Tuesday, May 13, 2008 :: 04:17

Office of Student Services

Psychiatry Clerkships

Advanced Clinical Emergency Psychiatry [Ambulatory] | Advanced Clinical Psychiatry [Ambulatory] | Advanced Clinical Psychiatry [Inpatient] | Alcohol and Substance Abuse Program | Consultation and Liaison Psychiatry | Inpatient Forensic-Correctional Psychiatry | Neuropsychology | Psychiatric Care of Developmental Disabilities


Title: Advanced Clinical Emergency Psychiatry [Ambulatory]
Course Number: 727
Credit: Elective: Clinical
Duration: 4 weeks
Contact: Mary Haley | 272-4874
Faculty
Evaluator(s):		 Steve Jenkusky, MD; Steve Lewis, MD
Prerequisite(s): Completion of all Phase II Clerkships
Goals and Unique Aspects: Direct responsibility for evaluation, diagnosis, planning and treatment of ambulatory psychiatric patients (under supervision of faculty attending psychiatrists and house staff).
Objectives: Evaluation (history, physical and mental status examinations, laboratory, psychological testing), diagnosis and management of emergency ambulatory patients with serious psychiatric disorders.
Responsibilities: Observational: Attendance/participation in reports, rounds, and conferences; patient interviews and procedures.
Clinical: Extensive patient contact involving approximately eight hours per day in direct patient related activity at the intern level of responsibility. Night and weekend call is shared with residents.
Research: Student must find two patient problems to research and present to attendings/ residents/staff.
Teaching: Responsible for helping to teach Phase II students assigned to service.
Supervision and Teaching: The psychiatric attending faculty and house staff directly supervise the student. Evaluative examinations, diagnostic treatment and management plans are thoroughly reviewed, discussed, and evaluated. The student is expected to attend morning reports, meetings, weekly house staff seminars and departmental conferences.
Evaluation: Student’s grade is determined by evaluation of performance in areas listed on student evaluation form.
Criteria for Outstanding Grade: An “Outstanding” grade is given for performance demonstrating unusual depth of knowledge, meticulous patient care and competent completion of chart work , in addition to giving a competent presentation.
Other Information:  


Title: Advanced Clinical Psychiatry (Ambulatory)
Course Number: 732
Credit: Elective: Clinical
Duration: 4 weeks
Contact: Mary Haley | 272-4874
Faculty
Evaluator(s):		 Tracy Anthony, MD; Paula Hensley, MD; Cynthia King, MD; Rashmi Sabu, MD; Steve Lewis, MD
Prerequisite(s): Completion of all Phase II Clerkships
Goals and Unique Aspects: Direct responsibility for evaluation, diagnosis, planning and treatment of ambulatory psychiatric patients (under supervision of faculty attending psychiatrists and house staff).
Objectives: Evaluation (history, physical and mental status examinations, laboratory, psychological testing), diagnosis and management of ambulatory patients with serious psychiatric disorders.
Responsibilities: Observational: Attendance/participation in reports, rounds, and conferences, patient interviews and procedures.
Clinical: Extensive patient contact involving approximately eight hours per day in direct patient related activity at the intern level of responsibility. Night and weekend call is shared with residents.
Research: Optional, depending upon program and ongoing research projects.
Teaching: Responsible for helping to teach Phase II students assigned to service. Student is expected to select a relevant topic for research, and make a formal presentation prior to the end of the rotation.
Supervision and Teaching: The psychiatry attending faculty and house staff directly supervise the student.  Evaluative examinations, diagnostic treatment and management plans are thoroughly reviewed, discussed and evaluated.  The student is expected to attend morning reports, meetings, weekly house staff seminars and departmental conferences.
Evaluation: Student’s grade is determined by evaluation of performance in areas listed on student evaluation form.
Criteria for Outstanding Grade: An “Outstanding” grade is given for performance demonstrating unusual depth of knowledge, meticulous patient care and competent completion of chart work, in addition to giving a competent presentation.
Other Information:  


Title: Advanced Clinical Psychiatry (Inpatient)
Course Number: 726
Credit: Direct Patient Care: Inpatient
Duration: 4 weeks
Contact: Mary Haley | 272-4874
Faculty
Evaluator(s):		 William Apfeldorf, MD; Fiorian Birkmayer, MD; Gray Clarke, MD; Debbie Dellmore, MD; Rodrigo Escalona, MD; Nimisha Gokaldas, MD; Yvonne Hall, MD; Roger Hammond, MD; Virginia Porterfield, MD; Steve Lewis, MD
Prerequisite(s): Completion of all Phase II Clerkships
Goals and Unique Aspects: Direct responsibility for evaluation, diagnosis, treatment and discharge planning of hospitalized psychiatric patients (under supervision of faculty attending psychiatrists and house staff).
Objectives: Evaluation (history, physical and mental status examinations, laboratory, psychological testing), diagnosis and management of patients with serious psychiatric disorders
Responsibilities: Observational: Attendance/participation in reports, rounds, and conferences, patient interviews and procedures.
Clinical: Extensive patient contact involving approximately eight hours per day in direct patient related activity at the intern level of responsibility. Night and weekend call is shared with residents.
Research: Optional, depending upon program and ongoing research projects.
Teaching: Responsible for helping to teach Phase II students assigned to service. Student is expected to select a relevant topic for research, and make a formal presentation prior to the end of the rotation.
Supervision and Teaching:

