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DEPARTMENT OF BEHAVIORAL HEALTH
PSYCHIATRY ADULT SPECIALTY SERVICES
CHILD AND ADOLESCENT PSYCHIATRY CLERKSHIP

MAXIMUM NUMBER OF STUDENTS ROTATING ON SERVICE AT ONCE.  Three (3).

LENGTH OF ROTATIONS.  Four (4) weeks.

WILL TAKE STUDENTS FOR TWO WEEKS ONLY?  Yes, as long as they are rotating on other services in psychiatry or family medicine for two additional weeks.

LEVEL OF STUDENTS ACCEPTED  Last half of third year (documentation of core rotation completion is psychiatry is required) and 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.)
  • Students from other uniformed services and civilian students from mainland schools are welcome on a space-available basis from November to May (excluding December).
  • All students (except USUHS and University of Hawai'i) 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.

  • Outpatient clinic offering services to all children from infancy to late adolescence.
  • Services include: acute and routine psychiatric assessment, child study group assessment (multidisciplinary assessment for child <5 years), individual, family and group psychotherapy and psychopharmacology.
  • Multidisciplinary team includes psychologist, social workers and psychiatrists.
  • Objectives include the following:
    • Develop a fund of knowledge that will provide students with the tools necessary to detect and manage common childhood disorders.
    • Mastery of broad areas of skills include interviewing techniques, history-taking and mental status examination of psychiatric symptoms and signs; development of psychiatric differential diagnoses and a biopsychosocial formulation of childs’ psychiatric illness; and formulation of psychiatric treatment options, including pharmacotherapy and psychotherapy.
    • The fund of knowledge students must acquire includes the epidemiology, phenomenology, pathophysiology, treatment, and course of psychiatric disorders.

FREQUENCY OF CALL.

  • Student will be on call with the chief fellow during duty hours for emergency evaluations.
  • Overnight call may be pursued by the student, but is not required.
  • Weekends will generally be free of obligation.

REQUIRED READINGS.

  • Each student will participate in introductory seminars and will be responsible for all readings associated with these.
  • Additional readings have been selected and will be reviewed and discussed with a faculty member.

OTHER REQUIREMENTS.

  • Each student will be observed by a staff member or fellow conducting an evaluation of a child or adolescent.
  • Each student will complete one write-up per week of an evaluation (or follow-up session) that they have observed or conducted.
  • Each student will present on a topic of interest at morning report in the final week of the rotation. The Academic Chief Fellow will help the student in the preparation of this presentation.

HOW ARE STUDENTS EVALUATED?

  • The student's evaluation will be based on performance on both inpatient and outpatient 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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