SOM Elective Brochure

Electives Type:  Clinical

Elective Title
Acting Internship: Advanced Geriatric Inpatient Psychiatry
Course Number
4 weeks
Prerequisites: Successful completion of Year 3 
      Additional Requirements:
Enrollment within 30 days of course start date requires you submit a C-form to the Psychiatry Undergraduate Education office, 7.104 Rebecca Sealy, for signature approval.
Responsible Faculty Director:
Linea McNeel, M.D.
Other Faculty:
Location to Report on First Day
Mainland Center Hospital
Periods Offered
including Period 12 (June), including the holiday vacation Period 13 (Dec)
Maximum Enrollment

 To develop clinical and assessment skills on a variety of geriatric psychiatric patients who are acutely ill and require inpatient treatment or intensive outpatient care in a formal geriatric Intensive Outpatient Program

 To develop an understanding of the psychaitric issues which are frequently seen in the geriatric population including psychiatric manifestations of geriatric illnesses such as dementia and the presentation of common psychiatric conditions such as mood disorders, anxiety and schizophrenia in elderly patients.

Description of course activities
 Students will receive individualized clinical expereince under the supervision of an attending psychaitrist. they will have the responsibility of their patients from assessment through the treatment and discharge process. Students will also follow at least one patient in the Intensive Outreach Program. The student will e responsible for daily patient care documentation on all patients assigned to him/her. The student will also work with the neuropsychologist (PhD-level) and observe the neuropsychiatric evaluations done on geriatric patients when consults are received from the medical/surgical physicians.

Type of students who would benefit from the course
 This rotation would be useful for students planning a career in psychiatry or geriatric medicine or any behaviorally oriented area of medicine

Weekly Schedule
  Clinical Activities (please insert estimated schedule here)
  Day of Week AM PM
  Monday 7 4
  Tuesday 7 4
  Wednesday 7 4
  Thursday 7 4
  Friday 7 4
  Saturday N/A N/A
  Sunday N/A N/A
  Average number of patients seen per week: 15  
  Call Schedule:   No-Call  

  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
  B. Frequency / duration of presentation(s)?
  C. Format - What guidelines are set for the student's presentation?
    History and Physical, daily update of patient condition and discharge plan
  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)?
    Daily progress notes, orders and discharge plan focus on diagnostic planning and treatment implementation. Student will write a formal assessment and treatment plan on 3 new patients
  B. Format - What guidelines are set for the student's written work?
    UTMB requirements for documentation
  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.?
    Student will write daily progress notes on each patient. Student will select a patient during elective to write a 1-2 page paper about an interesting treatment issue
  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.
    Interviwing skills, and oral discussion of treatment issues.