The psychiatry clerkship is designed to provide students with basic skills in diagnosis and treatment applicable to patients across all specialties, particularly those in primary care practices. There are a variety of local and regional sites in which the students are assigned for their clinical experience. In addition, the approach to patient care in a chemical dependency program is observed by all students for two days during each block. Each student will also have an outpatient psychiatric experience. Attendance is expected at the weekly didactics and grand rounds which are scheduled on Fridays.
Hospital Sites: TUHC, TU Clinic and VA Clinic, and Out-of-region (change to: TUHC; Gulf VA, Biloxi; East Louisiana Mental Health Systems; Northlake Behavioral Health Systems; MCLNO DePaul)
Goals and Objectives
By the end of the clerkship, the student will
- be able to demonstrate the ability to obtain a complete psychiatric history, recognize relevant physical findings, and perform a complete mental status examination.
- be able to identify psychopathology, formulate accurate differential and working diagnoses, and develop appropriate assessment and treatment plans for psychiatric patients.
- conduct an interview in a manner that facilitates information gathering and formation of a therapeutic alliance.
- use laboratory testing, imaging tests, psychological tests, and consultation to assist in the diagnosis of persons with neuropsychiatric symptoms.
- be able to assess and begin emergency management and referral of a person with neuropsychiatric symptoms.
- be able to recognize the psychiatric manifestations of brain disease of known etiology or pathophysiology, and will be able to state the evaluation and initial management of these neuropsychiatric disorders.
- be able to identify, clinically evaluate, and treat the neuropsychiatric consequences of substance abuse and dependence.
- be able to demonstrate proficiency in the recognition, evaluation, and management of persons with psychosis associated with schizophrenic, affective, general medical, and other psychotic disorders.
- be able to recognize, evaluate, and state the treatments for patients with mood disorders.
- be able to recognize, evaluate, and state the treatments for patients with anxiety disorders.
- be able to diagnose and discuss the principles of management of patients with somatoform disorders.
- be able to define dissociation, state its psychological defensive role, and discuss the clinical syndromes with which it is associated.
- be able to summarize the distinguishing clinical features, evaluation, and treatment of patients with eating disorders.
- be able to summarize the process of evaluation and treatment of persons with sexual dysfunctions or paraphilias.
- be able to evaluate, and refer or treat, persons with sleep problems.
- be able to recognize maladaptive traits and interpersonal patterns that typify personality disorders, and discuss strategies for caring for patients with personality disorders.
- be able to summarize the unique factors essential to the evaluation of children and adolescents, and will be able to diagnose the common child psychiatric disorders.
- be able to evaluate and begin neuropsychiatric management of elderly patients.
- be able to discuss the structure of the mental health system and legal issues important in the care of psychiatric patients.
- be able to summarize the indications, basic mechanisms of action, common side effects, and drug interactions of each class of psychotropic medications and demonstrate the ability to select and use these agents to treat mental disorders.
- be able to understand the principles and techniques of the psychosocial therapies sufficient to explain to a patient and make a referral when indicated.
- be able to work effectively with other health professionals. be able to demonstrate maturation in clinical and personal development.
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