Psychiatry/Neurology Clerkship Course Description (PS010, PS011, PS012, PS013, PS015, PS01/ NE 011, NE013, NE015, NE017) This clerkship is an 8-week experience with both clinical psychiatry and neurology. The major components of the clerkship, described below, are: 1) weekly didactic sessions, and 2) ambulatory, inpatient and consultation clinical experiences in both psychiatry and neurology. Didactic Sessions: All clerkship students meet every Monday afternoon at the Semel Institute for lectures and case-based small groups (psychiatry). Lectures will be presented to all of the students on the rotation and will cover basic information about the diagnosis and treatment neurological conditions that commonly present in general medical settings. Students will apply information from the first two years of medical school as well as from the assigned psychiatric textbooks and assigned readings and neurologic texts, Amimoff’s Clinical Neurology and Davis’s Fundamentals of Neurologice Disease and readings. Students will be expected to read in preparation for the didactics and the patient presentations. During their three weeks of neurology experience, all students will convene on Wednesday mornings at CHS to attend neurology grand rounds, followed by interactive teaching from the Neurology Casebook, for which students prepare by reading the cases in advance and developing thoughts about questions asked. Additional casebook teaching takes place through the residents and fellows at the clinical sites. Clinical Experiences: Students will spend five weeks with primary emphasis in psychiatry and three weeks with primary emphasis in neurology. For psychiatry, students will be assigned to one of five clinical sites: RNPH/CHS, West LA VA, Harbor-UCLA, San Fernando Valley (Sepulveda VA/ Olive View), and Cedars-Sinai. Students may be at more than one site during their 8-week clerkship. Students do not take overnight call on the Psychiatry Clerkship. Specific details of call vary by site, but it will generally be once a week, and will involve covering psychiatric patients seen in the Emergency Department from 5 p.m. to 11 p.m. While on the Neurology clerkship, students will be assigned to one of the four clinical sites: CHS (either stroke team or general team) West LA VA, Olive View-UCLA, or Harbor-UCLA for the duration of their three-week clinical experience. Orientation: All students will come together on the first day for an orientation at Semel/CHS. They will review and practice doing a brief psychiatric interview, a mental status exam and a neurological exam in small groups. Students also attend three one-hour lectures on Stroke, Psychopharmacology and Neuroradiology. Evaluation: Students will take two separate written NBME shelf examinations and receive an evaluation of their clinical skills in both psychiatry and neurology. Separate evaluations will be completed by psychiatry and neurology on each student. Students will also be asked to provide feedback about the clerkship, to provide ongoing quality improvement. |
POSSIBLE STUDENT PSYCHIATRY EXPERIENCES |
VA Greater Los Angeles Healthcare System (PS 010)
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Semel Institute/CHS (PS 011)
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Cedars-Sinai Medical Center (PS 012)
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Harbor-UCLA Medical Center (PS 013)
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San Fernando Valley Medical Program (PS 015)
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CRITIRIA FOR LETTERS OF DISTINCTION IN PSYCHIATRY
To obtain a Letter of Distinction in the Psychiatry clerkship a student must:
- Demonstrate to the attending and resident physicians on the clinical units the student’s superlative clinical and interpersonal skills in caring for psychiatric patients and working with the interdisciplinary team. A nomination for a Letter is necessary, but not sufficient, to get a Letter of Distinction.
- Demonstrate an excellent understanding of the basic content material of the clerkship on a written examination. Generally this means scoring at or above the 80th percentile on the shelf examination.
- Have timely completion of all clerkship documentation and written assignments, including PDA logs, interview demonstration sheet and self –assessment study modules/quizzes.
- Be an active and informed participant in small group learning.
CRITERIA FOR LETTERS OF DISTINCTION IN NEUROLOGY
Letters of Distinction in Neurology are awarded at the discretion of the clerkship chair based on their performance. The student must meet the following to be considered for a letter of distinction in Neurology:
- Student must be nominated by a faculty member, on the evaluation form. Faculty are given the following criteria to take into consideration:
- Precise, reliable history taking, with problem-oriented focus.
- Physical examination is complete and accurate.
- Case presentations are polished.
- Differential diagnosis is comprehensive and appropriate.
- Good clinical judgment.
- Effective communication with patients, families and housestaff.
- Overall attitude reflects commitment, trustworthiness and respect.
Remarks on the Medical Student Evaluation forms from evaluators should be outstanding. The evaluations must also demonstrate that the Attending and Resident physicians on the team feel that the student has outstanding clinical and interpersonal skills, as well as applicable fund of knowledge.
The final NBME exam grade must be at or above the 80th percentile of national norms.
They must attend all Monday lecture sections and group discussion sections.
All evaluations and clerkship requirements must be submitted on time.
PSYCHIATRY / NEUROLOGY ORIENTATION |
Psychiatry Clerkship |
Neurology Clerkship |
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Course Chair: |
Patricia Lester, M.D. |
Course Chair: | Barbara Giesser, M.D. |
| Co-Chair: | Timothy Fong, M.D. |
Co-Chair: | Nicholas R. Szumski, M.D. (310) 825-6681 nszumski@mednet.ucla.edu |
Student Coordinator: |
Carla Cronkhite vera |
Coordinator: | Shamar Jones (310) 825-6681 snjones@mednet.ucla.edu |
PSYCHIATRY CLERKSHIP CONTACT INFORMATION
Hospital Site |
Site Director(s) |
Student Coordinator |
West LA Greater VA Medical Center (BVA - PS010) |
Joseph Pierre, M.D. |
Dr. Joseph Pierre |
Center for Health Sciences (CHS - PS011) |
Barry Guze, M.D. |
Carla Cronkhite Vera |
Cedars-Sinai Medical Center (CS - PS012) |
Waguih IsHak, M.D. |
Yvonne Neeley |
Harbor-UCLA Medical Center (HARBOR - PS013) |
Mary Read, M.D. |
Pat Venaglia |
Sepulveda VA Medical Center and Olive View UCLA Medical Center (SVA/ OVHA - PS015) |
Dr. Randy Mervis Dr. Victoria Hendrick |
Dr. Randy Mervis. Dr. Victoria Hendrick |
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NEUROLOGY CLERKSHIP CONTACT INFORMATION
Hospital Site |
Site Director(s) |
Student Coordinator |
Center for Health Sciences (CHS - NE011) |
Barbara Giesser, M.D.
Nicholas R. Szumski, M.D. |
Shamar Jones |
Harbor-UCLA Medical Center (HARBOR- NE013) |
Hugh McIntyre, M.D. |
Olga Alvarez |
West LA Greater VA Medical Center (WVA NE017) |
Antonio Delgado-Esqueta, M.D. |
Lois Bass |
Olive View UCLA Medical Center (OVH – NE015) |
Charles Flippen, M.D. |
Diana Murray |