PS501M.23

Advanced Consultation-Liaison Psychiatry

Sites: BWH
Director(s): Erik Alexander, Fremonta Meyer
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time every month. Except April.
Location: BWH - Brigham and Women's Hospital (23)
Open to Exclerks: US/Canadian
Description: Students may add themselves to the waiting list for this course during add/drop periods but not during lottery periods. Please contact Dr. Fremonta Meyer, flmeyer@partners.org, for approval to enroll. This is a one-month-long course offered to fourth-year medical students who have completed the core clerkship in psychiatry. Under close supervision, students in this elective course will participate as integral members of the working clinical team in the Division of Medical Psychiatry in evaluation and treatment of patients with psychiatric, substance abuse, and behavioral problems on the wards of a general hospital. The team includes attending staff members, psychosomatic medicine fellows, and a chief resident and third-year psychiatric residents from the Harvard Longwood Psychiatry Residency Training Program. The students take part in daily teaching rounds, weekly teaching case conferences, and formal didactics with emphasis on understanding the nature of psychological reactions associated with illness and hospitalization. Students receive individual supervision both at the bedside and in formal sessions. The students are expected to follow up to three patients at any given time and actively participate in daily patient care. There are no call requirements in this course. The students take part in daily teaching rounds, weekly teaching case conferences, and formal didactics with emphasis on understanding the nature of psychological reactions associated with illness and hospitalization. Students receive individual supervision both at the bedside and in formal sessions. The students are expected to follow up to three patients at any given time and actively participate in daily patient care. There are no call requirements in this course.
Incorporation of Basic Science Content and Evidence-Based Medicine:
Students in this course will utilize their knowledge in pharmacology, neurobiology and physiology to understand the dynamic interphase between medicine and psychiatry. Throughout this course, the students are expected to review the literature on latest psychiatric research and apply that knowledge in understanding psychiatric conditions in medically ill population.
Grade Criteria:
Honors with Distinction: Student demonstrates all the competencies listed for a Honors grade. In addition, student shows an exceptional capacity for empathy, communication, diagnostic acumen, clinical judgment and treatment planning. Student consistently acquires substantial evidence-based background information relevant to clinical cases seen, and asks questions that indicate an in-depth analysis of this information and of the case. Student's final presentation reflects original thought, including an ability to figure out next steps for research about the chosen topic. Honors: Student demonstrates all the competencies listed for a �Pass� grade. In addition, student's evaluations of patients include thorough, detailed, nuanced histories and accurate, descriptive mental status examinations. Student can develop comprehensive differential diagnoses and biopsychosocial formulations. Student proactively finds relevant evidence-based information and shares it with the treatment team. Student communicates with patients in a nuanced, empathic way that is matched with patients� varied communication styles and capabilities. Student's final presentation is well organized and effectively delivered, and reflects an accurate, up to date synopsis of the evidence base for the chosen topic. Pass: Student's evaluations of patients consistently include key elements of history, mental status examination, risk assessment, and multiaxial diagnosis or differential diagnosis. Student demonstrates ability to form a treatment plan that has defined goals and treatment modalities and is consistent with clinically effective and cost-effective care. Student demonstrates ability to explain risks and benefits of recommended treatments to patients. Student demonstrates ability to find evidence-based information and apply it to clinical situations. Student communicates effectively with patients, family members, other clinicians and supervisors. Student performs assigned tasks, consistently exhibits professional behavior, and works effectively as part of a health care team. Student completes a final academic presentation. Unsatisfactory: Student does not demonstrate one or more of the competencies listed for a �pass� grade.