Adult Psychiatry Residency

Transcription

1 Adult Psychiatry Residency Department of Psychiatry and Psychology Program Overview Curriculum Application Procedure Residents Highlights Faculty Department of Psychiatry and Psychology Contact Information Dear Prospective Applicant, Thank you for your interest in the Cleveland Clinic Department of Psychiatry and Psychology. The Department of Psychiatry is part of the Cleveland Clinic Neurological Institute, which also houses the departments of Neurology and Neurosurgery. In July 1961, the Department of Psychiatry welcomed its first resident trainee. In 1976, the Psychiatry Residency Training Program had achieved full accreditation from the Accreditation Council for Graduate Medical Education (ACGME), and in 1995, the Child and Adolescent Psychiatry Fellowship accepted its first trainee. Our academic mission is broad-based. In addition to accredited training in Adult and Child and Adolescent Psychiatry, the Department has competitive fellowships in Psychosomatic Medicine (Consultation-Liaison) and Chronic Pain. Long involved in the training of medical students, the department played a vital role in the planning and development of the Cleveland Clinic Lerner College of Medicine (CCLCM), which opened its doors in Department staff, residents and fellows continue to play key roles as mentors and in didactic, seminar, office-based and bedside teaching at CCLCM and the Case Western Reserve University School of Medicine. Cleveland Clinic has a longstanding commitment to excellence in patient care and research in the diseases that affect our patients. We take special pride in training future leaders of psychiatry and seek enthusiastic candidates to join us in that mission. George E. Tesar, MD Program Director Department of Psychiatry and Psychology Cleveland Clinic Neurological Institute Associate Professor of Medicine (Psychiatry) Cleveland Clinic Lerner College of Medicine of Case Western Reserve University

2 Program Overview Cleveland Clinic s Department of Psychiatry and Psychology offers a full range of mental health, chemical dependency and chronic pain management services for adults, adolescents and children. The Department of Psychiatry and Psychology also serves as a state-of-the-art teaching and clinical experience for residents in the adult psychiatry training program. Outstanding lectures, excellent supervision and diverse clinical rotations combine to form the foundation of this thriving program. Core training experiences occur on the following services: standard of care, allows us to measure quality and outcomes on a continual basis and enhances our ability to conduct research. U.S. News & World Report s America s Best Hospitals survey consistently has ranked our neurology and neurosurgery programs among the top 10 in the nation. Our neurology, neurosurgery, pediatric neurology and neurosurgery programs are also ranked best in Ohio. Inpatient psychiatry Outpatient psychiatry Chemical dependency Child and adolescent psychiatry Geriatric psychiatry Psychosomatic medicine Chronic pain rehabilitation Neurological Institute The multidisciplinary Cleveland Clinic Neurological Institute includes more than 300 medical, surgical and research specialists dedicated to the treatment of adult and pediatric patients with neurological and psychiatric disorders. The institute offers a disease-specific, patientfocused approach to care. Our unique and fully integrated model strengthens our current Patients/clinical variety Patient volume, diversity and complexity enrich the mix of clinical experiences. Psychiatry residents become adept at working with patients from all socio-economic levels, as well as diverse ethnic and cultural backgrounds. Residents carry more patients as they progress through their residency and gain expertise in managing various diagnoses. 2

