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Psychiatry (M85)  (Dept. Info)Medicine  (Policies)YR2024

M85 Psych 880Schizophrenia Precursors and Prodromal States (Clinical Elective)Var. Units (max = 4.0)
Description: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
Attributes:MedVISP, WUSMEC
Instruction Type:Internship/Practicum Grade Options:P Fees:
Course Type:HomeSame As:N/AFrequency:None / History
SecDays       TimeBuilding / RoomInstructorFinal ExamSeatsEnrollWaits
01TBATBAReiersenDefault - none9950
Desc:Location: Washington University Child Psychiatry Clinic (4444 Forest Park, Suite 2600)
Elective contact: Saundra Streibig sstreibi@wustl.edu
Rotation length: 2 or 4 weeks
Enrollment limit per block: 1


A course may be either a “Home” course or an “Ident” course.

A “Home” course is a course that is created, maintained and “owned” by one academic department (aka the “Home” department). The “Home” department is primarily responsible for the decision making and logistical support for the course and instructor.

An “Ident” course is the exact same course as the “Home” (i.e. same instructor, same class time, etc), but is simply being offered to students through another department for purposes of registering under a different department and course number.

Students should, whenever possible, register for their courses under the department number toward which they intend to count the course. For example, an AFAS major should register for the course "Africa: Peoples and Cultures" under its Ident number, L90 306B, whereas an Anthropology major should register for the same course under its Home number, L48 306B.

Grade Options
C=Credit (letter grade)
S=Special Audit
Q=ME Q (Medical School)

Please note: not all grade options assigned to a course are available to all students, based on prime school and/or division. Please contact the student support services area in your school or program with questions.