Elective Opportunities

2024-2025 Academic Year: On Hold

This one month AI will be an experience in acute adult psychiatry with exposure to a broad range of psychopathology and treatment modalities. It is defined as an intensive inpatient multidisciplinary team-based activity. OBJECTIVES: 1) To function in the capacity of an intern under the direct supervision of the attending psychiatrist. 2) To formulate appropriate diagnoses and treatment plans. 3) To learn the management of acute psychiatric emergencies, acquire knowledge of the use of psychotropic medications, and monitor the effectiveness of medications and other treatment modalities. The student will have an opportunity to participate in daily teaching rounds, multidisciplinary treatment team meetings, didactics, journal club, probate court proceedings, family meetings, and psychiatric grand rounds. The student will be required to do two weekday evenings of call (5p-11p) during the rotation. PREREQUISITE: Completion of Core Clerkship in Psychiatry is mandatory. IMPORTANT: - This A.I. is only available to students in an LCME accredited program. - No visiting students in Block 1 (July). - Students must have their own transportation. - Visiting students will need to arrange housing closer to the rotation site. - Visiting students are required to complete UHCare training and GME orientation prior to starting rotation. - Students should dress in business casual attire and wear a white coat, if available.

This one month AI will be an experience in acute adult psychiatry with exposure to a broad range of psychopathology and treatment modalities. It is defined as an intensive inpatient multidisciplinary team-based activity. OBJECTIVES: 1) To acquire skill in the evaluation and management of psychiatric disorders and psychological distress in patients on medical and surgical services, 2) To acquire skill in providing consultation regarding such patients to non-psychiatric physicians and other members of the care-providing team, 3) To become adept at evaluating patients' decision-making capacity. The student will participate in daily teaching rounds, and will take part in all clinical and didactic activities. The student will have an opportunity to attend psychiatric grand rounds. DUTIES: The student will perform supervised psychiatric consultations of medical and surgical patients, with increasing independence over time. The student will provide follow-up visits as needed. The student will be an integral member of the multidisciplinary team, and will work closely with the attending psychiatrist, residents and nursing staff, and other medical students. PREREQUISITE: Completion of Core Clerkship in Psychiatry is mandatory. IMPORTANT: - This elective is only available to students in an LCME accredited program. - No visiting students in Block 1 (July). - Two-week option available if approved by attending. - Students must be available five days a week. - Visiting students are required to complete UHCare training and GME orientation prior to starting rotation. - Students report at 8:00 a.m. to the Consultation Liaison Service on the main campus of University Hospitals Case Medical Center, located in Lakeside, Room 8110 on the 8th Floor. - Students should dress in business casual attire and wear a white coat, if available. - Parking for visiting students can be arranged during GME orientation.

The student will work up some inpatients on the forensic unit of North Coast Behavior Healthcare System and prepare some written reports for the court. There is no night call. OBJECTIVES: To provide a clinical experience in forensic psychiatry, thereby increasing the students' skills, knowledge, and comfort in the interface between psychiatry and the law. IMPORTANT: - This elective is only available to students in an LCME accredited program. - Student must be available five days a week. - Completion of Core Clerkship in Psychiatric is mandatory. - No visiting students Block 1 (July). - Visiting students are required to complete UHCare training and GME orientation. - Limited to those students committed to entering a Psychiatry Residency. - Documented interest in forensic psychiatry is mandatory. - Students should dress in business casual attire and wear a white coat, if available. - Students must have their own transportation.

This one month AI will be an experience in acute child and adolescent psychiatry with exposure to a broad range of psychopathology and treatment modalities. It is defined as an intensive inpatient multidisciplinary team-based activity. Objectives: 1) To function in the capacity of an intern under the direct supervision of the attending psychiatrist. 2) To formulate appropriate diagnoses and treatment plans. 3) To learn the management of acute psychiatric emergencies, acquire knowledge of the use of psychotropic medications, and have an opportunity to participate in daily teaching rounds, multidisciplinary treatment team meetings, didactics, journal club, family meetings and phone calls, and psychiatric grand rounds. The student will be NOT be required to do evening calls, but WILL be required to do a total of 2 weekend days per month (one day per weekend for two separate weekends), at which time they will be assisting the weekend attending and child fellows.\ Prerequisite: Completion of core clerkship in psychiatry is mandatory. Previous experience in child psychiatry is also encouraged. No AI experiences will be scheduled for Block 1 (July). Rotation site: 11100 Euclid Ave. 3rd floor of Rainbow Babies and Children: Child and Adolescent Psych Unit (CAPU) Students must have their own transport and/or parking.