3 Facilities and training sites Cleveland Clinic Main Campus, a 1,300-bed, internationally renowned, tertiary care hospital, serves as the primary training site of the Psychiatry Residency Program. The campus is located on historical Euclid Avenue, in close proximity to the Cleveland Museum of Art, Severance Hall and the Cleveland Botanical Gardens. Residents in our Adult and Pediatric Psychiatric Consultation Services learn to manage psychosomatic issues in a wide array of medical and surgical conditions. Fairview Hospital, a 500-bed facility which specializes in pediatric emergency and subspecialty care, houses the new 13-bed child and adolescent psychiatry unit. Other training sites include the Louis Stokes Cleveland VA Medical Center, North Coast Behavioral Forensics Unit, Connections Community Mental Health Center and Stephanie Tubbs Jones Health Center as well as the hospitals and family health centers that make up the Cleveland Clinic Health System. Unique training opportunities and affiliated centers Alcohol and Drug Recovery Center and Chronic Pain Rehabilitation Center The Alcohol and Drug Recovery Center and Chronic Pain Rehabilitation Center are comprehensive, multidisciplinary treatment programs designed to manage the most challenging patients, many of whom have undergone numerous failed treatments. The emphasis in these programs is on total health, including mental, physical, social and spiritual well-being. The spectrum of care includes inpatient, partial hospitalization and intensive outpatient programs. Residents spend one to two months in each of these centers. Lutheran Hospital, a 204-bed acute-care facility, houses the primary adult inpatient psychiatric unit of the Cleveland Clinic Department of Psychiatry. Lutheran Hospital has 84 behavioral health beds distributed among general psychiatry, geriatric psychiatry and mood disorders inpatient subspecialty units. 3 Psychiatric Neuromodulation Service The Psychiatric Neuromodulation Service provides exposure to management of treatmentresistant mood and anxiety disorders. Treatment modalities available include electroconvulsive therapy (ECT) and vagal nerve stimulation (VNS). Ongoing research in the area of deep brain stimulation (DBS) for intractable psychiatric disorders highlights the novel opportunities for involvement.

4 Mood Disorders Research Unit The Mood Disorders Research Unit is an innovative program that incorporates research and clinical care through a multidisciplinary approach in an inpatient setting. It is among the first programs in northeast Ohio to offer both inpatient and outpatient programs dedicated to the treatment of mood disorders. The program has the dual goal of providing an optimal treatment experience for systematically investigating their problems of otherwise highfunctioning patients with disabling mood disorders. Electives We welcome elective rotations from allopathic (MD) and osteopathic (DO) medical schools across the country. Elective rotations are scheduled through the elective program at CCLCM. Cleveland Clinic is affiliated with the Clevealnd Clinic Lerner College of Medicine (CCLCM). Moonlighting Residents may moonlight after successful completion of PGY 2 and satisfactory performance in all areas of training. Final approval for moonlighting is at the discretion of the program director. Post-Graduate Information Program graduates are well rounded and prepared for the future. Past residents have chosen careers ranging from academic psychiatry, community psychiatry and private practice to administrative leadership positions, consultation psychiatry and clinical research, among others. Board Pass Rate The average board pass-rate for Part I between 2000 and 2010 has been 91 percent, compared to the national average of 85 percent. Fellowship Opportunities include: Chronic Pain Medicine Child and Adolescent Psychiatry Headache Medicine Sleep Medicine Psychosomatic Medicine (Consultation-Liaison) For more information related to fellowship training programs offered within the Department of Psychiatry and Psychology, please visit: institute/education/psychiatry_psychology_ fellowship.aspx 4

5 Curriculum From the beginning of their training, residents are encouraged to plan for the future beyond training. Each resident is expected to develop an individualized learning plan that creates a foundation for lifelong learning. While the first two years of residency focus on prescribed training experiences, the third and fourth years offer various elective opportunities. At all levels residents are encouraged to test their potential for scholarship and research. Each resident is expected to develop an in-depth study of a problem or issue relevant to his or her area of interest, such as private practice, epidemiology or the future directions of psychiatry. Residents then present the results of their scholarly and research projects in venues such as a noon conference, grand rounds or local and national professional meetings. PGY - 1 PGY Modules 2 Modules 7 Modules Primary care Neurology Lutheran Adult Inpatient Internal Medicine IP Neurology Inpatient Psychiatry (6) Internal Medicine/Pediatrics OP Neurology Consults Family Practice Med Psychiatry (1) Emergency Medicine 1 Module each 2 Modules 4 Modules 2 Modules each 1 Module Emergency Psychiatry Child and Consultation Chemical Adult Adolescent Liaison Dependency (2) Outpatient Forensics Inpatient (+ECT service) Chronic Pain (2) One-half (1/2) day per week long-term outpatients PGY Module each 5 Modules 1 Module 1 Module each 1 Module Geriatric Psychiatry Adult Child and Cognitive Behavioral Elective Outpatient Adolescent ECT Sleep Psychiatry (+ECT service) Outpatient/CL Eating Disorder Medical Psychology One-half (1/2) day per week long-term outpatients One-half (1/2) day per week Community Mental Health Center (12 months) PGY Modules 4 Modules 4 Modules 2 Modules each Adult Outpatient Lutheran Adult Inpatient Electives Behavioral Epilepsy/ (+ECT service) Senior (3) Movement Disorders Brain Health/Multiple Mood Disorders Unit (1) Sclerosis One-half (1/2) day per week long-term outpatients 5

