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
Zehra Aftab, MD

Khalid Afzal, MD

Stephanie Lichtor, MD

Tina Drossos, Ph.D.

ENH Northshore

Ravi Valluripalli, MD

Susan Anderson, MD

Ingalls Hospital

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 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. 

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.

Information for Students

Third Year Psychiatry Clerkship Lectures 

Date   Topic Lecturer Time Location
Monday
10-4-21
  Orientation Dr. Michael Marcangelo 8-10AM M-347
Monday
10-4-21
  Psychiatric Interview Dr. Michael Marcangelo 10-11AM M-347
Monday
10-4-21
  Mental Status Exam Dr. Michael Marcangelo 11-Noon M-347
Monday
10-4-21
  Psychosis Dr. Marie Tobin 1-3pm Zoom
Monday
10-4-21
  Mood Disorders Dr.Jon Grant 3-5pm Zoom

Wednesday
10-6-21

  Antipsychotics and Mood Stabilizers Dr. Michael Marcangelo 1-2PM M-347

Wednesday
10-6-21

  CBT, ECT, and Neuropsychology Dr. Michael Marcangelo 2-3PM M-347

Wednesday
10-6-21

   Interview Class Dr. Michael Marcangelo 3-5PM M-347
Wednesday
10-13-21
  Substances Dr. Michael Marcangelo 1-2PM M-347
Wednesday
10-13-21
  Antidepressants, Benzodiazepines, and Stimulants Dr. Michael Marcangelo 2-3PM M-347
Wednesday
10-13-21
  Interview Class

Dr. Michael Marcangelo

3-5PM M-347
Wednesday
10-20-21
   Personality Disorders Dr. Michael Marcangelo 1-2PM M-347
Wednesday
10-20-21
  Somatic Disorders and Trauma Dr. Michael Marcangelo 2-3PM M-347

Wednesday
10-20-21

  Interview Class Dr. Michael Marcangelo 3-5PM M-347

Wednesday
10-27-21

  Psychopharmacology Dr. Michael Marcangelo 1-2PM M-347

Wednesday
10-27-21

  Med Legal Dr. Michael Marcangelo 2-3PM M-347
Wednesday
10-27-21
  Interface of Psychiatry Medicine Dr. Michael Marcangelo 3-4PM M-347
Wednesday
11-3-21
  Anxiety Dr. Michael Marcangelo 1-2PM M-347
Wednesday
11-3-21
  Child Psychiatry Dr. Michael Marcangelo 2-3PM M-347
Wednesday
11-3-21
  Review Dr. Michael Marcangelo 3-4PM 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
10/3/21 10/4/21 10/5/21 10/6/21 10/7/21 10/8/21 10/9/21
Prior to Rotation Psychiatry Orientation No Student No Student No Student No Student Dai
Ingalls Call
Ackerman Schnorenberg
10/10/21 10/11/21 10/12/21 10/13/21 10/14/21 10/15/21 10/16/21

Gonzalez

Grullon Perez

No Student No Student No Student No Student No Student Grose
Ingalls Call
Lozinski Ran
10/17/21 10/18/21 10/19/21 10/20/21 10/21/21 10/22/21 10/23/21

Ruiz

Ackerman

No Student No Student No Student No Student No Student McCauley
Ingalls Call
Li Grose
10/24/21 10/25/21 10/26/21 10/27/21 10/28/21

10/29/21

10/30/21

Lozinski

Ran

No Student

No Student

No Student No Student No Student Mirle
Ingalls Call
Gonzalez
10/31/21 11/1/21 11/2/21 11/3/21 11/4/21 11/5/21  

Li

Schnorenberg

No Student

No Student No Student No Student EXAM  

 

Third Year Psychiatry Schedules

UC Hospitals

Name Rotation October

Ingalls Hospital
Karina Grullon Perez
Leslie McCauley
Vikranth Mirle

TBA Sub I TBA
Inpatient Elective TBA

Click here for full schedule

UCM - Consult Liaison Service
Max Ackerman
Christian Gonzalez
Andrew Grose
Alice Li
Maya Lozinski
Gege(Julia) Ran
Mathew Schnorenberg

C/L Sub I TBA

C/L Elective (TBA)

Click here for full schedule

UCM Child CL Service
No student

 

Click here for the full schedule

Northshore

Name Rotation March

Wenli Dai
Maria Ruiz

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

OSCE Examination (Standardized Patient Exams)

Friday 10-29-21
Location is the CPC West

Session #1 at 12-1:15PM
Max Ackerman
Christian Gonzalez
Andrew Grose
Alice Li

Session #2 at 1:30-2:45PM
Leslie McCauley
Karina Grullon Perez
Mathew Schnorenberg
Gege (Julia) Ran

Session #3 at 3:00-4:15PM
Wenli Dai
Maria Ruiz
Vikrath Mirle
Maya Lozinski

NBME Shelf Examination
Friday 11-5-21
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 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