Curriculum The multi-institutional collaborative Adolescent Medicine

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Curriculum
The multi-institutional collaborative Adolescent Medicine (AM) Fellowship Program with the
University of Illinois at Chicago (UIC), John H. Stroger, Jr. Hospital of Cook County (Stroger), and
Rush University Medical Center (Rush) is a three year program consisting of up to 2 fellows per year.
Program Director, Christiane Stahl, MD, board-certified in AM and pediatrics, together with Drs.
Florence Desrosiers and Irene Eftekhar will direct the fellows’ clinical training at UIC. These core
faculty will provide training in the outpatient care center adolescent clinic, where the fellow will have a
half-day continuity clinic for all 3 years of the program as well as additional assignments in general
adolescent clinic, adolescent gynecology clinic, and adolescent weight management clinic. Dr.
Desrosiers will also partner with the fellow who will act as a ward co-attending and consultant for
adolescents hospitalized at the University of Illinois Hospital. Other pediatric faculty will assist in
clinical training with respect to adolescents with chronic illness. The fellows will also do a 2 month
rotation on the Adolescent Psychiatry Unit under the supervision of the Adolescent Psychiatry Faculty
(Dr. Elizabeth Charney) and, for medical aspects, Drs. Stahl or Desrosiers. Dr .Allison Cowett of the
Department of Obstetrics and Gynecology will precept the fellows during a 2 month outpatient rotation
in Family Planning where they will have the opportunity to interact with the Family Planning Fellows.
Drs. Mark Hutchison and Terry Nicola will provide training in Sports Medicine.
Key clinical experiences will be obtained through partnerships with the Stroger and Rush Divisions of
Adolescent Medicine. Three months of required rotations will take place through the Stroger program
under the direction of Dr. Lisa Henry-Reid, Associate Fellowship Program Director. These include
outpatient rotations in the Adolescent and Young Adult HIV clinic at the Core Center under the
direction of Drs. Jaime Martinez andLisa Henry-Reid (both AM board-certified) and Margo Bell , as
well as the the joint medicine-psychology Adolescent and Young Adult Clinic under the supervision of
both the physicians listed above and adolescent psychologists, Drs. Greg Lewis, Rocco Domanico, Karla
Anderson and Hal Fuentes, a consultative inpatient experience with adolescent and young adult trauma
patients (same supervision) with community linkage through the Stroger Trauma Unit – UIC School of
Public Health Program Ceasefire connection, and the Morton East School-Based Health Clinic under the
supervision of Drs. Stahl and Dr .Ravi Shah. Experience with adolescent care in the Juvenile Detention
Center is also provided through Stroger. 1.2 months of required rotations will take place through the
Rush program; these include outpatient rotations in the Rush Eating Disorders Program (both inpatient
and outpatient) under the direction of Dr. Gary Strokosch (AM board-certified) and his multidisciplinary
team and in the Job Corps clinics attended by Dr. Cathy Joyce (AM board-certified). Beginning in the
second year of training, the fellow will have the opportunity to choose 6.6 months of clinical elective
rotations.
Research Training
Eighteen months of Research training and experience will be obtained through mentoring by faculty
with ongoing federally funded research in the field. These include Dr. Benjamin Van Voorhees in the
UIC Department of Pediatrics regarding adolescent depression; and Drs. Martinez and Henry-Reid at
Stroger on adolescent HIV.
The fellows are expected to complete additional training, most likely an MPH in Maternal and Child
Health at the UIC School of Public Health. Options for completion of the MHPE program in the
Department of Medical Education or the Clinical Translational Research Certificate Program in CCTS
are alternate training pathways. Fellows are expected to apply for funding, design and conduct research,
and to present and publish their research as part of their training and in order to be board-eligible.
Advocacy training and experience is also a required part of the fellowship.
Please see below for a schematic of block rotations, institutional allocations, and clinical training sites.
FIRST YEAR BLOCK DIAGRAM
Month/4wk
1
2
3
4
5
6
7
OP with OP with OP with OP with OP with OP with
Inpt
HIV
HIV
SBHC SBHC
JD
JD
consults
focus
focus
focus
focus
focus
focus
+ Inpt
psych
90%C
90%C
Experience
or Rotation
90%C
10%R
70%C
70%C,
70%C
8
9
10
Inpt
ED
ED
consults Inpt & Inpt &
+ Inpt
Outpt Outpt
psych
70%C
70%C
11
12
OP
with
FP
focus
OP
with
FP
focus
70%C 70%C
70%C 70%C
VAC
10%R
Sites
1&2
Sites
1&2
Site
Site
Sites
1&2
Sites
1&2
Sites
1&2
Sites
1&2
1
1
50-50
50-50
50-50
50-50
100
100
50-50
50-50
13
60/12
60/12
60/12
60/12
60/12
60/12
80/16
60/12
H
H
H
H
H
H
H
H
Sites
1&3
40-60
Sites
1&3
40-60
60/12* 60/12
Site
Site
1
1
100
100
60/12
60/12
H
H
Duty Hours
H
Continuity Experiences during the 1st year include the following sites- (10% of time = half-day session per
