SOM Elective Brochure

Electives Type:  Clinical

Elective Title
Clinical Rotation Psychiatric Consultation -Liaison Service in Austin (Dell Seton Medical Center)
Course Number
Prerequisites: Successful completion of Year 2 
      Additional Requirements:
Successful completion of Psychiatry Clerkship. To enroll, please submit a C-Form to Judy Terlik at
Responsible Faculty Director:
Blair Walker, MD & Lauren Garapedian, MD
Other Faculty:
R. Garrett Kay MD; Joseph Kugler MD; Sussann G. Kotara MD; Smitha Murthy MD;Roger McRoberts MD
Location to Report on First Day
Contact Judy Terlik at (512) 324-7860
Periods Offered
including Period 12 (June), including the holiday vacation Period 13 (Dec)
Maximum Enrollment

 1. To enhance the students knowledge of psychiatric care in a medical / surgical setting. 2. To gain advanced skills in the assessment and treatment of neuropsychiatric problems using a biopsychosocial model. 3. To gain an understanding of the neuropsychiatric contribution to medical conditions found in a general hospital and regional trauma center.

 1. Students will have the chance to evaluate a wide variety of psychiatric problems including depression, anxiety, suicide, substance abuse, head injury, psychosis, post traumatic stress disorder, personality disorders and victims of violence or trauma. 2. Students will have the opportunity to see a wide variety of patients in a general hospital and an emergency room setting. 3. Students will get direct supervision on a daily basis. $. Students will gather information relevant to the psychiatric problem being addressed from the following sources: patient, medical records, members of the primary medical team (including nurses, social workers and ancillary staff), key family members. 5. Students will perform a Psychiatric assessment including a mental status examination and when appropriate, a focused neurological examination. 6. Students will master the ability to write a psychiatric consultation and to be able to make a presentation to residents and attendings at morning rounds.

Description of course activities
 Inpatient psychiatric consultations. The student will work as part of a team of other students, residents and faculty.

Type of students who would benefit from the course
 This elective would be useful for students planning a career in psychiatry or primary care medicine. To enroll, UTMB students should submit a C-Form to Judy Terlik at Visiting students should submit an application through VSAS: https://services, Select UTMB at Galveston as the host institution and indicate you wish to take PSYU-4011 on the application.

Weekly Schedule
  Clinical Activities (please insert estimated schedule here)
  Day of Week AM PM
  Monday 8:00 AM 5:00 PM
  Tuesday 8:00 AM 5:00 PM
  Wednesday 8:00 AM 5:00 PM
  Thursday 8:00 AM 5:00 PM
  Friday 8:00 AM 5:00 PM
  Average number of patients seen per week: 15-20  
  Call Schedule:   None  

  Research Activities (please insert estimated schedule here)
  Activity Hours per Week
  Faculty contact time

  Self-directed study

  Data collection/analysis


Method of student evaluation
Check all that apply - complete appropriate section(s) only:
1.  Clinical Observation
  A. Where are students observed on this elective?
    Inpatient service   Ambulatory   Surgery   Standardized patients
Patients simulators   Other
  B. Frequency - How often are students observed clinically?
  C. Format - What method(s) are used to document the student's clinical performance?
    Daily oral feedback   End of period oral feedback   Written feedback

2.  Oral Presentation
  A. Audience - To whom does the student present?
  B. Frequency / duration of presentation(s)?
  C. Format - What guidelines are set for the student's presentation?
    Clinical case presentations
  D. Assessment - Who assesses the student's presentation performance?
    Self-assessment   Peer assessment   Faculty assessment
  E. Method of content selection
    Current cases  Student-selected topic   Assigned topic

3.  Written Assignment (H&P's, notes, papers, abstracts, etc.)
  A. Frequency of written assignment(s)?
  B. Format - What guidelines are set for the student's written work?
    Clinical SOAP format
  C. Length of written assignment(s)?
    Abstract   Annotated bibliography   1 - 2 page paper   3+ page paper
  D. Are recent references required?   No    If yes, how are they selected?
  E. Method of content selection - e.g. student-selected, relate to cases, etc.?
  F. Audience - Who assesses the studentís written performance?
    Peer Assessment     Faculty Assessment     Other

4.  Examination
    Oral   Written multiple choice   Written essay / short answer   OSCE

5.  Extra Course Activities
  What expectations do you have for the student to demonstrate participation in the elective (e.g. small group activities, seminars, thoughtful questions, providing resources, journal club, resident lecture attendance)?

6.  Other Modes of Evaluation
  Please explain below.
    Students will be evaluated on their reliability and sense of responsibility for patient care. Special attention will be paid to knowledge acquired during the externship as well as communication and listening skills. Written consults, oral presentations, and feedback from residents on the C-L team will be used by the attendings to evaluate the studentsí performance.
7.  If this course is an Acting Internship, please complete the following:
  A. Specify how the student will be given formative feedback on their clinical skills.
B. List advanced clinical skills that a student will be assured an opportunity to practice.
C. List other advanced clinical skills that a student may be exposed to depending on clinical case availability.
  D. How will the acting intern student have responsibilities similar to a PGY1 resident? How will their responsibilities differ?
  E. How will this course help prepare a student enter an internship in this field or a related field?
  F. How will midpoint feedback be provided to the student? How will you remediate deficiencies identified at midpoint?
  G. Acting Internship students often seek letters of recommendation following their experience. How many different faculty are they likely to encounter during this course? What is the usual number of working days they can expect to encounter the same individual faculty member? Describe the degree of supervision and interaction with faculty vs. residents or other providers.