Psychiatry -- Consultation Liaison
- Rochester
Description:
Students are assigned to the consultation service at Saint Marys Hospital. Their immediate supervisor is the staff psychiatrist assigned to that service at the time of the elective.
Specific Goals:
- Review the basic principles of general psychiatry.
- Improve skills in establishing patient rapport, conducting psychiatric interviews, and making a diagnostic formulation.
- Examine the role of a psychiatric consultant, defining the patient's emotional response and its interaction with their medical illness.
- Gain experience in the management of both chronically mentally ill patients and acutely disturbed patients in the general hospital setting.
Activity Outline:
Students respond to consultation requests in rotation with the resident at Saint Marys Hospital. At Rochester Methodist Hospital, students respond as assigned by the staff physician. Discussion and review of each consultation occurs each morning with a staff psychiatrist. Students are responsible for following patients as needed during their hospital stay.
In addition, during the Saint Marys Hospital rotation, the students can accompany residents during evaluations requested by the emergency room. During the Rochester Methodist Hospital rotation, students can accompany staff physicians in their evaluations of emergency consultations in the Mayo Clinic building.
Each week students have a one-hour session of individual supervision with the clerkship coordinator.
Method of Evaluation:
Toward the end of the elective, students conduct a live patient interview while being observed and have the opportunity for feedback about their interviewing style. The staff psychiatrist and clerkship coordinator also provide a performance review at the end of the elective.
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