The General Adult Psychiatry Clinics provide diagnostic evaluation and treatment for a range of psychiatric disorders in adults, including bipolar and unipolar affective disorders, anxiety disorders, adjustment disorders, attentional disorders, personality disorders, and some psychotic disorders. The general clinics provide medication management and limited psychotherapy but can refer within the clinic for short and long term psychotherapy and neuropsychiatric testing. The clinics collaborate with primary care providers in the evaluation and treatment of medical problems which may intersect with psychiatric presentations, such as sleep disorders, some cortical and subcortical dementias which are comorbid with affective disorders, and the common renal, thyroid, hematologic and hepatic consequences of medications commonly used in psychiatric practice. PGY-3 residents spend twelve months in the General Clinics.
Please note the Goals and Objectives listed here apply not only to the General Adult Clinics but also to all the Adult Outpatient Subspecialty Clinics, though the latter may have additional specific Goals related to the subspecialty of each clinic.
PATIENT CARE:
At the end of the twelve-month rotation, the resident will have acquired:
MEDICAL KNOWLEDGE:
The resident will know and understand:
PRACTICE-BASED LEARNING AND IMPROVEMENT
The resident will be conversant with standards for metabolic screenings, assessment of movement disorders, Depression and Anxiety written inventories, and other standards of care, and will incorporate these measurements into patients' medical records. The resident will be observed in many patient interactions by the attending and will receive feedback on those observations including issues of rapport, adherence, patient education and formulation of a treatment plan shared with the patient.
INTERPERSONAL AND COMMUNICATIONS SKILLS:
The resident will be able to:
PROFESSIONALISM:
The resident will demonstrate:
When appropriate and only with the written consent of the patient, the resident will communicate with ancillary medical providers, mental health providers, and other relevant sources of information or providers of education, structure and/or care to the patient, to establish and maintain an optimal treatment plan.
The Anxiety Disorders Clinic provides consultation and treatment on treatment-refractory cases that are often referred from the Department, Hospital, and community. The Clinic is composed of one faculty psychiatrist, 1-2 resident psychiatrist(s), one faculty clinical psychologist with cognitive-behavioral therapy expertise, 1-2 clinical psychology interns, and 2 clinical psychology externs. This multidisciplinary team meets weekly in case-based discussions and didactic sessions.
At the end of this rotation, residents will understand and display competence in the following:
PATIENT CARE/MEDICAL KNOWLEDGE
INTERPERSONAL AND COMMUNICATION SKILLS
PROFESSIONALISM
PGY-3 residents spend 6 months in this clinic. At the end of this rotation, residents will display the following:
PATIENT CARE
MEDICAL KNOWLEDGE:
INTERPERSONAL AND COMMUNICATION SKILLS:
PROFESSIONALISM:
SYSTEMS BASED PRACTICE:
PGY-3 residents spend 12 months in child and adolescent psychiatry clinics
MEDICAL KNOWLEDGE
The resident will be able to:
PATIENT CARE
The resident will be able to:
INTERPERSONAL AND COMMUNICATIONS SKILLS
The resident will demonstrate an ability to:
At the end of this rotation, residents will display the following:
PATIENT CARE:
MEDICAL KNOWLEDGE:
INTERPERSONAL AND COMMUNICATION SKILLS:
PROFESSIONALISM:
The Treatment-Refractory Mood Disorders Clinic provides consultation and treatment for referred patients.
At the end of this rotation, residents will display the following:
PATIENT CARE:
MEDICAL KNOWLEDGE:
INTERPERSONAL AND COMMUNICATION SKILLS:
PROFESSIONALISM:
PGY-2 residents spend six months in the continuing care clinic. The CCC provides services for patients with chronic severe mental illnesses. The clinic includes a medication management clinic, a support group, and several psychotherapy groups geared to people at different stages of recovery. Patients are generally stable and the goal is to help them manage setbacks, prevent hospitalization, and progress towards recovery. In addition, the clinician should always be trying to minimize symptoms that previously were not recognized or had been accepted as optimally managed. The clinic relies heavily on making use of other psychosocial rehabilitation services in the Chicagoland area. Besides resident physicians and the attending, the clinic is staffed by a clinical nurse practitioner.
PATIENT CARE:
The resident will competently:
MEDICAL KNOWLEDGE:
The resident will know:
INTERPERSONAL AND COMMUNICATION SKILLS:
The resident will:
PROFESSIONALISM:
The resident will learn to:
SYSTEMS-BASED PRACTICE
The resident will:
PATIENT CARE:
The resident will demonstrate an:
MEDICAL KNOWLEDGE:
The resident will display a:
INTERPERSONAL AND COMMUNICATIONS SKILLS:
The resident will display a:
The Behavioral and Substance Addiction Clinic at the University of Chicago evaluates and treats individuals with alcohol and drug problems (including marijuana, cocaine, opiates) as well as those with behavioral addictions – gambling, sex, stealing, spending and internet addictions. Residents rotate through this clinic for 6-month blocks and see one new diagnostic evaluation and three follow-up patients per clinic. This clinic is run by Jon Grant, M.D.
