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Department of Physician Assistant Studies
Learning. Caring. Serving. Leading.
PAS 642 Behavioral Medicine
1.5 Semester Hours
Course Director:
Office
Phone
E-mail
Diane Duffy, MD
Tracey Tonsor, PA-C
FC 205
FC 207
336-278-6848
336-278-6852
[email protected]
[email protected]
Course Description: The Behavioral Medicine rotation is designed to give students practical
experience in the diagnosis and management of psychiatric patients in the clinical setting. Students will
work to hone their ability to recognize psychiatric diagnoses in both the outpatient and inpatient
settings with the goal of applying their knowledge and skills to the many other disciplines of medicine
and clinical practice.
Course Goals:
1. To apply the medical content and principles of behavioral medicine to the care of patients.
2. To provide opportunities for each student to develop the core PA competencies in a supervised
behavioral health setting.
3. To expose each student to an experienced and competent medical provider role model for the
care of psychiatric patients.
Learning Outcomes:
Upon completion of this course the clinical phase PA students will:
1. Obtain and document an appropriate history relevant to the behavioral health, utilizing all
available information sources, e.g. patient, family, community. (MK, IC, PC; B1.02, B1.03, B2.04,
B2.05, B2.06)
2. Perform and document appropriate physical examinations for the behavioral medicine patients.
(MK, PC; B1.03, B2.07, B2.08)
3. List and describe the common diagnoses in behavioral medicine. Demonstrate understanding of
epidemiology, pathophysiology, and management including cognitive therapies/counseling
strategies in addition to pharmacotherapeutics. (MK, IC; B1.03, B1.07, B2.04, B2.05, B2.07,
B2.08, B2.09, B2.10)
4. Interpret diagnostic tests, including screening questionnaires, laboratory results and imaging
studies. (MK; B1.02, B1.03, B1.07, B2.05, B2.07, B2.08)
5. Generate and implement an appropriate management plan, including treatment, follow-up
plans, patient education and counseling. (MK, IC, PC; B1.07, B2.04, B2.05, B2.09)
6. Discuss the appropriate use of medication related to such issues as: dosage, indications,
contraindications, interactions, complications, metabolism, excretion, and mutagenicity. (MK,
PC; B1.03, B1.07)
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7. Properly perform/assist and document any procedures under the supervision of the preceptor.
(IC, PC; B1.02, B1.03, B2.04, B2.05, B2.07)
Teaching Methodologies: The content of this module will be presented through a variety of methods
that include observation and participation at the clinical site, independent reading and participation in
online activities developed to guide experiential learning.
Accommodations: Students requiring academic accommodations must follow the “Academic Support”
policy in the Elon University DPAS Student Handbook.
Academic Honesty: All Elon PA students acknowledged their commitment to abide by the Elon Honor
Code by signing the Honor Pledge during orientation. Students will sign an Honor Pledge (electronically
or manually) each time an assignment is turned in or an examination is started to reaffirm their
complete understanding of the Honor Code of Elon University and their affirmation that their work
abides by that Code. (B1.05)
Required Textbooks:
1. All first year required textbooks
2. Specific additional textbooks and resources to be determined through collaboration between
the student and course directors based on elective discipline.
3. Ebert, Michael, Loosen, Peter, Nurcombe, Barry, Leckman, James. Current Diagnosis &
Treatment Psychiatry (current edition). McGraw-Hill/Lange
Other Resources:
1. *Moodle: Please check the course site frequently for new announcements, updated schedules,
assignments and other course communication.
2. Practicing physician assistants, physicians, allied health care providers and laboratory teaching
aids.
Assessment Activities:
Multiple Choice Behavioral Medicine Exam (25%), Preceptor Evaluation (65%), Professionalism
(10%).
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Grade Scale and Grade Points:
Percentage
89.50-100
85.50-89.49
79.50-85.49
75.50-79.49
69.50-75.49
Below 69.50
There is no rounding of grades.
Letter Grade
A
B+
B
C+
C
U
Grade points
4.0
3.3
3.0
2.3
2.0
0
Note: For further information regarding academic standing in the Department of Physician
Assistant Studies, please see the Student Handbook.
