SOM Elective Brochure

Electives Type:  Clinical

Elective Title
Acting Internship: Consultation & Liaison 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, 7.602 Rebecca Sealy, for signature approval. Coordinator:Courtney Silberisen
Responsible Faculty Director:
Michael Fuller, M.D.
Other Faculty:
Location to Report on First Day
Rebecca Sealy 7.408 @ 8:00 am
Periods Offered
NOT including Period 12 (June), including the holiday vacation Period 13 (Dec)
Maximum Enrollment

 Diagnosis, treatment and management of patients on medical, obstetric-gynecological, and surgical wardsand in the emergency room.

 By the conclusion of this acting internship, the student will be able to: 1. Recognize, diagnose and manage delirium and dementia syndromes. 2. Determine mental capacity and distinguish this from competence. 3. Recognize, diagnose and treat depression, anxiety and stress syndromes. 4. List contributions to psychiatric disorder made by drugs used for psychiatric conditions. 5. Outline the mecanisms of action of drugs used for psychiatric conditions. 6. Note the distinctive illness profile seen in AIDS patients. 7. Describe the issues aroused by fatal and terminal illnesses for patients, family and staff.

Description of course activities
 Present patients evaluated to faculty. Working directly with faculty this A/I will assume resident like clinical responsibilities to include directly examining patients, formulating a diagnostic impression and treatment plan and presenting that plan to faculty and other team members. Fourth year student will typically evaluate one new consultation per day with directed study to provide more in depth understanding of psychiatric diagnosis and treatment. The experience can be tailored to focus on specific area(s) of interest, especially if the student plans to enter a field of medicine other than psychiatry.

Type of students who would benefit from the course
 Students going into primary care and psychiatry (though psychiatric issues arise in all specialties of medicine).

Weekly Schedule
  Clinical Activities (please insert estimated schedule here)
  Day of Week AM PM
  Monday 8 5
  Tuesday 8 5
  Wednesday 8 5
  Thursday 8 5
  Friday 8 5
  Average number of patients seen per week: 5-7  
  Call Schedule:   N/A  

  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 and residents/Treatment Team
  B. Frequency / duration of presentation(s)?
  C. Format - What guidelines are set for the student's presentation?
    Standard Psychiatric Evaluation
  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 Cases
  B. Format - What guidelines are set for the student's written work?
    Students may complete sections of H&P's that are permissible such as demographic information, past history, ROS, vital signs, and lab results. Students may be asked to leave notes in progress section of chart under direction of psychiatry faculty and residents.
  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.?
    Relate to cases
  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.
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.
    verbal from faculty and resident at halfway and end of rotation.
B. List advanced clinical skills that a student will be assured an opportunity to practice.
    Interview skills, formulation
C. List other advanced clinical skills that a student may be exposed to depending on clinical case availability.
    Treating acute psychosis, Post Traumatic Stress Disorder
  D. How will the acting intern student have responsibilities similar to a PGY1 resident? How will their responsibilities differ?
    Will perform initial intake interviews and report directly to staff or supervising resident
  E. How will this course help prepare a student enter an internship in this field or a related field?
    Broad exposure to complex psychiatric conditions in a medical environment.
  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.
    They will encounter one faculty on a daily basis. Close supervision.