Psychiatry Clerkship

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Psychiatry Clerkship

• PSRY 5000

Kimberly W. Curtis Clerkship Coordinator
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What we expect . . .

• Attendance
• When absent, inform attending, resident(s),
  and
• clerkship coordinator
• Dress code
• Professional attire, white coats (no scrubs), MCG
  ID
• No visible tattoos, no jeans, no sandals
• Communication
• Check GroupWise for announcements and information

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What we expect . . .

• No photographing patients
• Taking photos of patients using a camera
• or cell phone is a violation of hospital
• regulations and a serious HIPAA violation.

If any photography or other recording is
required, specific consent from the patient must
be obtained and all such photographs or
recordings must be made by the Media Section
of the hospital to which you are assigned.
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Goals for the Clerkship . . .

• Perform a comprehensive history physical exam
• Working knowledge of major psychiatry diagnoses
• Develop comprehensive treatment plan
• Gain knowledge of psychopharmacologic agents
• Identify psychiatric emergencies and ways to
  handle them
• Write clear and thorough psychiatric reports
• Demonstrate professionalism (demeanor, ethics,
  patient confidentiality, etc.)

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Objectives for the Clerkship . . .

• Patient Care
• Gather essential and accurate patient information
• Use the information to care for psychiatry
  patients
• Medical Knowledge
• Develop a working knowledge of psychiatric
  diagnoses
• Develop a working knowledge of major classes of
  psychotropic medications, indications,
  contraindications and side effects
• Practice-Based Learning and Improvement
• Obtain and critically evaluate medical literature
  using electronic resources

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Objectives (contd) . . .

• Interpersonal and Communication Skills
• Communicate empathically with patients and
  families
• Write Progress Notes and present to residents
  /attendings
• Professionalism
• Conduct yourself in a professional manner at all
  times
• Convey a respectful attitude
• Communicate with peers, staff, and patients
• Show sensitivity to all races, genders, and
  cultures

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Suggested Reading . . .

• Introductory Textbook of Psychiatry 5th Ed.
  (Black, D Andreasen, N)
• Psychiatry 2008 (Hahn, R Albers, L Reist,
  C)
• NMS Psychiatry 5th Ed. (Thornhill, J) (2
  copies available)
• DSM-IV-TR Diagnostic and Statistical Manual of
  Mental Disorders 4th Ed. (APA)
• DSM-IV Casebook (a learning companion of
  DSM-IV-TR (APA)
• Pocket Handbook of Clinical Psychiatry 4th Ed.
  (Sadock, B Sadock, V)
• Synopsis of Psychiatry Behavioral
  Sciences/Clinical Psychiatry 10th Ed. (Sadock,
  B Sadock, V)
• Theory and Practice of Psychiatry (Cohen, B )
• Available for checkout see Clerkship
  Coordinator.

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Site Assignments . . .

• On-Campus
• Georgia Health Sciences University
• Adult/Geriatric Inpatient Unit (3 South)
• Child/Adolescent Inpatient Unit (9 North)
• Consult Liaison (3 South)
• East Central Regional Hospital
• Eisenhower Army Medical Center, Ft. Gordon
• Veterans Affairs Medical Center (Uptown Division)
• Off-Campus
• Brunswick Gateway Behavioral Health Services
• Cedartown Highland Rivers Center
• Columbus The Bradley Center of St. Francis
• Gainesville Laurelwood Hospital
• Savannah Psychiatric Medicine, PC
• Thomasville Southwestern State Hospital
• Valdosta Valdosta Psychiatric Associates, PC

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MCG Inpatient Unit Orientation July 6th , 800
a.m.

