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Admissions Pathways | Top 10 Reasons |
Rotation Descriptions
Admissions Pathways:
Admission to the SIU
Department of Psychiatry Child and Adolescent Fellowship Program may be
through one of the three pathways specified in this procedure. For
individuals who are applying while still in their general residency
training, they must provide documentation of satisfactory performance in
their training program. Individuals who have completed their general
psychiatry training, must furnish evidence of successfully completing
their training along with evidence of acceptable clinical practice in
any interval between the completion of general psychiatry training and
their application for a child and adolescent psychiatry training slot.
All applicants must have passed USMLE Steps I, II and III to be eligible
for admission.
Individuals applying for child and adolescent training may enter the
program on one of three tracts. Only applicants with experience or
exceptional performance records and an obvious interest in pursuing
child and adolescent psychiatry would be considered for option 2 or 3
below. These options would only be considered if positions remain open
after the match.
They may apply for a two year block taken after the completion of their
PGY-3 or PGY-4 year. The program will attempt to fill all positions
through the child psychiatry match process. If there are vacant
positions after that match process, qualified applicants may be accepted
on a case by case basis. Residents inside the SIU Department of
Psychiatry general residency may apply to do their child fellowship
training in two blocks. A six month block focusing on inpatient in their
second or third year, followed by a 1.5 year block encompassing the
latter half of their PGY-4 year and all their PGY-5 year. Individuals
who complete the six month block successfully and later elect to not
complete their child and adolescent psychiatry training will be allowed
to use the six month block as counting two months to the general
psychiatry requirement in child and adolescent psychiatry and the other
four
months would be allowed to be counted as elective time. General
psychiatry residents may be allowed to do their two year child and
adolescent psychiatry fellowship in a single two-year block following
PGY-1 or PGY-2 if that resident has previous extensive counseling and
psychotherapy experience documented which would indicate that the
resident has the skills necessary to do psychotherapy work with parents
and children. Admission to the fellowship on this third pathway would be
at the sole discretion of the fellowship admissions committee.
Interested applicants should contact Ruth Stark, Program Coordinator,
SIU Child
and Adolescent Psychiatry Training Program at rstark@siumed.edu.
Top Ten Reasons:
Top Ten Reasons for
coming to Springfield, Illinois!
10. Big city
benefits with small town traffic-no matter how busy the traffic,
never takes more than 30 minutes to get home ( if you decide to live
within a 15 mile radius of downtown Springfield, of course. If you
decide to live 60 miles away, then it would probably take you an
hour to get home).
9. Low crime, low cost of living, low housing prices (let's
pay off that medical school debt early!).
8. For a big city fix, both St. Louis and Chicago are easily
accessible (car, train or plane!)
7. Chance to try the Horse shoe (a Springfield culinary
creation). The corn dog (cozy dog) was also created here.
6. You get to live in the heart of Americana-historic route
66 goes through town, many hstoric homes and museums are here!
5. Active arts community- see really good productions of
Broadway plays at 1/5 the cost!
4. Lake Springfield! There is swimming in the summer, many
opportunities to go boating, skiing and windsurfing.
3. It's a great town for people who love outdoor
activities-horseback riding, camping, hiking- there are many parks
and walking trails all over town.
2. This is a family oriented town with good schools.
1. Abraham Lincoln, one of the greatest figures in history,
loved this town. If it was good enough for him, should be good
enough for anyone!
Top Ten Reasons to train at Southern Illinois University School of
Medicine!
10. Be a part
of a rapidly growing medical community! Medical school recently
broke ground for a new Cancer Center, which will serve as the main
tertiary care cancer center for central and southern Illinois.
9. Work at an administratively well organized and highly
regarded medical school. In the 2007 LCME site visit, the medical
school received no citations and five commendations (a very rare and
exciting occurrence!)
8. An opportunity to hone your teaching skills at a medical
school nationally-known to be an innovator in medical education. For
those interested in teaching, multiple opportunities for mentorship,
research projects abound!
7. We have great pool parties in the summer and great holiday
parties!
6. The program is very well balanced in terms of teaching
BOTH psychopharmacology and psychotherapy.
5. Scholarly activity is highly supported and funds are
available to send trainees to national conferences. Trainees will be
encouraged to present with faculty at national conferences whenever
possible!
