Outpatient Community Psychiatry (Clinical Elective)

M85 Psych 810

This elective will provide the student with a significant outpatient experience in Psychiatry. Students will be paired with a Resident physician and have exposure to two adult clinics and one child clinic over the course of the rotation. Students will observe and assist in the diagnosis and treatment of patients in the clinic setting. Students will also attend scheduled lectures and conferences over the course of the rotation relevant to outpatient Psychiatry. During the elective, the student will learn about the outpatient presentations of psychiatric disorders, a variety of treatment techniques (psychotherapy and psychopharmacology), and general principles of outpatient clinical management.

Student time distribution: Outpatient 80%; Conferences/Lectures 20%; Subspecialty Care 100%
Patients seen weekly: 20-25
On call/weekend responsibility: None

Attributes:

Med: VISP, VSEC, WUSMEC

N/A

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Owoso

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Location: This course REQUIRES off-campus travel.
Elective contact: Patricia Sharp, sharpp@wustl.edu
Rotation length: 4 weeks only
Enrollment limit per block: 1

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Inpatient Psychiatry (Clinical Elective)

M85 Psych 836

This is a senior rotation that provides the students with an opportunity to expand their knowledge of inpatient clinical psychiatry by functioning as interns. Students attend all staffing and teaching conferences given to first-year psychiatry residents and are responsible for the assessment and management of acute psychiatric patients. Immediate supervision is provided by the inpatient attending, and additional supervision can be arranged as desired. Teaching emphasis is directed toward psychiatric diagnosis, appropriate use of psychopharmacologic agents, psychotherapeutic intervention, use of community resources and pursuit of the psychiatric scientific literature. The student will write a self-selected clinical topic relevant to treatment and management of psychiatric inpatients.

The student will be assigned to a treatment team on the inpatient services either at BJH-Pavilion or BJH-PSC after a discussion of the student's education objectives.

Student time distribution: Inpatient 85%; Conferences/Lectures 15%
Patients seen weekly: 5-15
On call/weekend responsibility: Every fifth night

Med: WUSMEC

N/A

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Holiday

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Location: This course takes place on the WUSM medical campus.
Elective contacts: Cindy Bander, banderc@wustl.edu; Kellie Midkiff, kelliem@wustl.edu
Rotation length: 4 weeks only
Enrollment limit per block: 1

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Child Psychiatry (Clinical Elective)

M85 Psych 840

Var. Units (max = 4.0)

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Description:

This elective in child psychiatry offers rich experiences in St. Louis Children's Hospital Pediatric Behavioral Health Unit and the Consult-Liaison service. It provides experience in age-appropriate diagnostic and treatment methods in children and adolescents and families. A portion of your time may be spent in the outpatient clinics if interested and if circumstances permit. A paper or presentation on a topic of the student's choosing is required.

Student time distribution: Inpatient Subspecialty Care 80%; Conferences/Lectures 10%; Outpatient Subspecialty Care 10%
Patients seen weekly: 15-20
On call/weekend responsibility: None required, but students can shadow fellow during call if requested.

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Jacobi

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Location: Off-campus travel is OPTIONAL for this course.
Elective contact: Jenna Dougherty, jennadougherty@wustl.edu
Rotation length: 2 or 4 weeks
Enrollment limit per block: 1

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Child Abuse and Neglect: Prevention, Forensics, and Intervention (Clinical Elective)

M85 Psych 842

This elective is designed to give a comprehensive exposure to learning about child abuse and/or neglect (CA/N) and its impact on families from incident to intervention in clinical and therapeutic settings in psychiatry, pediatrics and forensics. The learner will engage in multidisciplinary conferences and clinics to learn how teams engage to address various clinical encounters related to CA/N, and see how therapies are utilized for various ages. The learner will also become certified in Trauma Focused- Cognitive Behavioral Therapy (TF-CBT) online.

Student time distribution: Inpatient 40%, Outpatient 40%, Conferences/Lectures 20%; Primary Care 30%, Subspecialty Care 70%
Patients seen weekly: 12
On call/weekend responsibility: None

Med: VSEC, WUSMEC

N/A

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Tandon

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Location: This course REQUIRES off-campus travel
Elective contact: Mackenzie Hynes, h.mackenzie@wustl.edu
Rotation length: 4 weeks only
Enrollment limit per block: 1

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Forensic Psychiatry (Non-Clinical Elective)

M85 Psych 844

The medical student will be actively involved in many aspects of forensic psychiatry including civil litigation, workman's compensation, malpractice, civil commitment, and guardianship. There may be opportunities to be involved in criminal forensic issues. The rotation is primarily self-directed but the student will work with several faculty within the Department of Psychiatry and will meet with the Course Director a minimum of two hours per week. They will also work with The City of St Louis Probate Court and shadow at the St. Louis Psychiatric Rehabilitation Center, a nearby forensic hospital. The student will also be assigned readings of landmark cases, textbooks, psychiatric expert opinions, legal filing with the probate court and attend civil hearings. The student will learn relevant criminal statutes regarding competency and civil commitment, causation in civil litigation, the concept of medical malpractice and risk assessment of violence and suicide. There may be the opportunity to witness sexually violent predator evaluations and/or treatment. The student will be required to research and write an opinion on a specific approved topic in forensic psychiatry. The objectives will be measured by attendance and by formal evaluation of the student's participation and knowledge during the supervision discussion. It will also be determined by the originality, thoroughness, and quality of the research paper.

