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