4. No evening or night call for child fellows!
3. You will get to participate in one of the top
Telepsychiatry efforts in the nation.
2. You will get to know and get personal attention from a
dynamic faculty in an incredibly collaborative atmosphere.
1. This is a place you can have it all! Scholarship,
exceptional clinical training and a normal life!
Rotation Descriptions:
Child and Adolescent
Inpatient, Emergency Assessment Rotation
The inpatient child and adolescent psychiatry rotation will take place
at Lincoln Prairie Behavioral Health Center, a brand new, state of the
art, child and adolescent psychiatric hospital. The hospital currently
has 20-23 beds, but will expand to 80 beds in the next few years which
will include some longer term residential beds. LPBH will also
eventually provide intensive outpatient services as well as partial
hospital and or day treatment services as well. Currently they have a 24
hour walk-in assessment service. LPBH is the largest child and
adolescent psychiatric hospital in central and southern Illinois, as
such; children come from all over the state due to shortages of services
in this area. Children admitted range in age from 4 to 17 years old.
Trainees will spend 6 months of the first year doing inpatient work
under the supervision of the medical director of the facility. Caseload
will be capped at 5-7 cases at any one time. There will be opportunity
to do crisis family work as well as individual and group therapy. One
afternoon per week, the trainee will spend time in the emergency
assessment service to gain experience in evaluating and triaging
walk-ins.
Hospital Consultation Rotation
This rotation will take place at St. John’s Hospital and Memorial
Medical Center. These are 2 community hospitals affiliated with the SIU
School of Medicine. The majority of the consults will come from St.
John’s as they have a new Women and Children’s Hospital (The Carol Jo
Vecchie Center). The trainee will gain experience in consulting to
various medical professionals, and also in discerning the interface
between physical and behavioral/psychological illness. The majority of
the consultation requests tend to be for suicidal adolescents. This
rotation takes place for 3 months in the first year.
Family Medicine Consultation Clinic Rotation
This service provides weekly child psychiatry consultations to patients
receiving primary care from the residents and attending physicians of
the SIU Family medicine program (Springfield campus outpatient
clinic).After the cases referred by the family practice physicians are
seen, they are presented and discussed in a monthly group case
consultation. Child psychiatry
residents will also be involved in educational programming for the
family practice residents.
The family practice clinic
serves the general population in Springfield, Illinois and surrounding
areas. The full range of child psychiatric disorders are seen. The
racial mix of the patients reflects the demographic of the surrounding
area (approximately 80% Caucasian, 15% African-american, and 5% other).
The socioeconomic background of those seen in the FP clinics tend to be
from the lower socioeconomic strata. The child and adolescent
psychiatrist will act as the consultant to the family practice
physicians and will see patients 18 years old and younger.
Normal Child Observation Rotation
The normal child observation rotation will take place at 3 different
sites, all located within a 2 mile radius of the SIU Dept. of Psychiatry
Building. For preschool age children, the rotation will take place at
Memorial Child Care. This daycare has the capacity of up to 160 children
ages 6 weeks- 6 years, and at any one time tends to have about 140
children. Residents will be spending time with each age group
The school age and adolescent observations will take place in 2 public
schools in the Springfield school district, Enos Elementary School and
Springfield High School. Enos Elementary School has early intervention
programs through 5th grade. The early intervention children come in as
young as 3 years old, and are placed there with an IEP (individualized
education plan). Residents will have the opportunity to observe children
in these classes as well as in the regular classes, lunchroom and at
recess.
Springfield High School has grades 9-12, with a student population of
about 1400. During this rotation, the resident will have the opportunity
to observe regular classrooms as well as the gifted classes, inclusion
classrooms and special education classes. In addition, residents will be
asked to teach one health class on a topic to be determined between the
resident and the health class instructor.
Pediatric Neurology Rotation
SIU’s pediatric neurology group provides expertise in common and
specialty areas in pediatric neurology – epilepsy, headaches,
intellectual and developmental disabilities, movement disorders,
neuroimmunologic disorders, neuromuscular diseases and neuro-intensive
care.
