PS525M.9

Community Psychiatry

Sites: MMHC
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. Not offered in August and September. Not offered in April 2016.
Location: MMHC - Mass. Mental Health Center (9)
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 elective is offered for students who have had a core psychiatry clerkship and who have a significant interest in community psychiatry, primary care, public health, or socio-economic issues in health care delivery. Students electing this course will have a wide range of experiences at the Massachusetts Mental Health Center (MMHC) and at a number of affiliated community sites. These will include: placement at affiliated psychosocial rehabilitation and residential programs; outpatient team meetings; supervised patient evaluations in the MMHC Intake and Evaluation Service; working with the psychiatric service of Boston's Health Care for the Homeless Program; and participation in outpatient medication management clinics. Individual supervision will be supplemented by conferences and directed reading. Students will be expected to write a 10-20 page paper relating some aspect of this experience to the psychiatry literature. There is no night call.
Incorporation of Basic Science Content and Evidence-Based Medicine:
This rotation does not specifically address the issue of evidence-based medicine. However, one aspect of this area which does apply has to do with the degree of success very busy public mental health care facilities have in applying best practice models to a very ill population with limited resources.
Grade Criteria:
Honors with Distinction: Performance exceeding expected level; excellent or outstanding clinical skills, presentations, paper, and fund of knowledge; outstanding reliability and motivation; consistently demonstrates significant initiative in contacting and working with health care delivery systems outside of MMHC; 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, paper, and fund of knowledge; very good reliability and motivation; and initiative; often demonstrates significant initiative in contacting and working with health care delivery systems outside of MMHC; 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, paper, and fund of knowledge; adequate reliability and motivation; sometimes demonstrates initiative in contacting and working with health care delivery systems outside of MMHC; would be regarded as an average candidate for a residency training program. Unsatisfactory: Significant deficits in clinical skills, presentations, paper, and/or fund of knowledge; below average reliability, motivation, and initiative; would be considered a poor candidate for a residency training program.