Residency Training

The Triple Board (TB) Acting Internship at the University of Pittsburgh Medical Center (UPMC) 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 psychiatric consultation-liaison service at Children’s Hospital of Pittsburgh. This service provides inpatient consultation to a wide variety of general and specialty pediatric services within this 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 outpatient continuity clinic designated for the Triple Board residents.

Special opportunities may also be available 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. Particular areas of interest should be conveyed to the Medical Student Education Coordinator and every effort will be made to accommodate that request. Lastly, acting interns will participate in the daily pediatric noon conference, psychiatry didactics (on Thursday afternoons), and both pediatric and psychiatry grand round series.

This Active Internship can prepare a medical student for combined Pediatrics/Adult Psychiatry/Child and Adolescent Psychiatry residency programs. 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:

Develop psychiatric assessment and interviewing skills applicable to pediatric medical settings

Verbalize the complex interplay between subjective distress, physical disease, and psychiatric disorders

State modes of adaptation for children and families confronted with physical illness, including those struggling with medically unexplained physical symptoms

Management of pediatric psychiatric problems, including formulating initial treatment plans

Verbalize principles of consultation/liaison with healthcare professionals in pediatric medical setting

Expectations for the Month:

Perform new patient and follow-up consultations at CHP, providing documentation and other necessary care (collateral, record review etc.)

Attend clinical and educational department-wide and site-specific events

Work with a current TB residents in a variety of clinical settings

Core activities:

Special Opportunities:

Adolescent Medicine Outpatient Clinic (provide services for general medical problems particular to teenage years including menstrual disorders, puberty and other developmental concerns, and sexuality)

Behavioral Sleep Clinic (provides comprehensive evaluation and treatment of pediatric sleep problems)

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)

Child Development Unit (specialize in assessing a child’s delays developmentally, behaviorally or emotionally; developmental disorders; genetic disorders; or long-term consequences of medical conditions)

Diagnostic Evaluation Center (provide crisis intervention, comprehensive mental health and substance abuse evaluations, referral to outpatient providers/services, facilitation of inpatient admissions)

John Merck Program Inpatient Unit (specializes in evaluation and treatment of individuals with autism and other pervasive developmental disorders)

Matilda Theiss Child Development Center (therapeutic nursery program for infants/toddlers exposed to alcohol or illegal drugs in utero, developmental programming for preschool children with psychiatric diagnoses)

Medical Coping Clinic (evaluation and treatment of children and adolescents with IBD and a broad range of emotional and behavioral problems.

Neonatal Developmental Psychology (provide developmentally supportive care for r infants/families admitted to the NICU)

Neurology Outpatient Clinic (specialty clinics include Neurofibromatosis, Tourette’s, Tuberous Sclerosis, Epilepsy)

Solid Organ Transplant Program(evaluation and intervention of children who are candidates for or have previously received solid organ transplant)

Weight Management and Wellness Clinic (provides a comprehensive evaluation and treatment planning by a multidisciplinary team for overweight youth)

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

Monday	9am-Noon	CHP C&L (Drs. Meyer/Ortiz)
	Noon-1pm	Lunch
	1pm-5pm	CHP C&L (Drs. Meyer/Ortiz)/Special Opportunity
Tuesday	9am-Noon	CHP C&L (Drs. Meyer/Ortiz)
	Noon-1pm	CHP Pediatric Noon Conference
	1pm-5pm	TB PCC (Oakland)/CHP C&L
Wednesday	9am-Noon	CHP C&L (Drs. Meyer/Ortiz)/Special Opportunity
	Noon-1pm	CHP Pediatric Noon Conference
	1pm-5pm	Special Opportunity
Thursday	9am-Noon	CCF (Dr. Meyer)
	Noon-1pm	Psych Journal Club-WPIC
	1pm-5pm	Psych Didactics-WPIC
Friday	9am-Noon	CHP C&L (Drs. Meyer/Ortiz)
	Noon-1pm	Lunch
	1pm-5pm	C&L (Drs. Meyer/Ortiz)/Special Opportunity