PATIENT CARE
Residents will learn to evaluate, diagnose, and manage patients with a range of addictive behaviors, implement evidence-based treatment approaches to addictive behaviors, and address common comorbidities.
MEDICAL KNOWLEDGE
Residents will demonstrate knowledge of evidence-based treatment approaches to addictive behaviors
INTERPERSONAL AND COMMUNICATIONS SKILLS
Residents will create rapport with and patients with histories of addiction and will develop skills at eliciting comprehensive histories from patients with addictive behaviors.
PROFESSIONALISM
Residents will develop and demonstrate a respectful attitude toward patients with addictive disorders
SYSTEMS BASED PRACTICE
Residents will become aware of the range of services for patients with addictive behaviors including inpatient and outpatient substance use programs, self-help groups, and other available resources.
PATIENT CARE:
The resident will learn:
MEDICAL KNOWLEDGE:
The resident will:
INTERPERSONAL AND COMMUNICATIONS SKILLS:
The resident will Conduct supportive psychotherapy for select patients who are currently going undergoing crises, going through transitions, or otherwise are appropriate for these services.
SYSTEMS-BASED PRACTICE
The resident will learn to coordinate care and treatment plans with the patients, primary care doctors, psychotherapists, and social workers.
PGY-2 residents begin to treat 3 patients in psychotherapy, and PGY-3 residents increase their psychotherapy caseload to 8-10 patients per week in psychodynamic, CBT and supportive psychotherapy. PGY-4 residents continue to work with psychotherapy patients electively. The following Goals and Objectives apply to all psychotherapeutic modalities.
PATIENT CARE
The resident will be able to:
MEDICAL KNOWLEDGE
The resident will be able to:
PROFESSIONALISM
The resident will be able to:
INTERPERSONAL AND COMMUNICATION SKILLS
The resident will be able to:
PROBLEM-BASED LEARNING
The resident will be able to:
PSYCHOTHERAPY LEARNING OBJECTIVES FOR SPECIFIC PSYCHOTHERAPEUTIC MODALITIES
BRIEF AND CRISIS INTERVENTION
The resident will be able to:
PSYCHODYNAMIC PSYCHOTHERAPY
The resident will be able to:
COMBINED PSYCHOPHARMACOLOGY AND PSYCHOTHERAPY
The resident will be able to:
COGNITIVE BEHAVIORAL PSYCHOTHERAPY
The resident will be able to:
SUPPORTIVE PSYCHOTHERAPY
The resident will be able to:
The clinical forensic experience is, of necessity, a part-time experience. At a minimum, the resident should write at least one in-depth medicolegal evaluation in which the relevant legal question is addressed, using medical records, psychological testing and the clinical interview as appropriate to substantiate the opinions offered. In addition, to the extent possible, the resident is encouraged to witness medicolegal testimony at deposition and/or trial.
PATIENT CARE
The resident should develop the skills to
MEDICAL KNOWLEDGE
The resident should
PATIENT CARE
The resident will evaluate, diagnose and treat patients with:
MEDICAL KNOWLEDGE
The resident will demonstrate knowledge of:
SYSTEMS BASED PRACTICE
The resident will demonstrate:
PATIENT CARE
The resident will understand and provide the psychiatric care of transplant patients before, during, and after their surgery. Residents participate in diagnostic evaluations, treatment recommendations, and ongoing management. Patients awaiting lung, liver, heart, and kidney transplant make up the initial patient population, but the clinic population includes many patients who are post-transplant.
MEDICAL KNOWLEDGE
Residents will
INTERPERSONAL AND COMMUNICATIONS SKILL
The resident will learn to work with patients with advanced medical illness and be sensitive to their physical limitations.
SYSTEMS-BASED PRACTICE
Residents will communicate with multidisciplinary transplant teams effectively, and receive feedback from them.
PATIENT CARE
MEDICAL KNOWLEDGE
Residents will
PRACTICE-BASED LEARNING AND IMPROVEMENT
INTERPERSONAL AND COMMUNICATIONS SKILLS
PROFESSIONALISM
SYSTEMS-BASED PRACTICE
PATIENT CARE
MEDICAL KNOWLEDGE
Residents will
PRACTICE BASED LEARNING AND IMPROVEMENT
Residents will have the opportunity to participate in ongoing QA/QI projects and present cases in M&M conferences.
INTERPERSONAL AND COMMUNICATIONS SKILLS
PROFESSIONALISM
SYSTEMS-BASED PRACTICE