In the second year, residents spend the majority of their clinical time on inpatient units and begin to learn inpatient treatment of adults, children, and adolescents. Residents have varied experiences in the several inpatient settings.
Four assignments are at UIC hospital with adults: the Mood/Anxiety service, the Women’s Mental Health service, the Psychotic Disorders service, and Neuropsychiatry service. There is also an assignment on the Department of Child and Family Services (DCFS) Child and Adolescent unit. The other assignments are the Jesse Brown VA Hospital, MacNeal Hospital (community-based), and Madden Mental Health Center (state hospital). Each unit has a different patient population and length of stay. Residents receive direct supervision on all units.
Residents spend one month each on the consult-liaison services at UIC and Jesse Brown VA Hospital as part of the multidisciplinary teams proving consultation to medical/surgical services.
Residents also begin their outpatient psychotherapy experience by seeing 2-3 patients a week in the clinic. Residents have weekly supervision of these cases with experienced psychotherapists.
· The acquisition of knowledge and proficiency in the diagnosis and treatment of seriously disturbed patients in the inpatient setting.
· The formation of an identity as a psychiatrist by developing sensitivity and empathy, and tolerance of different opinions and attitudes about mental illness and treatment. This is accomplished by relating to other mental health professionals, appreciating social and cultural factors that influence behavior, and gaining an appreciation of one's strengths and limitations.
· The understanding of psychodynamic principles and the goals of psychodynamic psychotherapy in both the inpatient and outpatient settings.
· The acquisition of knowledge and skills in the use of various biological treatments, including ECT.
· Development of knowledge, skills, and attitudes that begin to establish the core knowledge base for the diagnosis, treatment, and case management of psychiatric disorders. The resident spends four months on the psychiatric inpatient services at UIC Hospital and at Jesse Brown VA Hospital.
· Development of skills appropriate to the practice of consultation-liaison psychiatry. Residents rotate through a one month consultation-liaison services at both UIC Hospital and Jesse Brown VA Hospital.
Morning Report. Residents on the Emergency Service and Inpatient Service attend morning report Monday through Friday from 8:00 to 9:00 a.m. Faculty and PGY-4 residents involved in the Emergency Room and Intake Services conduct this report. The time is divided between review of clinical information and didactic presentations. Residents summarize their emergency room activities at this time. Emphasis is placed on case presentation and formulation, differential diagnosis, case management, and disposition issues. The didactic component consisted of planned lectures and case-based learning.