Location: Hartford Hospital
Conklin Building, Suite 401
80 Seymour Street
Hartford, CT 06115
Committee Member: Adrienne Bentman, M.D.
Duration: One Month
Months Offered: All months except August
No. Of Students: Maximum of 1
Prerequisite: Third Year Curriculum
Contact Person: Adrienne Bentman, M.D. at 545-2629; (FAX) 545-4273.
DESCRIPTION OF PROGRAM
Description of Clerkship:
This elective is designed to provide advanced training in the psychiatric care of
seriously ill patients in a large metropolitan general hospital. The elective is a
valuable adjunct to the CORE requirements for those students interested in or curious
about pursuing a career in psychiatry. The rotation is also appropriate for those students
interested in pursuing alternate fields but who desire advanced training in the diagnosis
and management of emotional and behavioral problems in the general medical setting.
Students will learn medical aspects of psychiatry including the diagnosis of
psychiatric and neurologic syndromes, behavioral neurology, psychopharmacology, and how to
contend with difficult patients. Common problems addressed include depression, anxiety,
delirium, dementia, palliation in terminal disease, physical and drug-induced psychiatric
states, functional psychiatric states in the medical setting, competence to engage in
treatment decisions, and refusal of treatment. Patients are seen on all services but most
prominently on the general medical and surgical, oncology, ICU, OB/GYN, organ
transplantation, trauma, and HIV services.
The student is responsible, under the supervision of the consultation/liaison attending
group, for the care of patients referred to the Consultation/Liaison Psychiatry Service at
Hartford Hospital. The responsibilities of the student include the initial psychiatric
diagnostic evaluation, assessment of the needs and interrelationships of members of the
multidisciplinary treatment team, pharmacologic management, individual/family short-term
psychotherapy when indicated, and daily progress notes and communication with members of
the patients treatment team. The student carries 5-10 patients in consultation at
any one time. Night call is not required but remains an elective adjunct to this rotation.
- To learn biological psychiatry in-patients with medical/psychiatric illness.
- To develop a basic knowledge of psychopharmacology in the medical setting.
- To develop a framework for thinking about behavioral neurology.
- To enhance ones capacity to listen to patients.
- To develop a framework for deciphering the complexity of the patient-family-medical team
The student functions as an integral part of the Consultation/Liaison Psychiatry
Service. Teaching is clinically based and didactic in nature. It consists of daily work
rounds and daily educational walk rounds with the attending and other members of the
consultation team. Weekly individual supervision is provided by a senior attending
psychiatrist. As a member of the attending staff, the residencys Associate Training
Director has direct oversight of the students work. More structured educational
experiences include weekly Psychiatry Grand Rounds, twice monthly Consultation/Liaison
Case Conferences, and regular case-based medical/psychiatric literature reviews.
Hartford Hospital is the citys largest general hospital at 450 beds. The patient
population ranges in age from 18 to geriatric and patients hail from a wide range of
socioeconomic, ethnic, and cultural backgrounds. The length of stay on the consultation
service ranges from 1-90 days with an average of 7 days. 1300 consultations are provided
each year to the Hartford Hospital medical population.
Evaluative information is solicited from all attendings on the service. The primary
supervisor provides the student with feedback on their progress at mid-point and with a
final verbal and written evaluation at conclusion of the rotation.
Interested students should contact Adrienne Bentman, M.D. at 545-2629.