SOM Elective Brochure

Electives Type:  Clinical

Elective Title
Psychiatry Acting Internship in Austin (Seton Main)
Course Number
Prerequisites: Successful completion of Year 2 
      Additional Requirements:
Successful completion of Psychiatry clerkship, To enroll, submit a C-Form to Judy Terlik at
Responsible Faculty Director:
Smitha Murthy, MD
Other Faculty:
Lloyd Berg, MD
Location to Report on First Day
Contact Judy Terlik at or (512) 324-7860
Periods Offered
including Period 12 (June), including the holiday vacation Period 13 (Dec)
Maximum Enrollment

 1. To develop clinical and assessment skills on a variety of psychiatric patients who are medically ill and who may require inpatient hospitalization. 2. To develop an understanding of all major psychiatric disorders and their appropriate treatment.

 Student will participate in role of first year resident on the Psychiatry Consult/Liason service, will be the primary individual responsible for assessment and treatment of patients, and answer directly to the psychiatry resident and attending faculty.

Description of course activities
 The student will recieve individualized clinical experience under the direct supervision of an attending psychiatrist. The student will have responsibilty for their patients from assessment through treatment and placement in psychiatric hospital if necessary. The student will work as part of a team of other students, residents and faculty.

Type of students who would benefit from the course
 Students interested in Neurology, Psychiatry, Internal Medicine and Family Medicine. To enroll, UTMB students should submit a C-Form to Judy Terlik at for approval. Visiting students should submit an application through VSAS: Select UTMB at Galveston as the host institution and indicate you wish to take PSYU-4022 on the application.

Weekly Schedule
  Clinical Activities (please insert estimated schedule here)
  Day of Week AM PM
  Monday 8:00AM 5:00PM
  Tuesday 8:00AM 5:00PM
  Wednesday 8:00AM 5:00PM
  Thursday 8:00AM 5:00PM
  Friday 8:00AM 5:00PM
  Average number of patients seen per week: 15  
  Call Schedule:   every fourth weekend; home pager call; come to hospital for consult.  

  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?
    Faculty, residents, medical students
  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)?
    Based on number of patients seen, but daily
  B. Format - What guidelines are set for the student's written work?
    Patient history, psychiatric assessment and metal status exam. Daily progress notes in 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.?
    content related to type of patient seen
  F. Audience - Who assesses the student’s 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)?
    Presentations of articles to treatment team; independent presentations of psychiatric topic for staff (i.e. social work, psychiatry staff).

6.  Other Modes of Evaluation
  Please explain below.
    Students are evaluated daily on a 1:1 basis by their attending(s). Students will be evaluated by three attendings. Psychiatric evaluations are independently evaluated by attendings. Presentations to be evaluated by attendings and treatment team.
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.
    Daily supervision of student with feedback on presentations, treatment plans, and written daily progress notes. During treatment team rounding the student will be the sole presenter on their patient, allowing for specific formative feedback.
B. List advanced clinical skills that a student will be assured an opportunity to practice.
    Direct work with an attending on their patients, as opposed to working under an intern or resident. This will require advanced mental status examination skills and sole responsibility for the formulation of more extensive treatment plans. Faculty will select patients to ensure that the student is working with complex mental illnesses and with patients who provide challenges to the mental health delivery system.
C. List other advanced clinical skills that a student may be exposed to depending on clinical case availability.
    Management of drug/alcohol withdrawal, management of eating disorders, supportive psychotherapy, management of medically complicated psychiatry patients (trauma, paraneoplastic, postpartum, etc…)
  D. How will the acting intern student have responsibilities similar to a PGY1 resident? How will their responsibilities differ?
    All students on the psychiatric consultation service are responsible for seeing patients and presenting their findings to the treatment team. First year learners work with an intern or resident to solidify their formulations and thinking prior to presentation, and have the benefit of working with the intern or resident as they conduct their own evaluation. A/I’s will follow patients and directly report to attendings, ensuring that they take the lead on assessing their condition and recommending treatments.
  E. How will this course help prepare a student enter an internship in this field or a related field?
    Expose the student to management of mental illness, formulation of treatment plan, interacting with mental health support services. Also expose student to working with nurses, therapists, and others.
  F. How will midpoint feedback be provided to the student? How will you remediate deficiencies identified at midpoint?
    Face to face meeting at midpoint of rotation. Constructive instruction to address deficiencies/weaknesses identified.
  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.
    Close interaction with one or two faculty members on daily M-F basis. Close interaction with residents as well.