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Psychiatry and Behavioral Sciences Clerkship Listing*

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PSYC 300A. Psychiatry Core Clerkship (SUMC, PAVAMC)     Closed to Visitors
The clerkship is designed to solidify the knowledge of psychiatry students have acquired in the Practice of Medicine courses, as students gain practical skills in the application of this knowledge to clinical situations. The focus is on interviewing skills, psychiatric evaluations, on refining diagnostic skills, and offers an overview of psychosocial and biological treatment modalities for the major psychiatric disorders. The clerkship consists of clinical work on inpatient units under the supervision of academic and clinical faculty, a weekly lecture series by academic faculty, interviewing seminars taught by voluntary clinical faculty, and attendance at Grand Rounds. Students are assigned to patient care settings at one of the six affiliated sites: a comprehensive medical psychiatry unit (G2), an inpatient general psychiatry ward (H2), a geriatric psychiatry unit, the consult-liaison service at Stanford Hospital, an inpatient research psychiatric ward specializing in the study of schizophrenia or an acute locked psychiatric ward at the PAVA. In addition, students participate in the specialty outpatient clinics at Stanford including OCD, Child, bipolar, geriatric and general psychopharmacology clinics. Students are given the opportunity to express their preferences regarding assignment. The final rotation assignment is determined by the department based on availability of sites. Students are informed about the specific clerkship requirements at the orientation offered at the start of each clerkship period. They receive a course syllabus, several study guide books and a psychopharmacology textbook. Students are encouraged to visit the Psychiatry clerkship site on Coursework which contains all information, the syllabus and teaching materials. Students are expected to complete five cases on the CaseTool site and to record cases seen by diagnostic category. Requirements include mandatory attendance at seminars, weekly inpatient case history presentations and Emergency room experiences with residents/attending psychiatrists. The NBME Subject Exam in Psychiatry is a required component of the clerkship.
Prereq: INDE 205.
Periods Avail: 1-12, full-time for four weeks. 10 students per period (minimum of 3 students per period).
Reporting Instructions: Where: 401 Quarry Rd., 2nd Floor, Room 2213; Time: 8:00 am.
Units: 6     DropCode:     Call Code: 2, call once per week for the first 3 weeks or 3 nights total during 4 week clerkship period.
Director: Charles DeBattista, M.D. (650-723-8324).
Other Faculty: Staff
Coord: Quynh Dang (650-725-2769), 401 Quarry Rd, Rm. 2204.

PSYC 308E. Trauma Psychiatry (MPVAMC)   S1   Open to Visitors
The Trauma Psychiatry clerkship teaches how trauma impacts the lives and health of patients; lessons learned are generalizable to all areas of medicine (i.e., "trauma-informed medicine”). Students work with people suffering from PTSD relating to sexual assault, combat or other traumas who are receiving ambulatory-type treatments in an intensive, multidisciplinary setting. Students will have direct patient responsibility, provide evidence-based psychopharmacologic and psychotherapeutic care and longitudinal management, and facilitate recovery. Students will gain perspective on trauma in our world and the importance of sensitive and effective treatment for this all too common condition (7.8% lifetime prevalence). Please note: Visiting students must obtain approval from Ms. Quynh Dang prior to applying for this clerkship. Please email requests to qdang@stanford.edu.
Prereq: None
Periods Avail: 1-12, full-time for four weeks. 1 student per period.
Reporting Instructions: Where: Trauma Recovery Program, Menlo Park VA, Building 351; Time: 8:30 a.m.
Units: 6     DropCode:     Call Code: 0
Director: Tasha Souter, M.D.
Other Faculty: staff
Coord: Quynh Dang (650-725-2769), 401 Quarry Rd, Rm. 2204.

