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 note.
  3. Present that evaluation orally as a seven to ten-minute case presentation.
  4. Evaluate, document (as SOAP notes), and present (for thirty seconds to three minutes) follow-up cases on rounds each day.
  5. Evaluate for, diagnose, and suggest basic treatment of major depressive disorder, anxiety disorders, substance use disorders, personality disorder, and schizophrenia.
  6. Describe the diagnosis and basic treatment of other psychiatric diagnoses including bipolar disorders, trauma and stressor related disorders, neurocognitive disorders, eating disorders, and impulse-control disorders.
  7. Develop a strong working knowledge of psychopharmacology, including the indications for each medication and their side effects.
  8. Assess and address suicidality
  9. Participate in and communicate effectively with patients in discussion of sensitive topics (e.g. traumatic experiences, homicidal ideation, and de-escalation)
  10. Engage in and complete all educational responsibilities on time including graded assessments, evaluations, PxDx cases, and communication of absences

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 
7-15-24

Orientation

Dr. Shivani Kumar

8-10AM

M-347

Monday
7-15-24

Psychiatric Interview

Dr. Shivani Kumar

10-11AM

M-347

Monday
7-15-24

Mental Status Exam

Dr. Shivani Kumar

11-Noon

M-347

Monday
7-15-24

Mood Disorders

Dr. Jon Grant

1-3PM

M-347

Monday
7-15-24

Psychosis

Dr. Stephen Marcoux

3-5PM

M-347

Wednesday
7-17-24

Anxiety Cases

Dr. Shivani Kumar/
Dr. Stephen Marcoux

1-2PM

M-347

Wednesday
7-17-24

 Psychopharmacology 1

Dr. Shivani Kumar/
Dr. Stephen Marcoux

2-3PM

M-347

Wednesday
7-24-24

CBT/Neuropsych testing/ ECT

Dr. Shivani Kumar /
Dr. Stephen Marcoux

1-2PM

M-347

Wednesday
7-24-24

Psychopharmacology 2

Dr. Shivani Kumar/
Dr. Stephen Marcoux

2-3PM

M-347

Wednesday
7-31-24

Somatic and Trauma disorders

Dr. Shivani Kumar/
Dr. Stephen Marcoux

1-2PM

M-347

Wednesday
7-31-24

Psychopharmacology 3

Dr. Shivani Kumar/
Dr. Stephen Marcoux

2-3PM

M-347

Wednesday
8-7-24

Addictions

Dr. Shivani Kumar/
Dr. Stephen Marcoux

1-2PM

M-347

Wednesday
8-7-24

Personality disorders

Dr. Shivani Kumar/
Dr. Stephen Marcoux

2-3PM

M-347

Wednesday
8-14-24

Medical/Legal Cases

Dr. Shivani Kumar/ Dr.
Stephen Marcoux

1-2PM

M-347

Wednesday
8-14-24

Child Psychiatry

Dr. Shivani Kumar/
Dr. Stephen Marcoux

2-3PM

M-347

Wednesday
8-14-24

Review

Dr. Shivani Kumar/
Dr. Stephen Marcoux

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, students assigned to NS & Ingalls will be assigned a Saturday or Sunday here at the 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 CL or Child CL 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

7/14/24

7/15/24

7/16/24

7/17/24

7/18/24

7/19/24

7/20/24

Prior to Rotation

Psychiatry Orientation

No Student

No Student

No Student

No Student

Beem
Ingalls Call
Dasgupta/He

7/21/24

7/22/24

7/23/24

7/24//24

7/25//24

7/26//24

7/27/24

Deshpande

No Student

No Student

No Student

No Student

No Student

Pathuri
Ingalls Call
Reddy

7/28/24

7/29/24

7/30//24

7/31/24

8/1/24

8/2/24

8/3/24

Sheu

No Student

No Student

No Student

No Student

No Student

Srinath
Ingalls Call
Rios

8/4//24

8/5/24

8/6/24

8/7/24

8/8/24

8/9/24

8/10//24

TBA

No Student

No Student

No Student

No Student

No Student

TBA
Ingalls Call
Villota

8/11/24

8/12/24

8/13/24

8/14/24

8/15/24

8/16/2024

8/17/24

TBA/TBA

No Student

No Student

No Student

No Student

 No Student

 
 

 

Third Year Psychiatry Schedules

UC Hospitals

Name Rotation  June - July

Ingalls Hospital
David Deshpande
Manish Pathuri
Lauren Sheu

Cooper Ruwe (7/1- 7/31) - Sub I
Inpatient Elective TBA

Click here for full schedule

UCM - Consult Liaison Service
Oisharya Dasgupta
Sai Reddy
Emma He
Christopher Villota

Sub I's (7/1-7/30)
Caitlin Somerville
Julia Chael

C/L Elective
TBA

Click here for full schedule

UCM Child CL Service
Jasmine Rios

TBA  MSIV  

Diana Li - Child Elective

Click here for the full schedule

Northshore

Name

Rotation June - July

Alexandra Beem
Abhinav Srinath

Click here for full schedule
(July)
Sub I - David Banks 
 
Click here for full schedule

Psychiatry OSCE Expectations 

When: 4th Friday of the rotation. The schedule was provided in the orientation materials.
Where: CPC, aka the basement of the BSLC. 

General Expectations:

  • Arrive on time
  • Adhere to the dress code of the CPC: i.e. wear professional clothing and your white coats
  • Only approved items are a blank piece of paper and a pen; you cannot start writing until in the SP room
  • You will get a prompt on the computer and then you enter the room.  

What: You will complete 2 patient encounters. The following is going to be true of both encounters:

  • 20 minutes to complete a psychiatric evaluation of the patient. You will receive a 5-minute warning.  
  • 10 minutes to complete the interstation exercise. The interstation exercise has 3 questions:   
  • Write out the mental status exam for the patient 
  • List a differential for the patient 
  • State your final diagnosis and provide a brief rationale for your diagnosis 
  • The total duration of the exam one hour 
     

OSCE Scoring Rubric:
Please see orientation packet sent via e-mail for details.
 

OSCE Examination Schedule (Standardized Patient Exams)

Friday 8-9-24
Location is the CPC West- Please wear white coats for OSCE

Session #1 at Noon-1:15PM
Oisharya Dashgupta
Sai Reddy
Jasmine Rios
Emma He

Session #2 at 1:30-2:45PM
Christopher Villota
Alexandra Beem
David Deshpande
Manish Pathuri

Session #3 at 3:00-4:15PM
Lauren Sheu
Abhinav Srinath
 

NBME Shelf Examination Schedule

Friday 8-16-24
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 50% of the final grade, with up to 10% of this being based on outpatient evaluations.  The OSCE and the NBME each account for 20% 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