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Triple Board AI

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The Triple Board Acting Internship at the University of Pittsburgh has been designed to provide the interested medical student with an exposure to the interface of Pediatrics and Child and Adolescent Psychiatry. This four-week acting internship will focus primarily on the Pediatric Behavioral Health Consult-Liaison Service at Children's Hospital of Pittsburgh of UPMC (CHP).

The Consult-Liaison Service provides inpatient consultation to a wide variety of general and specialty pediatric services within a large pediatric hospital. Acting interns will see patients and present them to one of a team of child psychiatrists and psychologists who work in this setting. In addition to this primary focus, acting interns will also participate in clinical and educational activities specific to either pediatrics or psychiatry. He/she will attend the Tuesday pediatric outpatient continuity clinic and the Thursday child psychiatry Triple Board outpatient continuity clinic focusing on evaluating psychiatric illness in children with chronic medical conditions. 

We will try to arrange special opportunities for acting interns who have a particular area of interest such as neonatal or early development, developmental disabilities, child advocacy, adolescent medicine, child neurology, eating disorders or children with affective and anxiety disorders. Every effort will be made to accommodate that those requests for Special Areas of Interest. Lastly, acting interns will participate in the daily pediatric noon conference, psychiatry didactics on Thursday afternoons, Pediatric Chairman’s Rounds (Friday mornings).

This Acting Internship can prepare a medical student for combined Pediatrics/Adult Psychiatry/Child and Adolescent Psychiatry residency programs. During the rotation, students will spend ample time with Triple Board trained faculty. We hope this broad exposure will pique one’s interest in Triple Board Training at the University of Pittsburgh Medical Center, an exciting and diverse training program.

OBJECTIVES

  1. Develop psychiatric assessment and interviewing skills applicable to pediatric medical settings
  2. Verbalize the complex interplay between subjective distress, physical disease, and psychiatric disorders
  3. State modes of adaptation for children and families confronted with physical illness, including those struggling with medically unexplained physical symptoms
  4. Management of pediatric psychiatric problems, including formulating initial treatment plans
  5. Verbalize principles of consultation/liaison with healthcare professionals in pediatric medical setting
  6. Develop an understanding of systems of care as they relate to the care of children along the bio-psycho-social model of care.

Pre-requisites

  • Scheduled in the fourth year of medical school (preferable)
  • Completed a psychiatry rotation
  • Completed a pediatrics rotation

Expectations for the Month

  • Perform new patient and follow-up consultations at CHP, providing documentation and other necessary care (obtain collateral history, review medical record, etc.)
  • Attend clinical and educational department-wide and site-specific events
  • Work with current Triple Board residents in a variety of clinical settings

Core activities

  • Pediatric Behavioral Health Consultation/Liaison Service at CHP (Dr. Viveca Meyer, Dr. Roberto Ortiz-Aguayo, and Dr. Kristin Dalope)
  • CHP Primary Care Center- Oakland (senior Triple Board Residents)
  • Center For Children and Families- Oakland (Dr. Viveca Meyer and Dr. Joanna Quigley)
  • Psychiatric Didactics - Western Psychiatric Institute and Clinic of UPMC (WPIC)

Special Opportunities

  • Center for Problem Eating Inpatient Unit (provides comprehensive assessment and treatment for patients at any stage of an eating disorder)
  • Child Advocacy Center (provides comprehensive evaluations for children and adolescents who may be victims of physical or sexual abuse, or neglect)
  • Diagnostic Evaluation Center (provide crisis intervention, comprehensive mental health and substance abuse evaluations, referral to outpatient providers/services, facilitation of inpatient admissions)
  • Medical Coping Clinic (evaluation and treatment of children and adolescents with IBD and a broad range of emotional and behavioral problems. 
  • Pediatric Behavioral Health and Wellness Clinics (embedded behavioral health services within various pediatric subspecialty clinics including movement disorders, headache, chronic pain, physical medicine and rehabilitation inpatient and outpatient, plastic surgery, feeding and swallowing and others) 

Sample Schedule (will vary with availability and student’s interests)

Monday9am-NoonCHP C&L (Dr. Ortiz-Aguayo)
Noon-1pmLunch
1pm-5pmCHP C&L (Dr. Ortiz-Aguayo)/Special Opportunity
Tuesday9am-NoonCHP C&L (Dr. Dalope)
Noon-1pmCHP Pediatric Noon Conference
1pm-5pmTriple Board Meeting (1-2pm) followed by Triple Board PCC (Oakland (2-5pm)
Wednesday9am-NoonCHP C&L (Dr. Meyer)/Special Opportunity
Noon-1pmCHP Pediatric Noon Conference
1pm-5pmSpecial Opportunity
Thursday 9am-Noon Triple Board CCF (Dr. Meyer)
Noon-1pm Psych Journal Club-WPIC
1pm-2pm Lunch
2pm-5pmPsych Didactics-WPIC
Friday9am-NoonCHP C&L (Dr. Meyer)
Noon-1pmLunch
1pm-5pmCHP C&L (Dr. Meyer)/Special Opportunity

Sites

LocationAddressPhoneParking/Bus info
CHP Behavioral
Health C&L Service
4401 Penn Ave.
Pittsburgh, PA 15224
412-692-5100Shuttle between Oakland and Lawrenceville q30 min. from 7:35am-5:35pm
WPIC3811 O’Hara St.
Pittsburgh, PA 15213
Eileen McKenna
412-246-6497
 
CHP 4401 Penn Ave.
Pittsburgh, PA 15224
CHP Operator
412-692-5325
 
PCC3420 Fifth Ave
Pittsburgh, PA 15213
412-692-6000 
CCFBellefield Towers, 6th floor
100 N. Bellefield Ave.
Pittsburgh, PA 15213
412-246-5222 

Resources

ResourceNameLocationContact
UPMC Help Desk  412-647-HELP (4357)
Med Student Ed (WPIC)Dr. Jason RosenstockE-505, WPIC412-246-6495
Med Student Ed (WPIC)

Eileen McKenna
Kathy Molter

E-529, WPIC
E-500, WPIC

412-246-6497
412-246-5122
 
Psychiatry Co-Director, Triple Board Residency ProgramDr. Michael Travis
(Kim Kirchner) 
E-501 WPIC412-246-5320
Director, Triple
Board Residency
Program
Dr. Sansea Jacobson

(Rachel Sant)

E-503 WPIC

412-246-5320
Pediatric
Co-Director,
Triple Board
Residency Program
Dr. Stephany Dewar
(Ann Miller)
4404 Penn Avenue
AOB Bldg, 5th Floor
Suite 5400
Pittsburgh PA 15224
412-864-9638
Associate Residency
Training Director
Dr. Roberto Ortiz-AguayoLawrenceville Medical Building
3rd floor
CHP
 412-692-6361
Triple Board
Chief Residents
Dr. Katrina Fletcher
Dr. Victoria Winkeller 
WPIC
WPIC 
412-586-9143
412-586-9142 
Resident Coordinators, Triple BoardDr. Sarah Homitsky
Dr. Justin Schreiber 
WPIC
WPIC
412-586-9164
412-586-9165 

Further information may be obtained by contacting:

Sansea Jacobson, M.D.
Director, Child & Adolescent Psychiatry Residency Training
Western Psychiatric Institute & Clinic
University of Pittsburgh
3811 O'Hara Street
Pittsburgh, PA 15213
(412) 246-5422
Email: jacobsonsl@upmc.edu