Sites:

Location	Address	Phone	Parking/Bus info
CHP Behavioral Health C&L Service	45^th St. & Penn Ave., Suite Floor 3 Pittsburgh, PA 15201	Kristin Klapec 412-692-6653	Shuttle from Oakland to Lawrenceville q30 mins from 7:35am-5:35pm
WPIC	3811 O’Hara St. Pittsburgh, PA 15213	Eileen McKenna 412-246-6497
CHP- Lawrenceville	45^th St. & Penn Ave., Pittsburgh, PA 15201	CHP Operator 412-692-5325
CHP PCC	3420 Fifth Ave Pittsburgh, PA 15213	412-692-6000
CCF	Bellefield Towers 100 N. Bellefield Ave., Pittsburgh, PA 15213	412-246-5222

Resources:

Resource	Name	Location	Contact
UPMC Help Desk			412-647-HELP (4357)
Med Student Ed (WPIC)	Eileen McKenna	E-529, WPIC	412-246-6497
Med Student Ed (CHP)	Marilynn Haigh	4404 Penn Avenue, AOB Bldg, 5th Floor, Suite 5400, Pittsburgh PA 15224	412-692-8260
Director, Triple Board Residency Program	Dr. Abigail Schlesinger (Missy Nix)	WPIC Rm #E504	412-246-5331
Pediatric Co-Director, Triple Board Residency Program	Dr. Dena Hofkosh (Trish Martino)	AOB 5^th Fl Suite 5400	412-864-9637
Triple Board Chief Resident	Dr. Kristin Dalope	WPIC Rm # 153	412-586-7857
Triple Board Chief Resident	Dr. Marilyn Griffin	WPIC Rm # 152	412-586-9337
Triple Board PGY 5	Dr. David Benhayon	WPIC Rm # 995	412-586-9103
Triple Board PGY 5	Dr.Emily Harris	WPIC Rm # A20	412-586-9142
Adolescent Medicine	Dr. Jonathan Pletcher (Cassandra Ward)	3420 Fifth Ave. Pittsburgh, PA 15213	412-692-8504
Behavioral Sleep Clinic	Larry Newman, PhD	CHP-Lawrenceville 3^rd Fl	412-692-6653
Center for Problem Eating (COPE)	Dr. Eric Rickin	WPIC 8^th Fl	412-586-9370
Child Advocacy Center (CAC)	Dr. Janet Squires	CHP-Lawrenceville Suite Floor 2	412-692-8664
Child Development Unit (CDU)	Dr. Robert Noll	3420 Fifth Ave. Pittsburgh, PA 15213	412-692-5560
Diagnostic Evaluation Center (DEC)	Dr. Jeremy Musher	WPIC 1^st Fl	412-586-9479
John Merck Inpatient Unit	Dr. Charles Perrotta	WPIC 6^th Fl	412-246-5100
Matilda H. Theiss Child Development Center	Dr. Gautami Veeraghandam, Dr. Kimberly Blair	373 Burrows Street Pittsburgh, PA 15213	412-383-1575
Medical Coping Clinic	Dr. Eva Szigethy	CHP-Lawrenceville 3^rd Fl	412-692-8147
Neonatal Developmental Psychology (Magee)	Cheryl Milford	300 Halket Street Pittsburgh, PA 15213	412-641-4251
Neurology Outpatient Clinic	Dr. Ira Bergman	CHP-Lawrenceville Suite Floor 2	412-692-5520
Solid Organ Transplant Program	Diana Shellmer, PhD	4401 Penn Avenue Faculty Pavilion, 6^th Fl Pittsburgh, PA 15224	412-692-8150
Weight Management and Wellness Clinic	Dana Rofey, PhD	3420 Fifth Ave. Pittsburgh, PA 15213	412-692-8041

Abigail B. Schlesinger, M.D.
Director, Child & Adolescent Psychiatry Residency Training
Western Psychiatric Institute & Clinic

TRIPLE BOARD PROGRAM