The psychiatry attending faculty and house staff directly supervise the student.  Evaluative examinations, diagnostic treatment and management plans are thoroughly reviewed, discussed and evaluated.  The student is expected to attend morning reports, meetings, weekly house staff seminars and departmental conferences.
Evaluation: Grade is determined by evaluation of performance in areas listed on student evaluation form.
Criteria for Outstanding Grade: Grade of “Outstanding” is given for performance demonstrating unusual depth of knowledge, meticulous patient care and competent completion of chart work, in addition to giving a competent presentation.
Other Information: Rotation is offered at MHC, VAMC and CPH.


Title: Alcohol and Substance Abuse Program
Course Number: 730
Credit: Elective: Clinical
Duration: 4 weeks
Contact: Mary Haley | 272-4874
Faculty
Evaluator(s):		 Michael Bogenschutz, MD; Steve Lewis, MD
Prerequisite(s): Phase II Clerkships: Psychiatry and Medicine
Goals and Unique Aspects: Introduction to the areas of substance abuse, giving students an opportunity to work with patients who have substance abuse problems, outside of a hospital or emergency room.
Objectives: Take a thorough history, evaluating use and abuse of substance. Have working knowledge of the detoxification process. Knowledge of physical symptoms of substance abuse. Be able to identify patients with early problems.
Responsibilities: Observational: Observe patient evaluations at intake. Observe several clinical intakes and interviews by experienced staff. Participate in treatment planning and triage meetings. Participate in interviewing the family.
Clinical: Assigned patients to follow, for detoxification, or in the day program. Participate in the initial education of the patient. Hours: 8:00-5:00 pm/no night or weekend call. Prepare and deliver one lecture to day program patients. Participate in AA/NA meetings.
Research: May participate in ongoing research. If rotation is long enough, may initiate and complete small project with clinical staff’s supervision.
Teaching: Teach skills building in day program. Lecture to day program patients.
Supervision and Teaching: Amount and Type: Meet weekly for at least one hour for supervision and more often as necessary.
Didactic Content: Participate in Division’s in-service training. Encouraged to attend Psychiatry Grand Rounds. Asked to choose a topic for research in the substance abuse area, and make a presentation to clinical supervisor. Attend treatment planning sessions.
Evaluation:  
Criteria for Outstanding Grade: Ability to work with patients and staff.  Ability to take a good substance abuse history and make appropriate presentations.  Dependability. Ability to maintain charts.
Other Information: Rotation is located off campus.


Title: Consultation and Liaison Psychiatry
Course Number: 731
Credit: Elective: Clinical
Duration: 4 weeks
Contact: Mary Haley | 272-4874
Faculty
Evaluator(s):		 Gray Clarke, MD; Carol Larroque, MD; Brooke Parish, MD; Steve Lewis, MD
Prerequisite(s): Phase II Clerkship: Psychiatry
Goals and Unique Aspects: Learn to perform comprehensive psychiatric evaluation (including mental status exam) in a consultative setting. Opportunity to evaluate “biopsychosocial” issues in a hospital setting. Opportunity to learn to conduct family treatment, brief psychotherapy, and make psychiatric decisions.
Objectives: Perform psychiatric consultation on variety of medical, surgical, OB and ER patients.
Responsibilities: Observational: Watch staff evaluate patients, formulate consultation, and communicate with referring staff.
Clinical: Act as “subintern” in doing consults and following patients in hospital or as outpatients while on rotation. 8:00-5:00 Monday through Friday; no night or weekend call.
Research: If interested, student can participate in ongoing studies and learn to use structured interviews or standardized questionnaires.
Teaching: Can teach Phase II students on occasion.
Supervision and Teaching: Amount and Type: Attends regular teaching rounds, conferences, seminars as well as supervision for each case.
Didactic Content: Service rounds two/three times per week, department rounds four times per month, individual supervision on each case.
Evaluation:  
Criteria for Outstanding Grade: Clinical skills development, quality written and oral presentation of consults.
Other Information:  


