Why choose our program?

Transcription

1 Why choose our program? Outstanding community hospital with academic focus. Recognized 10 times as a Top 15 US Teaching Hospital. Small program; close interaction with peers and personal attention by faculty. Full continuum of mental health, consultative and addiction services form child to geriatrics. Broad diversity of patients. Balanced educational experience. 95% of our residents training is spent on the hospital campus. No weekend ER call! Located in suburban setting with convenient access to downtown Chicago. Excellent Benefits! For further details about the faculty and residents visit us online at: Advocate Lutheran General Hospital Residency Psychiatry Training Program 1775 W. Dempster Street, Park Ridge, Illinois 60068

2 Leadership Welcome 2 Program Description We welcome your interest in the Advocate Lutheran General Hospital Psychiatry Residency Program. Since the beginning of our program in the early 1980's, we have been devoted to the preparation of excellent clinical psychiatrists in the kind of community setting in which most psychiatrists practice. At the same time, our residents have the opportunity to learn in one of the nation's best, alongside residents in every major specialty, and in partnership with both a full-time clinical faculty and community-based psychiatrists. The program is small, so that we can provide close relationships with supervisors, concentrated supervisory attention, and breadth and depth of clinical experience to all our residents. This experience has prepared residents well not only for clinical practice, but for board certification and subspecialty training. We re glad you ve decided to take a closer look at our program. Since most residencies in Psychiatry are at medical schools, these are the residencies faculty and advisors tend to know and suggest for application. But there is another option, and Lutheran General is one of the few instances of that option: Psychiatry residency in one of the best hospitals in the United States, one of the best teaching hospitals in the United States, and in the community setting and atmosphere in which most medical school residency graduates end up practicing, but to which they may have little exposure during their residency training. Over 25% of our graduates have completed subspecialty fellowships in child psychiatry, addiction psychiatry, or geriatric psychiatry. Several graduates are on medical school teaching faculties; some of them are or have been full-time faculty members. While general psychiatric clinical practice has been the most common career choice, our graduates have been able to enter virtually every other type of career option as well. If you are Interested in residency in the Chicago area, and in the clinical practice of psychiatry in Illinois, you will do yourself a service to consider Lutheran General. So take a good look at us! We know you will hear about and to some extent experience the comfortable, collegial atmosphere of our department and hospital. But we hope you will also sense and experience the educational atmosphere, the preparation for the up-to-date scientific clinical practice of Psychiatry, including its traditional and innovative methods of psychotherapy along with its biomedical advances. We think you ll be glad you did! Daniel J. Anzia, MD Chairman Clinical Assoc. Prof. Univ of IL Coll of Med Michael Wagner, MD Program Director Clinical Assist. Prof. Univ of IL Coll of Med Our mission is to provide excellent community-based didactic and clinical training to qualified and interested physicians to enable them to become highly competent clinical psychiatrists with an ethical and human approach to patient care. Our program s goals and objectives are: To train residents to be clinicians with strong skills in psychotherapy and biological psychiatry. To help residents achieve their career goals. To provide a supportive environment for learning. To give opportunities for residents to balance their educational, professional and personal goals and responsibilities. The Lutheran General Hospital Psychiatry Residency Program started in It is a fully accredited 4-year training program in General Psychiatry. Its values promote an atmosphere that facilitates optimal learning and stimulates the resident's development as a psychiatrist. Crucial to this atmosphere are close resident supervision, exposure to a rich variety of patients and treatment programs, and the high priority we give to education. The program trains residents in an open, collegial atmosphere where residents and faculty interact closely. The residents receive close supervision for the clinical services that they provide. As their experience and knowledge increases, they are progressively given more freedom to make clinical judgments and independent decisions. Residents have the opportunity to learn from the evaluation and treatment of the diverse patient population served at Lutheran General Hospital, which provides a rich variety of specialized psychiatric and addiction treatment programs. With 50 inpatient beds and a broad continuum of care, the system provides both basic psychiatric and addictions services to its surrounding communities. In addition, ALGH provides excellent tertiary services. The broad diversity of patients gives residents access to a wide and deep clinical experience. Educational experiences for residents are not controlled by service obligations. Services are established and operated in such a way that residents are an integral part of patient care while the number and type of patients can be selected to provide an optimally balanced educational experience.

