IU Student Electives
PSYCHIATRY

93PS980

PSYCHIATRY - INPATIENT

Course Director:
Dr. Paula Mathewson

 

Description:

The student will be directly responsible for the primary medical and psychiatric management of a case load of 6-8 inpatients under the supervision of a staff psychiatrist. A team treatment concept is stressed and the student will be expected to closely interact with the allied mental health professionals within the ward milieu. A wide spectrum of psychopathology will be encountered, including but not limited to : schizophrenia, affective disorders, organic disorders, substance abuse, anxiety, and personality disorders. Understanding will also be gained into how psychic distress impacts on physical functioning. The patient diversity will allow the student the opportunity to gain mastery in the evaluation of personality dynamics and in the differential diagnosis of emotional pathology. While biological treatment modalities are stressed, the clinical setting allows the interested student ample opportunities to participate in various psychotherapeutic and behavioral treatment methods which are applicable to the primary care setting. Each student will receive a minimum of 3 hours of individual supervision per week with the availability of additional informal staffing, as needed. Finally, the student will be encouraged to attend various lectures, seminars, and case presentations conducted by the Department of Psychiatry which would be felt to enrich their educational experience. This elective is sufficiently flexible to address the educational needs of both future psychiatrists as well as future practitioners of primary care medicine.

Hospital(s):
VA Hospital

Availability:
All year

Number of units:
2 Full Time

Max Students/Unit:
2

Prerequisites:
3rd or 4th year status

Course components:
85% Clinical; 15% Lecture/Library

Competency offered:
None 

 

93PS950

CONSULTATION / LIAISON CHILD PSYCHIATRY

Course Director:
Michele Thorne, Ph.D.

Other Faculty:
Lori Hines, R.N.
Ann Lagges, Ph.D.
Eric Scott, Ph.D.

 

 

Description:

Elective on Consultation/Liaison Child Psychiatry has been arranged in cooperation with other divisions in Child Psychiatry to provide a well-rounded exposure to several aspects of Child Psychiatry.  The elective will consist of attendance at diagnostic and treatment conferences of the Riley Child Psychiatry Clinic and Consultation/Liaison Service. Depending on cases seen the student will be exposed to not only psychiatric assessment and treatment, but also assessment of feeding problems, working with critically ill or dying patients and their families, and medical-legal issues of patient care. Attendance at didactic presentations with residents and fellows in psychiatry is expected. The rest of the student's time will be spent in preceptorship with a staff consultant while he or she performs consultation/liaison functions with pediatrics and other medical specialties in Riley Hospital. Consultation/Liaison rounds are held daily.

Objectives:

  • The student will obtain a basic level of mastery of psychiatric examination and formulation.
  • The student will learn to recognize and evaluate the major DSM-IV diagnoses in a pediatric hospital setting.
  • The student will learn how to access and interact with professionals from other disciplines to obtain comprehensive examinations and provide interventions.
  • The student will learn to recognize, evaluate, and treat conditions that involve the interface between psychological and other medical factors.
  • The student will learn the use of psychopharmacology with patients presenting for primary pediatric conditions.

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Hospital(s):
Riley Hospital (IUMC)

Availability:
All year

Number of units:
1-3

Max Students/Unit:
 1

Prerequisites:
4th year status only

Course components:
85% Clinical; 10% Lecture; 5% Library

Competency offered:
IX: Professionalism and Role Recognition

 

93PS910

CRISIS INTERVENTION SERVICE

Course Director:
Dr. N. Leela Rau

Other Faculty:
Other Crisis Unit Staff 

 

NOTE: THIS ELECTIVE MAY BE DROPPED/ADDED WITHIN 15 DAYS NOTICE TO THE DEAN'S OFFICE.

Description:

This is an opportunity to acquire skills in dealing with acute psychiatric problems. Emphasis is on short-term crisis intervention theory and approach. Patients are seen through emergency room referral and on a walk-in basis 24 hours a day. Students will have the opportunity to work within the Community Mental Health Center system observing and participating in work with patients, families, and community agencies. Those considering a residency in psychiatry will find this elective an excellent preparation for the stresses of "night call." Those interested in primary care will have an opportunity to learn about the differential diagnosis of "functional" versus "organic" disorders and to learn about treatment options for patients with depression, anxiety, and other psychiatric disorders.

This is located in our Crisis Intervention Unit.  This is an emergency walk-in clinic, operated 24/7.  It serves at least 16,000- 17,000 patients a year, and fields thousands of phone calls.  There is no age limit.  It serves a culturally diverse population, with multiple psycho-social issues and challenging needs.

 

Course Objectives:

  • Comprehensive understanding of Biopsychosocial issues in Psychiatry
  • Team work and multidisciplinary (treatment planning) approach
  • Independent clinical evaluations and crisis intervention activity
  • Risk assessment and immediate intervention for suicide, homicide, and violence
  • More sophisticated interviewing skills

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Hospital(s):
Wishard Memorial Hospital (IUMC)

Availability:
All year

Number of units:
1 Full Time

Max Students/Unit:
1

Prerequisites:
4th year status only

Course components:
85% Clinical; 10% Lecture; 5% Library

Competency offered:
None 

 

93PS890

FORENSIC PSYCHIATRY

Course Director:
Dr. George Parker

Other Faculty:
Maria Poor, MD, Larue Carter State Hospital

Steven Berger, MD, Community Corrections
of America

 

Description:

This elective is designed to give students exposure to forensic psychiatric evaluations of defendants in jail and office settings and the management and assessment of long-term forensic inpatients with a background of readings on forensic psychiatry topics. Consideration of forensic psychiatry issues from moral/ethical perspectives will be emphasized, as will the social and policy implications of the practice of forensic psychiatry.

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Hospital(s):

IUSOM- Psychiatry Building

Larue Carter State Hospital

Community Corrections of America, Marion County Jail 2

Availability:
All year

Number of units:
1 Full Time

Max Students/Unit:
1

Prerequisites:
3rd or 4th year status; must have completed Psychiatry clerkship

Course components:
75% Clinical; 5% Research; 5% Lecture; 15% Library

Competency offered:
VII: Moral Reasoning and Ethical Judgment

 

93PS940

BASIC NEUROBIOCHEMICAL RESEARCH IN PSYCHIATRY

Course Director:
Dr. William J. McBride

 

Description:

Students will participate in ongoing research projects involving (a) identification of neurotransmitters; (b) mechanisms of neurotransmitter action; and (c) the correlation of neurochemical information with nervous system function in both normal and disease states. Individual research projects will be groomed to the interests of the student and will be designed to give the student greater insight of research in the nervous system.

Objectives:

To give the student greater insight of how research is conducted to understand brain function in normal and disease states.

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Hospital(s):
Institute of Psychiatric Research (IUMC)

Availability:
All year

Number of units:
3 Full Time

Max Students/Unit:
2

Prerequisites:
3rd or 4th year status

Course components:
80% Research; 10% Lecture; 10% Library

Competency offered:
VIII: Problem Solving

 

93PS780

BIOLOGICAL PSYCHIATRY: CLINICAL & BASIC RESEARCH

Course Director:
Dr. Anantha Shekhar

 

Description:

NOTE: COURSE MAY BE DROPPED/ADDED WITHIN TWO WEEKS OF THE BEGINNING OF THE ELECTIVE MONTH.

Students will participate in research involving various areas of biological psychiatry (e.g., anxiety/panic disorders; depression; schizophrenia).  Behavior pathologies will be examined in relation to changes in neurobiological correlates; the psychopharmacological effects of different therapeutic programs will be assessed; animal models will be studied; neuro-imaging studies may be included. Individual projects (laboratory research or literature review) will be designed according to the interests of the students. Results will be discussed in terms of applications of findings to the clinical practice of medicine (psychiatry; family practice; pediatrics; internal medicine, etc.). 

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Hospital(s):
Larue Carter Hospital, Methodist Hospital (IUMC)

Availability:
All year

Number of units:
1-3 Full Time

Max Students/Unit:
4

Prerequisites:
3rd or 4th year status

Course components:
50% Clinical; 40% Library/Laboratory; 10% Didactic

Competency offered:
None 

 

 

93PS820

PSYCHIATRY CONSULTATION-LIASON

 

Course Director:
Dr. Eric Boss

 

Description:

In this elective, medical students will gain experience in interviewing and evaluating patients in various medical settings, in a consultative role, to assist in diagnosis, and behavioral and pharmacologic management. This will include: work with medical inpatients, Emergency Room evaluations, and consultations for outpatient primary care and subspecialty services. During the elective, the student will develop a solid knowledge base for common psychiatric diagnoses as they affect and are affected by co-morbid medical conditions, and the use of psychotropic medications, along with the importance of drug-drug interactions.

Objectives:

On completion of the elective, the student should be able to:

  • Interview and evaluate patients with flexibility for situations and circumstances.
  • Communicate effectively with patients, families, and referring medical team members and nursing staff
  • Demonstrate empathy for patients, and work compassionately with patients and their families.
  • Evaluate acute safety issues thoroughly (suicidality, homicidal ideation, psychosis).
  • Be able to present and assimilate evaluation data into a diagnostic differential with appropriate treatment recommendations.
  • Develop an understanding of the use of psychotropic medications in medical patients, and drug-drug interaction.
  • Have developed an understanding of the component of, and skills in, the evaluation of a medical decision-making capacity.
  • Understand the presentations and interventions for delirium and dementia in the medical setting.
  • Work effectively with medical/surgical teams in evaluation and caring for patients with psychiatric symptoms.

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Hospital(s):
VA Medical Center

 

Availability:
All year

 

Number of units:
3 Full Time

 

Max Students/Unit:

2

 

Prerequisites:
3rd or 4th year status; must have completed Psychiatry clerkship

 

Course components:
90% Clinical; 5% Library; 5% Presentations

 

Competency offered:
IV: Lifelong Learning

 

 

 

93PS830

AUTISM AND RELATED DEVELOPMENT DISORDERS

 

Course Director:
Kimberly Stigler, MD

Other Instructors:
C. Erickson, MD 
D. Gaebler, MSW, LCSW
P. Korzekwa, MS
C. McDougle, MD
D. Posey, MD
N. Swiezy, PhD
N. Minshawi, PhD
S. Pozdol, MS, LMHC

 

Description:

This elective will provide medical students with experience in the diagnosis, behavioral intervention, and pharmacologic management of autism and related developmental disorders. During the elective, the student will work toward developing a solid knowledge base derived from their preceptors, observation, and participation in patient interactions, and independent literature searches. There will also be an opportunity for the student to learn about clinical research.  The student will meet with the course director prior to their rotation to discuss areas of interest and review goals and expectations for the elective. Time will be spent in preceptorship with the course instructors while the student participates in outpatient follow-up within the medication management clinics. In addition, the student will observe and learn about behavioral and school interventions.

Goals:

After completing this elective, students will be able to

  • Gain an understanding of the diagnosis criteria for autism and related developmental disorders through working closely with faculty who specialize in the field
  • Gain experience in the collection and presentation of data from gathering a history and assessing the patient in order to formulate a differential diagnosis and treatment plan
  • Interact compassionately and communicate well with the patients and their families
  • Demonstrate an understanding of the treatment options pertinent to this population
  • Gain insight into the physician-patient/family relationship and their importance to patient care
  • Conduct relevant literature searches
  • Present to the autism faculty and staff on a topic of interest relevant to the field

 

Hospital(s):
Riley Hospital

 

Availability:
All year

 

Number of units:
3 Full Time

 

Max Students/Unit:
1

 

Prerequisites:
Third or fourth year status; must have completed Psychiatry Clerkship

 

Course components:
85% Clinical; 5% Research; 5% Lecture; 5% Library

 

Competencies offered:
IV: Lifelong Learning

 

 

 

 

 

 

93PS990

SPECIAL ELECTIVE IN PSYCHIATRY

 

Description:

The student should refer to the section of the Preface entitled "Special Electives" for information concerning the availability of elective opportunities especially designed to meet his/her needs and interests. The "Special Electives" section will also identify the procedures for arranging and scheduling special elective courses. 

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49PS722

PSYCHIATRY IN THE COMMUNITY SETTING

Course Director:
Dr. F. Covington

Description:

NOTE: THIS COURSE MAY BE DROPPED/ADDED WITHIN ONE WEEK OF THE ELECTIVE MONTH BEGINNING.

The student will be able to participate and observe psychiatric practice in a busy comprehensive community mental health center. All forms of treatment settings will be available for participation --inpatient, outpatient, partial hospitalization, crisis intervention, child and adolescent services. The student will be exposed to an array of patients with different diagnoses--major psychotic disorders, anxiety, depression, substance abuse, family and relationship problems, and situational stress reactions. There will be an emphasis on how psychiatry interacts with various fields of medicine and the community at large. Supervision will be by a faculty psychiatrist, along with various mental health center staff.

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Hospital(s):
Community Hospital - North (Indianapolis)

Availability:
All Year

Number of units:
1-2 Full Time

Max Students/Unit:
1

Prerequisites:
3rd or 4th year status

Course components:
90% Clinical; 5% Lecture; 5% Library

Competency offered:
None 

 

49PS704

PSYCHIATRY METHODIST HOSPITAL INPATIENT

Course Director:
Dr. Anne Gilbert

Other Faculty:
Active Members of the Psychiatry Section

 

NOTE: THIS COURSE MAY BE DROPPED/ADDED WITHIN SEVEN DAYS OF THE ELECTIVE MONTH BEGINNING.

Description:

The goal of this elective is to give the senior student clinical experience in Psychiatry in an integrated practice setting. The student will be exposed to psychiatric practice in a tertiary care general hospital setting.

The student has the opportunity to assess patients and follow psychiatric treatment in adult and geriatric patients. The student will participate and observe in the areas of Consultation and Liaison Psychiatry, Emergency Psychiatry, Medical Psychiatry, and Chemical Dependency. The student will work with and observe multi-disciplinary team treatment via learning the relationships between practicing psychiatrists and psychiatric nurses, social workers, occupational and recreational therapists, chemical dependency counselors, and other professional personnel. The student will participate and be exposed to a wide range of treatment philosophies and techniques, ranging from the use of psychotropic medication and electroconvulsive therapies to cognitive, behavioral, interpersonal, insight oriented, and other types of psychotherapy. The student will have the opportunity to learn firsthand the challenges and rewards of the practice of psychiatry in an urban community and in a general hospital setting. The senior student will have total supervision by the faculty. The format is that of a preceptorship with one-on-one interaction between the student and his/her faculty member(s). The student will not be required to take night call on this elective.

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Hospital(s):
Methodist Hospital (Indianapolis)

Availability:
All year

Number of units:
1-2 Full Time

Max Students/Unit:
2

Prerequisites:
3rd or 4th year status; Psychiatry and Medicine clerkships must be completed

Course components:
90% Clinical; 10% Library

Competency offered:
None 

 

02PS701

PSYCHIATRY

Course Director:
Dr. Herber Trier

Other Faculty:
Dr. Mann
Dr. Pancner & Staff

 

Description:

Teaching rounds will be made each morning with the attending psychiatrist in one of the hospitals. During the afternoon, the student will be given the opportunity to further workup cases, study the literature involved, obtain laboratory experience and training in the Mental Health Center or private clinic where both children and adults are seen by psychiatrists and psychologists and at seminars. The student will have an opportunity to experience variations in psychiatric thinking by psychiatrists whose work is confined largely to their offices or to the children's psychiatric service or adult psychiatric service. Direction will be given to available reading materials. For three unit electives, one of the three will be on outpatient work at the Mental Health Center or private clinic. The hospital work will require staff presentations, with a workup of three complete examinations a week. The student will be available, with a consultant, for consultation on other services. He/she will have an opportunity to learn the diagnostic modalities, the varied treatment programs and the relationship of psychiatry to other medical specialties.

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Hospital(s):
Fort Wayne Center for Medical Education

Availability:
All year

Number of units:
1-3 Full Time

Max Students/Unit:
1

Prerequisites:
3rd or 4th year status

Course components:
90% Clinical; 5% Laboratory; 5% Lecture

Competency offered:
None 

 

20PS701

PSYCHIATRY

Course Director:
Dr. Soncrant

Other Faculty:
Dr. Taylor
Dr. Jarvis

 

Description:

The psychiatry rotation of EGH will offer the student a wide variety of psychiatric experiences. Adolescent, adult, and geriatric experiences will be included. By the end of the month, the student will be able to:

1) complete an appropriate mental status exam;

2) describe the components of psychiatric evaluation;

3) use the DSM-IV to make psychiatric diagnoses;

4) evaluate patients for major psychiatric diagnoses of depression, psychosis, personality disorders, and anxiety disorders;

5) have some exposure to adolescent and geriatric psychiatric disorders; and

6) review the major psychiatric treatment strategies of cognitive, supportive, and insight therapy;

7) demonstrate basic knowledge of psychopharmacology;

8) observe and discuss electroconvulsive therapy (optional).

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Hospital(s):
Elkhart General Hospital

Availability:
All year

Number of units:
1 Full Time

Max Students/Unit:
1

Prerequisites:
3rd or 4th year status

 

Course components:
90% Clinical; 10% Lecture

 

Competency offered:
None