The Neurology & Psychiatry Clerkship is designed to teach students the skills that are required for any competent physician regardless of specialty. Half of the clerkship will be within Psychiatry and the other half within Neurology, as described below. Throughout the entire clerkship, the formal didactic curriculum will build from the M1 and M2 knowledge of neurosciences and will include case-based clinical education. At the conclusion of the clerkship, students will be expected to demonstrate ability in conducting an appropriate evaluation/examination, obtaining a history, and developing referral and treatment plans of patients at the level expected of a general medical practitioner, as well as demonstrate ability to localize the lesion and develop a differential diagnosis. The conclusion of the clerkship will include assessments via the Psychiatry and Neurology NBME subject examinations and a combined Objective Structured Clinical Evaluation (OSCE). The Psychiatry portion of the clerkship will incorporate both inpatient and outpatient experiences including exposure to areas integral to the optimal management of psychiatric diseases, both in the inpatient and outpatient settings. In addition to rotational exposure, students will have required experiences at an AA meeting and in electroconvulsive therapy. None of the required Clinical Psychiatry portion of the clerkship will fall on a weekend. The Neurology portion of the clerkship will incorporate both inpatient and outpatient experiences including exposure to areas integral to the optimal management of neurological disease such as rehabilitation, palliative care, and neurosurgery. Students will work with inpatient neurology, including time with both the Neuro ICU and the inpatient consult service, as well as outpatient neurology. Students should note that the inpatient neurology component will conclude with Saturday and Sunday work hours. During the Neurology portion of the clerkship, students will also work one day on either neuro-rehab, neuro pain-management, or neurosurgery.
This course allows completion of required M-III Clerkships where normal enrollment for those courses crosses academic years. It is valued at zero credits to reflect enrollment, but all graded material is taken into account in the G700 clerkship grade. Successful completion of required hours results in a passing grade.
Inpatient and outpatient opportunities exist for electives in Psychiatry and subspecialties in child/adolescent and geropsychiatry. The content of this course is designed to provide the student a broader experience in comprehensive psychiatric patient evaluation and treatment. He/she will be assigned to a practicing psychiatrist within a variety of inpatient, outpatient, emergency and consultative fields. The presenting problems of patients include personality disorders, acute psychotic disorders, mood disorders, anxiety disorders, schizophrenia, psychosomatic illness, organic brain syndrome and substance abuse disorders. The student will be responsible for intake assessments, to include a mental status examination. He/she will also participate in the decision-making processes and in continuity of care. Additional assignments will be made to specialized treatment programs including individual and family psychotherapy. The student may see outpatients being treated at the Brownell Center collocated with Marshall I. Pickens Hospital. Additionally, rotations may occur at the Piedmont Mental Health Center located in Simpsonville, near Hillcrest Hospital. Additional inpatient rotations may be at Marshall I. Pickens Hospital or Harris Psychiatric Hospital in Anderson. Consultation and emergency services are located at Greenville Memorial Medical Center. The course is designed to provide the student with maximum patient contact. Reviews of interviewing techniques and the principles of general psychiatry with the introduction of individual and family psychotherapy techniques will complement the student's clinical contact with patients. The student will be evaluated by both his/her preceptors and the Clerkship Director for Psychiatry or his designee. Input will be obtained from the other health professionals with whom the student has worked. Additionally, successful completion of the stated objectives will be required to pass this course.
After consultation with the Clerkship Director, the student will be assigned to the area of practice to which he/she needs the most exposure before entering a residency program. Options include inpatient, outpatient, emergency, substance abuse, and consultative fields. The presenting problems of patients may include personality disorders, acute psychotic disorders, mood disorders, anxiety disorders, schizophrenia, psychosomatic illness, organic brain syndrome and substance abuse disorders. The student will be responsible for intake assessments, including a mental status examination. He/she will also participate in the decision-making processes and in continuity of care. Additional assignments will be made to specialized treatment programs including individual psychotherapy.
Students will review a variety of virtual material that has been made available by the course director to develop teachable resources for the department of psychiatry. Additional material, such as various articles for review and additional online learning modules may also be included for review. Upon the completion of their review, students will submit to the course director a detailed presentation as to how these resources would supplement the NPSY clerkship or the current psychiatry electives and how they might best be used to aid in students’ knowledge and competency in the field of psychiatry. The student would then develop the resource into a delivery module such as an SLM. The majority of the course requirements (modules and readings) will be completed online and can be completed asynchronously. Students will be expected to complete all modules and assignments by the posted deadlines. Each week, discussions will be held via phone or in person. Students must complete all reading prior to these discussions.
The student will complete an intensive study of Psychiatry at another hospital or practice. This course must be approved through the VSAS application service or office of the M3/M4 Director.