3 3 Our Faculty Daniel Anzia, M.D., Department Chairman Stanford University School of Medicine, MD, 1973 Michael Wagner, M.D., Program Director University of Illinois at Chicago, MD, 1997 Martin Doot, M.D. Loyola University of Chicago, Stritch School of Medicine, MD, 1973 Marla Hartzen, M.D. University of Illinois at Chicago, MD, 1990 Philip G. Janicak, M.D. Loyola University of Chicago, Stritch School of Medicine, MD, 1973 Howard Klapman, M.D University of Illinois at Chicago, MD, 1958 Geoffrey Levin, M.D. Chicago Medical School, MD, 2003 Anthony March, D.O. Chicago College of Osteopathic Medicine, DO, 1981 Stephen Patt, M.D. Columbia University College of Medicine, New York, MD 1964 Andrew Pundy, M.D. University of Guadalajara, Mexico, MD, 1972 Scott Sandage, D.O. Iowa University of Osteopathic Medicine and Surgery, DO, 1978 Lara Segalite, M.D. Vilnius State Univ. Med. School, Lithuania, MD 1984 Our Residents James Dyers, D.O., PGY-4, Chief Resident Chicago College of Osteopathic Medicine, DO, 2005 Jason Chang, M.D., PGY-1 University of Illinois at Chicago, MD, 2008 Cynthia Gordon, M.D., PGY-4 Rush Medical College, MD, 2005 Julie Gorman, D.O., PGY-1 Chicago College of Osteopathic Medicine, DO, 2008 Linsey Harrison, PGY-3 University of Illinois at Chicago, MD, 2006 Melissa Jackson, M.D, PGY-3 University of Florida College of Medicine, MD, 2006 Joanna Nowacki, D.O., PGY-2 Chicago College of Osteopathic Medicine, DO, 2007 Nimisha Patel, M.D., PGY-2 Ross University, MD, 2006 Trilok Shah, M.D., PGY-1 University of Illinois at Chicago, MD, 2008 Richelle Strauss, M.D., PGY-3 University of Florida College of Medicine, MD, 2006 Shalini Varma, M.D., PGY-4 University of Medicine and Dentistry of New Jersey in Newark, NJ, MD, 2003 Felix Widlacki, D.O., PGY-2 Des Moines University Osteopathic Medical Center, DO, 2007 Patrick Staunton, M.D. National University of Ireland, MD, 1952 Eugene Trager, M.D. University of Illinois at Chicago, MD, 1959 Barbara Twardowski, M.D. Bialystok Medical Academy, MD, 1989 Joseph Zander, Ph.D., A.B.P.P. University of Health Sciences, Chicago Medical School, PhD, 1987

4 Clinical Curriculum 4 PGY-1 Two s Two s Two Five Internal Medicine *Family Medicine Neurology ** Emergency Psychiatry Addiction Psychiatry 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-2 4 months 1 month 4 months 3 months Inpatient Psychiatry Consult PGY-3 Inpatient Psychiatry Inpatient Psychiatry Child & Adolescent ECT 3 months 4 months 5 months Partial Hospital Program Community Psychiatry * * ½ day/week at Advocate Illinois Masonic Medical Center s Community Psychiatry Clinic. PGY-4 4 months 4 months 4 months Consult Senior/Quality Management During their 4th year, residents may use up to 750 hours of optional elective time of their choice. 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 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, inpatient 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.

