PSY3-3002/F Psychiatry Clerkship-CHATT
Clerkship Director: Terry Holmes, MD, MPH & TM (Psychiatry)
Location: Moccasin Bend Mental Health Institute and Erlanger North
Blocks offered: (2013) Blocks 8, 10, 11 and
Clerkship Director: Terry Holmes, MD, MPH, and TM (email: Terry.Holmes@tn.gov)
and Gary Malakoff, MD (email: email@example.com)
The Psychiatry Clerkship at a 4-week clerkship is located in Chattanooga at Moccasin Bend Mental Health Institute, a 125 bed hospital managed under the auspices of the Tennessee Department of Mental Health and Developmental Disability. The Clerkship can accommodate up to 4 students and is offered four times each year. All students will attend educational activities published by the office of the Clinical Director in association with the Department of Psychiatry at the UT COM Memphis. Most didactics will be video conferenced from Memphis to Chattanooga. Students will be exposed to a broad spectrum of psychiatric disorders presenting for admission from a 23 county catchment area. Attendance at lectures and teaching conferences is required. Clinical wards are run by a treatment team headed by an attending psychiatrist and a nurse practitioner. Treatment teams in addition include a coordinator, a team of social workers and activity therapists, nurses and psychiatric technicians. Psychology services are readily available and available on a consultation basis.
Students' final grade will be a reflection of examination performance (NBME Psychiatry shelf exam), clinical proficiency at psychiatric evaluation and mental status examination.
Attendance and participation in conferences and other learning opportunities will also weigh heavily in determination of the final grade.
Prerequisites: Students are strongly encouraged to hold on to their M2- lecture notes in Psychopharmacology and Psychopathology, and to refresh their memory in this domain within the first 36 hours of the clerkship. This prior knowledge is expected from the very first day.
Course objective: To develop skills in:
By the end of the clerkship, the student should be able to recognize and be able to formulate a differential diagnosis; including the possibility of comorbid or co-occurring diagnoses. Students should know commitment criteria and be able to complete a certificate of need for involuntary hospitalization, and have a working knowledge of the mechanics of hospitalization. Students should be able to develop an understanding of when and where to refer patients for further evaluation and treatment.
Student will be assigned to a 25 bed acute or sub-acute ward and will participate with the treatment team in development of a comprehensive treatment plan. Each student will have some responsibility for 6-8 patients in the 25-bed acute or sub-acute ward at Moccasin Bend on a daily basis. They will also have a similar number of patients in the Geri-Psych inpatient and outpatient services at Erlanger North. Each student will also have exposure to a half-day with a Pediatric Psychiatrist during the rotation as a well as another day with a local psychiatrist who provides electroconvulsive therapy (ECT).
Ultimate responsibility for patient care rests with the attending psychiatrist who leads the treatment team. Medical students will have limited responsibility but will be allowed to conduct supervised interviews with patients, and in accordance with hospital bylaws, all responsibilities for inpatient chart documentation rests with the treatment team. Students will have ample opportunity to present written and sample chart notes as part of their learning experience.
Moccasin Bend faculty and treatment team professionals will supervise students directly (physicians, psychologists, nurses, nurse practitioners, psychiatric technicians responsibilities for inpatient chart documentation rests with the treatment team. Students will have ample opportunity to present written reports and sample chart notes as part of their learning experience. Students will service in an observing role during the pediatric psychiatry and ECT portions of the clerkship.
Moccasin Bend faculty and treatment team professionals will supervise students directly (physicians, psychologists, nurses, nurse practitioners, psychiatric technicians. Erlanger North faculty will directly supervise students at that site.
Students will attend training sessions conducted by the course supervisor and other assigned professional staff. They will be expected to attend the regularly scheduled Nurse practitioner training scheduled twice monthly. They will have at least two or three formal didactic lectures each week, including several that will be available via videoconference from the UT Memphis Psychiatry Clerkship. Students will attend weekly Internal Medicine Grand Rounds at Erlanger Medical Center. They should attend any ad hoc case conference and sit in and participate in treatment Review Committees conducted in accordance with Tennessee Law. Students will also rotate through the on-site Medical Clinical to help treat psychiatric patients with acute and chronic medical problems.
There is no student overnight call requirement; however, attendance at weekend/holiday rounds and admissions duty (observation/participation) is offered. Established duty hour rules for students will be followed.