6 PGY-1 An orientation course held during the summer facilitates a successful transition to residency. The PGY-1 resident spends four modules in primary care (combination of inpatient, outpatient and emergency medicine) and two modules in neurology. Neurology rotations involve exposure to and management of neurological disorders on inpatient and consultative services. Residents participate in neurology conferences, grand rounds and other educational activities to gain additional exposure in preparation for the PRITE and board certification. For the additional seven modules of the first year, the resident rotates through the adult psychiatric inpatient units. During the inpatient experience, residents learn diagnosis and management of severe mental illness under the supervision of highly qualified faculty. The residents will continue to hone their interviewing and diagnostic skills on the adult inpatient units via direct supervision from the senior resident. PGY-2 The PGY-2 resident trains on more specialized inpatient services while beginning longitudinal care for outpatients. Residents rotate through the Alcohol and Drug Recovery Center Unit, the Chronic Pain Rehabilitation Program and the Child and Adolescent Unit, gaining both inpatient and outpatient experience. The resident is an integral part of the treatment team and receives thorough exposure to multidisciplinary treatment of adult, child and adolescent patients. Four modules in PGY-2 are spent on our flagship service, Consultation-Liaison Psychiatry, which plays a key role in the multidisciplinary treatment of the Cleveland Clinic s nearly 80,000 annual hospital admissions. Residents will round off their experience with rotations in child psychiatry, geriatric psychiatry and emergency psychiatry. PGY-3 The third year of residency focuses primarily on outpatient care with emphasis on integration of psychopharmacology and psychotherapy, including cognitive behavioral, family therapy, group therapy and couples counseling. Weekly longitudinal outpatient clinics started in PGY-2 are continued as well. Residents meet with their medication management and psychotherapy supervisors weekly. PGY-4 During the fourth year, the resident extends training in outpatient care in addition to serving as a senior supervisor on the inpatient adult unit. Residents and medical students also assume teaching responsibilities. PGY-4 residents are able to participate in a variety of electives to help with career planning and continuing research. Residents are encouraged to seek out weekly specialized clinics such as psycho-oncology, psychocardiology, epilepsy, chronic pain, movement disorders and psychiatric neuromodulation, to solidify areas of interest. 6

7 Child Track PGY - 1 PGY Modules 2 Modules 7 Modules Primary Care Neurology Lutheran Adult Inpatient Internal Medicine IP Neurology Inpatient Psychiatry (6) Internal Medicine/Pediatrics OP Neurology Consults Family Practice Med Psychiatry (1) Emergency Medicine 2 Modules 4 Modules 3 Modules 2 Module each Child and Consultation- Adult Outpatient Chemical Dependency Adolescent Liaison (+ECT service) Inpatient Chronic Pain One-half (1/2) day per week long-term outpatients PGY Module each 4 Modules 1 Module 1 Module 3 Modules 1 Module Geriatric Adult Child and Cognitive Lutheran Adult Elective Psychiatry Outpatient Adolescent Behavioral Inpatient (+ECT service) Outpatient/CL Senior Emergency Psychiatry (VA) Forensic Psychiatry One-half (1/2) day per week long-term outpatients One-half (1/2) day per week Community Mental Health Center (12 months) For more information regarding the Child and Adolescent Psychiatry Residency Training Program, please visit: Molly Wimbiscus, MD 2011 Graduate, Child and Adolescent Psychiatry Given the challenges of being a full-time working parent, I feel that Cleveland Clinic allowed me to live a well-balanced life and helped to ensure that my small children had a present and invested mother over the past five years. 7