5 PGY-3 Year The PGY-3 year is anchored in outpatient psychiatri services. The core of the experience is evaluation an ongoing psychiatric treatment in the outpatient setting for patients of all ages from adolescence to old age. Th resident is expected to function with supervision, whic no longer always includes direct observation. During thi year, the resident develops a greater degree o independent clinical judgment and skill. Third yea residents also become involved in functions tha encourage the development of leadership and teachin ability. Call frequency is 1/month and no weekend call. 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 5 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 4 th year. Didactic Curriculum Biological Psychiatry & Psychopharmacology: 1 st, 2 nd Cognitive Behavioral Therapy: 3 rd, 4 th Child Psychiatry/Ethnicity: 1 st, 2 nd Conversation Group: all Culture/History of Psychiatry: 3 rd, 4 th Psychopharmacology Research & Advances: all Emergency: 1 st Interviewing: 1 st Ethics, Psychiatry & The Law: 3 rd, 4 th Legal Psychiatry, 1 st Literature Review: all Managed Care: 1 st Supportive and Psychodynamic Psychotherapy: 2 nd, 3 rd, 4 th Psychodynamic Case Formulation: 2 nd, 3 rd, 4 th Psychopathology: 1 st, 2 nd Psychotherapy: 2 nd Residents as Teachers: all Theories & Formulation: 2nd, 3rd, 4th Overview of Resident Supervision Type of supervision Inpatient In-Room Inpatient Case Review In-room Case Review Psychotherapy CBT Definition PGY-1 and PGY-2 residents receive daily clinical supervision from their primary supervisor. In addition, the supervisor makes sure that the resident has a variety of cases and needed overall clinical support. PGY-1 and PGY-2 residents receive 1 hour of formal supervision each week. This includes in-depth discussion of some of the resident s patients and areas of importance in psychiatry. PGY-3 residents have 1 hour per week of in-room supervision for new patients; 50 minutes with the patient, followed by a 10 minute discussion with the supervisor. PGY-3 residents receive 2 hours of case review supervision weekly while PGY-4 residents receive 1 hour of case review supervision weekly. During the case review session, the supervisor provides general supervision (psychiatric evaluations, medication, psychotherapy issues) for all patients seen by the resident that week. Generally, given the number of cases, each patient will be discussed for a brief period of time. PGY-3 and PGY-4 residents receive 1 hour of psychotherapy supervision every 2 weeks for cases that the resident follows weekly or bi-weekly. Psychotherapy supervision includes discussion of progress notes or taped sessions. PGY-3 and PGY-4 residents receive 1 hour of in-room cognitive behavioral therapy supervision every 2 weeks. If no patient is scheduled, the supervisor will discuss a case, formulation and plans. No of supervisors per resident PGY-3: Two PGY-4:

