Education

Third Year Psychiatry Clerkship

General Information

Location Instructor
University of Chicago Department of Psychiatry Mike Marcangelo, MD 
University of Chicago
Department of Psychiatry 

Marie Tobin, MD

Mike Marcangelo, MD

Holly Shiao, MD

ENH Northshore

Ravi Valluripalli, MD

TBA, MD

Ingalls Hospital

Zehra Aftab, MD

Carolyn Shima, 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 all other psychiatric disorders.
  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 three 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 2 sites - 1) Adult Inpatient Psychiatry at Ingalls Hospital, 2) Adult 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. 

Absences

Planned absences must be arranged BEFORE the rotation begins. Contact Mrs. Brandy Tyrpin, who will also refer you to your primary attending in order to allow for make-up work on your assigned service. For emergency absences, please notify your clinical supervisor also.

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. Michael Marcangelo, know so that we can help you navigate this experience.

Third Year Psychiatry Clerkship Lectures

Date Topic Lecturer Time Location
Monday
7-22-19
Orientation Dr. Michael Marcangelo 8-10AM B-309
Monday
7-22-19
Psychiatric Interview Dr. Michael Marcangelo 10-11AM B-309
Monday
7-22-19
Mental Status Exam Dr. Michael Marcangelo 11-Noon B-309
 

Monday 
7-22-19

Psychosis Dr. Marie Tobin 1-3PM B-309
Monday
7-22-19
Mood Disorders Dr. Jon Grant 3-5PM B-309
Wednesday   7-24-19 Antidepressants, Benzodiazepines, and Stimulants Dr. Carolyn Shima 1-2PM B-309
Wednesday   7-24-19 Substances Dr. Michael Marcangelo 2-3PM B-309
Wednesday   7-24-19 Interview Class Dr. Michael Marcangelo 3-5PM B-309
Wednesday
 7-31-19
CBT, ECT, and Neuropsychology Dr. Michael Marcangelo 1-2PM B-309
Wednesday
 7-31-19
Antipsychotics and Mood Stabilizers Dr. Michael Marcangelo 2-3PM B-309
Wednesday
 7-31-19
Interview Class Dr. Michael Marcangelo 3-5PM B-309
Wednesday
8-7-19
Personality Disorders Dr. Michael Marcangelo 1-2PM B-309
Wednesday
8-7-19
Somatic Disorders and Trauma Dr. Michael Marcangelo 2-3PM B-309
Wednesday
8-7-19
Interview Class Dr. Michael Marcangelo 3-5PM B-309
Wednesday
8-14-19
Child Psychiatry Dr. Michael Marcangelo 1-2PM B-309
Wednesday
8-14-19
Child Psychiatry Dr. Michael Marcangelo 2-3PM B-309
Wednesday
8-14-19
Review Dr. Michael Marcangelo 5-6PM B-309

 

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. Monday through Friday night, call begins at 5:30-6:00 PM and ends at Midnight. On Saturdays,  call begins at 8:00 AM at the Inpatient Unit at Ingalls Hospital: After rounds, Medical Students should come to the University of Chicago Hospital and contact the Resident on call.  Call ends at Midnight.  On Sunday call begins at 8 AM ending at midnight and takes place entirely at the University of Chicago.  New patients will not be assigned after 10:00 PM so students can finish working up their cases by midnight.  Students on Friday call are expected to round the following morning at Ingalls Hospital after night call.  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
7/21/19 7/22/19 7/23/19 7/24/19 7/25/19 7/26/19 7/27/19
Prior to Rotation  Psychiatry Orientation Allaw Ellis Johns Khosla Zhang
7/28/19 7/29/19 7/30/19 7/31/19 8/1/19 8/2/19 8/3/19
Ellis Pursely Thompson Zhang Khosla Lenti Pursely
8/4/19 8/5/19 8/6/19 8/7/19 8/8/19 8/9/19 8/10/19
Johns Lenti Allaw Ellis Zhang Johns Thompson
8/11/19 8/12/19 8/13/19 8/14/19 8/15/19 8/16/19 8/17/19
Allaw Pursely Thompson

No Call 
 

Study Day No call
 

Exam

Rotation Over

Third Year Psychiatry Schedules

UC Hospitals

Name Rotation #2

Ingalls Hospital

Kaitlin Ellis
Christopher Ellis

TBA Sub I (TBA)

Click here for full schedule

UCM - Consult Liaison Service

Kavia Khosla
Gena Lenti
Hannah Pursley
Annie Zhang

C/L Elective TBA

TBA Sub I (TBA Month)
 

Click here for full schedule

Northshore

Name Rotation #2

Ahmad Allaw
Kathryn Thompson

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

 

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OSCE Examination (Standardized Patient Exams)

Friday 8-9-19
Location is the CPC West

Session #1 at 1:00PM
Khosla
Pursley
Lenti

Session #2 at 2:15PM
Zhang
Ellis
Johns

Session #3 at 3:30PM
Allaw
Thompson
 

NBME Shelf Examination

Friday 8-16-19
8:30 AM Exam starts at 9 AM
BSLC Room TBA (students will be advised via e-mail if they need their laptops  direct questions about laptops to Kory Schwanz at kschwanz1@bsd.uchicago.edu)

Grades

Grades are based on three domains:  1) clinical performance on the team at the hospital to which the student is assigned; 2)  performance on the written NBME shelf exam; 3)  passing the OSCE oral examination.

Clinical performance is assessed by primary attending physicians that the student is on service and input from residents.  The clinical performance makes up 66% of the grade.  The NBME examination makes up 33% of the grade.  Every student must pass the OSCE examination. 

If a student fails the NBME examination they will be required to retake the examination until a passing grade is achieved.  If a student fails the clinical portion of the clerkship or the overall weighted grades for a student is a fail, the student must repeat and pass the clerkship in order to obtain credit.

Rotation Schedules