The pediatric neurology outpatient services are arranged into specific
specialty clinics. The residents will rotate through the Head Ache
clinic, the Epilepsy clinic and the Movement Disorders clinic for 2
months each for a 6 month block. Children of all ages are seen, from all
over central and southern Illinois as this is the only pediatric
neurology specialty clinic for this region. Ethnic and socioeconomic mix
of clients is representative of the ethnic and socioeconomic of the
surrounding region. Typically 5-8 patients are seen during a morning
with a mix of new and established patients. Overall the pediatric
neurology clinics serve approximately 250 patients per month. Residents
will attend pediatric neurology case conferences 1 x monthly. This is a
multidisciplinary case conference that is also televised to rural sites
to include practitioners from remote areas
School Consultation Rotation
The school consultation rotation is arranged through Springfield School
District 186 department of special education. All schools in district
186 are within 1-5 miles of the primary site and are easily accessible
within minutes by car. The focus of this rotation will be to try and
identify at risk students early so that appropriate referrals and
services can be set into place. The hope is to prevent worsening
behaviors and compromise of education in the schools and to ensure that
children and families who do need mental health services are at least
given a path for seeking those services.
Telepsychiatry Rotation
Telepsychiatry consultation services are offered to large rural areas in
central and southern Illinois. This is an area that is under-served for
both mental health and in particular child and adolescent mental health.
Consultation services are provided to a general practice clinic in
Carbondale, Illinois once a month and 1-2 other times a month to rural
clinics in central and southern Illinois. Children ages 18 or younger
are referred by a variety of multidisciplinary providers responsible for
primary care or mental health services for these children. Currently the
majority of the teleconferencing sessions consist of presentations by
the primary care provider. Arrangements for patient observation via
teleconferencing are currently being developed. Cases discussed tend to
run diagnostically within the disruptive behavioral disorders spectrum,
and pervasive developmental disorders spectrum. The racial mix is
predominantly Caucasian, and socioeconomically in the lower range.
Community Psychiatry Rotation
The Children’s Center is an outpatient child and adolescent program. It
is situated at the Noll Medical Pavilion on the second floor (upstairs
from the outpatient clinics of SIU Child and Adolescent Psychiatry). The
center provides psychiatric care to children, ages 3 to 18, who suffer
from severe mental illnesses, and who do not have other treatment
options within the community.
The clinic population is 71% Caucasian, 14% African-american, and 15%
other racial background. The majority of the patients are from
impoverished backgrounds, and have severe mental illness, and
psychosocial issues requiring an intensive interdisciplinary approach.
Case management services are provided to the majority of the clients
served. Referrals to the center come from the hospital inpatient unit,
primary care physicians, hospital emergency room, the school district
and other community based agencies. Coordination and communication with
these various professionals and agencies is essential. Over 1000 clients
are served yearly in this program.
Developmental Disabilities Rotation
The Developmental Disabilities rotation is based primarily at the Hope
Institute for Children and Families, a residential program and day
school for children with intellectual and developmental disabilities.
The Hope Institute provides residential, health, and educational
services to more than 100 children residing on campus and in community
homes. It also provides assessment, treatment, and consultation through
The Autism Program to over 500 children and families annually. The
Institute does this by employing 470 professional and direct service
staff, linking 8 Illinois Universities, and collaborating with 4 out of
state research institutions. In collaboration with university partners
and families, The Hope Institute serves more than 115 children (ages
5-21) with multiple disabilities, including autism. Although there are
numerous day students, most of the children live and receive residential
services through the Hope Center for Residential Services year-round and
attend either the on-grounds accredited school or are enrolled at local
public schools. Each child has an individualized living and learning
program.
The primary experience will be participation in and direction of a
biweekly behavioral clinic for residents of the school. During this
clinic participants include behavior analysts, teachers, staff and
program coordinators for each student. The clinic operates under the
direction of a psychologists and a behavioral neurologist. The process
consists in review and analysis of behavioral data, anecdotal reports
and educational reports as relate to the use of psychotropic medications
within the context of a behavioral and educational program plan. Plans
are developed, followed and analyzed within the context of
bests-practice for psychotropic use in persons with IDD, including the
development of diagnostic hypotheses and/or neuropharmacologic targets.
In addition appropriate clinical and standardized assessments are used
to identify and track potential medication side-effects. Typically up to
about 6 children are seen in each morning clinic.
There will be additional experiences offered in work with behavior
analysis, data development and collection, validation of data, and the
process of developing OBC (operationalized behavior criteria) for
supporting specific psychiatric diagnoses. There will be opportunities
to work with specific standardized assessments for psychiatric illness
in IDD, including the DASH and PIMRA, administered and scored by PhD
psychologists at the school. Work within teams to identify and validate
specific behavioral hypotheses will be especially encouraged. It is
anticipated that through the early part of the process, one particular
student with difficult behavioral issues will be identified and that the
full experience of evaluation and validation could be pursued.
Forensic Psychiatry Rotation
The Forensic psychiatry rotation will take place at the McFarland
MentalHealth Center in Springfield, Illinois. McFarland is a state
mental health hospital, with a specialized adolescent forensics unit
(this is the only such unit in this state). The adolescents are referred
for forensic evaluation through the juvenile justice system, and the
length of stay on the unit ranges from 3 to 6 months. The resident will
rotate one afternoon a week for 3 months at this site. One morning per
week the resident will participate in outpatient forensic psychiatry
evaluations for 3 months.
Outpatient Department
The SIU psychiatry outpatient clinic has a catchment area covering
Sangamon, Cass, Calhoun, Christian, Greene, Jersy, Logan, Macoupin,
Mason, Menard, Montgomery, Morgan, and Scott counties of central and
southern Illinois. The total population in this area is about 450,000.
Services provided for children and adolescents include consultations to
other mental health and primary care providers, family, individual and
group therapy and medication management.
In the first year during the 6 months of inpatient experience the
resident will be expected to see one new evaluation per week and then
approximately 4-5 psychopharm patients per week (seen during the
psychopharm clinic). Individual/family therapy cases will be limited to
2 ongoing cases for the first year. During the 6 months off inpatient,
the resident will be expected to see 2 new evaluations per week and in
addition to the ongoing psychopharm and individual therapy cases. During
the second year the case load will increase to 10-12 psychopharm cases
per week, 5-6 individual/ family cases per week and 2 new evaluations
per week (the new evaluations in the second year will preferentially be
focused on providing second opinions and consultations to other health
care providers). All residents will have live, on-site supervision
during their new evaluation and psychopharm clinics as they will be
observed via video camera by the supervisor and will be provided with
immediate feedback. For the individual and family cases they will be
assigned a supervisor from the either the core faculty or the voluntary
faculty to meet with them 1 hour per week. They will also receive 1 hour
of individual supervision per week for the group therapy.
Residents will also have the opportunity to observe portions of
psychological testing of their own patients as the need arises.
Individual therapy cases will be monitored to ensure that residents
receive training in psychodynamic, supportive and cognitive behavioral
approaches, in brief and longer term treatments.
Residential Treatment Center Rotation
This rotation will be involve fellow’s active participation in
consultation, treatment planning, and pharmacologic management of
children and adolescents ages 10-18 at a residential treatment center.
Children are generally referred to the residential treatment setting
because they have failed in less restrictive settings due to problematic
behaviors generally involving aggression or harm to self or others.
Most children will be under the guardianship of the Department of
Children and Family Services (DCFS), however, a smaller percentage of
children will be referred by the juvenile justice system, special
education programs, and occasionally the Department of Mental Health on
an individual care grant. Kemmerer Village residential treatment center
has approximately 50 beds, divided in five treatment cottages where
children live and receive psychiatric and psychological treatment. The
children at Kemmerer Village are 50% male, and 50% female, racial/ethnic
backgrounds are 50% African American and 50% Caucasian. Most of the
children have experienced some abuse and neglect, and disrupted family
lives. Most commonly seen diagnoses are ADHD, Mood and Anxiety disorders
(depression, bipolar disorder, PTSD), and Reactive Attachment disorder.
As this is a longer term residential facility, the average length of
stay is 1 year. Residents will do new evaluations of children recently
admitted to the facility and will also continue to follow a number of
children for psychopharm management.
Substance Abuse Rotation
The substance abuse rotation will occur at the Gateway Foundation in
Springfield, Illinois, which is located approximately 4 miles from the
primary site. Gateway is a non-profit organization specializing in the
treatment of adolescents and adults with substance abuse disorders. They
provide intensive outpatient and residential services. The focus of the
rotation will be on the adolescents in the residential program. At any
one time there are up to 60 adolescents (ages 13-18) in the residential
program, with approximately 2/3’s needing psychiatric intervention. The
length of stay ranges from 3-6 months.
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