• Adult/Geriatric - 3S
• Dr. Scott Van Sant (1373)
• Consult/Liaison - Room 3411D
• Dr. Vanessa Spearman (8326)
• Child/Adolescent - 9N
• Dr. Donna Londino (8327)

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Outpatient Experience . . . One half day per week
check your Outpatient Schedule for dates

• MCG Psychiatry Outpatient Clinic
• Bernard Davidson, PhD
• Adriana Foster, MD
• Christian Lemmon, PhD
• Eric Lewkowiez, MD
• Brian Miller, MD
• Dale Peeples, MD
• Lisa Sheehan, MD
• Serenity Behavioral Health
• Adriana Foster, MD
• Augusta State Medical Prison
• Nirajini Reddy, MD

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Lectures in Vista . . .

• Tegrity lectures
• Each lecture linked to a particular case study in
  Vista
• Lectures currently available
• Anxiety Disorders (Sebastian)
• Dementia, Delirium and Amnestic Disorders
  (Foster)
• Eating Disorders Recognition, Assessment
  Treatment (Lemmon)
• Legal and Ethical Issues in Psychiatry (Nichita)
• Mental Health Consideration in Children and
  Adolescents (Londino)
• Mood Disorders (Shevitz)
• Personality Disorders (Albritton)
• Psychotherapy (Davidson)
• Schizophrenia and Other Psychotic Disorders
  (Miller)
• Substance Use Disorders (Foster)

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Educational Events . . .

• Grand Rounds
• National speakers, MCG Faculty and Resident
  speakers
• Thursdays from 1130-1230 no Grand Rounds on
  the 1st or 5th (if applicable) Thursday
  of the month (attendance not required on the
  fourth week)
• Weekly Case Conference/Journal Club Dr. Brian
  Miller
• Topics presented by residents (short notice)
• Discussion of psychiatry-based journals/articles
• Thursdays from 730 am
• Attendance not required on the fourth week

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On-Call. . .

• Weekday and Weekend Call - 500 p.m. until 1000
  p.m.
• No new patients after 1000 p.m.
• Students based in the CL Office (BA-3513B)
• Page 1st resident on-call
• Must see all ER visits, floor consults, and/or
  direct admissions. ER VISITS TAKE PRIORITY
• Switching call dates allowed notify clerkship
  coordinator

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Access to. . .

• Psychiatry Inpatient Units (3S and 9N)
• ID badges activated for access to units (must be
  MCGHI)

• Psychiatry Patient Records
• PowerChart (Citrix Portal)
• Access from MCGHI hospital, clinics or student
  lounge
• No access from off-campus

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Student Patient Encounter Log (SPEL) . . .
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Mid-Rotation Feedback . . .

• Student responsibility
• Complete and review form with attending
• Give Patient Tracking Log book to attending for
  review
• Feedback form to be completed by the end of 2nd
  week of rotation
• Return signed form to Clerkship Coordinator by
  July 20th (Fax [phone])

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Psychiatry Clerkship Departmental Exam . . .

• Eighteen Vignettes (A thru R)
• Vignette R - Mental Status Write-Up (see
  Rating Sheet)
• Open book exam to be completed on your own
  time
• Will prepare you for the NBME shelf exam
• All vignettes to be completed by the end of
  the 3rd week
• Each question worth from .5 to 2 points
• Maximum achievable score 15 pts.

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Evaluation Criteria . . .
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Evaluation Criteria . . .
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Grading . . .

• Clinical Evaluation
• Fifty percent (50)
• Psychiatry Clerkship Departmental Exam
• Fifteen percent (15)
• National Board Subject Examination (NBME)
• Thirty-five percent (35) of converted score
• Raw score converted to an MCG clerkship grade
• Students who receive a raw score of 84 or
  higher qualify to receive an A
• Raw score lt 64receives a D and required to
  retake exam
• Appeals
• Appeals procedure available on clerkship web
  site
• http//www.mcg.edu/som/clerkships/Psychiatr
  y/grade_evaluation.htm
• Attendings or residents should NOT be
  contacted directly about grade
• complaints

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Contact Information
Kimberly W. Curtis Clerkship Coordinator Departmen
t of Psychiatry Health Behavior 997 St.
Sebastian Way, EG-3004 Office 706-721-6717 Fax
706-434-6703 kcurtis_at_georgiahealth.edu