Overview

Psychiatry Clerkship Course Description 

Overview

Welcome to the Psychiatry Clerkship! We are confident that, as a result of your completing the clerkship, you will be a better physician in a number of ways. Not only will your interviewing and history taking skills improve, but your understanding of the "whole patient" will be enhanced as well.  Take some time to review the Learning Objectives Section, which outlines what you will learn during the clerkship.  The goal of the Psychiatry Clerkship is to provide students with the clinical experiences that will enable them to develop the knowledge base and clinical skills required for the appreciation, identification and management of patients suffering from psychiatric disorders encountered in general medical practice.  The clerkship’s six-week clinical experience offers students opportunities to see a broad variety of patients in inpatient, outpatient and emergency/crisis settings.  Psychiatry faculty and residents supervise students in the evaluation and management of patients--ranging in age from preschool to geriatric--who suffer a broad spectrum of psychiatric and medical disorders. Students also study the full range of treatments utilized in psychiatry, including psychotherapy, psychotropic medications, electroconvulsive therapy, and all aspects of care. Students will typically have a clinical “home base” on an inpatient or hospital consultation service where they work as part of a treatment team.  The inpatient experience is augmented by work in outpatient continuity clinic assignments and emergency services.   All students participate in the psychiatry seminar series coordinated at the UNC site (students at other sites participate via live videoconference).  The seminar series addresses a wide variety of topics in adult and child psychiatry with an emphasis on the information which is most pertinent to non-psychiatric physicians. Further instruction such as clinical case conferences and observed psychiatric interviews are arranged at each individual site.  The goals of these educational activities are to help students to hone their interviewing and presentation skills and master a working knowledge of the diagnosis and effective treatment of major psychiatric disorders.

The Department of Psychiatry offers clerkships during all of the eight six-week blocks of the academic year.*

The Psychiatry Clerkship is offered at four clinical sites: UNC Hospitals in Chapel Hill, Carolinas Medical Center in Charlotte, Central Regional Hospital in Butner, and UNC-WakeBrook in Raleigh.

  • UNC Hospitals: 12-14 students
  • Central Regional Hospital (Butner): 2-3 students
  • Carolinas Medical Center (Charlotte): 2-4 students
  • UNC-WakeBrook (Raleigh): 2 students

* Students should consult the official Third Year Calendar for dates of "Free Weeks" and official holidays.

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1. UNC Hospitals

At UNC Hospitals, students are assigned to two of seven clinical services which include its six inpatient units and the consult/liaison service. They spend the first three weeks on one service, and the second three weeks on a different service.  On these services students  work with assigned patients who vary in age from childhood to late life and who suffer from a wide range of psychiatric illnesses, including psychotic disorders, mood and anxiety disorders, cognitive impairments, eating disorders, and more. Students participate in all clinical activities related to the evaluation and treatment of their patients, including interviews with families, participation in treatment and planning conferences, and documenting the care of their patients. In addition, students gain clinical experience in continuity outpatient services which they attend weekly throughout the entire rotation. Students also participate in the evaluation of patients with acute psychiatric illnesses in the walk-in clinic and the emergency department. The program supplements the supervised clinical work with seminars and case conferences which expose students to various aspects of psychiatry from a developmental perspective. In addition to supervision provided by attending psychiatrists on the services, each student is paired with an upper-level resident tutor who provides individualized supervised instruction in patient assessment through observed clinical interviews, clinical reasoning, treatment planning and oral presentation skills.

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2. Carolinas Medical Center (Charlotte)

Carolinas Medical Center (CMC) is a community-based mental health system which serves a wide range of patients from childhood though late-life. The CMC experience offers students active involvement in its variety of outpatient clinic settings as well as in the initial assessment and treatment of patients in crisis in its very busy Psychiatric Emergency Room. Complementing the outpatient experience are responsibilities on either the adult or adolescent inpatient units where students make important contributions to the care of selected severely ill patients. The Carolinas Medical Center clerkship also provides an introduction to community-based care. Students may visit sites throughout the community where psychiatric medical services are provided--jails, homeless shelters, substance abuse treatment facilities, nursing homes, group homes, etc.  Attending psychiatric physicians work closely with students--as clinical supervisors, as individual preceptors and in small group seminars--helping students to hone their interviewing and presentation skills and master a working knowledge of the diagnosis and effective treatment of major psychiatric disorders. Students assigned to CMC also participate in the core seminar series via teleconference.

Housing for the Carolinas Medical Center rotation is available through the Charlotte AHEC.  Students may view the apartment units and amenities at www.eastoverridge.com. Charlotte AHEC housing is arranged by advance application on a first-come, first-serve basis through AHEC on line (see Off-Campus/AHEC information).

Students may also elect to stay with family or friends or otherwise provide their own housing.

Students assigned to CMC will be notified of this to ensure that students who will need AHEC housing can submit reservations and the required deposit as soon as possible.