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Holiday

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Location: This course REQUIRES off-campus travel.
Elective contacts: Cindy Bander, banderc@wustl.edu; Kellie Midkiff, kelliem@wustl.edu
Rotation length: 4 weeks only
Enrollment limit per block: 1
Reporting information: Report to Barnes-Jewish Hospital, West Pavilion, Suite 15340, at 9:00 am on the first day.

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Schizophrenia Precursors and Prodromal States (Clinical Elective)

M85 Psych 880

Var. Units (max = 4.0)

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This is an opportunity for trainees to gain knowledge and experience related to evaluation of children and adolescents who may be at high risk for schizophrenia or other psychotic disorders. This is MAINLY A READING ELECTIVE. Students are required to READ SCIENTIFIC ARTICLES related to the topic of the elective and WRITE A BRIEF PAPER reviewing existing literature on a related sub-topic. Readings and progress in writing the paper will be discussed with Dr. Reiersen at least once per week. There may also be opportunity to see about 1-2 patients per week through Dr. Reiersen's "First Contact Assessment Service," an outpatient consultation clinic which evaluates patients with characteristics suggestive of prodromal schizophrenia (such as new-onset attenuated psychotic symptoms along with recent deterioration in functioning) and/or early life characteristics that may indicate risk for developing schizophrenia later in life (for example, nonspecific neurodevelopmental and social/emotional/behavioral symptoms in a child/adolescent with a strong family history of schizophrenia, or a genetic disorder that is known to increase the risk for psychosis). Since the full symptoms of schizophrenia are often preceded by a wide range of childhood behavioral and developmental abnormalities, this rotation helps trainees integrate information regarding the continuity between childhood development and adult psychopathology. There may be opportunities to learn how to administer and score specialized assessments (interviews, questionnaires, neurological soft signs exams). Students may also have opportunities to participate in case discussions and observe follow-up consultations involving patients with psychotic and/or complex neurodevelopmental disorders.

Students need to be aware that the amount of direct clinical care of patients is usually not more than one half-day per week. Additional direct clinical care opportunities related to child & adolescent psychiatry may sometimes be available for interested students, but this is not guaranteed.

Student time distribution: Clinical 10%; Conferences/Lectures/Reading 90%; Subspecialty Care 100%
Patients seen weekly: Two, possibly more during summer months
On call/weekend responsibility: None

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Reiersen

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Location: This course takes place on the WUSM medical campus.
Elective contact: Sundra Streibig sstreibi@wustl.edu
Rotation length: 2 or 4 weeks
Enrollment limit per block: 1

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Interventional Psychiatry (Clinical Elective)

M85 Psych 889

Var. Units (max = 4.0)

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In this elective student will learn and participate in treatments for resistant psychiatric disorders. The elective focuses on electroconvulsive therapy. The student will be involved in the clinical assessment of patients referred for ECT. In addition, the student will receive training in the application of ECT and in the clinical management of patients receiving inpatient and outpatient ECT. The student will be encouraged to review appropriate literature and make clinically relevant case-oriented presentations.

Student time distribution: Inpatient 70%; Outpatient 20%; Conferences/Lectures 10%
Patients seen weekly: 50
On-call/weekend responsibility: None

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Marks

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Location: This course takes place on the WUSM medical campus.
Elective contact: Kellie Midkiff, kelliem@wustl.edu
Rotation length: 2 or 4 weeks
Enrollment limit per block: 1

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Psychiatry Advanced Clinical Rotation (ACR)

M85 Psych 910

This is an advanced rotation that provides the students with an opportunity to expand their knowledge of inpatient clinical psychiatry by functioning as interns. While rotating through the inpatient psychiatry units on the main campus, students will encounter patients with a variety of severe psychiatric illnesses that are oftentimes complicated by various medical comorbidities requiring consultation services. Students will work on patient care teams with a PGY-1, and an attending psychiatrist. Students attend all staffing and teaching conferences given to first-year psychiatry residents and are responsible for the assessment and management of acute psychiatric patients. This includes writing notes, entering orders, and updating the handoff list. The students will also complete one week of night-float with a PGY-1, and shadow a PGY-2 in the Emergency Department's behavioral health unit.

Immediate supervision is provided by the inpatient attending, senior resident, and intern on the service. Teaching emphasis is directed toward psychiatric diagnosis, appropriate use of psychopharmacologic agents, psychotherapeutic intervention, the use of community resources and pursuit of the psychiatric scientific literature.

Student time distribution: Inpatient 90%; Conferences/Lectures 10%
Patients seen weekly: 5-15
On-call/weekend responsibility: The "day" team is on call every 5th night. The student is responsible for seeing their patients on 1 weekend day / week (Saturday by default unless your team is on call Sunday). The student will be responsible for one week of night float during the rotation, which will include overnight call.

Attributes:

Med: VSEC, WUSMAC, WUSMEC

N/A

TBA

Garland

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999

Desc:

Location: This course takes place on the WUSM medical campus.
Elective contact: Kellie Midkiff, kelliem@wustl.edu
Rotation length: 4 weeks only
Enrollment limit per block: 4

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