ROTATIONS

Inpatient Child/Adolescent Psychiatry and Partial Hospitalization Program
4 Kellogg is a 15-bed inpatient unit for children age 2 to 18 years old. The patients come from diverse ethnic backgrounds and are from all socioeconomic classes. Fellows acquire skills in evaluation and management of child and adolescent psychiatric patients who are acutely ill. Fellows participate in multidisciplinary staffings, group and family therapy, behavioral management, milieu management, psychopharmacological treatment, and individual therapies with patients and their families. A partial hospitalization program operates in the same facility providing fellows with the opportunity to incorporate knowledge and skills related to managing and transitioning patients from acute care to other settings.

General Outpatient Child/Adolescent Psychiatry Clinic
Fellows have the unique opportunity to treat patients and work with the staff of the Orthogenic School, a residential treatment center for children and adolescents. Fellows acquire experience in the evaluation and treatment of children and adolescents with a broad range of psychiatric disorders. Trainees begin to see outpatients in their first year in order to provide long-term treatment opportunities. There is an increase in the caseload and independence during their second year. The fellows will also work at the Rush Day School, a therapeutic school that provides intensive therapeutic services for children age 6 to 14 years with severe emotional and neurological impairments.

Pediatric Neurology Outpatient Clinic
Fellows gain clinical experience in pediatric neurology under the supervision of a child neurologist. Trainees develop an understanding of the interrelatedness and distinctions between pediatric neurology and pediatric psychiatry. The resident gains experience completing diagnostics and assessments during follow-up. A broad spectrum of problems are seen including epilepsy, headaches, developmental disorders, cerebral palsy, Attention Deficit Disorder, muscle diseases, peripheral palsies and motor and vocal tic disorders.

Outpatient Mood Disorders Clinic
This unique opportunity provides fellows with intensive exposure to children and adolescents with mood disorders. Fellows develop skills in managing patients in a time efficient manner in an outpatient treatment setting. In the second year, trainees gain supervisory experience with medical students, general psychiatry residents and medical psychiatry residents who also rotate through clinic.

Outpatient Disruptive Behavior Disorders Clinic
This rotation provides fellows with exposure to children with Attention Deficit Hyperactivity Disorder and Disruptive Behavior Disorders. Fellows develop skills in psychopharmacologic management and therapeutic interventions with patients and their families. Fellows gain experience in systems based care in their coordination of treatment efforts with teachers, schools, and child protective agencies. In the second year fellows function more independently providing oversight and supervision to psychiatry residents and medical students.

Pediatric Consultation-Liaison Psychiatry
Fellows gain experience consulting to general pediatric and pediatric neurology services on a variety of cases during their first year of training. Experience is gained in diagnosing and treating a variety of psychiatric disorders in children and adolescents with concurrent medical illness. Fellows learn the pragmatics of doing a consult, boundary issues, cultural effects on psychiatric disorders and treatment, ethical issues, and how to work with systems and agencies.

Forensic Consultation
Fellows in their second year attend legal hearings on any outpatient case for which it is required including child abuse and neglect. Fellows witness court testimony and participate in court experiences to gain a first hand knowledge of legal procedures. Trainees gain an in depth knowledge of the principles and practice of forensic psychiatry with particular emphasis on aspects applicable to child psychiatry. In addition the fellow will have a shadow experience at the Juvenile Detention Center supervised by a board certified child and adolescent psychiatrist. A fellow, resident may complete a forensic assessment and report under the supervision of a board certified forensic child psychiatrist.

School Consultation
Fellows provide direct and indirect consultation to school administrators, teachers, psychologists and social workers at therapeutic day school and in the public school system. Collaborative work with school personnel to develop supportive programs for students and faculty is another primary responsibility.

Community Psychiatry
Fellows work as part of a multidisciplinary team to provide psychiatric treatment to children and adolescents in this school based mental health center. The emphasis is on advocacy planning, understanding the role of the psychiatrist in the community and understanding community agencies.

Laurence Armour Day School
Fellows observe and interact with normal children age 4 months to 6 years in this Rush based pre-school for hospital employees. The resident gains experience and knowledge of developmental skills, peer interaction, group interaction, and behavioral techniques and strategies for learning employed by the staff.

Elective
Elective time provides the resident with the opportunity to acquire experience within a particular area of interest. Fellows may choose from a wide variety of electives including additional experiences in school consultation, research, administration, chemical dependency, pediatric neurology, working with selected populations and others based upon the fellow’s interest.