Adult Inpatient	10 months		Outpatient Care	12 months
Adolescent Inpatient	2 months		Neurology	2 months
Community Psychiatry	3 months		Primary Care	6 months
Consultation/Liason	3 months		Substance Abuse	1 month
Electives	8 months		Developmental Disabilities	1 month

Primary Care
PGY-1 Residents are required to rotate through six months on one or a combination of
family medicine, internal medicine, or pediatric services. Residents are supervised by
faculty from the corresponding department and work with a resident and attending
team learning the identification, assessment, diagnosis, management, and continuity
care, and further treatment planning for a range of acute and chronic medical
conditions. The rotations generally occur in each of the general hospitals, Memorial
Medical Center and St. John's Hospital, but may involve ambulatory care clinics held
at other departmental sites. Residents take call duty with the service on which they
are rotating.

Neurology
PGY-1 Residents are required to rotate through two months of inpatient adult
neurology while being supervised by faculty from the Department of Neurology and
participating in the care of patients with a variety of neurological acuity. Residents
generally spend one month on the inpatient neurology service at one of the general
hospitals, Memorial Medical Center and St. John's Hospital providing care to a general
acute neurologically ill population, and one month on the Neurorehabilitation Service
at Memorial Medical Center providing care to patients undergoing post-acute care for
neurological conditions such as trauma, stroke, spinal injury or conditions, and
neurodegenerative conditions. Residents are exposed to a range of conditions that
are relevant to psychiatric differential diagnosis and which can form the border zone
between psychiatry and neurology. Residents on the inpatient neurology service take
call duty for the neurology service. Residents in neurology and psychiatry participate
in a weekly interdisciplinary case conference in which selected cases from both
services are discussed by faculty from a variety of perspectives.

Substance Abuse
PGY-1 Residents rotate through one month on the Substance Abuse Consultation
service at Memorial Medical Center where they are trained in the evaluation,
recognition, diagnosis, and treatment planning of inpatients with substance abuse,
dependence, withdrawal, and substance related disorders on the psychiatric, medical,
and surgical services. Residents are also trained in motivational interviewing
techniques. Supervision is provided by chemical dependency counselors who serve
as adjunct faculty in the psychiatry department.

Adult Inpatient Psychiatry
The Adult Inpatient Psychiatry rotations take place on the acute psychiatric units of
the two general hospitals in Springfield, Memorial Medical Center and St. John's
Hospital, and on the acute unit of a free standing state-operated psychiatric
hospital, Andrew McFarland Mental Health Center. The patient population on all three
units varies in ages from 18 and upward and includes patients with a wide range of
mood, anxiety, psychotic, substance related, personality disorders, behavioral and
psychiatric disorders associated with various dementing illnesses, and other mental
disorders due to general medical conditions. Residents gain experience in the
evaluation, diagnosis, treatment planning, and medical management of psychiatric
and co-morbid medical disorders. In addition, residents rotating at the two general
hospitals interact often with other medical and surgical services to provide integrated
care. Residents regularly interact with allied healthcare staff such as nurses, social
workers, case managers, and mental health technicians. PGY-1 residents spend
three months and PGY-2 residents spend six months on Adult Inpatient Psychiatry
rotations. During the PGY-4, residents spend an additional one month on the Adult
Inpatient Psychiatry service in the role of chief inpatient resident. To enhance the
educational and training experience, resident caseloads are capped at 7 patients
during their Adult Inpatient Psychiatry rotations. Supervision is provided on each
rotation by psychiatry department faculty. Medical students participate regularly on
the inpatient team.

Child and Adolescent Inpatient Psychiatry
Residents rotate for one month during the PGY-2 and one month during the PGY-4 on
the Child and Adolescent Inpatient Psychiatry unit located at Memorial Medical
Center. The patient age range is from 10 to 17 years and is drawn from a large area
of central and southern Illinois. Psychopathology includes mood disorders, attention
deficit with hyperactivity disorder, psychotic disorders, conduct and oppositional
-defiant disorders, autistic spectrum disorders, and others. Supervision is provided
by faculty from the Child and Adolescent Psychiatry Division in the psychiatry
department. Residents interact frequently with allied staff and services and are
exposed to family evaluation and therapy, group therapy, individual evaluation,
diagnosis, and treatment planning all within the context of a multi-disciplinary
treatment team approach. Medical students participate regularly on the inpatient
team.

Community Psychiatry
During the PGY-2, residents spend three months on the Community Psychiatry
rotation, two weeks of which is spent in the Center for Alzheimer Disease and Related
Disorders. For two and a half months, residents rotate through the Community
Support Network, an Assertive Community Treatment model of care for severe and
chronic mental disorders. Residents participate in medication management clinics,
home visits, and team meetings and are supervised by the medical director, a
department of psychiatry faculty member. This model of care delivers wrap-around
case management, nursing, and psychiatric services to patients with diagnoses
including schizophrenia, schizoaffective disorder, bipolar disorder, major depressive
disorder, substance abuse and dependence, and personality disorders. Patients who
are psychiatrically hospitalized are cared for by the faculty-resident team to provide
continuity of care. Also during the Community Psychiatry rotation, residents attend
and participate in a clinic for the developmentally disabled population with
concomitant psychiatric disorders for one half-day each week where they are
supervised by a faculty from the Developmental Disabilities Division of the psychiatry
department.

Consultation/Liaison Psychiatry
Residents rotate on the Consultation/Liaison service providing psychiatric consultation
to non-psychiatric medical and surgical services in both of the general hospitals,
Memorial Medical Center and St. John's Hospital, during the business day. PGY-2
residents spend two months on this service and PGY-4 residents spend one month on
the service. Supervision is provided by faculty from the psychiatry department. 
Resident see a variety of psychiatric problems including delirium, dementias, mental
disorders due to a general medical condition, substance related disorders, adjustment
disorders, personality disorders, psychological conditions affecting medical disorders,
psychotic disorders, anxiety disorders, mood disorders, evaluations of decisional
capacity, and suicide attempts. Residents are trained in evaluation, diagnosis,
treatment planning, and follow-up care in psychiatric consultation.

Outpatient Psychiatry
Residents in the PGY-3 year rotate through 12 months of Outpatient Psychiatry in a
variety of clinics including forensic, geriatric, child and adolescent, rural mental health
care, and new patient evaluation. In addition, residents follow their own caseload of
patients for psychotherapy and psychopharmacological management. Direct
supervision occurs through the specific attending supervisor for each clinic. 
Residents also receive two hours of individual supervision each week by a clinical
supervisor and a psychotherapy supervisor.

Developmental Disabilities Psychiatry
PGY-4 Residents rotate for one month at Jacksonville Development Center, a state
operated developmental disabilities facility for adults with mental retardation and
behavioral and psychiatric disorders. There, they are supervised by two attending
psychiatrists from the psychiatry department's Division of Developmental Disabilities in
the evaluation, diagnosis, behavioral, medical, and psychopharmacological
management of a wide range of behavioral presentations. Residents also participate
in behavioral committee meetings and work with allied staff in the analysis of
behavioral data and intervention planning.

Electives
PGY-4 Residents have eight months of electives that can include further inpatient
adult or child and adolescent psychiatry, psychotherapy, neuropsychology,
neuroimaging, research, rural or state operated facility inpatient psychiatry, forensic
psychiatry, outpatient chief resident, ECT, psychopharmacology, Consultation/
Liaison, and a variety of other electives that can include time at other institutions for
special training experiences or research. Residents continue to work with faculty
supervisors throughout this period.

Contact Vivian Smith for more information
Telephone: 217-545-7627