2017-2018 M3/M4 Course Syllabi
Psychiatry
COURSE NUMBER:
20 01 91
TITLE:
FORENSIC PSYCHIATRY -ICE
Supervised clinical experience in forensic psychiatry at both inpatient and outpatient settings is the focus.
PREREQUISITES:
26920371 (FAMILY MEDICINE CORE CLKSP), 26931373 (INTERNAL MEDICINE CORE CLKSP), 26940373 (NEUROSCIENCE CORE CLKSP), 26946374 (OBSTETRICS/GYN CORE CLKSP), 26961373 (PEDIATRICS CORE CLKSP), 26963371 (PSYCHIATRY CORE CLKSP), 26980373 (SURGERY CORE CLKSP)

Successful completion of Psychiatry Core Clerkship. Students must contact Ms. Christina Gibson, Suite 3200 Stetson, (558-4866) to sign up for this elective after the lottery.

 

Both FBI & BCI background checks required, completed a minimum of 60 days prior to start date. Up-to-date documentation for TB and Flu Vaccinations.

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GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
8
CREDIT WEEKS:
4
DOMESTIC VISITING:
YES
INTERNATIONAL VISITING:
NO
GRADED:
Honors/High Pass/Pass/Fail
COURSE QUALIFICATIONS:
ICE
COURSE TYPE:
Clinical
STATUS:
Full-Time   
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: YES
COURSE LENGTH:
4 wks
DIRECTOR:
Douglas Lehrer
Douglas.Lehrer@va.gov
513-861-3100
Summit Behavioral Healthcare, Admin Bldg #10
ADMINISTRATIVE SUPPORT PERSON:
Christina Meyer
meyer3ci@ucmail.uc.edu
558-4866
Stetson, 3280A
INSTRUCTOR:
ElizabethGilday, MD
SITE(S):
Summit Behavioral Healthcare
UC Psychiatry at Ridgeway
MAX ENROLL:
1 
ROTATIONS:
Rotation Dates Max
1 07/03/2017 - 07/28/2017 0
2 07/31/2017 - 08/25/2017 0
3 08/28/2017 - 09/22/2017 1
4 09/25/2017 - 10/20/2017 1
5 10/23/2017 - 11/17/2017 1
6 11/27/2017 - 12/22/2017 1
7 01/02/2018 - 01/26/2018 1
8 01/29/2018 - 02/23/2018 1
9 02/26/2018 - 03/23/2018 1
10 03/26/2018 - 04/20/2018 1
11 04/23/2018 - 05/18/2018 1
12 05/21/2018 - 06/22/2018 0

NOTE: If a rotation is offered in both 2 and 4 week slots, the max capacity is limited to the actual spots offered for the 4 weeks. (ie: the 2 week rotations listed share the max of the 4 week rotation)
WORKING HOURS:
8:00 a.m. - 5:00 p.m., Monday - Friday
REPORT 1ST DAY:
Summit Behavioral Healthcare Administration Bldg. #10 10:00 a.m. Arlene Woods

INSTRUCTION

LEARNING ACTIVITIES:
  • Case-Based Instruction/Learning
  • Clinical Experience - Inpatient
  • Conference
  • Patient Presentation--Learner
  • Research
LEARNING ENVIRONMENT POLICIES:
UCCOM strives to provide medical students with a learning environment that is conducive to their professional growth. All UCCOM and visiting medical students are encouraged to review the Student Handbook.

The Office of Student Affairs and Admissions is available to all UCCOM and visiting medical students to discuss any concerns/questions related to the learning environment. Please call 558-6796 to access faculty/staff that can assist you.
ORIENTATION:
Malti Patel (513-948-3095)
TEACHING:
50% Attending Physician
50% Forensic fellows
FEEDBACK:
Faculty
ASSESSMENT:
FINAL GRADE:
75% Clinical work performance evaluations
25% Clinical skills exam (formal)
GRADE ASSIGNED BY: Principle instructor

OBJECTIVES

Attitudes :
1.  Conduct him/herself in an appropriate professional manner toward patients.
Curricular Resources :
Principles and Practice of Forensic Psychiatry by Richard Rosner
Knowledge/Skills:
   1. Understand the difference between criminal and civil court commitments to psychiatric hospitals.
   2. Understand the process of restoration to competency and the information required for that process.
   3. Understand demographic factors which impact the chronic mentally ill and cause intervention by criminal justice institutions.
   4. Participate as an observer in probate court.
   5. Participate as an observer in restoration groups, and physician evaluation competency.
   6. Actively participate in risk assessment reviews.
   7. Clinically evaluate patients for clinical competency.
   8. Evaluate patients for commitment process.
   9. Outline risk factors for violence.
  10. Participate in the assessment and evaluation of different paraphilias.
  11. Demonstrate an understanding of psychopharmacology and the special issues that arise in forensic settings.
  12. Understand the ethical issues surrounding the practice of forensic psychiatry.
  13. Complete and submit a computer-based literature search for the required topic presentation.
  14. Identify those areas in forensic psychiatry which are impacted by cost efficient/effective medical decision making.
  15. Identify the various risk factors/benefit of treatment/non-treatment of psychiatric illnesses associated with criminal behavior.
  16. Discuss the current thinking/research on the psychiatric component present in criminal offenders.
  17. Understand interplay between inpatient and outpatient forensic psychiatric facilities (i.e., the Lewis Center and Volunteers of America.)
Main Course Topics :


