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Welcome to Psychiatry

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PSRY 5000







Kimberly W. Curtis

Clerkship Coordinator

 Attendance

 When absent, inform attending, resident(s), and

clerkship coordinator



 Dress code

 Professional attire, white coats (no scrubs), MCG ID

 No visible tattoos, no jeans, no sandals



 Communication

 Check GroupWise for announcements and information

 No photographing patients

 Taking photos of patients using a camera

or cell phone is a violation of hospital

regulations and a serious HIPAA violation.





If any photography or other recording is required, specific consent from the

patient must be obtained and all such photographs or recordings must be

made by the “Media Section” of the hospital to which you are assigned.

 Perform a comprehensive history & physical exam

 Working knowledge of major psychiatry diagnoses

 Develop comprehensive treatment plan

 Gain knowledge of psychopharmacologic agents

 Identify psychiatric emergencies and ways to handle them

 Write clear and thorough psychiatric reports

 Demonstrate professionalism (demeanor, ethics, patient

confidentiality, etc.)

 Patient Care

 Gather essential and accurate patient information

 Use the information to care for psychiatry patients



 Medical Knowledge

 Develop a working knowledge of psychiatric diagnoses

 Develop a working knowledge of major classes of psychotropic

medications, indications, contraindications and side effects



 Practice-Based Learning and Improvement

 Obtain and critically evaluate medical literature using electronic

resources

 Interpersonal and Communication Skills

 Communicate empathically with patients and families

 Write Progress Notes and present to residents /attendings



 Professionalism

 Conduct yourself in a professional manner at all times

 Convey a respectful attitude

 Communicate with peers, staff, and patients

 Show sensitivity to all races, genders, and cultures

 Introductory Textbook of Psychiatry – 5th Ed. (Black, D & Andreasen, N) *

 Psychiatry – 2008 (Hahn, R; Albers, L; & Reist, C)

 NMS Psychiatry – 5th Ed. (Thornhill, J) * (2 copies available)

 DSM-IV-TR – Diagnostic and Statistical Manual of Mental Disorders – 4th

Ed. (APA)

 DSM-IV Casebook (a learning companion of DSM-IV-TR (APA)

 Pocket Handbook of Clinical Psychiatry – 4th Ed. (Sadock, B & Sadock, V)

 Synopsis of Psychiatry Behavioral Sciences/Clinical Psychiatry – 10th Ed.

(Sadock, B & Sadock, V) *

 Theory and Practice of Psychiatry (Cohen, B ) *



* Available for checkout – see Clerkship Coordinator.

 On-Campus

 Georgia Health Sciences University

 Adult/Geriatric Inpatient Unit (3 South)

 Child/Adolescent Inpatient Unit (9 North)

 Consult Liaison (3 South)

 East Central Regional Hospital

 Eisenhower Army Medical Center, Ft. Gordon

 Veterans Affairs Medical Center (Uptown Division)



 Off-Campus

 Brunswick – Gateway Behavioral Health Services

 Cedartown – Highland Rivers Center

 Columbus – The Bradley Center of St. Francis

 Gainesville – Laurelwood Hospital

 Savannah – Psychiatric Medicine, PC

 Thomasville – Southwestern State Hospital

 Valdosta – Valdosta Psychiatric Associates, PC

 Adult/Geriatric - 3S

 Dr. Scott Van Sant (1373)





 Consult/Liaison - Room 3411D

 Dr. Vanessa Spearman (8326)





 Child/Adolescent - 9N

 Dr. Donna Londino (8327)

 MCG Psychiatry Outpatient Clinic

 Bernard Davidson, PhD

 Adriana Foster, MD

 Christian Lemmon, PhD

 Eric Lewkowiez, MD

 Brian Miller, MD

 Dale Peeples, MD

 Lisa Sheehan, MD



 Serenity Behavioral Health

 Adriana Foster, MD





 Augusta State Medical Prison

 Nirajini Reddy, MD

 Tegrity lectures

 Each lecture linked to a particular case study in Vista

 Lectures currently available:

• Anxiety Disorders (Sebastian)

• Dementia, Delirium and Amnestic Disorders (Foster)

• Eating Disorders Recognition, Assessment & Treatment (Lemmon)

• Legal and Ethical Issues in Psychiatry (Nichita)

• Mental Health Consideration in Children and Adolescents (Londino)

• Mood Disorders (Shevitz)

• Personality Disorders (Albritton)

• Psychotherapy (Davidson)

• Schizophrenia and Other Psychotic Disorders (Miller)

• Substance Use Disorders (Foster)

 Grand Rounds

 National speakers, MCG Faculty and Resident speakers

 Thursdays from 11:30-12:30 – no Grand Rounds on the 1st or

5th (if applicable) Thursday of the month (attendance not required

on the fourth week)



 Weekly Case Conference/Journal Club – Dr. Brian Miller

 Topics presented by residents (short notice)

 Discussion of psychiatry-based journals/articles

 Thursdays from 7:30 am

 Attendance not required on the fourth week

 Weekday and Weekend Call - 5:00 p.m. until 10:00 p.m.

 No new patients after 10:00 p.m.

 Students based in the C&L Office (BA-3513B)

 Page 1st resident on-call

 Must see all ER visits, floor consults, and/or direct

admissions. ER VISITS TAKE PRIORITY

 Switching call dates allowed – notify clerkship coordinator

 Psychiatry Inpatient Units (3S and 9N)

 ID badges activated for access to units (must be MCGHI)





 Psychiatry Patient Records

 PowerChart (Citrix Portal)

• Access from MCGHI hospital, clinics or student lounge

• No access from off-campus

 Student responsibility:

 Complete and review form

with attending



 Give “Patient Tracking Log”

book to attending for review



 Feedback form to be

completed by the end of

2nd week of rotation



 Return “signed” form to

Clerkship Coordinator by

July 20th (Fax: 706-434-

6703)

 Eighteen Vignettes (A thru R)



 Vignette R - Mental Status Write-Up (see Rating Sheet)



 Open book exam to be completed on your own time



 Will prepare you for the NBME shelf exam



 All vignettes to be completed by the end of the 3rd week



 Each question worth from .5 to 2 points



 Maximum achievable score = 15 pts.

 Clinical Evaluation

 Fifty percent (50%)



 Psychiatry Clerkship Departmental Exam

 Fifteen percent (15%)



 National Board Subject Examination (NBME)

 Thirty-five percent (35%) of converted score

 Raw score converted to an MCG clerkship grade

 Students who receive a raw score of 84 or higher qualify to receive an “A”

 Raw score < 64receives a “D” and required to retake exam



 Appeals

 Appeals procedure available on clerkship web site:

http://www.mcg.edu/som/clerkships/Psychiatry/grade_evaluation.htm



 Attendings or residents should NOT be contacted directly about grade

complaints

Contact Information:



Kimberly W. Curtis

Clerkship Coordinator

Department of Psychiatry & Health Behavior

997 St. Sebastian Way, EG-3004

Office: 706-721-6717

Fax: 706-434-6703

kcurtis@georgiahealth.edu



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