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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