Students

If you have questions or need more information regarding medical student courses offered by the department of psychiatry, please contact:

Anna Sweeney
Medical Student/Residency Program Coordinator
MPC 323
1 Hospital Drive
Columbia, MO 65212
(573) 882-8598
SweeneyAM@health.missouri.edu

Introduction to Patient Care
Psychopathology and Behavioral Medicine (3 hours) Course #54

The course will occur during Block 6 and will cover normal psychosocial development, psychopathology, psychotherapy, psychopharmacology, when to refer patients and psychosocial factors of aging. The course will consist of lectures and small group discussions. Lectures will occur on Monday mornings and small groups will occur on Tuesday, Wednesday, Thursday or Friday mornings. Please refer to the Web CT online course web site for further information about the course. Log into the course using Web CT by going to courses.missouri.edu and using your Paw Print and password. Once logged in to the course site, the course home page will display the lab assignments, lecture and lab schedules, reading list, lecture handouts along with additional information needed for the course.

Psychiatry Clerkship

The Psychiatry Clerkship is a six week clerkship divided into a four and two week rotation. During the clerkship, all students will have the opportunity to experience adult psychiatry and child psychiatry in either the inpatient and/or outpatient setting.

During the four week rotation, students experience adult inpatient psychiatry at the Veterans Hospital or Missouri Psychiatric Center or may rotate with the University Consultation-Liaison Service at University Hospital. During the four weeks rotation, students will be assigned three to four half-day outpatient clinics and take emergency psychiatry call with a psychiatry resident.

During the two week rotation, students experience adult inpatient psychiatry at Missouri Psychiatric Center, child and adolescent inpatient psychiatry at Missouri Psychiatric Center, consultation-liaison psychiatry at University Hospital, or geriatric psychiatry at various Nursing Homes in the area. Students will have no call or clinic during this two week rotation.

Students will be evaluated by attending and resident physicians in the inpatient and outpatient settings as well as while on call. Students will also take the National Board of Medical Examiners (NBME) subject test in Psychiatry at the conclusion of the clerkship.

Psychiatry Rural Clerkship

The Psychiatry Rural Clerkship is a six week clerkship in which students see patients with psychiatric disorders in inpatient and outpatient settings and on consultation services in rural areas as part of the rural track program. Students will also take emergency psychiatry call with their preceptor during the clerkship.

Students will be evaluated by their preceptor physicians in the inpatient and outpatient settings as well as while on call. Students will also take the National Board of Medical Examiners (NBME) subject test in Psychiatry at the conclusion of the clerkship.

Clerkship Goals and Objectives

General Goal:
Psychiatry for the non-psychiatrist.

Objectives:

1. Perform essentials of psychiatric interview, mental status exam, as well as essentials of physical exam.
2. Be able to respond appropriately to:
   • Personal information about the interviewer.
   • Information related to the patient's illness.
   • Apparently irrelevant matters.
   • Difficult but common types of patients.
     • Examples: suicidal, silent, hostile, aggressive, verbose, crying, annoying, seductive, psychotic, combative.
   • Families
3. Demonstrate an understanding of the dynamics of the doctor/patient relationship.
4. Know essentials of psychiatric diagnosis and differential diagnosis, i.e., psychiatric, neurologic, medical, psychological, etc.
5. Be able to diagnose and have a working knowledge of treatment modalities for the major psychiatric illnesses, i.e., Mood Disorders, Anxiety Disorders, Cognitive Disorders, Personality Disorders, Psychotic Disorders, and Substance-Related Disorders
6. Understand the principles and techniques of the psychosocial therapies sufficient to explain to a patient and make a referral.
7. Summarize the indications, basic mechanisms of action, common side effects, and drug interactions of each class of psychotropic medications and demonstrate the ability to select and use these agents to treat mental disorders.
8. Understand the basics of legal issues, i.e., 96 hours – 21 day – 90 day commitment, probate commitment, competency, guardianship, not guilty by reason of insanity, etc.
9. Summarize the unique factors essential to the evaluation of children and adolescents and diagnose the common child psychiatric disorders.
10. Summarize the unique factors essential to the evaluation of geriatric patients and diagnose the common geriatric psychiatric disorders.
11. Improve interviewing skills and awareness of spiritual and cultural issues in psychiatric patients and their impact on patient centered care.
12. Demonstrate an understanding when and how to refer patients and whom to refer them to.

Most Importantly:
Try to become more comfortable interacting with a wide variety of patients with mental illnesses.

Psychiatry Advanced Electives

The Department of Psychiatry offers several electives for students interested in learning more about psychiatry after completion of the Psychiatry Clerkship. Emphasis is placed on developing skills in history taking, psychiatric diagnosis and treatment, and case presentation. Attention is focused on learning the principles of psychiatric diagnosis, developing core knowledge of diseases of the mind and general principles of caring for patients. Students participate in daily patient-care teaching rounds and weekly conferences. Electives are established in the following areas:

• Psychiatry Outpatient Clinic (Course #425)
• Psychiatry Adult Inpatient Service (Course #426)
• Psychosomatic Medicine (Course #427)
• Forensic Psychiatry (Course #428)
• Child and Adolescent Psychiatry (Course #429)
• Geriatric Psychiatry (Course #430)

More information about these electives can be found in the Senior Rotation Catalogue online.

Lectures

• Mental Status Examination (Dr. Andrew Resnik)
• Psychiatric Interview (Dr. Nora Frohberg)
• Alcoholism (Dr. Jeffrey Thiele)
• Schizophrenia (Dr. Howard Houghton)
• Depression (Dr. Andrew Resnik)
• Affective Disorders in the Elderly (Dr. David Beck)
• Psychiatric Disorders in the Elderly (Dr. David Beck)

Group Discussions

• Child Cases- Session 1
• Child Cases- Session 2
• Panic Case
• Psychotherapy During Pharamcotherapy Cases
• Psychopharmacology Articles Case