2022-2023 M3/M4 Course Syllabi
Psychiatry
COURSE NUMBER:
20 01 02
TITLE:
ELECTIVE ADULT INPATIENT PSYCHIATRY AI -ICE
The student will provide clinical care to adult patients with psychiatric disorders (i.e., bipolar disorder, schizophrenia, anxiety disorders, etc.)
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)

Must have successfully completed the third year of medical school.
expand all

GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
8
CREDIT WEEKS:
4
DOMESTIC VISITING:
NO
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: NO
COURSE LENGTH:
4 weeks
DIRECTOR:
Peirce Johnston, MD
johnstpw@ucmail.uc.edu
558-5066
Stetson, Room 3222
ADMINISTRATIVE SUPPORT PERSON:
Sonya Kirkland
Sonya.Kirkland@uc.edu
558-5052
Stetson, 3230A
SITE(S):
UCMC - Ridgeway
MAX ENROLL:
1 
ROTATIONS:
Rotation Dates Max
1 06/06/2022 - 07/01/2022 0
2 07/04/2022 - 07/29/2022 0
3 08/01/2022 - 08/26/2022 0
4 08/29/2022 - 09/23/2022 0
5 09/26/2022 - 10/21/2022 0
6 10/24/2022 - 11/18/2022 0
7 11/21/2022 - 12/16/2022 0
8 01/02/2023 - 01/27/2023 0
9 01/30/2023 - 02/24/2023 0
10 02/27/2023 - 03/24/2023 0
11 03/27/2023 - 04/21/2023 0
12 04/24/2023 - 05/19/2023 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 am - 5:00 pm Monday-Friday
REPORT 1ST DAY:
UCMC-Ridgeway

INSTRUCTION

LEARNING ACTIVITIES:
  • Case-Based Instruction/Learning
  • Clinical Experience - Inpatient
  • Clinical Experience - Inpatient (Nights)
  • Conference
  • Journal Club
  • Patient Presentation--Faculty
  • Patient Presentation--Learner
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.
TEACHING:
50% Attending Physician
15% Senior Resident
25% Junior Resident
10% Other Faculty
FEEDBACK:
Elective director
ASSESSMENT:
FINAL GRADE:
GRADE ASSIGNED BY: Principle instructor

OBJECTIVES

Curricular Resources :
Text:   Introductory Textbook of Psychiatry by Nancy Andreasen, M.D., Ph.D. and Donald W. Black, M.D.  (2011)
Instructional Methods:
Inpatient clinical rotation - direct learning
Knowledge/Skills:
1.     Demonstrate a greater understanding of the biologic, psychologic, and social factors that contribute to the diagnosis and treatment of psychiatric disorders in accordance with EBM literature.

2.     Develop greater proficiency in performing a comprehensive mental status examination that contributes to the diagnostic understanding and ongoing clinical management of the patient.  

3.     Perform a detailed suicide evaluation that allows the student to make a determination about the level of psychiatric care needed for the patient.

4.     Derive a differential diagnosis using Axes I-V. 

5.     Develop a comprehensive treatment plan that includes psychopharmacology, psychotherapy, and environmental supports that are needed to prepare the patient for discharge. 

6.     Develop the skill of working as a member of an interdisciplinary team that evaluates and provides care to patients with psychiatric illnesses.

7.     Demonstrate an increased understanding of the medications and psychotherapies available to treat psychiatric illnesses.

8.     Manage patients as a subintern.
Main Course Topics :
1. Psychiatric Assessment, DSM-IV/DSM-V and Differential Diagnosis

2.  Delirium, Dementia

3.  Psychotic Disorders

4.  Personality Disorders

5.  Mood Disorders

6.  Anxiety Disorders

7.  Substance Abuse

8.  Psychopharmacology (antidepressants, mood stabilizers, anxiolytics, antipsychotics)

9.  Psychiatric Emergencies
Procedures:
Observe ECT.

     a. Understand the indications for using ECT to treat psychiatric diagnoses.

     b. Develop an understanding of the pre-ECT workup and the actual procedure.

     c. Understand the risks and benefits of ECT.

SAMPLE WEEK

Monday:
8:00AM 9:30AM Card/Unit Rounds
9:30AM 12:00PM Inpatient Unit Care
12:00PM 1:00PM Journal Club/Research Conference
3:00PM 4:00PM Inpatient Unit Care
Tuesday:
8:00AM 9:30AM Card/Unit Rounds
9:30AM 10:30AM Inpatient Unit Care
10:30AM 12:00PM R3 Treatment Planning Conference
12:00PM 1:00PM Inpatient Unit Care
1:00PM 2:00PM R1-R2 Didactic (July - August)
2:00PM 4:00PM Psychiatric Emergency Service (PES) (MCT Run)
Wednesday:
8:00AM 9:30AM Card/Unit Rounds
9:30AM 10:30AM Inpatient Unit Care
10:30AM 11:30AM Grand Rounds
11:30AM 12:00PM Grand Rounds Conference
12:00PM 1:00PM Inpatient Unit Care
1:00PM 3:00PM Outpatient Clinic (MHAP)
3:00PM 4:00PM Inpatient Unit Care
Thursday:
8:00AM 9:30AM Card/Unit Rounds
9:30AM 10:30AM Inpatient Unit Care
10:30AM 12:00PM R1/R2 Didactics (July - August)
12:00PM 1:00PM Thursday Conference
1:00PM 3:00PM R1 Didactics (July - August)
3:00PM 4:00PM Inpatient Unit Care
4:00PM 6:00PM Psychiatric Emergency Service (PES) 4pm - 12 am
Friday:
8:00AM 9:30AM Card/Unit Rounds
9:30AM 10:30AM Inpatient Unit Care
10:30AM 11:30AM R1 Didactic (July)
11:30AM 4:00PM Inpatient Unit Care
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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