Download Psychiatry – MacNeal Hospital - University of Illinois College of

Psychiatry – MacNeal Hospital
Body-for-Body Switch Procedure: All body-for-body switch and reassignment requests must be
submitted to Student Affairs at least four (4) weeks before the rotation start date.
Orientation for the first Monday:
Reporting Time:
9:00 a.m.
Reporting Place:
Sean Blitzstein, MD
University of Illinois Hospital at Chicago - Department of Psychiatry
1747 West Roosevelt Rd
Room 361
Site reporting instructions will be given out at the general orientation for all students
doing their psychiatry rotation.
MacNeal Hospital
Reporting Place:
Maribeth Mungovan
2nd Floor, Professional Building
Medical Education Department
3231 South Euclid
MacNeal Hospital:
Site Director:
Patrick Chambers, MD
MacNeal Hospital
3249 S. Oak Park Avenue
Berwyn, IL 60402
Staff Coordinator:
Maribeth Mungovan
Education Coordinator
MacNeal Professional Building
3231 South Euclid
Berwyn, IL 60402
Phone: 708.783.3402
Email: [email protected]
Public Transportation / Parking:
Multiple parking lots adjacent to the hospital.
Transportation by Car:
FROM THE EAST:
Take the Stevenson (I-55) South to Harlem Ave. Take EXIT 283 for IL-43/Harlem Ave. Turn
RIGHT at Harlem Ave. Turn RIGHT onto Ogden Ave/US-34. Turn LEFT at Oak Park Ave.
MacNeal Hospital will be on the RIGHT.
Updated on 6/19/2012 by Chris Ocampo
FROM THE WEST:
Take the Eisenhower (290) East to Harlem Ave. Take EXIT 21B on the left toward Harlem/IL-43.
Turn RIGHT onto S Harlem Ave. Turn LEFT at W 26th St. Turn RIGHT onto Oak Park
Ave. MacNeal Hospital will be on the left.
Curriculum Outline:
Description of Rotation/Educational Experience:
The MacNeal Hospital Curriculum will expose students to several programs which are:
General Inpatient Treatment Programs: Adults of all ages, including Geriatric population.
Partial Hospital Treatment Program: Adults of all ages with Chemical Dependency
and/or Mental Illness.
Educational Experience – Students will gain experience on:
Providing treatment for adults that include multiple modalities of therapy including
psycho- pharmacotherapy.
Providing individualized treatment to meet each patient’s specific needs.
Developing a treatment team approach based on strengthening individual skills and
interpersonal relationships by utilizing the existing emotional, behavioral and social
resources in conjunction with environmental resources at home and in community.
Develop behavioral management approach to treating patients which include positive
reinforcement to build self-esteem and increase healthy behaviors while addressing limit
setting and self-discipline.
Rotational Goals:
During this clinical rotation students are expected to attain an adequate level of knowledge and
understanding of treating adults with severe psychiatric and behavioral disorders.
General Objectives:
Learn about the assessment instruments and psychiatric scales used in the assessment
of mental disorders.
Understand the terminology used in the diagnostic process for psychiatric disorders.
Identify the major signs and symptoms of psychiatric disorders.
Learn the etiological factors associated with major psychiatric disorders.
Understand the role of stress and anxiety in mental health adjustment.
Learn the basics of psychiatric interviewing techniques.
Achieve an understanding of the DSM-IV diagnostic criteria for major
psychiatric disorders.
Identify the types of psychotherapeutic interventions appropriate for the major psychiatric
disorders.
Identify suicide risk and other psychiatric emergencies.
Learn general management techniques for psychiatric emergencies.
Achieve knowledge about the major types of drugs used in the treatment of psychiatric
disorders.
Updated on 6/19/2012 by Chris Ocampo
Learn about the community and mental health agencies available for the management of
psychiatric problems and disorders.
Understand when to refer to a psychiatrist or other mental health professional.
Recognize the substances commonly involved in dependence and abuse.
Assignments:
Participation in individual and group therapy process. Participation in Psychiatric
Evaluation Process.
Participation in the 1 Hour Seclusion & Restraint Assessment.