Title: Inpatient Forensic-Correctional Psychiatry
Course Number: 728
Credit: Direct Patient Care: Inpatient
Duration: 4 weeks
Contact: Mary Haley | 272-4874
Faculty
Evaluator(s):		 Sean Yutzy, MD; Steve Lewis, MD
Prerequisite(s): Completion of all Phase II Clerkships
Goals and Unique Aspects: Direct responsibility for evaluation, diagnosis, planning and treatment of inpatient correctional psychiatric patients (under supervision of faculty attending psychiatrists and house staff). Exposure to forensic and medical/legal aspects of psychiatry are a unique aspect of this rotation.
Objectives: Evaluation (history, mental status examinations, laboratory, psychological testing), diagnosis and management of correctional forensic patients with psychiatric disorders, including emphasis on DSM IV diagnosis and emergency psychopharmacotherapy.
Responsibilities: Observational: Attendance/participation in reports, rounds, and patient interview and multidisciplinary conferences.
Clinical: Extensive patient contact involving approximately eight hours per day in direct patient related activity at the intern level of responsibility. “Call” required.
Research: Optional, depending upon program and ongoing research projects.
Teaching: Student is encouraged to select a relevant topic for research, and make a formal presentation prior to the end of the rotation.
Supervision and Teaching: The psychiatry attending faculty and house staff directly supervise the student. Evaluative examinations, diagnostic treatment and management plans are thoroughly reviewed, discussed and evaluated. The student is expected to participate in the daily functioning of a busy inpatient psychiatric unit in a large urban correctional facility.
Evaluation: Student’s grade is determined by evaluation of performance in areas listed on student evaluation form.
Criteria for Outstanding Grade: An “Outstanding” grade is given for performance demonstrating unusual depth of knowledge, meticulous patient care and competent completion of chart work.
Other Information: Site is off-campus.


Title: Neuropsychology
Course Number: 729
Credit: Elective: Clinical
Duration: 4 weeks
Contact: Mary Haley | 272-4874
Faculty
Evaluator(s):		 Kathy Haaland, PhD; Rex Swanda, PhD; Steve Lewis, MD
Prerequisite(s): Completion of all Phase II Clerkships
Goals and Unique Aspects: Develop experience and understanding of issues involved with evaluation of higher cortical dysfunction.
Objectives: Review mental status exams and develop expanded mental status exam. Assess ten patients with mental status exam. Present mental status data formally on five patients. Observe detailed neuropsychological evaluation of five patients. Observe videotapes on at least five patients in video library.
Responsibilities: Observational: Neuropsychological evaluations; therapeutic discussion of results with patient.
Required: Five patients (opportunity to work with 10-20 patients), formal report on five.
Clinical: Perform detailed mental status (cognitive) examination.
Research: Optional involvement in research comparing utility of various approaches to cognitive screening of older patients.
Teaching: Present at least five patients to VA neuropsychology clinical case conference.
Optional: Readings in selected texts, journals. View videotapes of well-defined patient presentations.
Supervision and Teaching: Amount and Type: Approximately ten hours per week detailed supervision by faculty.
Didactic Content: Relevant readings directed according to the patient population that is seen, and by student interest. Student should be available Thursdays from 10:00 am until 12:00 noon in order to attend research seminar. This is an opportunity to hear presentations on selected topics in neuropsychology.
Evaluation:

Evaluation based on observation of student’s work with patients, the written report, and presentations of patients in conference.
Criteria for Outstanding Grade: Complete required five patient examinations with reports and observe or participate in at least five other exams. Show initiative in following up suggested readings. Demonstrate flexibility in incorporating feedback and supervision into ongoing work with patients.
Other Information: Rotation is located off-campus at VAMC.


Title: Psychiatric Care of Developmental Disabilities
Course Number: 733
Credit: Elective: Clinical
Duration: 4 weeks
Contact: Mary Haley | 272-4874
Faculty
Evaluator(s):		 Alya Reeve, MD; Steve Lewis, MD
Prerequisite(s): Completion of all Phase II Clerkships
Goals and Unique Aspects: Increase knowledge about developmental disabilities. Increase accuracy diagnosing psychiatric illness.
Objectives: Competency in doing interview with persons with developmental disabilities. Demonstrate clear write-ups and comprehensive evaluation of psychiatric and medical illness.
Responsibilities: Observational: Attending psychiatrist performing exams.
Required: Attendance, seeing patients, doing clinical evaluation on at least two patients per clinic.
Research: Movement d/o assessment, etiology of MR (prevalence and incidence studies).
Clinical: Physical and mental status clinical examinations as needed.
Teaching: Case write-ups.
Optional: Attend related clinics and consultations.
Supervision and Teaching: Amount and Type: Direct by faculty and resident.
Didactic Content: Readings
Evaluation: Clinical observation, and oral questions and answers
Criteria for Outstanding Grade:

Show initiative, research questions of interest with relevant literature search and review; comprehensive diagnostic evaluation and formulation initiated and maintained by student. Show/demonstrate cross-disciplinary interests for developmental disabilities/follow-up.
Other Information: