2024-2025 M3/M4 Course Syllabi
Psychiatry
COURSE NUMBER:
20 01 86
TITLE:
PRIM CARE PSYCH -ICE
This elective is designed to give students a broad exposure to psychiatric and medical integration, both settings and models of care. The focus is on primary care and psychiatry and is geared towards students interested in combined training, primary care or psychiatric specialties. The elective is structured around work with combined trained attendings and residents in their primary care clinical practices as well as working with a number of mental health professionals embedded in specialty medical care settings. In addition to the clinical experiences, students are expected to produce an academic project as part of the rotation.
PREREQUISITES:
26920371 (FAMILY MEDICINE CORE CLKSP), 26920371 (FAMILY MEDICINE CORE CLKSP), 26931373 (INTERNAL MEDICINE CORE CLKSP), 26931373 (INTERNAL MEDICINE CORE CLKSP), 26940373 (NEUROSCIENCE CORE CLKSP), 26940373 (NEUROSCIENCE CORE CLKSP), 26946374 (OBSTETRICS/GYN CORE CLKSP), 26946374 (OBSTETRICS/GYN CORE CLKSP), 26961373 (PEDIATRICS CORE CLKSP), 26961373 (PEDIATRICS CORE CLKSP), 26963371 (PSYCHIATRY CORE CLKSP), 26963371 (PSYCHIATRY CORE CLKSP), 26980373 (SURGERY CORE CLKSP), 26980373 (SURGERY CORE CLKSP)

  • Successful completion of Year III Psychiatry Core Clerkship and Family Medicine Clerkship 
  • Interest in Primary Care, Psychiatry or combine training
  • ***In order to be eligible to take this elective in the first half of the academic year, you must be applying for or planning to apply for residency training in one of the combined psychiatry/medicine specialties such as Family Medicine/Psychiatry, Pediatrics/Child and Adolescent Psychiatry/Adult Psychiatry, Internal Medicine/Psychiatry.  If you are not planning to apply to one of these multi-board programs, please enroll in one of the elective months from January to April which are open to all students interested in integrated mental health and medical care.  
  • ***Elective schedule includes several different sites; a car/reliable transportation is required to fulfill elective. 
  • ***Students applying through VSLO must include in their bio/personal statement description of their interest in combined training or the elective WILL NOT be considered or approved.


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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
STATUS:
Full-Time   
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: NO
COURSE LENGTH:
4 wks
DIRECTOR:
Aurora Rivendale, MD
rivendad@ucmail.uc.edu
(415) 290-4806
WPB-3120 Burnet Avenue, 401
ADMINISTRATIVE SUPPORT PERSON:
Sonya Kirkland
Sonya.Kirkland@uc.edu
558-5052
Stetson, 3230A
SITE(S):
Christ Hospital
Hoxworth Blood Center
McMicken Clinic
UC Health West Chester Hospital
UCPC Addiction Sciences Clinic
University of Cincinnati Medical Center
MAX ENROLL:
1 
ROTATIONS:
Rotation Dates Max
1 05/06/2024 - 05/31/2024 1
2 06/03/2024 - 06/28/2024 1
3 07/01/2024 - 07/26/2024 1
4 07/29/2024 - 08/23/2024 1
5 08/26/2024 - 09/20/2024 1
6 09/23/2024 - 10/18/2024 1
7 10/21/2024 - 11/15/2024 1
8 11/18/2024 - 12/13/2024 1
9 12/16/2024 - 01/10/2025 1
10 01/13/2025 - 02/07/2025 1
11 02/10/2025 - 03/07/2025 1
12 03/10/2025 - 04/04/2025 1
13 04/07/2025 - 05/02/2025 1

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:
Meet Dr. Aurora Rivendale for orientation on 2nd day at McMicken Health Collaborative clinic at 8:00 am.

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)
  • 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:
75% Attending Physician
25% Senior Resident
FEEDBACK:
Course Director, Residents
ASSESSMENT:
 Will be handled with the Director

ASSESSMENT METHODS:
Clinical Performance Rating/Checklist
Oral Patient Presentation
FINAL GRADE:
GRADE ASSIGNED BY: Course director

OBJECTIVES

Curricular Resources :
Primary Care Psychiatry by David Knesper, et. al., W.B. Saunders
Instructional Methods:
Inpatient/Outpatient clinical experience - direct learning
Knowledge/Skills:
  1. Identify and initiate treatment for the common psychiatric disorders in primary care.
  2. Recognize/diagnosis the common psychiatric disorders (depression, bipolar, anxiety, panic, substance abuse, etc.) that are seen in the Family Practice setting.
  3. Identify and initiate treatment for the common primary care problems in psychiatric settings.
Main Course Topics :
  • Primary Care Psychiatry
  • Substance Abuse Evaluation
  • Outpatient Psychiatry in Family Medicine Clinic
  • Complementary Medicine Methods
  • Depression in Primary Care
  • Weight Loss
  • Chronic Pain
  • Psychiatry in Specialty Care
Procedures:
  1. Conduct a basic pharmacologic trial for a psychiatric disorder.
  2. Conduct an outpatient management session with supervision.
Remediation Plan:
 Will meet with course Director

SAMPLE WEEK

Monday:
8:00AM 12:00PM Hoxworth - UC Health
12:00PM 1:00PM Lunch
2:30PM 6:00PM TCH - Family Medicine Clinic w/ Dr. Wulsin
Tuesday:
9:30AM 12:00PM Perinatal Clinic @ Hoxworth
12:00PM 1:00PM Lunch
1:00PM 6:00PM TCH Family Medicine Clinic
Wednesday:
8:00AM 12:00PM VAMC Pain Clinic / Perinatal Clinic @ Hoxworth
12:00PM 1:00PM Psychiatry Grand Rounds, 2108 Stetson
1:00PM 6:00PM WCH - Bariatric Surgery
Thursday:
8:30AM 12:00PM E. McMicken Clinic
12:00PM 1:00PM Independent Study/Library time/Lunch
1:00PM 6:00PM TCH Family Medicine Clinic
Friday:
7:30AM 12:00PM WCH Collaborative Care Clinic
12:00PM 1:00PM Clinical Sciences Research/Lecture/Conference
1:00PM 6:00PM TCH Family Medicine Clinic
SCHEDULE NOTE:
On the second day of elective, student will meet Dr. Rivendale in the Outpatient Building for a brief orientation session.  Meeting time will be determined prior to start of elective.

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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