This 2- or 4-week elective will be an experience in acute child and adolescent psychiatry with exposure to a broad range of psychopathology and treatment modalities. This experience is an intensive inpatient multidisciplinary team-based activity and the student will be an integral member of the multidisciplinary team, and will work closely with the attending psychiatrist and child and adolescent fellows. The student will take part in all clinical and didactic activities and will have the opportunity to attend psychiatric grand rounds. The student will perform supervised psychiatric consultations of medical and emergency room patient's with increasing independence over the course of the elective. Goals and Objectives: 1. To gain experience in the psychiatric interview for children and adolescents on medical floors and in the pediatric emergency room. 2. To understand the interplay between medical and psychiatric illness in children and adolescents. 3. To be a part of the child and adolescent psychiatric consultation liaison team and gain experience in making management and treatment decisions. Objectives: 1. To acquire skill in the evaluation and management of psychiatric disorders and psychological distress in children and adolescents on medical services and in the emergency room. 2. To acquire skill in providing consultation regarding such patients to non-psychiatric physicians and other members of the care-providing team. One student per block. No students in Block 1 (July).

Students will spend W/R/F in outpatient psycho-oncology clinic at main campus. M/T will be flexible time spent with inpatient psychiatry team for consults to the oncology services, as well as other services involved in supportive oncology (art/music therapies, spiritual care). Students will also have time for independent study to present a topic of their choice in psycho-oncology by the end of the elective.

Objectives: 1) Identify and assess psychiatric symptoms in the context of oncological illness (i.e. inclusive vs. exclusive criteria for depression in the medical ill). 2) Identify first line psychopharmacology to manage common diagnoses in psycho-oncology as well as potential contraindications to medications based on oncology care 3) Understand the general principles of psychotherapeutic interventions in this patient population.

2022 – 2023 Academic Year: Suspended until block 8 (01.09.2023)

The intellectual and developmental disabilities (IDD) clinic within the division of adult psychiatry at UHCMC treats adults with co-existing IDD and psychiatric/behavioral issues. Students will have the opportunity to observe and participate in assessment and treatment planning. Commonly encountered conditions in the clinic include autism spectrum disorder, cerebral palsy, Fragile X, Down syndrome, 22q11 deletion syndrome, FASD, Cornelia DeLange, and Prader-Willi. Students will have the opportunity to participate in a multidisciplinary treatment setting. Students will also have the opportunity to evaluate patients in a residential treatment facility for adults with IDD. Students will have the opportunity to participate in ongoing research or scholarly activities. Goals: This course will provide the student with an opportunity to expand her or his clinical knowledge and patient care skills through an in-depth clinical experience focused on psychiatric disorders in adults with intellectual and developmental disabilities. The course promotes enhancement of general interviewing skills through interactions with individuals who have IDD and/or communication impairments, and through interviews with families and caregivers. The course will also educate students regarding the epidemiology, phenomenology, psychosocial aspects, and treatments of such disorders and individuals. Learning Objectives: 1: The student will generate appropriate differential diagnoses based on patient assessment. 2: The student will describe relevant findings on the Mental Status Exam. 3: The student will discuss information about treatment plans with family and/or caregivers when appropriate. 4: The student will understand pharmacological and non-pharmacological treatment options. Prerequisites: Students in AOA and LCME accredited programs only.

Student will attend virtual IOP group sessions (via zoom), where groups of up to 12 patients will discuss the elements of psychiatric symptom presentation and will learn management thereof. Students will also observe individual patient intake sessions, will observe group sessions and 1:1 medication management appointments, will attend team meetings, and will be expected to discuss treatment with faculty preceptor and partner clinical leaders. Clinical learning objectives: 1. Identify patients for whom intensive outpatient program would be beneficial. 2. Describe treatment modalities utilized during intensive outpatient program participation. 3. Demonstrate increasing facility with ambulatory treatment planning, including psychotherapy, medication management, and risk assessments. Prerequisites: Completion of Obstetrics/Gynecology and Psychiatry Clerkships.