Psychiatry Clerkship

1. Psychiatry Clerkship PSRY 5000 Kimberly W. Curtis Clerkship Coordinator

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

3. 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.

4. 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.)

5. 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

6. Objectives (cont’d) . . . • 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

7. 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.

8. Site Assignments . . . • On-Campus • Georgia Health Sciences Medical Center • 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 • Rome – Highland Rivers Center • Savannah – Psychiatric Medicine, PC • Thomasville – Southwestern State Hospital • Valdosta – Valdosta Psychiatric Associates, PC

9. GHS Medical Center Inpatient Unit Orientation February 28th, 8:00 a.m. • Adult/Geriatric - 3S • Dr. Scott Van Sant (1373) • Dr. M.J. Albright (5929) • Consult/Liaison - Room 3411D • Dr. Vanessa Spearman (8326) • Child/Adolescent - 9N • Dr. Donna Londino (8327)

10. Outpatient Experience . . . One half day per week – check your “Inpatient -Outpatient Schedule” for dates • GHS Medical Center Psychiatry Outpatient Clinic • RanjanAvasthi, MD • Bernard Davidson, PhD • Stephen Fleming, MD • 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

11. 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)

12. Educational Events . . . • Grand Rounds • National speakers, GHSU Faculty and Resident speakers • Thursdays from 11:30-12:30 – 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 7:30 am • Attendance not required on the fourth week

13. On-Call. . . • Weekday and Weekend Call - 5:00 p.m. until 10:00 p.m. • No new patients after 10:00 p.m. • Students based in the C&L 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

14. Access to. . . • Psychiatry Inpatient Units (3S and 9N) • ID badges activated for access to units (must be GHS Medical Center) • Psychiatry Patient Records • PowerChart (Citrix Portal) • Access from GHS Medical Center, clinics or student lounge • No access from off-campus

15. Student Patient Encounter Log (SPEL) . . .

16. * This criterion was changed in 2011-2012, thus no comparison

17. 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 March 14th(Fax: 706-434-6703)

18. Psychiatry Clerkship Departmental Exam . . . • Seventeen Vignettes (A thru Q) • Vignette P - Mental Status Write-Up (see Rating Sheet) • Vignette Q - A Nervous Man (Free text answers to 10 questions similar to TBL exercise done in orientation) • 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.

19. Evaluation Criteria . . .

20. Evaluation Criteria . . .

21. 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 a GHSU clerkship grade • Students who receive a raw score of 82 or higher qualify to • receive an “A” • Raw score < 64 receives a “D” and required to retake exam

22. Grading . . . • Honors • Students must receive a raw score of 82 or higher on their NBME and • complete the clerkship with an overall grade of an A to receive honors. • Appeals • Appeals procedure available on clerkship web site: • http://www.georgiahealth.edu/som/clerkships/Psychiatry/grade_evaluation.htm • Attendings or residents should NOT be contacted directly about grade • complaints

23. Contact Information: Kimberly W. Curtis Clerkship Coordinator Department of Psychiatry & Health Behavior 997 St. Sebastian Way, EG-3004 Office: 706-721-6717 Fax: 706-434-6703 kcurtis@georgiahealth.edu