Education

Child and Adolescent Psychiatry Fellowship

Welcome to the Child and Adolescent Psychiatry training program at the University of Chicago and thank you for your interest in our fellowship program. 

This is an exceptional time to consider fellowship training in Child and Adolescent Psychiatry. The burgeoning developments in neurogenetics, neuroimaging, psychopharmacology, evidence-based psychotherapies, and rehabilitative strategies have significantly expanded the therapeutic armamentarium that psychiatrists have to offer their patients. The University of Chicago has a longstanding devotion to academic scholarship and rigorous thinking.  Our mission is to train fellows to become not only excellent clinicians, researchers, and teachers, but to foster an attitude of innovation and leadership as the basis for pioneering tomorrow’s state-of-the-art treatments in all the aforementioned disciplines. Our Program is accredited by the ACGME (Accreditation Council for Graduate Medical Education) which reflects our strong commitment to education and outstanding clinical training.

Every year we welcome a diverse body of fellows, as reflected by their unique academic backgrounds, talents, strengths, and viewpoints. We believe that it is through such diversity that our program is strengthened. We are also proud of the breadth and depth of opportunities that we can offer our fellows, specifically with a strong emphasis on clinical training. This is made possible by the strong dedication of our faculty and staff to an empirical inquisition. Most of our faculty members, in addition to being talented teachers, are also avid investigators of well-established research programs. This has traditionally provided our fellows with an unparalleled milieu of scholarly endeavor, curiosity, and mentorship necessary to help them become competent clinicians. We are also mindful of the fact that realizing one’s fullest potential is closely tied to personal growth. Towards this end, the department strives to develop close supervisory relationships and process groups with our fellows in order to support them in reaching their professional training goals.

The program is also buttressed by solid didactic components aimed at enriching our fellows’ basic fund of knowledge as a strong theoretical basis to all clinical care.  By becoming critical readers of psychiatric literature, fellows gradually step into more sophisticated roles of educators of other health professionals and trainees all while initiating and pursuing their own research and clinical interests. Our section maintains close and collaborative ties with both the adult psychiatry and clinical neuropsychology program. This has traditionally provided rich opportunities for didactics and research.

We are also excited to add that, in 2016, the family of Dr. Harold Plotzky, MD generously established a permanently endowed fund to enrich the educational experience of the Child and Adolescent Psychiatry fellowship. This fund is earmarked for the support of educational and professional opportunities, (including research, conference fees, and associated travel, and other educational materials).

Our fellows, upon completion of their training, gain the competence of functioning both independently and as consultants to pediatricians, neurologists, school systems, community-based agencies, and the court system. Our program, with its strong emphasis on leadership, research, clinical care, and didactics equips the new graduate with the necessary parameters to secure full-time positions in prestigious academic institutions, national psychiatric organizations as well as establish a successful private practice.

As program director, I invite you to become acquainted with the different rotations, offered by our program, as well as the academic and clinical interests of our talented faculty and staff here at the section of child and adolescent psychiatry.  On behalf of the entire program, we wish you success in making an important career training decision and look forward to hearing from you. 

Karam Radwan

Associate Professor of Psychiatry and Behavioral Neuroscience

 

2019-2020 Resident Stipends

PGY-1: $60,000
PGY-2: $63,800
PGY-3: $66,000
PGY-4: $69,000
PGY-5: $72,000
PGY-6: $73,500

Vacation
All residents receive four weeks of paid vacation leave per year to be scheduled by mutual agreement between the resident, chief resident, service chief, and the Program Director.

Sick Leave
Five days of paid sick leave is granted to residents who are absent from work and unable to perform their assigned duties due to illness.

Offices
All residents have individual offices to see patients and accomplish other duties in a professional manner.  All offices are furnished with a computer.

Computer Access
Universal Workstations are located throughout the Hospitals, through which residents can access labs, patient information, word processing, the Internet, as well as Medline and other medical information databases.

Call Frequency
There isn't any in-house call.  In the first year of the child residency program, there is phone back up when rotating on the inpatient service at UChicago Medicine Ingalls Memorial once a week (Monday, Tuesday, Thursday, Friday only).

Medical Leave
Residents are provided a four-week paid leave for maternity-related purposes or other required medical care.

Other Leaves of Absence
Residents may request a personal Leave of Absence from the Program Director who grants such leave in cooperation with Office of Housestaff Affairs. Such a request should be predicated on some unusual and substantial personal situation. In all but rare cases, a leave of absence should not exceed twelve weeks. We also have policies on bereavement and civil leaves.

Educational Meetings
Residents may attend educational meetings at the discretion of the Program Director and relevant service chief. The dates of such meetings must not interfere with good patient care. Excused absence for attending such meetings should not extend beyond the dates of the educational meeting and necessary travel time. Additional days will be considered vacation time and also should be scheduled with the permission of the Program Director.