  1. Psychiatric commitment
  2. Restoration to competency
  3. Evaluation of dangerousness
  4. Law and mental illness
  5. Clinical management of dangerousness

Objectives:
Other Resources - Audiovisuals:
  Available from U.C. Psychiatry Department   (various VHS tapes and VHS machine)
   "The Violent Mind Episode #9" produced by PBS
   "Mind of a Murder-Mask of Madness" produced by the BBC
   "Criminal Conversations" produced by Films for Humanities and Sciences
   "The Psychopathic Mind" produced by Films for Humanities and Sciences
   "Plea Bargains: Dealing with Justice" produced by Court TV: Fact or Fiction Courtroom Myths Series
Other Resources - Computer resources:
  Lexis-Nexis available upon request by student.
   UCLID
Other Resources - Other :
n/a
Procedures:
1.  Observe and participate under supervision in polygraph testing.

SAMPLE WEEK

Monday:
8:30AM 12:00PM Rounds with attending preceptor
12:00PM 1:00PM Lunch
1:00PM 4:30PM SBM patient evaluations
4:30PM 5:30PM Independent Study
Tuesday:
8:30AM 12:00PM Rounds with attending preceptor
12:00PM 1:00PM Lunch
1:00PM 4:30PM SBM patient evaluations
4:30PM 5:30PM Independent Study
Wednesday:
8:30AM 12:00PM Rounds with attending preceptor
12:00PM 1:00PM Lunch
1:00PM 4:30PM SBM patient evaluations
4:30PM 5:30PM Independent Study
Thursday:
8:30AM 12:00PM Classes at SBM
12:00PM 1:00PM Lunch
1:00PM 4:30PM SBM patient evaluations
4:30PM 5:30PM Independent Study
Friday:
8:30AM 12:00PM Probate Court
12:00PM 1:00PM Lunch
1:00PM 3:00PM Restoration to Competency Group
3:00PM 5:00PM Reading/research time
5:00PM 5:30PM Independent Study
SCHEDULE NOTE:

ATTENDANCE AND ABSENCE POLICY

 

Session Attendance for M4 Students

  • Students may miss no more than two days of planned excused absences on a four week rotation without being required to make-up the work, at the discretion of the clerkship/elective/course director or his/her designee.
  • Non-AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the clerkship director to best align with the site schedule. Students may request to schedule 1 or more of these 4 days for planned absences that fall under 1 of the categories listed below for excused absences during non-AI rotations, in consultation with the course/elective director, who may or may not approve such planned absences.
  • AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the course director to best align with the site schedule. Students may request to schedule 1 or 2 of these days for planned absences that fall under 1 of the categories listed below for excused absences during AI rotations, in consultation with the course director, who may or may not approve such planned absences. Students must avoid scheduling Step 2 examinations during an Acting Internship.
  • Excused Absences - The following will be considered excused absences:
    • Diagnostic, preventative, and therapeutic health services (e.g. doctor appointments, physical therapy, counselling, etc).
    • Personal illness, accident or a major catastrophic event
    • Death or serious illness of immediate family members. Immediate family members, as defined by UC, are Grandparents, Brother, Sister, Brother-in law, Sister-in-law, Daughter-in-law, Son-in-law, Father, Mother, Mother-in-law, Father-in-law, Step-sister, Step-brother, Step-mother, Step-father, Spouse or domestic partner, Child, Grandchild, legal Guardian or other person who stands in place of parent (in Loco Parentis)
  • Whenever possible, planned absences should be requested a minimum of six weeks in advance of the start of the clerkship/elective/course in which the absence will occur; this enables the clerkship/course/elective to help plan for educational event scheduling (e.g. a known appointment could be scheduled around with enough notice and the student might not have any required coursework to make up). Absences requested less than 1 week prior to the planned absence may not be considered for a possible excused absence unless extenuating circumstances prevented the student from providing timely notification per the policy. Students should first submit their request for a planned absence to the clerkship/elective/course director using the online MSSF. All planned/excused absences for any reason should be documented on the MSSF.
  • The COM abides by the UC Religious Observance Policy that respects the religious diversity of its students by providing opportunities, where possible, for accommodation in cases where conflicts exist between students’ religious beliefs/practices and educational activities. In clinical settings, such accommodations must honor the primacy of a commitment to patient care and avoid unduly burdening faculty, staff and the general student population involved in the affected educational and/or patient care activity.
  • The following items are explained in detail in the Medical Student Handbook:
    • Excused/unexcused/unplanned absence, religious holidays, jury duty, and make-up work

See Attendance and Absences Policy, Religious Observance Policy, Medical Student Handbook.




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