8 Didactics The didactic curriculum is presented within the framework of the Academic Half-Day (modeled after the Duke Psychiatry Residency Training Program). Each Thursday morning all residents (PGY-1 to PGY-4) are excused from clinical duties to focus on academic objectives. From 8:30 to 11:30 a.m. residents attend two onehour-and thirty minute lectures, seminars, or workshops designed and presented according to PGY training level. After a half-hour break, all residents and faculty attend Grand Rounds from 12 noon to 1 p.m. Residents are then expected to return to their service obligations. A general outline of the curriculum is presented below. For the PGY-1s and -2s the Summer is devoted to teaching and learning the essentials, that is, what you need to know to get through they day... and the night. The PGY-3s and -4s receive focused instruction in Learning to Teach, and play an active role in lecturing to their new and returning junior colleagues. General Psychiatry (PGY-1 and PGY-2) and Psychiatric Neurosciences (PGY-3 and PGY-4) begin in October and are presented in respective one-hour-and-thirty-minute blocks each Thursday for the rest of the academic. During the second one-hour-and-thirty-minute block the PGY-1s have a weekly workshop in learning to interview (Clinical Skills Training (CST)), and the PGY-2s continue their weekly psychotherapy (PT) course learning the principles and practice of cognitive-behavioral therapy (CBT), psychodynamic psychotherapy, dialectical behavior therapy (DBT) as well as group and family therapies. A four-week course 8 2s and -3s). PGY-3s and -4s supplement PSN with courses in advanced topics (e.g., Forensic psychiatry), career development, and a monthly journal club focused on learning to read and interpret scientific literature. Jul - Sep Oct - Dec Jan - Mar on Community Mental Health is offered to PGY- Apr- May PGY1 PGY2 PGY3 PGY4 Essentials of Clinical Psychiatry: Inpatient Focus Essentials of Clinical Psychiatry: Inpatient Focus Essentials of Clinical Psychiatry: Outpatient Focus Psychotherapies PRITE Preparation (PT) Observed Structured Clinical Examination (OSCE) General Psychiatry Clinical Skills Training (CST) CST CST CST Neurology PT Topics in Psycho-somatic Medicine PT Learning to Teach PRITE Preparation PT Forensic Psychiatry Holiday Season PT General Psychiatry Culture & Psychiatry CST Spirituality & Psychiatry Community Field Trip PT Fall Retreat PRITE Preparation PT PRITE Thanksgiving Spring Retreat Neurological Institute Research Day Wrap-up & Critique PNS Growth & Development PNS (Evidence-based Journal Club replaces PNS monthly) Community Geriatric Mental Health Psychiatry Ethics Careers in Psychiatry Psycho-oncology History of Psychiatry Palliative Medicine

9 Research Research opportunities exist across the department and the institution. Each resident is required to have an academic project, consisting of a poster presentation and/or journal submission. A number of trainees choose a research project that they design; others elect to become part of a larger, ongoing study at Cleveland Clinic. Current and recent trainees have participated in projects on chronic pain, suicide, delirium, pseudo-seizures, ovarian cancer, women s health, sleep disorders, post-myocardial infarction depression and transplant psychiatry. In addition, residents are expected to present at Case Conference annually, beginning in the second year. Every year, several residents go on to present at local and national meetings. Neurological Institute Research Day (NIRD) is held annually at the Intercontinental Hotel and Conference Center, adjacent to Cleveland Clinic Main Campus. Abstracts may be submitted by all Neurological Institute trainees, research fellows, post-doctoral fellows and graduate students in the Lerner Department of Neuroscience, and by Cleveland Clinic Lerner College of Medicine medical students who complete Neurological Institute-mentored research projects. The day begins with a platform session and concludes with an awards reception. To qualify for submission and/or presentation, the trainee must currently be in training at Cleveland Clinic and be the first author. All submitted abstracts are guaranteed to acceptance as a poster or platform. Retreats Throughout their training, residents participate in various resident-led activities such as journal club, movie club, book club, picnics and other social events. A residency retreat is held twice each year, offering opportunities for residents to come together as a class. Retreats also help residents form lasting relationships and improve communication skills that foster positive worklife balance, teamwork and stress relief. Ryan S. Patel, DO 2011 Graduate, Adult Psychiatry One of the greatest benefits of being in the Psychiatry Residency at Cleveland Clinic has been working with great people, seeing a vast variety of cases and having the opportunity and resources to do collaborative research. I found nothing but open doors, support and encouragement when I showed interest in scholarly work. 9