Participation in History and Physical Examinations.
Participation in Treatment Staffings
Participation in Medical Rounds meetings providing presentation of clinical
recommendations as requested
Participation in Unit Meetings providing presentation of clinical training modules as
requested
Participation in family therapy processes as applicable.
Participation in discharge planning processes throughout the course of treatment.
Students will receive individualized experience and training in:
Crisis Prevention Intervention (CPI) techniques and methodologies
Illinois Mental Health Code and Confidentiality Act provisions
Federal HIPAA Administrative Simplification provisions
Mandated Reporter Abuse & Neglect reporting protocols
Competencies:
At the completion of the rotation students will demonstrate the following competencies:
I.
Assessments:
Conduct initial intake assessments to determine the most clinically appropriate level of care.
Note: Students rotation will consist of (4hrs.) per week in the Assessment &
Referral Department to fulfill their clinical intake assessment skills
Demonstrate how to conduct (Mental Status Exams, Cognitive Assessments, Self-harm
and suicide assessments.
Demonstrate how to conduct a 1 hour Seclusion & Restraint Assessment.
II.
History & Physical Exam:
Demonstrate how to take and record focused histories on patients.
Associate patient’s complaints with their presented history.
Recognize and understand signs and symptoms associated with a specific diagnosis.
Demonstrate an understanding of what constitutes an appropriate directed physical
exam after eliciting a patient history.
Recognize pertinent physical findings.
Interpret particular physical findings in order to differentiate one disorder from another.
Updated on 6/19/2012 by Chris Ocampo
III.
Psychiatric Evaluation Process:
Demonstrate how to complete a psychiatric evaluation by verbalizing the key
components when conducting a psychiatric evaluation.
Students must demonstrate knowledge of: Anxiety Disorders, Attention Deficit Disorder,
Mood Disorders, Personality Disorders, Psychoses, Substance Abuse Disorders, Eating
Disorders, Acute Reaction to Stress, Child Abuse, and Domestic Violence.
Identify signs and symptoms of psychiatric disorders.
Complete written psychiatric report.
IV.
Clinical Intervention/Therapy:
Demonstrate knowledge of how to facilitate clinical groups which include Process
Groups and Family Therapy.
Demonstrate understanding of patient treatment plan.
Development of treatment plan.
Demonstrate an understanding of discharge planning process.
Recognize indications for use of medications.
Demonstrate understanding of appropriate follow-up schedule or monitoring approach
regarding a therapeutic regiment.
Demonstrate understanding of the actions to take in response to acute, specific drug
toxicity.
Demonstrate understanding of safe and effective selection and administration of drugs.
Demonstrate and understanding of the importance of patient compliance with treatment
and techniques to increase compliance.
Demonstrate knowledge of how to work with multidisciplinary treatment team.
V.
Presentation:
Provide oral presentation of treatment progress, medical concerns, and other issues
relative to assigned patients in (Medical Rounds, and Unit Meetings).
Provide clinical training to front line staff on selected topic during Unit
Meetings.
VI.
Resident / Attending Involvement
Close supervision by the Attending Psychiatrist; Participation in Medical Committees as
applicable.
VII.
Highlight and Unique Features:
Program Components include:
Initial Intake Assessment available 24 hours a day and 7 days a week, to insure referral
to the most clinically appropriate level of care
Comprehensive Multi-Disciplinary Diagnostic Evaluation
Individual, Group and Family Counseling
Behavioral Therapy
Expressive Therapies
Social Skills Training
Updated on 6/19/2012 by Chris Ocampo
Medication Monitoring/Education
Case Management
Horticultural Therapy
Exposure in full spectrum of clinical programming including these support groups:
Preventative Information Services
24 Hour Assessment & Referral Services
Outpatient Services Behavioral Management Specialty Assessments
Intensive Outpatient Treatment Programs
Chemical Dependency Assessment
Partial Hospitalization Programs
Collaboration with community agencies and resources in the delivery of treatment
Exposure to a variety of clinical needs and issues
Updated on 6/19/2012 by Chris Ocampo