PSYC 326A. Child Psychiatry Clerkship (LPCH)     Open to Visitors
Exposes the student to advanced principles and concepts of child psychiatry. The student is based primarily on the inpatient pediatric psychiatry consultation-liaison service at Lucile Packard Children's Hospital at Stanford (LPCH). Clinical experience will involve consultation and the treatment of psychological issues in children with medical illness. Examples include depression and anxiety in the medically-ill child, pediatric conversion disorders, somatoform disorders and medically-related posttraumatic stress disorder. Students will develop skills in interviewing children and parents, learn team treatment skills for children with psychosomatic and psychiatric illnesses, observe family therapy, and produce case work-ups of children with a range of behavioral disorders. Students may have the option of spending one day/week in the Stanford child psychiatry outpatient clinic observing new evaluations in subspecialty clinics (anxiety disorders, mood disorders, attention deficit-hyperactivity disorder, neuropsychiatry/pervasive developmental disorders, pediatric pain). Students may also observe evaluations on the inpatient adolescent eating disorder program. A case presentation is required at the end of the clerkship. Students are supervised by the consult service attending psychiatrist, and the child psychiatry fellows.
Prereq: Psychiatry 300A.
Periods Avail: 1-12, full-time for four weeks. 2 students per period.
Reporting Instructions: Where: Psych Therapy room on Unit 380 at LPCH; Time: 9:00 am. Students should obtain LPCH EPIC access and an LPCH dictation number prior to starting the clerkship.
Units: 6     DropCode:     Call Code: 0
Director: Richard Shaw, M.D.
Other Faculty: M. Brown, J. Crawford, M. Goldsmith, L. Schneider, R. Shaw.
Coord: Quynh Dang (650-725-2769), 401 Quarry Rd, Rm. 2204.

PSYC 328B. Addiction Treatment Services (PAVAMC)   S1   Open to Visitors
In this rotation, medical students observe and participate in a 28-day residential addiction treatment program located at the VA Palo Alto. A typical day includes an admission, which is a typical psychiatric work-up with an additional emphasis on substance abuse assessment; group therapy meetings throughout the day utilizing various psychotherapeutic modalities; a multidisciplinary staff meeting focused on individualized care and management approaches; and a community meeting, in which milieu events are processed. The overall goal is to become familiar with general psychiatry and residential treatment while gaining exposure to substance abuse treatment issues. Residential programs combine elements of both inpatient and outpatient settings and are unique in this regard. The attending psychiatrist teaches history-taking, DSM diagnoses, and psychopharmacology for substance use disorders. In addition to the above, students will gain exposure to the other substance abuse treatment programs located at the Palo Alto VA, such as the multi-disciplinary assessment/consultation clinic, the intensive outpatient program, outpatient addiction medication management, and office-based opioid replacement therapy.
Prereq: None
Periods Avail: 1-12, full-time for two weeks or four weeks. 1 student per period.
Reporting Instructions: Where: Lobby of Building 520-A, 3801 Miranda Ave, Palo Alto.; Time: 8:00 a.m.
Units: 3     DropCode:     Call Code: 0
Director: Marina Urman-Yotam, M.D.
Other Faculty: Marina Urman-Yotam, M.D.
Coord: Quynh Dang (650-725-2769), 401 Quarry Rd, Rm. 2204.

PSYC 333A. Sleep Medicine for Medical Students (SUMC)     Open to Visitors
This clerkship offers a comprehensive experience in sleep medicine not only for those interested in pursuing careers in internal medicine and family practice, but also those interested in specialties such as neurology, pulmonology, psychiatry, and otolaryngology. Students shadow sleep specialists in their evaluation of patients with sleep disorders, review polysomnography (sleep studies) of patients with sleep disorders, and attend informal discussions and case conferences regarding interesting sleep medicine cases, formal conferences on sleep research, sleep surgery, and sleep disorders and journal club reviews of topical articles on sleep and sleep disorders.
Prereq: None
Periods Avail: 2-12, full-time for 2 weeks or 4 weeks. 4 students per period.
Reporting Instructions: Clete Kushida, M.D., Ph.D. or Christian Guilleminault, M.D., Sleep Medicine Center at the Stanford Medicine Outpatient Center, 450 Broadway Street, Redwood City, Pavilion B, Control Room, Time: 8:00 am M-F
Units: 3 or 6     DropCode:     Call Code: 0
Director: Clete Kushida, M.D. & Christian Guilleminault, M.D.
Other Faculty:
Coord: Clete Kushida, M.D. (650-721-7560)

PSYC 353A. Psychosomatic Medicine (Psychiatry Consultation Service) Clerkship (SHC)     Open to Visitors
Psychosomatic Medicine (PM) comprises the area of psychiatry concerned with the psychobiological care of the medically ill, which includes persons of all ages and those cared for in specialized medical settings. PM- psychiatrists, in addition to providing expert formal psychiatric consultation to medical and surgical patients in the general hospital, specialized hospitals and outpatient clinic settings, also train psychiatrists and non-psychiatrists in the recognition of normal and abnormal reactions to illness and appropriate psychological care of patients with such reactions. The PM psychiatrist may function both as a consultant and as part of the primary medical/surgical treatment team. Via conjoint rounds and teaching conferences (primary intervention), formal consultations (secondary intervention), and involvement in inpatient treatment and discharge planning (tertiary intervention), the PM psychiatrist provides a comprehensive approach to the emotional, cognitive, and behavioral needs of the patient. Thus one unique feature of our program is how the members of our team are integral member of so many other medico-surgical teams throughout the medical center. Participation in this rotation should allow students to learn about diagnosis and management of psychiatric disorders common in all medical and surgical specialties, e.g., depression, anxiety, delirium, alcohol abuse, somatoform disorders, excessive pain complaints. Students will accompany psychiatric residents and faculty five days a week in performing consultations on medical-surgical units in SUH and in performing follow-up visits. Morning Report with the fellow and residents occurs daily. Formal didactic sessions take place on Wednesday and Friday morning. Students will learn interview techniques, how to evaluate patients’ psychosocial stressors and resources, how to write a cogent case report, present and discuss cases orally, work comfortably as a team member, perform differential diagnosis for depression, delirium, anxiety states, dementia, discuss indications and contra-indications for psychotropic medications and recognize and cope with emotional reactions to patients. Students will also learn advanced psychopharmacology, brief psychotherapy, hypnosis, management of “difficult” patients, and psychological and cultural aspects of the doctor-patient relationship.
Prereq: Psychiatry 300A.
Periods Avail: 1 -12, full-time for four weeks. 1 student per period.
Reporting Instructions: Where: Stanford Hospital - page one of the residents on service. Quynh will provide the resident information: Time: 8:00 am.
Units: 6     DropCode:     Call Code: 0
Director: Jose Maldonado, M.D. (650-725-5599).
Other Faculty: S. Lahijani, R. Garcia, Y. Sher.
Coord: Quynh Dang (650-725-2769), 401 Quarry Rd, Rm. 2204.

PSYC 355A. Geriatric Psychiatry (SUMC)     Open to Visitors
Consists of the evaluation of older individuals with psychiatric illness in an inpatient setting. The inpatient program offers students opportunities to learn about evaluation and treatment strategies for depression, psychotic disorders, anxiety, cognitive impairment, and other illnesses in the elderly. Many patients have comorbid, non-psychiatric illnesses which are considered as possible contributors to their psychiatric symptoms. The bio-psycho-social model is emphasized. Family involvement and meetings are to be expected.
Prereq: Psychiatry 300A.
Periods Avail: 1-12, full-time four or eight weeks. 1 student per period.
Reporting Instructions: Where: Stanford Hospital - page one of the residents on service. Quynh will provide the resident information; Time: 8:00 am.
Units: 6     DropCode:     Call Code: 0
Director: Justin Birnbaum, M.D. (650-736-0106).
Other Faculty: E. Aboujaoude, B. Bandstra, G. Murphy, K. Sanborn.
Coord: Quynh Dang (650-725-2769), 401 Quarry Rd, Rm. 2204.

PSYC 358A. Subinternship in Inpatient Psychiatry (SUMC)   S2   Open to Visitors
The inpatient psychiatry subinternship at Stanford is designed to provide a training experience similar to that of PGY1 psychiatry residents on an inpatient rotation. Subinternships go above and beyond the Core Psychiatry Clerkship and involve levels of intensity and commitment expected of beginning interns. While still supervised as medical students by the attendings, the subinterns should be preparing themselves mentally and physically for internship training. The subinternship at Stanford offers a diverse patient population across genders, adult ages, social economic status, and ethinicities. Of note, it offers cognitive-behavioral psychotherapy experiences, medical-psychiatry cases, forensic/hearing exposure, and ECT observation. The overarching goal of the psychiatry sub-internship is that, upon successful completion of the rotation, students will be ready to function at the level of a first-week psychiatry intern and be able to discuss his or her performance according to six ACGME competencies. Objectives that set the subinternship apart from the core psychiatry clerkship are (1) demonstrate progression from “interpreter” to “manager” in the “reporter-interpreter-manager-educator” (RIME) scheme; (2) efficiently manage a caseload of 3 to 6 patients at a time; (3) assist the attending in teaching patients/families, core clerkship medical students, and/or staff; and (4) evaluate his or her efforts towards self-reflective practice and self-directed learning. Please note: Visiting students must obtain approval from Ms. Quynh Dang prior to applying for this clerkship. Please email requests to qdang@stanford.edu.
Prereq: Psychiatry 300A.
Periods Avail: 1-12, full-time four weeks. 1 student per period.
Reporting Instructions: Where: Stanford Hospital - page one of the residents on service. Quynh will provide the resident information; Time: 8:30 am.
Units: 6     DropCode:     Call Code: 2
Director: Justin Birnbaum, M.D. (650-736-0106).
Other Faculty: Rona Hu, M.D.
Coord: Quynh Dang (650-725-2769), 401 Quarry Rd, Rm. 2204.

