Course/Rotation Title: PSYCHIATRY
Date of Last Review/Update: 5/08
Course/Rotation Director: Alex Sabo, MD
Location of clinical encounters
Inpatient % time = 90%
(Check all that apply)
[X]
Wards
[X]
ICU
[X]
ED
[ ]
Other (please specify)
Outpatient% time = 10%
(Check all that apply)
[X]
Clinic
[ ]
Home
[ ]
Other (please specify)
Course/Rotation description with educational purpose/value
The goal of this rotation is to prepare future general internists with the skills and knowledge to
appropriately evaluate, treat, and refer in a timely fashion patients with acute and chronic psychiatric
illnesses.
Types of Clinical Encounters: (PLEASE SPECIFY)
Residents will see patients with acute and chronic psychiatric illnesses in a variety of settings
including the Emergency Department, hospital wards, ICU, inpatient psychiatry units, and substance
abuse unit.
Types of Patients: (PLEASE SPECIFY)
[X]
Adults of all ages
[X]
Male
[X]
Female
Mix of Diseases: (PLEASE SPECIFY ANY ADDITIONAL DISEASES
Delirium
Dementia
Anxiety
Psychosis
Depression
Personality Disorders
Substance Abuse
Describe the level of supervision by faculty:
[X]
[X]
[X]
Attending staff will supervise and precept all patient care activity directly or indirectly.
Attending staff will provide mid rotation feedback
Attending staff will provide end-of-rotation feedback
1
[ ]
Other (please specify)
Competency Based Objectives/Expectations. Please see Roman Numeral II with additional items
specific to this rotation as below:
Patient Care: PLEASE SPECIFY
 Be able to demonstrate an ability to interview patients with the following disorders: ,
schizophrenia, bipolar disorder, major depression, substance/alcohol abuse, personality
disorders, delirium/dementia, somatoform disorders.
 Demonstrate the ability to perform basic bedside cognitive testing.
 Conduct a psychiatric interview including a thorough mental status exam.
 Conduct interviews with patients’ families.
 Assess patients for suicide potential.]
 Assessment and treatment for suicidal behaviors.
 How to discuss psychiatric referrals with medical patients
Medical Knowledge: PLEASE SPECIFY
 Be able to describe the course and diagnostic criteria of the following mental disorders:
schizophrenia, bipolar disorder, major depression, substance/alcohol abuse, personality
disorders, delirium/dementia, somatoform disorders.
 Distinguish causes of delirium from dementia
 Recognize psychotic symptoms
 Be able to describe the evaluation and treatment of patients with common mental disorders in the
medical/surgical inpatient setting.
 Understand the ethical and legal issues involved in competency, treatment refusal, and
involuntary commitment.
Interpersonal and Communication Skills: PLEASE SPECIFY
 How to discuss psychiatric referrals with medical patients
System-Based Practice: PLEASE SPECIFY
 Become familiar with the continuum of care and the sites available to deliver mental health and
substance abuse services in Berkshire County.
 Understand the role of psychiatrists in hospital and outpatient care.
 Understand the role of families and social networks during illness and recovery.
 Understand the referral process for patients with psychosis.
 Understand the different types of court ordered ‘sections’ and the indications for them.
Check Any Methods Used For Teaching and Assessment:
[ ] Ambulatory Clinic (feedback written & verbal)
[ ] Annual In-service Exam (feedback written)
[X] Attending Rounds (feedback written & verbal)
[ ] Board Review (feedback written examination)
[ ] Cancer Conference
2
[ ] Case Management Evaluation (360 degree written evaluation)
[X] Chart Stimulated Recall & Feedback (feedback verbal)
[X] Direct Observation and Feedback (feedback written & verbal)
[ ] GME Core Curriculum
[ ] Interns Report (feedback written & verbal)
[ ] Journal Club (feedback written & verbal)
[X] Medical Record Review (feedback written & verbal)
[ ] Mentor Feedback (feedback written & verbal)
[ ] Monthly End of Elective Exam (feedback written)
[X] Monthly Mini CEX (feedback written & verbal)
[X] Monthly Competency Based Written Evaluation
[ ] Morning Report (feedback written & verbal)
[ ] Multidisciplinary Rounds Feedback (feedback verbal)
[ ] Nursing Evaluation (360 degree written evaluation)
[ ] Patient Evaluation (360 degree written evaluation)
[ ] Patient Management Discussions (feedback written & verbal)
[ ] Procedure Logs
[ ] Performance improvement Multidisciplinary Morbidity and Mortality
(feedback written & verbal)
[ ] Semi Annual Program Director Feedback (feedback written & verbal)
[ ] Student Evaluation (feedback written & verbal)
[ ] Supervised Sign-In Rounds (feedback written & verbal)
[ ] Supervised Sign-Out Rounds (feedback verbal)
[ ] Other _______________________________
[ ] Other _______________________________
[ ] Other _______________________________
[ ] Other _______________________________
Other Policies:
The Course Director recognizes that the trainee is accountable to all BMC Residency and GME
Personnel Policies and Procedures. The Course Director recognizes that the residents are expected to
attend all continuity clinics and mandatory educational conferences unless excused by the Program
Director or Chief Medical Resident with advanced notice.
Check The Educational Materials Used (beyond direct patient care):
[X] Reading List (Please Specify):
As appropriate to individual cases
[X] Review of Appropriate Radiology Images (Please Specify):
As appropriate to individual cases
[X] Review of Appropriate Laboratory Data (Please Specify):
As appropriate to individual cases
[X] Articles from the Literature (Please Specify):
As appropriate to individual cases
3