Location: Inpatient medical and
Outpatient general care clinics
Psychiatric emergency room
Committee Members: Henry Weisman, M.D.
Director, Consultation-Liaison Psychiatry
and Psychiatric Emergency Service
Richard Kaplan, Ph.D.
Mary Casey Jacob, Ph.D.
Mark Litt, Ph.D.
Pamela Skerker, APRN
Mary Anne Zeh, APRN
Duration: One Month
Months Offered: All months
No. Of Students: 1 or 2
Prerequisite: Third Year Curriculum
Contact Person: Henry Weisman, M.D. at 679-4661; (FAX) 679-4077.
DESCRIPTION OF PROGRAM
Description of Clerkship:
This elective focuses on the interface between mental health and the other areas of
medical practice. Using inpatient, outpatient and crisis intervention models, students
will learn medical aspects of psychiatry, including diagnosis of neuropsychiatric and
medical-psychiatric syndromes, behavioral neurology, principles of behavioral medicine,
and psychopharmacology in the medical-surgical and primary care settings. Students will
also develop expertise in working with the patient-caregiver interaction, decisional
capacity determination and clinical applied ethics. They will learn brief
psychotherapeutic interventions using cognitive-behavioral and crisis intervention models.
Diagnostic groups include cognitive disorders (including delirium, dementia and focal
neuropsychiatric syndromes) mood disorders in the medical setting, substance abuse,
intoxication and withdrawal, adjustment disorders, somatoform disorders, and the interface
of personality disorders and medical care. Specialty areas include general internal
medicine, intensive care, geriatrics, obstetrics and gynecology, oncology, bone-marrow
transplant, cardio-pulmonary medicine and dermatology, surgery and orthopedics.
Students will acquire diagnostic skills in medical-psychiatric illness.
Students will develop knowledge in psychopharmacology inpatients with comorbid medical
Students will acquire exposure to the psychiatric manifestation of neurologic illness.
Students will develop expertise in understanding the culture and functions of hospital
and primary care settings.
The student has an active role in seeing patients, obtaining histories, performing
diagnostic interviews and in developing treatment and disposition plans. Students will
attend rounds, participate in didactic experiences, seminars and tutorials and will
present their patients to Dr. Weisman in daily rounds. Students will also do intakes and
will follow a limited number of patients in the medical-psychiatric outpatient program.
Teaching is clinical and didactic. Clinical teaching consists of teaching rounds with
the attending on a biweekly basis, weekly oncology-psychiatric rounds and Emergency Room
rounds. Didactic teaching includes psychiatry grand rounds, neuropsych conferences, case
presentations to attending and APRN staff as well as tutorials and supervised readings.