6 6 Psychiatric Services Advocate Lutheran General Hospital (ALGH) provides a full continuum of psychiatric services. With more than 50 psychiatric beds (including child adolescent psychiatry), ALGH provides the inpatient portion of this continuum to patients in all phases of the life cycle. These services pursue both the primary care and the tertiary specialty missions of ALGH. Other levels of care in Psychiatry include partial hospital and intensive outpatient programs for adults, geriatric patients, children and adolescents. Additionally, the ALGH emergency room handles many psychiatric emergencies. A description of the principal services follows. INPATIENT SERVICE UNITS Geriatric Psychiatry The Geriatric Psychiatry unit is a closed unit for patients aged 60 and over. The unit provides a shortterm diagnostic and treatment program that deals with the complex physical and psychological changes that relate to aging. Many patients have concomitant medical problems. There is regular participation on the unit in the clinical care and teaching by Geriatric Medicine faculty and fellows. Adult Psychiatry This is a locked General Adult Psychiatry unit where short-term diagnostic assessment and treatment concentrating on the stabilization of the patient is provided. Inpatient Child & Adolescent Psychiatry This unit provides comprehensive short-term assessment, diagnosis and treatment. The program treats children and adolescents from kindergarten through high school. The program requires family involvement as part of the treatment process. Addiction Treatment Services Various units provide treatment to substance dependent patients admitted to LGH. Patients are medically managed as they are being detoxed from alcohol and other drugs. Treatment plans and recommendations according to individual needs are developed. PARTIAL HOSPITAL SERVICES Adult Partial Hospitalization Program The Adult Partial Hospital program is an intensive structured alternative to inpatient treatment. The program helps patients adjust to and cope with their psychiatric illness, deal with crises and transition back to community living and work activities. Child & Adolescent Day Treatment Program The Child/Adolescent Day Treatment Program is designed to evaluate and treat the symptoms of school age children with severe emotional, behavioral, or social problems. The program provides a therapeutic environment for patients who can be maintained safely within the home during evenings and weekends. The child/adolescent is assisted in integrating more successfully into their family, school and community. This program is located on the 5 West Inpatient Unit and treats patients 5-18 years old. Addictions Program (Advocate Medical Group) Advocate Medical Group PROVIDES Addiction Partial Hospital, Intensive and continuing care treatment programs for those not in need of 24 hour supervision or hospital detox. OUTPATIENT SERVICES Advocate Medical Group Teaching Practice This is the faculty and resident practice with principal office in the Parkside Center, Suite 470. Adult patients are drawn principally from the near northwest suburbs and from the northwest portions of Chicago. Referral sources are varied. Many of the outpatients are self-referred or referred by friends, family members, pastors, etc. Physician referrals come from the other physicians of the multispecialty Advocate Medical Group, as well as from the voluntary medical staff. Psychology/Neuropsychology Laboratory The Neuropsychology Laboratory assesses a wide range of neurological and neuropsychiatric disorders. Psychologists evaluate cognitive and behavioral changes such as memory loss, reduced attention span, intellectual decline, and personality change. Selected tests are administered to help diagnose problems, aid rehabilitation plans, and educate patients. The primary sources of referrals are Rehabilitation Medicine, Psychiatry, and General Medicine. Both inpatients and outpatients are served. The Cognitive Rehabilitation Program provides inpatient and outpatient services to rehabilitation patients of Lutheran General Hospital, with specialized programs in Traumatic Brain Injury.

7 7 Benefits Adoption Assistance Dental Benefits Disability/Workman s Compensation Benefits Flexible Spending Accounts Life and Accidental Death and Dismemberment Insurance Medical Benefits Vision Benefits Paid Time Off: 15 vacation days; 3 personal days; 6 legal holidays; 12 sick days; 5 education days (PGY-2 and above) Meal allowance ($1,000 per year) Education allowance ($250 for PGY-1, $750 for PGY-2, 3, /2009 Resident Salaries: PGY-1: $44,485 PGY-2: $47,269 PGY-3: $49,693 PGY-4: $52,069 Admission Requirements/Application Thank you for your Interests in the Psychiatry Residency Training Program at Advocate Lutheran General Hospital. Our program considers applications from individuals who meet the criteria below: Have a passing score on USMLE I & II or COMLEX I & II and no more than 1 failed attempt on either exam. Have graduated from a medical school within the last 5 years. Are a citizen or permanent resident of the United States (no visas accepted). Application Applications are accepted only through ERAS. Application materials should include: ERAS On-line application Personal Statement Curriculum Vitae Three letters of recommendation - If you are transferring from another program one of these letters must be from your current/previous Program Director. Dean s letter from your medical school Medical School transcript USMLE transcript If you are a foreign medical graduate, please submit a copy of your ECFMG certificate NRMP code: ACGME ID: Interview dates and deadline for applying Interviews will be scheduled in between November 1, 2008 January 31, The deadline to submit your application is December 15, Thank you for taking the time to review our website! We hope we answered your questions, but if you have additional inquiries or comments please let us know by contacting us via LGHpsychres@advocatehealth.com or telephone at