Medical Student Education

M3 Psychiatric Medicine Clerkship

M-3 Clerkship Director: P. G. Shelton, MD
Education Coordinator: Carolyn Sherrod

Psychiatric Medicine Rotation Objectives

  1. Students will demonstrate sufficient knowledge of general psychiatry on a shelf copy of the psychiatry section of USMLE Part II.
    1. This will account for 15% of the Final grade for the clerkship.
    2. The majority of the information needed to pass this examination was presented in the Psychiatry Class in Med-II and should be reviewed during the rotation. Twenty percent of the rotation (all day Thursdays) is set aside for didactics and independent study.
    Students may use any method they chose to review for this examination. Since you have already studied Alan Stoudemire's Clinical Psychiatry for Medical Students, 2nd edition, review of this text and the notes from the Med-II class is probably your best bet. Tutorials to facilitate review of Stoudemire's text, complete with annotated answers to the quizzes, are available on request and you are strongly recommended to use these tutorials.
  2. Students will demonstrate the ability to successfully interview a patient and record a formal mental status examination by performing at the Meets Expectations" level or higher on at least one of three standardized simulated patient encounters (OSCE's) on the last day of the rotation.
    1. A standardized check-sheet will be used to grade this experience. A copy of the checksheet is appended to the orientation manual.
    2. Performance on this examination will count for 20% of the student's final grade and is considered a part of the overall clinical evaluation.
  3. Students with perform at an average level of Meets Expectations or higher, as evaluated by their clinical attending psychiatrists, on both of their 4 week clinical rotations.
    1. Each 3 week final evaluation will count as 25 % of the student's final grade.
  4. Students will comply with all clerkship policies.
Knowledge & Skill Objectives
  • Be able to present a patient in both written and oral form
  • Be able to do a full mental status exam and mini-mental status exam
  • Be able to establish rapport , observe for symptoms, and hear what the patient communicates
  • Know the major psychiatric diagnoses
  • Know the major psychiatric treatments

Psychiatric Medicine Clerkship Policies

  1. Attendance Policy
    1. Students are expected to attend every day of the rotation unless absences are excused.
      1. Students are required to obtain advanced approval for excused absences from the ECU Office of Student Affairs.
        1. Additionally, it is the student's responsibility to notify his clinical supervisor(s) of the dates of these excused absences.
      2. If the student experiences an emergency (illness, family crisis, etc) that necessitates his being absent from clerkship responsibilities he must notify both the clerkship office and his clinical supervisor(s) of his need to be absent.
        1. If a student has to be absent for more than one day, he must notify the clerkship office and his clinical supervisor(s) daily of his need to be absent.
      3. In accordance with ECU SOM policy, a student may have no more than 7 excused absences during any eight week clinical rotation.
        1. Students will be required to make up any excused absence days in excess of this.
        2. Individual clerkship directors have the right to require the student to make up any excused absences if the director deems the time missed to be critical to the student's overall clerkship experience.
          1. e.g., the student must make up the ECT observation, even if it is the only excused absence.
      4. ANY unexcused absence during the rotation may be sufficient grounds for failure of the rotation.
  2. Grading Policy
    1. 30% of the grade will be derived from didactic examinations
      1. These include:
        1. shelf copy of psychiatry section of USMLE Part II (15% of total grade)
        2. examination(s) from the didactic psychiatry lectures given during the clerkship (15% of the total grade)
    2. 70% of the grade will be derived from clinical performance
      1. these include:
        1. 3 OSCE's (20% of the final grade)
        2. 2 clinical performance evaluations (one from each 4 week rotation, each counting for 25% of the final grade)
    3. A grade of Honors will only be awarded to students who demonstrate excellence on both the didactic and clinical aspects of the rotation.
    4. Appeal of the final grade
      1. According to SOM policy the initial appeal should be submitted to the clerkship director
        1. the Department of Psychiatric Medicine requires that this appeal be submitted in writing within 6 weeks of the time the grade is submitted to the SOM Office of Academic Affairs
        2. Appeals based on clinical evaluation forms will not be considered unless the student has obtained the required mid-clerkship feedback (form) for each of the 4 week clinical assignments.
        3. If the student disagrees with the clerkship director's final decision he may appeal to the Departmental chairperson
          1. In the Department of Psychiatric Medicine the Chair will make his decision only after the appeal has been reviewed by an adhoc, committee of at least 2 faculty members who will submit their recommendation to the Chair.
        4. Appeals above the Departmental level should be submitted only after the Departmental appeals have been exhausted
          1. These appeals should be submitted to the SOM Office of Student Affairs
          2. The Department of Psychiatric Medicine will provide the SOM Office of Student Affairs with a summary of the appeal process and decision in these cases.