10 Application Procedure The following are considered by the Department of Psychiatry Residency Selection Committee in identifying interview applicants: Enrollment in an accredited allopathic or osteopathic medical school** Passing Part I (Part II & CS if applicable) of the USMLE or COMLEX on the first attempt Demonstration of psychiatry as a primary career choice through research and extracurricular activities Other strongly preferred criteria: Minimum USMLE score of 85 No gaps in training or practice At least two letters of recommendation from psychiatry rotations/electives All candidates must be able to come to Cleveland to be interviewed. Should you match with the Cleveland Clinic, you are expected to attend a mandatory orientation that will begin two weeks prior to July 1. ALL APPLICATIONS ARE DUE BY NOV. 1 INTERVIEWS WILL BE HELD OCTOBER JANUARY We participate in the Electronic Residency Application Service (ERAS), designed by the Association of American Medical Colleges (AAMC). Therefore, we accept only applications that are electronically submitted through ERAS. Information regarding fees and ERAS application procedures can be found at ** International Medical Graduates must demonstrate the following qualifications: 1. ECFMG certification 2. Passing Parts I, II, CS, and III of the USMLE on the first attempt 3. At least one letter of recommendation from U.S. or Canadian clinical experience in psychiatry (substantial or outstanding academic research in psychiatry may substitute for clinical experiences in certain situations) CLEVELAND CLINIC SUPPORTS J-1 and H-1B VISAS IF ALL GME REQUIREMENTS ARE MET. tabid/4787/default.aspx 10

