Emergency Psychiatry

Sites: MGH
Director(s): Suzanne Bird, Alberto Puig
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time every month. Except April.
Location: MGH - Mass. General Hospital (3)
Open to Exclerks: US/Canadian
Description: This course is based at the Acute Psychiatry Service (APS) at the MGH, one of the largest and most active psychiatry emergency services in Massachusetts. The APS allows for the ongoing study of a broad spectrum of psychiatric patients, many of whom are in acute crisis. Under close supervision by senior staff and residents, students learn techniques of crisis intervention, how to make a rapid assessment of the major psychiatric disorders, as well as the major therapeutic approaches used in an acute ambulatory setting. Students also learn to conceptualize illnesses in terms of biological, psychological, and sociocultural factors that determine normal and abnormal behavior. In addition, students participate in regular teaching conferences, daily rounds and department grand rounds. Students will also give a brief presentation on a clinical topic of their interest during the final week of the rotation. Students participating in this course should have completed one introductory psychiatry rotation.
Incorporation of Basic Science Content and Evidence-Based Medicine:
Students will rely on their medical knowledge of common signs and symptoms of medical and psychiatric illness in order to triage accurately and manage patients on the Acute Psychiatry Service. Students will learn the evidence base for the acute management of a variety of psychiatric disorders. Students will also learn the evidence used to guide disposition decisions and assessments of risk.
Grade Criteria:
Honors with Distinction: Excellent performance in at least 6 areas listed above; good performance in the remaining area; performance exceeds that of most peers Honors: Excellent performance in at least 4 areas listed above and good performance in the remaining 3 Satisfactory: Fair performance in at least 4 areas listed above Unsatisfactory: Extremely poor performance in more than one area listed above, or generally poor performance across all criteria