PSYC 362B. Subinternship in Inpatient Psychiatry (PAVA)   S2   Open to Visitors
The inpatient psychiatry subinternship at the Palo Alto VA is designed to provide a training experience similar to that of PGY1 psychiatry residents on an inpatient rotation.  The subinternship at the Palo Alto VA offers a diverse patient population across factors such as age, socioeconomic status, ethnicity, and diagnosis.  Additionally, it offers individual and group cognitive behavioral therapy experiences, medical-psychiatry cases, forensic/hearing exposure, and the opportunity to work on multi-disciplinary treatment teams in an acute inpatient setting.  Additionally, the VA is a unique system in which to work because of the types and number of wrap-around services and resources that work to serve the veteran’s needs including housing assistance, substance abuse treatment, intensive outpatient treatment programs, groups, and case management services.  The unique national VA system of care therefore additionally allows a subintern the experience of learning about systems-based practices that are unique to this setting.  The overarching goal of the psychiatry subinternship is that, upon successful completion of the rotation, students will be ready to function at the level of a first-week psychiatry intern and be able to discuss his or her performance according to six ACGME competencies.  Objectives that set the subinternship apart from the core psychiatry clerkship are (1) demonstrate progression from “interpreter” to “manager” in the “reporter-interpreter-manager-educator” (RIME) scheme; (2) efficiently manage a caseload of 3 to 6 patients at a time; (3) assist the attending in teaching patients/families, core clerkship medical students, and/or staff; (4) evaluate his or her efforts toward self-reflective practice and self-directed learning.  Satisfactory completion of the core psychiatry clerkship is a prerequisite for this subinternship. Please note: Visiting students must obtain approval from Ms. Quynh Dang prior to applying for this clerkship. Please email requests to qdang@stanford.edu.
Prereq: Psychiatry 300A.
Periods Avail: 1-12, full-time four weeks. 1 student per period.
Reporting Instructions: Where: Palo Alto VA, 3801 Miranda Ave, Building 520. Quynh will provide reporting information; Time: 8:30 am.
Units: 6     DropCode:     Call Code: 2
Director: Margaret May, M.D.
Other Faculty: Michael Beal, M.D.
Coord: Quynh Dang (650-725-2769), 401 Quarry Rd, Rm. 2204.

PSYC 398A. Advanced Clinical, Research Elective in Psychiatry (SUMC, PAVAMC, SCVMC)     Open to Visitors
For students who wish to pursue the study of a specific research or clinical experience in the field of psychiatry are encouraged to arrange for this four to eight week clerkship elective. A short statement prepared by each individual student outlining clinical and educational goals for the rotation must be approved by the Director of Medical Student Education in Psychiatry and the Associate Dean for Student Affairs. Please note: Students cannot add 398A clerkships directly to their fishbowl schedules through the regular shuffles. Please contact Caroline Cheang in the Office of Medical Student Affairs at cheang@stanford.edu or 650-498-7619 with the faculty preceptor’s name and email address to add this clerkship.
Prereq: Psychiatry 300A and Medicine 300A, consent of the designated faculty preceptor; and approval by Advisor.
Periods Avail: 1-12.
Reporting Instructions: Where: TBA (designated faculty preceptor); Time: TBA
Units: 1-12     DropCode:     Call Code: 2
Director: Charles DeBattista, M.D. (650-723-8324).
Other Faculty: Staff
Coord: Quynh Dang (650-725-2769), 401 Quarry Rd, Rm. 2204.

* "S1"=Selective Clerkship Category I (Basics in Clinical Care)
"S2"=Selective Clerkship Category II (Subinternship)

 

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