week)
Clinic sites:
General Adolescent Clinic in Site 1 – 10% time all year, additional 10% blocks 1- 6
AYAC in Site 2 – 10% time blocks 1-6
Core AYAC (CoAYAC) joint med-psych clinic for acquired HIV infection in adolescents and young adults –
Site 2 -10% time blocks 1-2
School-based Health Center in site 2- 35% time blocks 3-4
Sports Medicine Clinic in site 1- 10% of time blocks 3-4
Adolescent Weight Management Clinic in site 1 – 10% of time, blocks 3-6, 11-12
Juvenile Detention Center in Site 2 – 10% time blocks 1-4, 35% time blocks 5-6
Inpt Psychiatry in site 1 – 70% time, block 7, 50% time block 8
Inpt Consults in site 1 – 10% time blocks 7&8
Adolescent Gynecology Clinic in site 1 – 10% of time, blocks 9-12
Family Planning Clinic in site 1- 20% of time, blocks 11-12
Adolescent Chronic Illness Clinics in site 1 (Sickle Cell, Endocrinology, Neurology, Oncology, Nephrology,
Rheumatology, HIV) in site 1 -20% of time, blocks 11-12
Research/Didactic experience:
Research mentoring – 10% time throughout the year
Masters’ degree coursework – 20% time blocks 3-6,9-12
Clinical Didactics
General adolescent lecture series with journal club and case discussion – 10% of time block 1, 5% of time
blocks 2-6
Other clinical didactics (EBM, online training, substance abuse, case discussion, QI) – 5% time blocks 1-12
Psychiatry orientation series – 10% of time blocks 1&2
Family Planning & Reproductive Health Didactics – 5% time blocks 11&12
SECOND YEAR BLOCK DIAGRAM
Month/
4wk
1
2
3
4
5
6
7
8
9
10
11
12
13
Inpt
Inpt OP with Clinical Clinical Clinical Clinical Clinical Clinical Research Research Research
Trauma Adol.+
Job Elective Elective Elective Elective Elective Elective
consults+ consults Corps
community
focus
injury
prevention
Experience
or
Rotations
90%C
VAC
70%C
90%C
70%C 70%C 70%C 70%C
70%C
70%C
Sites
1&2
20/80
Site
1
Sites
1&3
50-50
100
Sites
Sites
Sites
Sites
10%C
90%R
10%C
90%R
10%C
90%R
Sites
Sites
Sites
Sites
Sites
1&tbd 1&tbd 1&tbd 1&tbd
30/70 30/70 30/70 30/70
1&tbd
30/70
1&tbd
30/70
1&tbd
30/70
1&tbd
30/70
1&tbd
30/70
60/12*
60/12
60/12
H
H
60/12
60/12
60/12
60/12
60/12
60/12
60/12
60/12
60/12
H
IH
H
H
H
H
H
H
H
Duty Hours
Continuity Experiences during the 2nd year include the following sites- (10% of time = half-day session per
week)
Clinic sites:
General Adolescent Clinic in Site 1 – 10% time all year, additional 5% in block 3, additional 10% blocks 49
Adolescent Chronic Illness Clinics in site 1 (Sickle Cell, Endocrinology, Neurology, Oncology, Nephrology,
Rheumatology, HIV) in site 1 -20% of time, block 3 -20%
Clinical Electives are chosen from prior sites and are arranged in conjunction with the Program Director
and the Site Faculty at the beginning of the 2nd year.
Clinical Didactics
General adolescent lecture series with journal club and case discussion – 5% time
Other clinical didactics (EBM, online training, substance abuse, case conf) – 5% time
Research/Didactic experience:
Research mentoring – 10% time 1-9, 30% time blocks 10-12
Masters’ degree coursework – 20% time blocks 1-9, 50% time blocks 10-12
THIRD YEAR BLOCK DIAGRAM
Month/4wk
Experience
or
Rotations
1
2
3
4
5
6
7
8
9
10
11
12
Research
Research
Research
Research
Research
Research
Research
Research
Research
Research
Research
Research
10%C
90%R
10%C
90%R
10%C
90%R
10%C
90%R
10%C
90%R
10%C
90%R
20%C
80%R
20%C
80%R
20%C
80%R
20%C
80%R
20%C
80%R
20%C
80%R
13
VAC
Sites
Sites
Sites
Sites
Sites
Sites
Sites
Sites
Sites
Sites
Sites
Sites
1&tbd
1&tbd
1&tbd
1&tbd
1&tbd
1&tbd
1&tbd
1&tbd
1&tbd
1&tbd
1&tbd
1&tbd
30/70
30/70
30/70
30/70
30/70
30/70
30/70
30/70
30/70
30/70
30/70
30/70
60/12
60/12
60/12
60/12
60/12
60/12
60/12
60/12
60/12
60/12
60/12
60/12
H
H
H
H
H
H
H
H
*
H
H
H
Duty Hours
Continuity Experience in the 3rd year
General Adolescent Clinic in Site 1 – 10% time all year
Adolescent Inpt Consults in Site 1 – 10% blocks 7-12
Clinical Didactics
General adolescent lecture series with journal club and case discussion – 1% time
Other clinical didactics (EBM, online training, substance abuse, case conf) – 1% time
Research/Didactic experience:
Research mentoring – 40% time 1-6, 30% time blocks 10-12
Masters’ degree coursework -48% time, blocks 1-10
Total number of clinical months _____18 4-week months________
Total number of research months ______18 4-week months, includes course work in SPH______
Legend
AYAC
Adolescent and Young Adult Clinic, a co-located clinic for adolescent medicine and psychology
C
Clinical
ED
Eating Disorders
FP
Family Planning
HIV
HIV clinics & community-based work
Inpt
Inpatient
JD
Juvenile Detention Center
OP,
Outpt
Outpatient General Adolescent
Psych
Psychiatry inpatient unit
R
Research-includes coursework for master’s degree, online training in HIPPA & Human Subjects
Protection, meetings with research mentor, orientation to ongoing research programs in the
Divisions and others of interest in the institutions, development of a research proposal, grant
writing, execution of project, write up and presentation of project, preferably in national setting
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