11 Faculty Department of Psychiatry and Psychology (Name, year of appointment, role, primary appointment) PSYCHIATRY: ADULT Amit Anand 2012 Vice Chair of Research Director of Research/Center for Behavioral Health Joseph Baskin, MD 2010 Inpatient Service, Lutheran Hospital Center for Behavioral Health Minnie Bowers-Smith, MD 2011 Staff, Psychiatry and Psychology Kathy Coffman, MD 2007 Psychosomatic Medicine (CL) Director, CL Fellowship Transplant Center Gregory Collins, MD 1980 Section Head, Alcohol and Drug Recovery Center Center for Behavioral Health Edward Covington, MD 1979 Director, Center for Pain Staff, Center for Spine Health Roman Dale, MD 2006 Director, Inpatient Services Lutheran Hospital Center for Behavioral Health Kathleen Franco, MS, MD 1992 Associate Dean for Student Affairs Cleveland Clinic Lerner College of Medicine Center for Behavioral Health Margo Funk, MD 2010 Staff, Psychosomatic Medicine (CL) Director, Medical Student Education Lilian Gonsalves, MD 1981 Vice Chair, Department of Psychiatry and Psychology Staff, Center for Women s Health Karen Jacobs, DO 2006 Jason Jerry, MD 2010 Staff, Alcohol and Drug Recovery Center Elias Khawam, MD 2008 Staff, Psychosomatic Medicine (CL) Staff, Mellen Center (Multiple Sclerosis) Donald Malone, Jr., MD 1991 Chair, Department of Psychiatry and Psychology Director, Psychiatric Neuromodulation Center Staff, Center for Neurological Restoration Amit Mohan 2011 Associate Associate Staff, Psychiatry and Psychology Mayur Pandya, DO 2007 Associate Program Director Psychiatry Residency Training Program Staff, Center for Neurological Restoration Leopoldo Pozuelo, MD 1997 Section Head, Psychosomatic Medicine Co-Director, Bakken Heart-Brain Institute PSYCHIATRY: ADULT (CONTINUED) Robert (Jess) Rowney, DO 2011 Staff, Inpatient Service, Lutheran Hospital Director, Mood Disorders Inpatient Unit Balaji Saravanan, MD 2010 Assistant Program Director, Lutheran Hospital Psychiatry Residency Training Program Staff, Inpatient Service, Lutheran Hospital Isabel Schuermeyer, MD 2005 Staff, Psychosomatic Medicine (CL) Director, Psycho-Oncology George Tesar, MD 1993 Program Director Psychiatry Residency Training Program Director, Cognitive and Behavioral Epilepsy Staff, Epilepsy Center Adele Viguera, MD 2007 Director, Research Training and Development Staff, Psychosomatic Medicine (CL) Staff, Center for Women s Health PSYCHIATRY: CHILD AND ADOLESCENT Joseph Austerman, DO 2008 Tatiana Falcone, MD 2007 Staff, Center for Brain Health Staff, Epilepsy Center Kathleen Quinn, MD 1994 Program Director, Child and Adolescent Fellowship Barry Simon, DO 2003 Director, Inpatient Service, Fairview Hospital Mackenzie Varkula, DO 2010 Staff, Inpatient Service, Fairview Hospital PSYCHOLOGY Kathleen Ashton, PhD 2004 Staff, Bariatric and Metabolic Institute Scott Bea, PsyD 1997 Director, Psychotherapy Training PSYCHOLOGY (CONTINUED) Dana Brendza-Everson, PsyD 2000 Director, General and Health Psychology Fellowship Karen Broer, PhD 1997 Head, Section of Psychology Robin Busch, PhD 2005 Neuropsychology Staff, Epilepsy Center Jennifer Haut, PhD 2001 Pediatric Neuropsychology Staff, Epilepsy Center Leslie Heinberg, PhD 2007 Director, Behavioral Services Bariatric and Metabolic Institute Patricia Klaas, PhD 2004 Pediatric Neuropsychology Staff, Epilepsy Center Stephen Krause, PhD 2006 Staff, Headache Center Cynthia Kubu, PhD 2001 Neuropsychology Staff, Center for Neurological Restoration Staff, Lou Ruvo Center for Brain Health Richard Naugle, PhD 1987 Head, Section of Neuropsychology Staff, Epilepsy Center Staff, Lou Ruvo Center for Brain Health Michael Parsons, PhD 2007 Neuropsychology Staff, Lou Ruvo Center for Brain Health Steven Rao, PhD 2007 Neuropsychology Lou Ruvo Center for Brain Health Lerner Research Center Mellen Center Molly Wimbiscus, MD 2011 Associate Associate Staff, Psychiatry and Psychology Associate Staff, Center for Ethics, Humanities and Spiritual Care Amy Windover, PhD 2004 Staff, Bariatric and Metabolic Institute SOCIAL WORK AND COUNSELING Joseph Janesz, LICDC, PhD 2004 Staff, Alcohol and Drug Recovery Center 11

12 Contact Information Donald Malone, MD Department Chairman Psychiatry & Psychology Department of Psychiatry and Psychology/P Euclid Avenue Cleveland, OH Amit Anand, MD Vice Chair of Research Director of Research/Center for Behavioral Health Department of Psychiatry and Psychology/P Euclid Avenue Cleveland, OH George Tesar, MD Program Director Department of Psychiatry and Psychology/P Euclid Avenue Cleveland, OH Balaji Saravanan, MD Assistant Program Director Lutheran Hospital Department of Psychiatry and Psychology/LU Euclid Avenue Cleveland, OH Megan J. Walsh Program Manager Neurological Institute/S Euclid Avenue Cleveland, OH Tel: Fax: Mayur Pandya, DO Associate Program Director Department of Psychiatry and Psychology/P Euclid Avenue Cleveland, OH URL: