Psychiatry Clerkship Syllabus
Students who wish to complete an Audition Rotation for the OSU Psychiatry Residency Program during their Fourth year should contact the Residency Coordinator, Camillia Estes, at firstname.lastname@example.org
- General Description
- This rotation is a four-week experience, during which time the student, under supervision of a psychiatrist serving as a preceptor, extends his/her knowledge of clinical psychiatry and develops psychiatric skills. Students advance their base of knowledge in pursuit of answers to questions that arise during patient care through assigned readings and interactions with the preceptor(s) and other faculty members. Skill development occurs as students apply knowledge from pre-clinical course work to those clinical problems encountered while performing clerkship activities.
- The majority of the clerkship course is conducted in one or more of the various clinical sites affiliated with the College including College psychiatric facilities. Current sites include primary experiences in: General inpatient psychiatry, emergency psychiatry, consult-liaison geriatric inpatient psychiatry, child and adolescent psychiatry, general outpatient psychiatry, or addiction psychiatry.
- The course is taught by OSU-COM clinical adjunct faculty at the clinical training sites as well as Department faculty members. The Course Coordinator is responsible for the overall organization and conduct of the course. A Preceptor who is an Attending Physician at each training site is responsible for the organization of that site’s training activities and supervision of students’ activities. Attending Physicians may be Medical Residents in Psychiatry or a practicing Psychiatrist at the site. The roles of Preceptor and Attending Physician may be carried out by the same or by different individuals who may be referred to as Site Faculty.
The first four semesters of the required OSU-COM curriculum must be successfully completed prior to starting clerkship rotations as well as any other requirements which may be imposed on the student by the College.
- Course Objectives: Certain clinical psychiatric skills are fundamental to the diagnosis and management of mental health problems. This rotation is oriented toward helping the student increase his/her readiness to perform the following basic skills.
- Conducting diagnostic interviews, including activities such as but not limited to:
- Responding to a patient’s concerns in an empathic manner,
- Obtaining relevant psychosocial and medical histories, and
- Performing a Mental Status Exam.
- Formulating and clarifying diagnostic findings and treatment recommendations involving but not limited to:
- Summarizing medical and psychosocial histories,
- Describing physical exam and lab results,
- Organizing interview data and treatment recommendations into comprehensive, integrated, cogent case presentations, and
- Explaining findings to the patient, family, and/or other health care professionals.
- Collaborating with various disciplines in the treatment team by but not limited to:
- Researching medical tests and diagnostic procedures,
- Searching for information about medications and other somatic treatments,
- Conducting diagnostic and/or treatment interviews, as directed by the attending physician,
- Documenting evaluation and treatment procedures, involving duties such as recording results of diagnostic interviews, lab studies, and/or treatment plans in a timely way according to the medical records protocols of the rotation site, and
- Sharing information and developing intervention plans with other members of the treatment team, including the patient and family.
- Curriculum: The instructional program consists of the following:
- Observe clinical interviews conducted by the Preceptor and/or Site Faculty,
- Perform clinical activities under direct supervision,
- Participate in lectures or directed discussions (i.e., one-on-one instruction) with the Preceptor and/or Site Faculty - Preceptors may require students to attend case conferences, lectures and the sort at their clinical location,
- Attend at least one (required) 12-step meetings (e.g., Open Meetings of Alcoholics Anonymous, Narcotics Anonymous, Overeaters Anonymous, Al-Anon, Gamblers Anonymous, etc.). Each student should discuss experiences in this meeting with his/her attending Site Faculty. Site Faculty will provide information about how a student may locate a 12-step meeting as described above.
- Read assigned material as described elsewhere in this syllabus and any other readings provided by the Preceptor and/or Site Faculty,
- Attend didactic presentations as prescribed by the Department through the Course Coordinator and/or Department Chair (e.g., COMAT Prep Day session, and weekly didactic teaching sessions on campus) – a schedule of these didactics will be provided to the student prior to their clerkship rotation, and
- Perform other assigned duties that are designed to assist the student in learning to perform core psychiatric skills with increased proficiency.
- Required Readings
- Black, D.W. & Andreasen, N.C. (2014). Introductory Textbook of Psychiatry (6th ed.) Washington, D.C.: American Psychiatric Press. [This text is recommended by NBOME for COMAT in Psychiatry preparation.] (Chapters assigned below are the basis for the weekly quizzes)
- Toy, E.C. & Klamen, D. (2016). Case Files: Psychiatry (5th ed.). New York: McGraw Hill.
- Chpt 3-Neurobiology and Genetics of Mental Illness
- Chpt 4-Neurodevelopmental (Child) Disorders
- Chpt 5-Schizophrenia Spectrum and Other Psychotic Disorders
Week 1 Quiz
- Chpt 6-Mood Disorders
- Chpt 7-Anxiety Disorders
- Chpt 8-Obsessive-Compulsive and Related Disorders
Week 2 Quiz
- Chpt 11-Feeding and Eating Disorders
- Chpt 13-Sexual Dysfunction, Gender Dysphoria, and Paraphilias
- Chpt 15-Substance-Related and Addictive Disorders
Week 3 Quiz
- Chpt 16-Neurocognitive Disorders
- Chpt 21-Psychopharmacology and Electroconvulsive Therapy
Week 4 Quiz
- Additional readings may be assigned by the College or the Department in preparation for the COMAT Prep Day and the COMAT Exam. Other specific readings may also be announced.
- Supplemental Resources: The following are highly recommended resources for increasing depth and breadth of knowledge as well as effectiveness of skills:
- Carlat, D.J. (2012). The Psychiatric Interview: A Practical Guide (3rd ed.) Philadelphia: Lippincott, Williams, & Wilkins.
- Diagnostic and Statistical Manual of Mental Disorders, Fifth- Edition (DSM- 5). (2013). Washington, D.C.: American Psychiatric Association.
- Sadock, BJ, Sadock, VA, & Ruiz, P. (11th ed). (2014). Kaplan and Sadock’s Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry. Washington, D.C.: American Psychiatric Association.
- Weekly Didactics
Every week a review of the weekly reading along with additional lectures specific to Psychiatry will be conducted under the direction of departmental faculty. This will be held at OSUMC. Those who are scheduled at Griffin Memorial will participate in that site’s didactic program or will be sent a link from WebEx to electronically attend the weekly sessions. Attendance is required.
- COMAT Prep Day
The COMAT Prep Day session is a case-based structured review of psychiatric knowledge that is designed to help students prepare for the COMAT Exam in Psychiatry and the COMLEX, Part 2. The day will be conducted and led by one or more Department faculty members. It will be held on the OSU-CHS campus from 8 AM until 5 PM on the 3rd Friday of each 4-week rotation unless otherwise notified in advance regarding the date and time. Attendance is required.
- Student Responsibilities
- Student responsibilities that apply to all rotations are explained in the Clerkship Handbook. Students should refer to this document to review these responsibilities. Each student must be prepared to present the results of his/her OSBI background check and immunization record to the Preceptor or designated administrative official at the training site if requested by the preceptor or facility as well as completing any other forms with accurate information required by preceptors or facilities.
- In addition to these general requirements, some sites have known specific requirements. It is the student’s responsibility to complete these special requirements for sites in a timely manner and failure to do so may result in removal from the rotation and/or be reflected in the student’s final grade for the clerkship. Descriptions of sites, names of the preceptor, and any special site requirements and instructions are provided to all students at the beginning of the Clerkship year. It is IMPORTANT that you review these descriptions and site requirement well in advance in order to comply with timely submissions for credentials.
- Performance Evaluation
- Preceptor Evaluation
- The performance of a student at the training site is evaluated by the Preceptor after completion of the rotation. A formal evaluation of the student’s overall performance is conducted by that student’s Preceptor – such evaluation form and criteria are provided by the Oklahoma State Clinical Education. It is an on-line tool that yields quantitative ratings of a student’s performance. It is completed by the Preceptor and typically in consultation with any other Attending Physicians and Site Faculty who have a teaching responsibility with the student.
- At least at the midway point in the rotation, the Preceptor and/or Attending Physician is asked to give verbal feedback to the student about his/her performance to date – students are encouraged to prompt the preceptor to provide such feedback at about the midway point as well as at other times in the clerkship.
- The Preceptor Evaluation constitutes 60% of each student’s final grade for this course.
- Departmental Written Quizzes
- There will be weekly quizzes given at the scheduled didactic session. Students at Griffin Memorial will complete these on-site under scheduled supervision.
- The cumulative total performance of the student for all individual written quizzes will account for 30% of the student’s final grade for the course.
- COMAT Prep Day
Attendance is required at the Psychiatry Clerkship COMAT Prep Day. Attendance at all of the day’s events constitutes 5% of the course grade. There will be no excused absences and students missing this will lose this portion of the grade.
- Site Evaluation
Students are required to formally evaluate their rotation experience. This evaluation is to be submitted through OSU-COM’s on-line Education Management System. Site Evaluations are due within 7 days of the completion of the rotation. Completion of this requirement constitutes 5% of the course grade; if the student fails to complete the Site Evaluation within the 7 days following completion of the rotation, the student will receive a 0% for this portion of the evaluation.
- COMAT Exam in Psychiatry
- Each student must also take the COMAT Exam in Psychiatry (pass rate is determined by the College but currently set at achieving a standard score of 90 or greater). It will be given at time announced by the College on the last scheduled day of the rotation.
- If a student does not pass the COMAT Exam, he/she must enter a formal remediation process as described by the Course Coordinator including entering into a mentorship with a designated faculty member in the department. The designated faculty member will direct the student to review specific topics of weakness as identified by their personalized COMAT Exam score sheet. After remediation, the student will be eligible to retake the COMAT Exam.
- If the student fails the COMAT Exam for a second time, a letter grade of "I" or incomplete will be assigned, and the student will be referred to the Academic Standards Committee for a plan of corrective action.
- A student may not receive a passing grade in the clerkship until he/she has successfully met the standard for passing the COMAT Exam as set by the College.
- Each student is required to be in attendance at all assigned rotation activities.
- Attendance also includes attending a 12-step meeting (e.g., AA or NA Open Meeting).
- Attendance is also required at weekly didactics.
- Failure to complete these requirements may result in a grade reduction, unsatisfactory non-cognitive grade, and/or that the rotation requirement to be completed at a later date as per the judgment by the Course Coordinator. At the discretion of the Course Coordinator and based on lack of attendance, the Coordinator may enter a failing grade for the student.
- Grading Procedures
- The final grade for the course will be derived by adding points earned as follows:
- Preceptor Evaluation – 60%
- Departmental Written Quizzes – 30%
- COMAT Prep Day Participation – 5%
- Site Evaluation – 5%
- Maximum Possible Course Points (Percent) – 100% but also requiring successful passage of the COMAT Exam in Psychiatry.
- Total Course Points ending in .50-.99 will be rounded up to the next higher whole number; total Course Points ending in .49 or less will be rounded down to the next lower whole number. Letter grades will be assigned according to procedures outlined in the Student Handbook. Both letter grades and Total Course Points are reported to the Dean and to the College Registrar. The Course Coordinator and/or Department Chair determine and issue a grade for each student.
- Grievance Authority
Questions about a Clinical Performance Evaluation should be directed to the Preceptor during the formal evaluation at the end of rotation. If a grievance cannot be satisfactorily resolved in this manner, the assistance of the Course Coordinator may be requested.
Students with disabilities or otherwise requiring special accommodations to enable full participation in the course should notify the Clerkship Director at least 30 days prior to the start of the rotation.
- Elective Rotations
Students who wish to complete an Audition Rotation for the OSU Psychiatry Residency Program during their Fourth year should contact the Residency Coordinator. Placement will be with one or more OSU Psychiatry faculty attendings.
Clerkship Director – Alicia Ford, Ph.D.
Department Chair – Jason Beaman, D.O.
Clerkship Administrator & Residency Coordinator –
Camillia Estes, B.S.