Benefits
University of Chicago Hospitals house officers are eligible for a benefits package that includes dental coverage, flexible spending accounts, health insurance coverage, life insurance, long term disability, personal accident insurance, tuition remission for spouses and children, supplemental retirement annuities, and workers' compensation.

Professional Liability Coverage
The Hospital provides medical malpractice liability coverage for all residents for activities performed in connection with assigned duties as a resident at the University of Chicago Hospitals and at off-site rotations with prior written approval. The coverage is a composite of self-retained coverage funded by a composite of self-retained coverage funded by a trust fund and purchased excess commercial insurance.

Library Facilities
Residents are granted borrowing privileges at the University of Chicago Libraries, one of the largest libraries in the country with over 10 million volumes. Residents have 24-hour access to The John Crerar Library, the major research library for medicine and the biological sciences on the University campus, containing 570,000 titles, and located across the street from the Hospitals.

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Graduate Medical Education (GME) Website

First Year:

UChicago Medicine Ingalls Memorial Inpatient Rotation:
In the first year, clinical rotations are offered in inpatient adolescent psychiatry, emergency services, forensic and consultation/liaison psychiatry. In addition, fellows begin their longitudinal outpatient experience. The rotation at Ingalls Hospital provides a rich and diverse inpatient clinical experience and a chance to work with multidisciplinary staff in a team format. Fellows gain experience working with outside systems of care and presenting evaluations in teaching rounds. The population ranges in age from 12 to 17 years. The patients represent a diverse ethnic and cultural mix. In addition, residents have opportunities to participate in teaching and evaluating medical students on both rotations and electives during clinical rounds and during formal presentations. Dr. Peter Nierman, Assistant Professor of Psychiatry, coordinates our inpatient rotation for the residents at Ingalls Hospital.

Forensic Rotation:
This rotation is a subcomponent of the inpatient experience. Fellows work with Dr. Nierman in his role as a Forensic Psychiatrist. Dr. Nierman, a forensic expert, plays an integral role in the didactics component of the forensic rotation. Residents can choose to be involved in cases, and participate in the formulation of reports for civil, family, mental health or criminal court cases. The resident’s role is to participate in the evaluation of the patient, acquisition of collateral information, review of records and assist in preparation of a formal written forensic report. Residents accompany Dr. Nierman to all conferences, depositions and courtroom testimony. They learn the art of forensic interviewing, report preparation, and courtroom testimony.

ER Rotation:
The ER Residents evaluate patients and their families presenting to UChicago Medicine Ingalls Memorial Intake Unit and to the Comer and Mitchell Emergency Departments in order to determine the appropriate level of care needed. There is an opportunity to do multidisciplinary work with social workers and community agencies such as SASS, schools, and law enforcement.

The pediatric consult-liaison:
The pediatric consult-liaison service is a 4-month rotation for 1st year trainees in the child & adolescent psychiatry training program. Dr. Khalid Afzal is the Director of the Consult-Liaison Service. The experience involves a range of consultation opportunities to the general pediatrics and pediatric sub-specialty teams at Comer Children’s Hospital. Trainees also have opportunities to assess patients in the emergency room at Comer.

Trainees work closely with the attending faculty, Dr. Afzal and frequently do walking rounds through the hospital. Opportunities exist to do brief individual and family therapy, medication management of a variety of C/L presentations. Numerous educational opportunities exist on this rotation. Trainees work closely with the supervising faculty on a daily basis. In addition, there is weekly child C/L case rounds, a combined adult-child C/L case conference, and bedside teaching while seeing cases at Comer. Research electives are available for those who are interested.

Highland Park Hospital:
This rotation was created following a collaborative merging between NorthShore Health System and the University of Chicago. It provides fellows with the unique opportunity to work with a suburban patient population and to acquire the necessary skills for their diverse needs. Fellows become part of a multidisciplinary milieu during which they gain experience working with outside systems of care. They rotate with two to three different experienced child and adolescent psychiatrists. Fellows become acquainted with the administrative aspects of private practice, Partial Hospitalization, Intensive Outpatient, and in an inpatient setting working with adolescents.

Second-year rotations:

Neurodevelopmental Clinic:
This rotation involves a one-half day per week commitment week for 4 months. The neurodevelopmental clinic serves preschoolers, children, adolescents with suspected pervasive developmental disorders as well as a variety of associated comorbid conditions. Fellows work closely with Dr. Radwan, the current section chief and training director, and a multidisciplinary team of professionals including psychologists, developmental pediatricians, speech and language pathologists and neurologists who specialize in pervasive development disorders.

Pediatric Neurology Clinic:
Fellows rotate through the outpatient pediatric neurology service one-half day per week for four months and work with Dr. Marcuccilli. They attend neurology outpatient clinic and participate in the evaluations of new and follow-up patients. Fellows initially see the patient, present the case to the attending and see the patient with the attending who reviews the critical aspects of the examination. The neurology clinics at the University of Chicago see a broad range of neurological problems, including seizure disorders, trauma, perinatal injuries, CNS malformations, metabolic disorders, tumors, developmental delays, neurological manifestations of autoimmune disease and other systemic illnesses.

