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PGY-1

 Two (4-week blocks) each

  • Internal Medicine
  • Family Medicine*
  • Neurology
  • Pediatrics or Emergency Department Medicine

One (4-week block) each

  • Emergency Psychiatry**
  • Addiction Psychiatry

Five (4-week blocks) each

  • Inpatient Psychiatry
*A pediatric primary care rotation can be arranged for residents Interested in pursuing a C&A Fellowship.
**Full time at the Westside VA, Chicago Healthcare System and Wednesday call at ALGH.
No call on weekends except on IM rotation.

  
PGY-1 Year

The PGY-1 year is divided among primary care "internship," inpatient and outpatient neurology, addiction psychiatry, adult inpatient psychiatry and emergency psychiatry. The primary goal of the first year is the development and solidification of the resident's identity as a physician with direct responsibility for patient care. During the primary care rotations in internal medicine, family medicine and/or pediatrics, residents also learn about diagnosis and management of problems commonly seen in the general hospital. In neurology, the goals are to refine skills in neurological evaluation and examination, and to learn about the neurological conditions commonly seen in neurological practice, since a broad understanding of neurological disease is invaluable for the general psychiatrist. In adult inpatient psychiatry the resident begins to integrate the identity of a physician into the practice of psychiatry in the hospital setting. The resident also develops knowledge and skills in psychiatric assessment, diagnosis, and treatment of the psychiatric patients served by a general hospital. Call frequency is 4-5/month and no weekend call.

PGY-2

4 months

  • Inpatient Psychiatry Consult

1 month

  • Inpatient Psychiatry ECT 

4 months

  • Inpatient Psychiatry

3 months

  • Child & Adolescent

   
PGY-2 Year

The PGY-2 year is devoted primarily to inpatient psychiatry in a variety of settings. The resident is expected to develop skills and knowledge in the diagnosis, hospital management, and treatment of patients of all ages suffering with a full spectrum of psychiatric disorders requiring hospitalization. Among the skills to be learned are differential diagnosis, thorough psychiatric evaluation, in-patient psychotherapies (including individual, group, and family therapies), and collaborative management with a multidisciplinary team and with physicians of all specialties. Knowledge to be developed includes the phenomenology and diagnostic criteria of major psychiatric disorders, principles and practice of psychopharmacology, and theory and practice of inpatient psychotherapy. Call frequency is 3/month and no weekend call.

PGY-3

3 months

  • Outpatient Partial Hospital Program

4 months

  • Outpatient Community Psychiatry*

5 months

  • Outpatient
 *1/2 day/week at Advocate Illinois Masonic Medical Center's Community Psychiatry Clinic.

    
PGY-3 Year

The PGY-3 year is anchored in outpatient psychiatric services. The core of the experience is evaluation and ongoing psychiatric treatment in the outpatient setting, for patients of all ages from adolescence to old age. The resident is expected to function with supervision, which no longer always includes direct observation. During this year, the resident develops a greater degree of independent clinical judgment and skill. Third year residents also become involved in functions that encourage the development of leadership and teaching ability. Call frequency is 1/month and no weekend call.

PGY-4

4 months

  • Outpatient Consult

4 months

  • Outpatient
  • Senior/Quality & Utilization Mgmt.

4 months

  • Outpatient
 During their 4th year, residents may use up to 750 hours of optional elective time of their choice.

   
PGY-4 Year

The PGY-4 year of the residency emphasizes advanced preparation for entry into either psychiatric practice or subspecialty fellowship training. The senior resident is encouraged and expected to function with a greater degree of independence and responsibility. The main goal of supervision is to foster the development of the degree of independent judgment that is necessary in order to function as a competent member of the profession. Rotations emphasize cooperative interaction with other members of the medical and allied health professions, the development of teaching habits and skills with medical students, psychiatric residents, and primary care residents, and the provision of ongoing patient care in the context of therapeutic relationships. There are no calls during the 4th year.


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