In their second year of training, fellows spend time in a variety of subspecialty clinics. In addition to these required rotations, one to two days per week are also set aside for fellows to pursue electives in areas of individual clinical, teaching, or research interest.
Through this rotation, fellows gain experience and knowledge in court proceedings, which complements the experience fellows gain throughout their training in evaluating children for whom custody, home, or educational placement is an issue.
In the Juvenile Division of the Cook County Office of the Public Guardian (OPG), fellows review client files and records and discuss the appropriateness of mental health treatment options with attorneys, as well as custody, residential, or educational placement issues. Fellows also observe contested trials, motions, and depositions, including direct and cross-examinations of opinion witnesses, and discuss observed cases with attorneys to gain perspective on legal professional opinion testimony. In addition, fellows provide an informal training seminar on a forensic-related mental health issue to the attorneys and staff of the OPG.
Neuropsychiatry Teaching Clinic
Through this rotation, fellows gain experience in clinical pediatric neuropsychiatry and advance their pharmacological expertise. Fellows also gain increased confidence and competence in providing complex pharmacological consultation to other medical colleagues, including neurologists and primary care physicians. Fellows work directly with subspecialized attending faculty to learn comprehensive multidisciplinary psychiatric evaluation and treatment of youth with neurological and medical disorders. Boys and girls of all age groups with a variety of neurological and medical disorders requiring psychiatric diagnostic and treatment evaluations are seen. Patients may be referred either from within the hospital or by practitioners in the community. During each half-day clinic, fellows will typically conduct one new psychiatric diagnostic or medication evaluation and two to four follow-up visits.
In this rotation, fellows gain experience in pediatric neurology, providing a foundation for the evaluation and treatment of complex psychiatric problems at the interface of psychiatry and neurology. Fellows see patients from infancy through age 20 with neurological problems such as seizure disorders, headaches, cerebral palsy, developmental delay, hydrocephalus, tumors, and behavioral presentations of neurological disorders. Treatment includes anticonvulsant and other medications and recommendations for a variety of further evaluations and rehabilitative approaches including occupational, physical, speech, and psychiatric services. Fellows see both new and returning patients in each clinic and are expected to request and review electroencephalogram reports and neuroimaging studies. Fellows can also choose to participate in morning neurological team rounds on the intensive care unit with neurology attendings to gain additional experience in the evaluation and management of the full range of severe neurologic conditions requiring intensive care treatment, including traumatic brain injury, altered mental status, stroke, epilepsy, metabolic disorders, cancer and other illnesses. Fellows may also choose to attend a weekly EEG rounds to complement the intensive care unit rounds.
"Right Start" (ages 0-5) Clinic
Through this rotation, fellows gain experience in treating preschool-aged children referred by a variety of hospital and community/school providers for specialized early childhood assessments and treatment. Fellows directly observe patient evaluations by highly experienced psychologists with expertise with early childhood and developmental psychopathology. Fellows will fine-tune their diagnostic skills using a specialized assessment tool to evaluate early-onset disruptive behavior disorders, feeding and sleep difficulties, attachment and anxiety syndromes, and other psychiatric disorders presenting in early childhood ranging from the uncomplicated to the complex/co-morbid. By use of the one-way mirror video suite, trainees will benefit from direct, on-site clinical supervision of cases. Treatment modalities in this clinic include both psychopharmacology and psychotherapy, encompassing family, parenting, and group therapy.
Mood and Anxiety Program (MAP)
During this clinical experience, fellows work with a multidisciplinary staff and faculty to gain specialized training in using semi-structured interviews, such as the Anxiety Disorders Interview Schedule (ADIS) and the Schedule for Affective Disorders and Schizophrenia for School-Aged Kids (K-SADS), and other assessment scales to evaluate the full range of childhood mood and anxiety disorders. Fellows become experienced not only in thorough diagnostic processes, but also in using empirically-based treatments including cognitive behavioral therapy techniques and up-to-date psychopharmacologic interventions. Additionally, fellows receive in-depth supervision with the use of the one-way mirror video suite, allowing for direct observation of mood and anxiety assessments. An emphasis is placed on complex treatment planning, including individual, family, group, and combination treatments.
School and Community Agency Consultation
Through this rotation, fellows gain opportunities to observe normal development in school-age children, and to gain consultation experience in demographically diverse schools and community recreational and youth development programs. Fellows have the opportunity to observe normal child development and behavior in classrooms, lunchrooms, playgrounds, and after-school activities in the Chicago Public School District. Fellows also partner with the hospital’s faculty and staff to provide education and consultation to teachers, staff, and parents about mental health issues, social/emotional skills training, and behavioral plan development. Fellows may also provide on-site assessment of students with social/emotional problems and triage to appropriate treatment services. They may also become involved in other administrative, consulting, or advocacy/outreach projects related to mental health issues in the community.