Required Clerkship

ADPY 7500 is a requirement all medical students will complete in their 3rd or 4th year. The primary goal of this course is to prepare medical students to recognize, diagnose, and care for patients with psychiatric disorders encountered in most medical practices. Students will be assigned to work with interdisciplinary teams who will aid the student in meeting course objectives. Students will be assigned patients and will follow these patients in the hospital. Students will attend teaching rounds/lectures and a variety of teaching conferences (e.g., Grand Rounds). All students will attend a weekly series of lectures/discussions at the UMMC site. Each student will be required to write a case report concerning a patient-related problem due at the beginning of the 4th week.

Overall Goal

To prepare the medical student to recognize, diagnose, and care for patients with psychiatric disorders encountered in most medical practices.

Course Objectives

Students should be able to independently conduct an organized, comprehensive psychiatric history and thorough mental status exam using appropriate interview techniques and accurately present patient encounters, both verbally and written.
Students should be able to create a biopsychosocial formulation in the development of comprehensive treatment plans.
Students should be able to develop and prioritize a differential diagnosis by applying principles of psychopathology and knowledge of medical illnesses.
Students should be able to describe the major diagnostic tests and procedures used in psychiatry including laboratory tests, neuroimaging tests and psychometrics.
Students should be able to describe the clinical presentations, course, and prognosis of the following disorders across the lifespan:

Depressive Disorders (e.g., Major Depressive Disorder),
Bipolar Disorder and related disorders
Neurocognitive Disorders (e.g. Delirium, Dementia),
Schizophrenia Spectrum and Other Psychotic Disorders,
Anxiety Disorders (e.g., Panic Disorder, GAD, Social Anxiety),
Obsessive Compulsive Disorder and related disorders
Substance Use Disorders,
Somatic Symptom and related disorders
Child or Adolescent Psychiatric Problems (e.g., ADHD, Conduct Disorder),
Personality Disorder (e.g., Borderline, Antisocial, Paranoid),
Trauma-Related Disorders (e.g., PTSD), and
Eating Disorders.

Students should be able to describe the common psychiatric conditions, the indications, contraindications, and side effects of somatic treatments such as pharmacological and electroconvulsive therapies, as well as psychiatric conditions and indications for psychological therapies.
Students should be able to recognize psychiatric emergencies (e.g., suicidal, violent, or delirious patients; withdrawal syndromes), their management, and apply knowledge of the risk and protective factors when making treatment plans.
Students should be able to begin to develop rapport with patients and families, and provide patient and family education, patient advocacy, and demonstrate empathy, caring, and honesty in all patient encounters.
Students should be able to work interprofessionally and communicate effectively with other members of the care delivery system including consultants, other professions and disciplines.
Students should be able to describe the basic processes of informed consent and judicial commitment in Minnesota and the limits of confidentiality.
Students should be able to seek and incorporate feedback, engage in self-reflection, and identify gaps in knowledge.
Students should be able to demonstrate professional behaviors and the highest ethical standards at all times including timeliness, reliability, and respect.