Psychiatry - Adult
David Muzina, MD – Program Coordinator
- Duration: 4 weeks
- Availability: Year round, Must be prearranged
- Number of Students: 1
- Time: Full time
Objectives
- Interview a patient, competently eliciting pertinent medical and behavioral history and performing a mental status examination.
- Identify and describe the major forms of mental illness and character pathology.
- Describe the indications and contraindications for specific pharmacological, physical and psychotherapies.
Description
Working with an attending and psychiatric residents, the student will care for selected adult inpatients under supervision. One half day per week is devoted to formal didactics. In addition, departmental Grand Rounds occurs each week, and each month a visiting professor presents and spends one-half day with students and residents. The student will also participate in daily reports, team meetings, teaching rounds. He or she will present patients to the treatment team, and report findings through regular notes in the medical record.
Evaluation forms are given to the staff members to whom the student is assigned. A report will be given to deans and phase coordinators on request.
Psychiatry - Alcoholism/Drug Dependence Rehabilitation
Gregory B. Collins, MD – Program Coordinator
- Duration: 4 weeks
- Availability: Must be prearranged. Not available in December.
- Number of Students: 1
- Time: Full time
Objectives
Training and experience in all aspects of chemical dependency rehabilitation including diagnosis, medical management, detoxification, psychotherapy, use of community resources, follow-up. Emphasis is on pharmacotherapy in detoxification phase, followed by Alcoholics Anonymous, family therapy, dynamic group therapy and individual counseling. Ideal preparation for psychiatry or for any primary care specialty including family medicine and internal medicine.
Description
This is an opportunity to work closely with a team specializing in alcoholism and drug rehabilitation. Student experiences would include didactic presentations, observations of ongoing treatment, actual patient management through detoxification and rehabilitation, moderate amount of patient care responsibility under supervision, as well as opportunity for reading and research.
Evaluation forms are given to the staff members to whom the student is assigned. A report will be given to deans and phase coordinators on request.
Psychiatry - Child and Adolescent
Kathy Quinn, MD – Program Director
- Duration: 4 weeks
- Availability: Year round, Must be prearranged
- Number of Students: 1
- Time: Full time
Objectives
To acquaint the student with diagnosis and treatment of the emotionally and behaviorally disturbed child/adolescent, and improve understanding of the underlying problems via the biopsychosocial model.
Description
The Child /Adolescent Inpatient Unit is an 18-bed unit physically separated from the adult services. Comprehensive psychiatric care is provided for all types of child and adolescent problems with special expertise and experience in eating disorders and psychosomatic medicine, suicide and depression, and disruptive behavior disorder. A multi-disciplinary team approach is used in the context of a behavioral milieu.
The student will join the treatment team staff of the inpatient child/ adolescent psychiatric unit. He/she will be familiarized with various treatment modalities through patient meetings, chart review, participation in treatment planning, and staff meetings. The student will be involved in more depth with the treatment of one or two patients on the unit, where, depending on sophistication and training level, he/she will function as a co-therapist. Supervision will be provided by the psychiatry residents and attending staff, as well as by other members of the treatment team.
In addition, there will be opportunities for outpatient evaluations, as well as hospital consultations on the pediatric service. Pertinent reading and resource materials will be made available, and weekly seminars are provided in the Section of Child/Adolescent Psychiatry to discuss child/adolescent development, psychopathology, treatment, and current research. The student is also encouraged to attend any or all didactic lectures and conferences offered by the general (adult) psychiatry section.
Special interests or teaching objectives should be communicated to the attending staff well in advance of the rotation in order to assure a satisfactory experience.
Psychiatry - Consultation/Liaison
Kathleen Franco, MD – Program Coordinator
- Duration: 4 weeks
- Availability: Year round, Must be prearranged
- Number of Students: 1
- Time: Full time
Objectives
- To provide consultation to non-psychiatric medical personnel regarding psychiatric problems in the medically ill patient.
- To learn the appropriate use of psychotropic medications in the medical/surgical patient.
- To integrate biological, psychological, and social contributions to any consultation problem.
- Participate in liaison conferences with various medical surgical teams as needed.
Description
The clerkship provides an opportunity to work closely with the consultation/liaison psychiatrist and psychiatry resident. Student experiences would include observations of bedside interviews, management of psychiatric problems in this population under close supervision, weekly case presentations, and journal club. Major consulting services include primary care, cardiology, gastroenterology, intensive care units, oncology, organ transplantation, nephrology, neurology, and vascular medicine. There is ample material and opportunity for research, and such interests will be supported enthusiastically.
Evaluation forms are given to the staff members to whom the student is assigned. A report will be given to deans and phase coordinators on request
Psychiatry - Chronic Pain Rehabilitation
Edward C. Covington, MD – Program Coordinator
- Duration: 4 weeks
- Availability: Year round, Must be prearranged
- Number of Students: 1
- Time: Full time
Objectives
To enable students to understand the interactions of medical pathology, deconditioning, and psychopathology in producing disability, to permit students to become skilled in the safe and expeditious weaning of opioids, sedatives, and minor tranquilizers in those who have become iatrogenically dependent, and to provide skills in the pharmacological, behavioral and rehabilitation management of those disables with chronic intractable pain.
Description
The leading cause of disability in the United States is chronic pain, most of it attributable to spine technology. Other causes include fibromyalgia, intractable headaches of various sorts, and a variety of neuropathic pain states including sympathetic dystrophy. Cognitive and behavioral factors typically contribute to the disability and suffering that these patients experience. Restoration of function and quality of life require an interdisciplinary approach with such components as biofeedback, pyschotherapy, pharmacotherapy and reconditioning physical therapy. Students will participate in evaluation and treatment of these patients.
Evaluation forms are given to staff members to whom the student is assigned. A report will be give to Deans and Phase Coordinators on request.