Mood and Anxiety Clinic:
This rotation spans 12 months during which fellows spend one half day per week. Run by Dr. Karam Radwan, this clinic offers fellows the unique opportunity of working from a broad range of therapeutic orientations, including cognitive behavioral, client-centered, dialectical behavior therapy, time-limited psychodynamic, solution-oriented, play, and systemic psychotherapy.

Eating Disorders and Family Based Psychotherapy Clinic:
This rotation runs for 4 months and involves one half day per week. In the Eating Disorders Clinic fellows master the use of standardized evaluations (the Eating Disorders Examination, EDE) with patients presenting with various eating disorders, including anorexia nervosa, bulimia nervosa, obesity, binge-eating disorder, and unspecified eating disorders. The treatment approach adopted by the clinic is based on a manualized family therapy model, the Maudsley approach, as developed by former faculty Dr. LeGrange. The clinic also serves as a vehicle to conduct clinical research investigating effective treatments of these disorders. The clinic has been operating for over 10 years serving patients from surrounding communities and across the country. Fellows are supervised by Dr. Seeba Anam MD and Dr. Jennifer Wildes Ph.D.; in addition, they work in a multi-disciplinary team with psychology trainees.

Neuropsychology Clinic:
This rotation entails one half day per week for 4 weeks. Fellows work with Dr. Scott Hunter Ph.D., the head of Pediatric Neuropsychology. During this rotation, fellows learn how to select appropriate neuropsychological assessment tools, score tests and clinically interpret them. Emphasis is placed on advancing knowledge in the interpretation and understanding of findings (both quantitative and qualitative) gleaned from neuropsychological assessment.

Community / School Consultation:
This rotation entails one half day per week for 4 months duration. This rotation comprises exposure at the Hyde Park Career Academy (High School- 9th-12th grade). In addition, there are community consultations with the Child Protective Services Team (CPS) at The University of Chicago Hospitals (UCH). Fellows provide consultation services to the school system, and to individual teachers/ staff and parents. Trainees participate in psychoeducational sessions, such as conducting on-site teaching/ education sessions in the classroom setting. Residents also have “drop-in hours” where teachers, students, and parents are encouraged to ask individual consultation questions.

Electives:
During the second year fellows are given additional time to pursue a variety of electives available both within the University of Chicago Hospitals and outside if desired.  Fellows are able to choose between clinical and educational electives pending approval from the Program Director, and this can be tailored to fit the unique educational interests of each individual fellow.  Past examples include reading electives, outside clinical experiences, additional time spent in pre-exisiting clinics, and administrative electives.

Research:
This is an individually tailored rotation, where fellows have the choice to delve into a broad range of research areas ranging from clinical to basic research. Fellows join an established research group at The University of Chicago, develop their own project or participate in an ongoing research project, and present their data and conclusions to the department section by the end of their second year of training. Fellows can spend additional elective time should they choose to.

Administrative Duties:
Fellows attend QA meetings and regular meetings with Dr. Radwan to become familiar with the functioning of the clinical services. Fellows assist in the administrative aspect by reviewing referrals and intakes, referring cases to the appropriate clinics and participating in supervision of residents in the Adult track conjointly with the attending psychiatrist.

The below schedule is for Monday, Tuesday, Thursday, and Fridays.  Wednesdays all fellows are on-site for didactics all day.

UC = University of Chicago
ING = UChicago Medicine Ingalls Memorial 
HPH = Highland Park Hospital
HPA = Hyde Park Career Academy (School)
PRE = Paul Revere Elementary
COMM = Various Locations

First Year Fellows

4 Months

4 Months

4 Months

Inpatient and partial hospitalization 90% HPH Inpatient 90% ING ER & C/L 80% UC
Psychotherapy ½ day a week 10% UC Psychotherapy ½ day a week 10% UC Outpatient 10% UC:
Psychosomatic Medicine Clinic ½ day a week
    Outpatient 10% UC
Psychotherapy ½ day a week

Second Year Fellows

4 Months

4 Months

4 Months

Outpatient 60% UC       Mood/ Anxiety Psychotherapy             General Psychopharm Clinic(at Northshore) Outpatient 60% UC     Mood/ Anxiety Psychotherapy           Eating Disorders       General Psychopharm Clinic(at Northshore) Outpatient 60% UC          Mood/ Anxiety Psychotherapy                        General Psychopharm Clinic(at Northshore)
Elective/ Research 20% UC Elective/ Research 20% UC Elective/ Research 20% UC
Admin Duties 10% UC
(Includes Admin Clinic)
Admin Duties 10% UC
(Includes Admin Clinic)
Admin Duties 10% UC
(Includes Admin Clinic)
Community/School 10%
HPA/ PRE/ COMM
Neurology 10% UC Neurodevelopmental Clinic UC 10%

Goals and Objectives