Download UMCNO Psychiatry

Psychiatry Rotation
Purpose: The Psychiatry rotation serves to expose Neurology residents to patients with
mental illness. During the rotation, residents may also be exposed to patients with
behavioral and cognitive changes as a result of neurologic, degenerative, substance use or
systemic disorders. This is a required rotation for successful completion of the residency,
as defined by the Accreditation Council for Graduate Medical Education program
requirements for graduate medical education in Neurology.
Goals:
1. Take a thorough psychiatric history and perform a mental status examination.
Objectives:
By the end of the rotation, the resident will be able to:
a. Obtain and document a complete psychiatric history and examination. (PC)
b. Efficiently present the history and examination to another provider. (IC)
2. Have an understanding of the classification and diagnosis of psychiatric disorders.
Objectives:
By the end of the rotation, the resident will be able to:
a. List common psychiatric disorders and their Diagnostics and Statistics Manual,
version 5 (DSM-5), diagnostic criteria. Examples of these disorders include, but
are not limited to, Major Depressive Disorder, Generalized Anxiety Disorder, and
Schizophrenia. (MK)
b. Formulate a bio-psycho-social assessment for diagnosis. (PC)
3. Recognize psychiatric symptoms in a general medical setting and understand the
differential diagnosis.
Objectives:
By the end of the rotation, the resident will be able to:
a. Explain the differential diagnosis for common psychiatric symptoms in patients
encountered on a medical/surgical ward. (MK)
b. Formulate a rational work-up for common psychiatric symptoms, including, but
not limited to, delirium, depressed mood, and psychosis. (PC)
c. Identify common withdrawal and toxic syndromes. (MK)
d. Explain the impact of psychiatric symptoms on acute and chronic general medical
issues. (SBP)
4. Develop a rational treatment plan for common psychiatric disorders, incorporating both
psychopharmacology and basic psychotherapeutic principles.
Objectives:
By the end of the rotation, the resident will be able to:
1. Identify prototypical medications in each category (e.g. Selective Serotonin
Reuptake Inhibitors, mood stabilizers, atypical antipsychotics, etc.). (MK)
2. Explain the areas of current or potential psychological resistance, barriers,
protective or risk factors, family dynamics, or other issue that may affect
treatment. (SBP)
3. Explain the basic principles of cognitive-behavioral, psychodynamic, and
supportive psychotherapy. (MK)
4. Formulate a rational treatment plan, incorporating considerations of both medical
and psychotherapeutic interventions, based on the patient’s diagnosis. (PBL)
5. Effectively communicate information regarding community support groups and
resources to patients and families. (IC)
Expectations:
1. The resident will contact Dr. Erich Conrad for instructions on time and location to
start the rotation. (P)
2. The resident will arrive in a timely manner and treat staff, patients, and family
members with respect. (P)
3. The resident will maintain his/her ½ day continuity clinic, as well as afterhours
call responsibilities while on the Psychiatry rotation. (PC)
4. The resident will attend Neurology Professors Rounds from 1-2, but will attend
Psychiatry lectures for the remainder of Thursday afternoons. (P)
5. All leave requests must be approved by Dr. Conrad.
Evaluations: Dr. Conrad or the appropriate supervising attending will complete a
summative evaluation of the resident through New Innovations.
Updated 3-24-2015