rotation  March - April 

Ingalls Hospital
Rose Dimitroyannis (Dr. Shima)
Jessica Lu (Dr. Lucia)
Adora Ekwonu (Dr. Shima)

TBA Sub I TBA
Inpatient Elective TBA

Click here for full schedule

UCM - Consult Liaison Service
Mizna Akbar
Christian Carrie
Daniel Kim
Donald Rodriguez
Anna Thorndike
Chinwe Udembga

Sub I
TBA
C/L Elective
TBA

Click here for full schedule

UCM Child CL Service
Janeen Thomas

4th year TBA

 

Click here for the full schedule

Northshore

Name

Rotation February-March

Anami Allen
Ibraheem Hamzat 
 

Click here for full schedule
Sub I TBA 
 
Click here for full schedule

OSCE Examination (Standardized Patient Exams)

Friday 4-12-24

Location is the CPC West- Please wear white coats for OSCE

Session #1 at 10:00-11:15AM
Janeen Thomas

Session #2 at Noon-1:15PM
Mizna Akbar
Christian Carrier
Daniel Kim
Donald Rodriguez

Session #3 at 1:30-2:45PM
Anna Thorndike
Chinwe Udemgba
Rose Dimitroyannis
Jessica Lu

Session #4 at 3:00-4:15PM
Adaora Ekwonu
Anami Allen
Ibraheem Hamzat

 

NBME Shelf Examination
Friday 4-19-24
Exam @ 9 am but arrive between 8-8:30 am. Closer to 8 is recommended in case you have issues that need troubleshooting.
Done remotely via Zoom with your own laptop.
(Direct questions contact Eddy Markaj at emarkaj@bsd.uchicago.edu )

Grades

Grades are based on four areas of performance: 
1. clinical performance on your inpatient service
2. performance on the NBME exam
3. performance on the OSCE exam
4. quality of a written sample H & P

Your clinical grade accounts for 40% of the final grade.  The OSCE and the NBME each account for 25% of the final grade.  The H&P write up accounts for 10% of the final grade.
Students who fail the NBME will be required to pass the make-up exam.  If a student passes the make-up exam, the highest final grade they are eligible for is a high pass.  If a student fails the make-up exam, they will fail the clerkship and have to repeat the clerkship.  If a student fails the clinical portion of the clerkship they will receive a failing grade and have to repeat the clerkship.

Rotation Schedules