PS503M.1

Advanced Adult Psychiatry

Sites: BIDMC, MMHC, BWH, FAULK
Director(s): Katharyn Atkins, Michael Kahn, Marisol Segundo
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent; prior approval of course director required.
Offered: Full time for one month. Except April.
Location: BIDMCE - BI-Deaconess Med Ctr-East (1)
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. Michael Kahn, mkahn@bidmc.harvard.edu, for approval to enroll. This course offers the student an opportunity to supplement the Core Clerkship in Psychiatry by extended exposure to any of the psychiatric services affiliated with the Harvard Longwood Psychiatry Residency Training Program at Beth Israel Deaconess Medical Center and/or the Massachusetts Mental Health Center. Students may choose to work clinically in an area of interest in adult psychiatry (such as partial hospital, inpatient, or consultative work) to which they were not exposed in their core clerkship, or they may return to a service similar to one on which they had rotated previously for a more in-depth experience. For interested students, an outpatient, community, or emergency room component to this rotation may be added. In addition to patient care responsibilities, students will participate in the full range of didactic classes that are ongoing for the core clerkship, including seminars on psychopathology, psychopharmacology, forensic psychiatry, psychodynamic concepts, interviewing, and cognitive-behavioral therapy. With the permission of the course director, qualified students can instead audit didactic courses for PGY-II residents of the Harvard Longwood Psychiatry Residency Training Program. Certain core readings are expected of all students on this elective, and additional reading will be assigned depending on the specific clinical site selected. Clinical instruction will be from attendings, tutors, and chief residents in the Harvard Longwood Psychiatry Residency Training Program, and the student will be paired as well with PGY-II and -III residents. Night call will consist of 4 shifts at the BIDMC WER, 3 from 6 until 11 pm on weeknights and 1 shift from 9am-9pm on a weekend.
Incorporation of Basic Science Content and Evidence-Based Medicine:
Attendings, tutors, and didactic instructors are expected to teach best-practice recommendations regarding the various psychiatric disorders likely to be encountered by students in this course. Required readings include a consensus treatment guideline for schizophrenia.
Grade Criteria:
Honors with Distinction: Performance exceeding expected level; excellent or outstanding clinical skills, presentations, write-ups, and fund of knowledge; outstanding reliability, motivation, and initiative; overall performance would merit recommendation enthusiastic recommendation to a leading residency training program. Honors: Consistently solid work which in some areas is very good to outstanding; very good clinical skills, presentations, write-ups, and fund of knowledge; very good reliability, motivation, and initiative; would be regarded as an above average candidate for a residency training program. Satisfactory: Consistently competent work at a level expectable for a fourth year student; adequate clinical skills, presentations, write-ups, and fund of knowledge; adequate reliability, motivation, and initiative; would be regarded as an average candidate for a residency training program. Unsatisfactory: Significant deficits in clinical skills, presentations, write-ups, and/or fund of knowledge; below average reliability, motivation, and initiative; would be considered a poor candidate for a residency training program.