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3. Central Regional Hospital (Butner)

At the new Central Regional Hospital clerkship site, students gain a longitudinal inpatient experience supplemented by “on-call” emergency experiences and off-site outpatient experiences in community settings and at UNC Hospitals. Students are typically assigned to one of three units on the Adult Admissions Service.  Students are involved in all aspects of patient care including diagnosis, treatment planning, treatment, follow-up, and discharge planning. They work under the direct supervision of an attending physician who closely monitors their work. Every attempt is made to assign students to patients with differing diagnoses, thereby ensuring exposure to patients suffering from a wide range of psychopathology. Students get a great deal of practice in assessment skills in their on-call experiences, where they participate in the evaluation of patients referred for admission. Throughout the rotation students meet with their supervisor weekly in a formal session to present their patients, discuss treatment and management problems, or any theoretical issues. In addition, the student and supervisor often meet on an informal basis through the week as needed. Chief residents are also involved in teaching and students clinical skill development, including direct observation of students. Students are also given the opportunity to spend time with psychiatrists in various clinical sites in the hospital such as geropsychiatry, long-term psychiatric treatment, child/adolescent psychiatry and forensic psychiatry. As noted, weekly outpatient continuity clinic experience in the community and  at UNC augment the clinical experience. CRH students generally spend Tuesdays at UNC clinics.  Students assigned to Central Regional  Hospital at Butner also participate in the core seminar series via teleconference.

Students provide their own transportation. Butner is located approximately 45 minutes from Chapel Hill and is convenient for students residing in the Raleigh and Durham areas.  There is no AHEC housing available.  Ample free parking is available for students.


4. UNC-WakeBrook

UNC-WakeBrook is located near WakeMed and is a UNC program designed to provide a full spectrum of mental health care to patients in Wake County.  WakeBrook is comprised of four distinct units and one clinic. The inpatient unit (IPU), facility-based crisis unit (FBC), and alcohol and drug detox (ADD) center, each have 16 beds, and the crisis and assessment services (CAS) unit has capacity for 10 patients. The primary care clinic is operated by the UNC Department of Family Medicine and primarily serves patients with severe mental illness who are part of the UNC Assertive Community Treatment Team (ACTT) or the UNC Wake STEP clinic. WakeBrook is also a site for the UNC Horizons program, which provides medication management and intensive substance abuse outpatient treatment for women. The Wake Behavioral Child Psychiatry Clinic is nearby and another training site for students. WakeBrook has its own Crisis and Assessment Service where students will take call.  MS3s will primary work on the IPU and FBC in two 3-week blocks. Opportunities will be available to spend time on the other units, clinics, and programs depending on students’ interests and scheduling. 

Students assigned to UNC-WakeBrook are expected to obtain their own housing and transportation given its proximity to Chapel Hill (similar to the WakeMed site for other clerkships).



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NBME Psychiatry Subtest

The Psychiatry Clerkship requires students to take and pass the NBME Psychiatry Subtest. The exam is administered to all clerkship students in Chapel Hill on the last day of the 6- week block. Charlotte students have the option of taking their exam in Charlotte or Chapel Hill.  The exam is 1:00 - 4:00 PM in 401 Berryhill.  Students are required to bring their personal laptops to this on-line exam.

Please do not make travel plans, purchase airline tickets, etc., which conflict with the administration of the NBME on the last day of the rotation.

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Need More Information?

Please feel free to call or e-mail with any questions you may have about sites and/or clerkship options.

Erin Malloy, MD

Clerkship Director

Director of Medical Student Education

Office: (919) 445-0245

erin_malloy@med.unc.edu

 

Myra Daniel

Psychiatry Clerkship Coordinator

Psychiatry Education Office: (919) 445-0225

mdaniel@med.unc.edu

Ms. Daniel’s usual office days are Mondays, Tuesdays and Wednesdays.

 

Ms. Kimberly Infante

Associate Psychiatry Clerkship Coordinator

Office: (919) 966-0012

kimberly_infante@med.unc.edu

Ms. Infante is in the office on Mondays, Tuesdays, Wednesdays and Fridays as a back-up for Ms. Daniel.

 

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Clerkship Preference Forms

Once you have finalized your clerkship dates, please complete Psychiatry portion of the Preference Form provided by the SOM in one45.  Preference forms will be distributed to the clerkship coordinators through the one45 system.   Please complete ALL information requested in order that we may better select your sites and service assignments.

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FAQ’s

How can I request a specific site/service?

Be sure to rank your choices for clinical sites. We try our best but cannot guarantee that all students will get their first choice.  You may want to complete the box for specific UNC assignments even if UNC is not your top choice. Students who do not express a preference or return the preference form will be randomly assigned to a site.

I have an extenuating circumstance and need a specific site. What do I do?

We do consider extenuating circumstances, special needs and requests for placements. There is a space for including this information on the preference form. This information will be considered confidential.

When do I find out my clerkship site?

The short answer: check the one45 website and watch your email.

Students assigned to Carolinas Medical Center (CMC) in Charlotte for psychiatry during any block will be notified by e-mail not later than May 15th.  CMC assignments will also be available on one45.  Don’t forget to submit your AHEC housing reservation form ASAP after you are assigned to CMC.

Assignments to UNC Hospitals and Central Regional Hospital will show up in one45 as UNC TBA or CRH TBA, giving you your site but not a specific service assignment.  Specific ward/service assignments at UNC, Central and CMC will be made just before students begin their block.

General assignments for Block 1 should be available by May 15th .

After June 1st, students should be able to view their tentative site assignments on the one45 web site. If you are unable to locate your assignment on one45, contact Ms. Myra Daniel by e-mail (mdaniel@med.unc.edu).

Final assignments (other than CMC) and orientation information will be sent by e-mail not later than 3 weeks prior to the beginning of your clerkship block.

We look forward to working with you in the Psychiatry Clerkship. Please let us know if we can be of any assistance.

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