Psichiatry Core Rotation

Our goals are to provide an overview of psychiatry, under the guidance of a Board Certified Psychiatrist. The trainee must learn how to recognize and manage psychiatric problems. In addition we hope to enhance your understanding of patient physician relationship. Whatever specialty a physician chooses, a basic understanding of psychiatry goes a long way to making the trainee a better doctor.

CLINICAL ACTIVITIES :

You will be assigned an attending for each rotation and will be working with residents on the same unit. The attending and resident physicians will orient you to their services, each of which has its own schedule for rounds, teaching conferences, team meetings, and therapy sessions. Services vary in the responsibility assigned to students. Be sure you understand what your role is to be, and what expectations your attending and resident physicians have for you.

PATIENT LOG

The patient logbook is an opportunity for you to receive immediate feedback on your patient evaluations and allows you to gain knowledge and skills in the field of Psychiatry. You should complete a minimum of 6 out of 9 patient problems listed. The logbook is worth 25% of your final grade including the final H&P write up, so students should apply themselves in this area. Make copies of these pages and get as many done as possible before they are due so as to be able to turn the best ones in.

Adult Core Rotations

Adult Inpatient

The Adult Services program provides inpatient mental health services to those with severe and chronic mental illnesses, The program adheres to a bio-psycho-social approach to mental illness . About half of the patients are diagnosed with schizophrenia, about a quarter are diagnosed with mood disorders, and the rest hold a variety of diagnoses such as personality, eating, and anxiety disorders. Patients with such difficulties as deafness, substance abuse, and medical complications are also treated on this service. Along with chronic and severe physical health issues and all such challenges are a part of the treatment mission and assignment.

Adult patients are typically drawn from urban setting and many of them come from stressed socio-economic living arrangements and some are experiencing homelessness. A good number of patients are forensic patients as well, both in the categories of outdate from correctional facilities or as needing to be restored to competency for legal procedures.
The intern will join a multidisciplinary treatment team on one of these units and assume a wide range of clinical activities focusing on participation in specialized patient education programs for those diagnosed with such chronic disorders as schizophrenia, mood disorders, or borderline personality disorder.
The intern may also have the opportunity to supervise psychology graduate students and to initiate and/or collaborate with ongoing research projects. Research results have focused on the treatment of those who are deaf, those with Borderline Personality Disorder, and treatment outcomes. Several supervisors are available to be assigned as intern supervision. The Director of Training will make the assignment of the intern's unit and supervisor based on intern interests among a range of factors, so a wide variety of experience is available for trainees.
The psychology intern will work with the supervisory psychologist in the assessment of newly admitted patients, provide consultation to the treatment team regarding behavioral management, and function in the role of primary therapist for select patients. In the role of primary therapist, a psychology intern typically provides individual therapy and coordinates the efforts of other members of a multidisciplinary treatment team. The intern may also participate in and co-lead therapy groups and unit meetings. Psychology interns will be exposed to pharmacotherapy issues and assist the psychiatrists and the treatment team in the process of evaluating and potentially reducing the medical regimen of patients.

Adult Outpatient

The adult outpatient rotation takes place at the Adult Psychiatry Clinic and Study Centerr is a tertiary care facility with nationally and internationally recognized programs in specialized medical care. General psychiatry residents as well as psychology interns rotate through the clinic, The clinic offers psychiatric services, including consultation-liaison services, and outpatient psychological testing and treatment. The clinic is staffed by IU faculty physicians and psychologists, social workers, and trainees in each of these disciplines. Clinicians specialize in the treatment of mood disorders, anxiety disorders, personality disorders, geriatric disorders, behavioral health issues, and women's issues.
Interns on this rotation may have the opportunity to conduct clinical interviews and diagnostic assessments, provide individual and group psychotherapy, receive individual and group supervision, and provide supervised supervision to doctoral students in clinical psychology.

Child and Adolescent Inpatient

The Child and Adolescent Program provides intensive multidisciplinary inpatient treatment to seriously disturbed boys and girls, ranging from eight to eighteen years of age. Patients admitted to the Child and Adolescent Program typically have complex diagnoses, family problems, and systems of care issues. A broad range of disorders may be treated but, in general, these are children and adolescents with disruptive behavior and mood disorders. The average length of stay for patients in the Child and Adolescent Program is intended to be six months.
Psychology interns will participate with other treatment team members in the assessment of newly admitted patients and their parents, provide consultation to the treatment team regarding behavioral management, and function in the role of primary therapist for select patients. In the role of primary therapists, psychology interns typically provide individual therapy, participate in family therapy and coordinate the efforts of other members of a multidisciplinary treatment team including direct care and nursing staff, child psychiatrists and child psychiatry residents, social workers, activity therapists, and special education teachers. Psychology interns may also participate in and co-lead therapy groups and unit meetings. Psychology interns will also be exposed to pharmacotherapy issues and assist the psychiatrists and the treatment team in the process of evaluating and potentially reducing the medical regimen of patients in the Child and Adolescent Program.

Child and Adolescent Outpatient

Psychiatry Clinic offers outpatient mental health services to families with children and adolescents under the age of 19. Families present to the clinic with a wide range of psychiatric and co-morbid medical conditions. Specific experiences available on this rotation include participation in evidence-based mood and pain clinics, a full-day intensive testing clinic, and exposure to pediatric psychology. Interns will gain experience working as part of a multidisciplinary team and will also have the opportunity to supervise psychology graduate students.

Autism Spectrum Disorders Outpatient

The Christian Sarkine Autism Treatment Center (CSATC) is a comprehensive, hospital-based and university-affiliated treatment center engaging in clinical care, research, education and outreach activities.
Psychology interns have the opportunity to participate in a variety of clinical opportunities that include both assessment and treatment of individuals with ASD. Assessment experience will include diagnostic interviews and standardized testing experiences. The treatment focus of the CSATC is behavioral in nature with a specific emphasis on the science of Applied Behavior Analysis (ABA). Interns will carry therapy caseloads that will include multiple modalities (e.g., individual therapy, parent training), as well as a variety of presenting problems (e.g., aggression, self-injury, social skills deficits, adaptive skills training). In addition to treatment experience, interns can pursue opportunities to expand their research skills on several ongoing studies based on time and interest.

Specialty Rotations

The following is a list of specialty rotations that have been currently approved. Others are currently in development.
• Pediatric Psychology Testing
• Child and Adolescent Mood Clinic
• Pediatric Overweight Education and Research (POWER)
• Autism Treatment Clinic
• Headache Clinic
• Pain Center Specialty Clinic
• Adult Neuropsychology
• Oncology Clinic
• Cardiac Clinic