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Daniels

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Outpatient Community Psychiatry (Clinical Elective)

M85 Psych 810

Available blocks: 1, 2, 3, 4, 5, 9, 10
4 week rotations

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
Major teaching responsibility: Attending psychiatrist and psychiatry residents
On call/weekend responsibility: None

Med: VSEC, WUSMEC

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Owoso

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Instructor: Dr. Akinkunle Owoso
Location: Center for Outpatient Health Psychiatry Clinic and community sites
Elective Contact: Patricia Sharp, sharpp@wustl.edu
Enrollment limit per period: 1
Other Information: Students should email the Elective Coordinator, Patricia Sharp, one month prior to the elective to arrange the first day reporting time and location.

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Inpatient Psychiatry (Clinical Elective)

M85 Psych 836

Available blocks:All
4 week rotations

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
Major teaching responsibility: Clinical attending, teaching attendings, and residents
On call/weekend responsibility: Every fifth night

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Holiday

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Instructor: Dr. Jarrod Holiday
Location: Barnes-Jewish Hospital
Elective Contact: Cindy Bander, banderc@wustl.edu; Kellie Midkiff, kelliem@wustl.edu
Enrollment limit per period: 1

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Child Psychiatry (Clinical Elective)

M85 Psych 840

Available blocks:All
2 or 4 week rotations

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
Major teaching responsibility: Attendings and fellows
On call/weekend responsibility: None required, but students can shadow fellow during call if requested.

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Spiegel

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Instructor: Dr. Timothy Spiegel
Location: St. Louis Children's Hospital
Elective Contact: Jenna Dougherty, jennadougherty@wustl.edu
Enrollment limit per period: 2

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Forensic Psychiatry (Non-Clinical Elective)

M85 Psych 844

Available blocks:All
4 week rotations

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.

This course is graded Credit/No Credit.

Student time distribution: Conferences/Lectures 100%
Patients seen weekly: No active patient treatment
Major teaching responsibility: Department of Psychiatry faculty, St. Louis Probate Court
On call/weekend responsibility: None

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Holiday

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Instructor: Dr. Jarrod Holiday
Location: Barnes-Jewish Hospital South
Elective Contact: Cindy Bander, banderc@wustl.edu; Kellie Midkiff, kelliem@wustl.edu
Enrollment limit per period: 1
Other Information: Students should report to Barnes-Jewish Hospital, West Pavilion, Suite 15340, at 9:00 am on the first day of the elective.

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Schizophrenia Precursors and Prodromal States (Clinical Elective)

M85 Psych 880

Available blocks:6, 7, 8, 9
4 week rotations

This is an opportunity for trainees to gain experience in the evaluation of children and adolescents who may be at high risk for schizophrenia. The rotation would center around the "First Contact Assessment Service," which evaluates patients who show 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 social/emotional/behavioral symptoms in a child/adolescent with a strong family history of schizophrenia.). Since the full symptoms of schizophrenia are often preceded by a wide range of childhood behavioral and developmental abnormalities, this rotation would also help trainees integrate information regarding the continuity between childhood development and adult psychopathology. Trainee would observe all aspects of First Contact evaluations (including semi-structured diagnostic interviews and examination of subtle neurological signs), participate in case discussions, and observe follow-up consultations involving patients with psychotic and/or complex neurodevelopmental disorders. Trainee would also be required to write a literature review on a topic relevant to the rotation.

Student time distribution: Outpatient 50%; Conferences/Lectures 50%; Subspecialty Care 100%
Patients seen weekly: Two, possibly more during summer months
Major teaching responsibility: Course Director
On call/weekend responsibility: None

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Reiersen

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Instructor: Dr. Angela Reiersen
Location: Washington University Child Psychiatry Clinic, 4444 Forest Park, Suite 2600
Elective Contact: Saundra Streibig sstreibi@wustl.edu
Enrollment limit per period: 1
Other Information: Students should contact Dr. Reiersen via email one to two weeks prior to the rotation to confirm the schedule and obtain preparatory reading materials.

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Interventional Psychiatry (Clinical Elective)

M85 Psych 889

Available blocks: All
2 or 4 week rotations

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. The student will be expected to write a review of a self-selected clinic topic relevant to electroconvulsive therapy

As cases become available the student will participate in the evaluations of patients referred to the Treatment Resistant Depression Clinic supervised by Dr. Charles Conway.

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

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Cristancho Pimiento

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999

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Instructor: Dr. Lucia del Pilar Cristancho Pimiento
Location: Barnes-Jewish Hospital, South Campus
Elective Contact: Kellie Midkiff, kelliem@wustl.edu
Enrollment limit per block:1

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Psychiatry Advanced Clinical Rotation (ACR)

M85 Psych 910

Available blocks: All
4 week rotations

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.

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Med: VSEC, WUSMAC, WUSMEC

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Garland

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999

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Instructor: Dr. Marcie Garland
Location: Barnes-Jewish Hospital
Elective Contact: Kellie Midkiff, kelliem@wustl.edu
Enrollment limit per block: 4

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