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DEPARTMENT OF BEHAVIORAL HEALTH
PSYCHIATRY ADULT SPECIALTY SERVICES
PSYCHIATRY EMERGENCY AND CONSULTATION SERVICE CLERKSHIP

MAXIMUM NUMBER OF STUDENTS ROTATING ON SERVICE AT ONCE.  Two (2).

LENGTH OF ROTATIONS.  Four (4) to six (6) weeks.

WILL TAKE STUDENTS FOR TWO WEEKS ONLY?  No.

LEVEL OF STUDENTS ACCEPTED  Fourth year.

TIME OF YEAR OFFERRED.  Flexible start dates throughout the year.

PRIOR APPROVAL (FROM DEPARTMENT REQUIRED) AND ELIGIBILITY.

  • Yes.
  • Offered primarily to medical students with an Army obligation (HPSP and USUHS) and University of Hawaii medical students.
  • Not offered to civilian students.
  • HPSP students will apply for a clerkship utilizing the form entitled “Request for Approval of Clinical Clerkship Training.”
  • USUHS fourth year students will apply using USUHS Form No. 1304 for clerkship request.
  • The TAMC Student Coordinator will obtain permission from the appropriate rotation official upon receipt of the application and will then inform the student of approval/disapproval via e-mail.

OBJECTIVES/DESCRIPTION OF CLERKSHIP.

  • The Psychiatric Emergency & Consultation Service (PECS) is a combined emergency psychiatry and consultation-liaison psychiatry service.
    • PECS provides emergent psychiatric evaluations to patients identified in the ED or in the clinics when safety and space permits.
    • PECS also provides routine and emergent psychiatric evaluations on the medical and surgical inpatient wards.
  • Develop basic skills including interviewing, data collection, and communication of relevant patient information in a variety of settings.
  • Become familiar with a wide range of neuropsychiatric presentations in medical and surgical patients and in patients presenting in acute crises.
  • Become familiar with the role of psychiatric, psychological, and behavioral factors in the pathogenesis of psychiatric and medical disorders.
  • Become familiar with appropriate approaches to the execution of a psychiatric consultation, with emphasis on assessment techniques, the nature of communication with the consultee, and the responsibilities and limitations of the consultant role.

FREQUENCY OF CALL.

  • Each student will take 4:00 P.M. - 9:00 P.M. short call with a resident once each week.
  • Weekends will be free of obligation.

REQUIRED READINGS.  There will be selected readings from textbooks and journals based on identified patient problems seen on the ward.

OTHER REQUIREMENTS.

  • Each student is expected to attend all Consultation Psychiatry conferences, to include morning report, noon lectures, after-clinic rounds, and Journal Club.
  • The student will give one 20-minute presentation on a selected topic.

HOW ARE STUDENTS EVALUATED?

  • The student's evaluation will be based on performance on both emergency and general adult inpatient experiences.
  • This evaluation will reflect not only his/her fund of knowledge, ability to gather and synthesize information, but also his/her motivation, work habits, and interpersonal skills.

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