2022-2023 M3/M4 Course Syllabi
Psychiatry
COURSE NUMBER:
20 02 46
TITLE:
ADOLESCENT INPT PSYCH - TRIPLE BOARD FOCUS -ICE
This elective provides the student experiences with adolescents who have mood and anxiety disorders, behavior disturbances, psychoses, learning disabilities, abuse history and family problems. The student will work with an interdisciplinary team which makes individual and family diagnostic assessments and treatment decisions. The student will facilitate liaison with pediatric teams, attend/experience pediatric outpatient clinics and experience adult psychiatry in the Psychiatric Emergency Service.
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 and Pediatrics Core Clerkship.

Elective schedule includes several different sites, a car/reliable transportation is required to fulfill elective. 
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 wks
DIRECTOR:
Courtney Cinko
courtney.cinko@cchmc.org
5136362300
CCHMC
ADMINISTRATIVE SUPPORT PERSON:
Sonya Kirkland
Sonya.Kirkland@uc.edu
558-5052
Stetson, 3230A
SITE(S):
CCHMC - Cincinnati Children's Hospital
Psych Emergency Service (PES)
MAX ENROLL:
1 
ROTATIONS:
Rotation Dates Max
1 06/06/2022 - 07/01/2022 1
2 07/04/2022 - 07/29/2022 1
3 08/01/2022 - 08/26/2022 1
4 08/29/2022 - 09/23/2022 1
5 09/26/2022 - 10/21/2022 1
6 10/24/2022 - 11/18/2022 1
7 11/21/2022 - 12/16/2022 1
8 01/02/2023 - 01/27/2023 1
9 01/30/2023 - 02/24/2023 1
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 a.m. - 5:00 p.m., Monday - Friday
REPORT 1ST DAY:
You will receive an email with detailed information prior to your elective. You may also contact Erika Wilhelm at 513-803-9465 with questions.

INSTRUCTION

LEARNING ACTIVITIES:
  • Case-Based Instruction/Learning
  • Clinical Experience - Inpatient
  • Conference
  • Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
  • Journal Club
  • Patient Presentation--Faculty
  • Patient Presentation--Learner
  • Research
  • Ward Rounds
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:
30% Attending Physician
40% Senior Resident
20% Other Faculty
10% Other Allied Health Professional(s)
FEEDBACK:
Faculty
ASSESSMENT:
FINAL GRADE:
GRADE ASSIGNED BY: Course director

OBJECTIVES

Curricular Resources :
Child and Adolescent Psychiatry, A Comprehensive Textbook, Edited by Melvin Lewis, 2007 (selected readings)
Instructional Methods:
Inpatient clinical rotation - direct learning
Knowledge/Skills:
  1.  Assume shared responsibility in the clinical management of the severely disturbed adolescent patient.

  2.  Gain greater sophistication and skill in the diagnosis of adolescents with multiple psychiatric disorders.

  3.  Develop skills in clinical decision making that result in cost-efficient effective care.

  4.  Understand risk/benefit issues around medication and appropriately communicate these to families.

  5.  Identify and explain which medical and clinical interventions will help as preventative measures.

  6.  Identify and explain nutritional issues associated with eating disorders.

  7.  Identify ethical issues associated with care of a child.

  8.  Make contact with outside therapists and collaborate on treatment plan and conceptualization of current dynamics

  9.  Select appropriate psychopharmacological interventions for major psychiatric illnesses.

10.  Improve knowledge of importance in maintaining active communication with pediatric teams.

11.  Improve familiarity with Triple Board training and the program offered at CCHMC/UC.

12.  Admit and treat with education level appropriate interventions on both inpatient and outpatient pediatric services.

13.  Assess and formulate diagnostic and treatment options for adult psychiatric patients at an education level appropriate to training.
Main Course Topics :
Psychopathology

Psychopharmacology

Inpatient management

Crisis stabilization

Comorbid diagnosis

Milieu management

Treatment team

Outpatient child/Adolescent psychiatric management

Outpatient pediatric assessment -- Hopple Street Clinic

Inpatient pediatric care/management
Procedures:
None

SAMPLE WEEK

Monday:
8:00AM 9:00AM Treatment Team
9:00AM 10:00AM Individual Supervision
10:00AM 12:00PM Ward Rounds
12:00PM 1:00PM Conference
1:00PM 2:00PM Group Therapy
2:00PM 3:30PM Family Meetings
3:30PM 5:00PM Library/Independent Study
Tuesday:
8:00AM 9:00AM Treatment Team
9:00AM 10:00AM Individual Supervision
10:00AM 11:00AM Ward Rounds
11:00AM 12:00PM Child Psychiatry Lectures
12:00PM 1:00PM Triple Board Meeting
1:00PM 1:30PM Wk 1,2,4: Child Psychiatry Lectures
1:30PM 3:30PM Wk 3: THC Child Psychopharm Clinic (Engel) 1-5 pm
3:30PM 5:00PM Wk 1,2,4: Library/Independent Study
Wednesday:
8:00AM 9:00AM Treatment Team
9:00AM 10:00AM Individual Supervision
10:00AM 12:00PM Ward Rounds
12:00PM 1:00PM Noon Conference - Pediatrics
1:00PM 1:30PM Wk 1: Therapeutic IntraAgency Clinic 1-5
1:30PM 2:00PM Wk 2: Hopple St OP Peds Clinic 1-5 PM
2:00PM 2:30PM Wk3: Grp Therapy 1-2; Family Mtgs 2-3:30
2:30PM 6:00PM Wk 4: OP TS Clinic/DDBP Peds or PES 1-5 pm
Thursday:
8:00AM 9:00AM Wk 1,2,4: Treatment Team 8-9 am Wk 3: Inpt Peds 8-12 noon
9:00AM 10:00AM Wk 1,2,4: Individual Supervision
10:00AM 12:00PM Wk 1,2,4: Ward Rounds
12:00PM 1:00PM Wk 1: Adult Psych JC; Wk 2,4: Conference; Wk 3: Peds Conference
1:00PM 2:00PM Wk 1,2,4L Grop Therapy 1-2 pm; Wk 3: Inpt Peds 1-7 pm
2:00PM 3:30PM Wk 1,2,4: Family Meetings
3:30PM 4:00PM Wk 1,4: Library/Indpndnt Study 3:30-5 pm
4:00PM 6:00PM Wk 2: PES shift 4-10 pm
Friday:
8:00AM 9:00AM Wk 1,2,4: Treatment Team 8-9 am, Wk 3: Inpt Peds 8-12 noon
9:00AM 10:00AM Wk 1,2,4: Individual Supervision
10:00AM 12:00PM Wk 1,2,4: Child Psychiatry Lectures 10-12 noon
12:00PM 1:00PM Wk 1,2,4: JC/Special Topics; Wk 3: Pediatrics Conference
1:00PM 2:00PM Group Therapy
2:00PM 3:30PM Family Meetings
3:30PM 5:00PM Library/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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