Grading Criteria:
1. Demonstrate acquisition of a strong medical science knowledge base as demonstrated on the End of
Rotation exam.
2. Demonstrate satisfactory self-directed learning skills, clinical reasoning skills, interpersonal
communication, a commitment to patient-centered care, professionalism and practice-based
learning as evidenced by satisfactory performance on the preceptor evaluation.
3. Demonstrate a commitment to learning and professionalism by actively participating in all clinical
activities and exceeding the professional behavior standards and minimum requirements for clinical
rotations available in the Elon PA Student Handbook.
Instructional Objectives:
Behavioral Medicine Objectives:
1. History
a. Elicit a history and medical review of symptoms that may present as psychiatric disease
b. Develop a risk factors profile
c. Develop skills that will enable recognition of normal and deviation from normal
d. Evaluate suicidal risk
2. Perform and interpret the results of a complete mental status examination including:
a. Appearance and behavior
b. Thought process and perceptions
i. Coherency and relevance
ii. Thought content
iii. Perception
c. Cognitive factors
i. Orientation
1. Attention and concentration
2. Memory
3. Information and vocabulary
4. Abstract reasoning
5. Judgment
6. Perception and coordination
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3. Discuss the normative and expected behaviors in children and be able to recognize abnormal
behavior and counsel parents.
4. Describe the features of common mental health problems in adolescence, including school
failure, attention deficit, disordered body image, eating disorders, depression and suicide.
5. Describe an approach to counseling an adolescent regarding sexual activity, substance abuse,
and personal safety.
6. Interview an adolescent patient, using the HEADSS method, to ask sensitive questions about
lifestyle choices that affect health and safety (e.g. sexuality, drug, tobacco and alcohol use) and
give appropriate counseling.
7. Discuss the characteristics of early, mid and late adolescence in the terms of cognitive and
psychosocial development.
8. Describe and discuss the assessment and management of psychiatric emergencies (e.g. suicide,
acute psychosis, drug overdose, violent behavior).
9. Discuss conflicting ethical principles related to the care of the psychiatric/geriatric patient.
10. Discuss the legal process and implications of committing a patient to a psychiatric hospital/longterm care facility.
11. Describe and discuss public health issues related to psychiatry/geriatrics, such as:
a. Epidemiology of mental health problems
b. Mental health problems of the homeless
c. Access to care
d. Rural vs. urban location
e. Cultural influences
f. Socioeconomic environment
g. Risk-taking behaviors (e.g. substance abuse, seatbelt and helmet use)
h. Spouse/child/elder abuse
i. Epidemiology of adolescent suicide
j. Geriatric considerations and aging of the population
12. Discuss the appropriate use of medications in the psychiatric/geriatric patient related to such
issues as dosage, indications, contraindications, interactions, complications, metabolism and
excretion.
13. Describe the following common psychiatric/geriatric problems, including pathophysiology,
diagnosis, treatment and follow-up:
TOPIC LIST
Mood Disorders
Schizophrenia and
Substance Abuse Related
Major depressive disorder
Psychotic Disorders
Disorders
Bipolar disorder
Schizophrenia
Alcohol Abuse/dependence
Cyclothymia/dysthymia
Delusional disorder
Drug abuse/dependence
Adjustment disorder
Schizoaffective disorder
Tobacco Abuse/Dependence
Anxiety Disorders
Schizophreniform disorder
Attention Deficit Disorder and
Generalized anxiety disorder
Paraphilias and Sexual Dysfunction
Disruptive Behavior
Panic disorder
Hypoactive sexual desire disorder
Disorders
Post-traumatic stress
Sexual aversion disorder
Attention deficit hyperactivity
Disorder
Exhibitionism
Disorder
Phobic disorders
Fetishism
Conduct disorder
Personality Disorders
Pedophilia
Oppositional defiant disorder
Antisocial
Sexual masochism
Somatoform/Fictitious
Avoidant
Voyeurism
Disorders
Borderline
Eating Disorders
Somatization disorder
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Dependent
Histrionic/Narcissistic
Obsessive compulsive
Paranoid
Schizoid
Anorexia nervosa
Bulimia nervosa
Hypochondriasis
Body dysmorphic disorder
Factitious disorder
Malingering
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