PREREQUISITES AND PLACEMENT IN THE CURRICULUM: Students must have completed their M3 Core Clerkship in Psychiatry.
PURPOSE:The primary goal for this rotation is to become comfortable with the flexible application of the neurologic and mental status examination in the evaluation of patients with behavioral and psychiatric disorders related to brain damage. Students will be responsible for performing neuropsychiatric consultations on inpatients and will participate in, but not have primary responsibility for, outpatient neuropsychiatric evaluations. Students will gain experience in utilizing neuropsychological testing, magnetic resonance imaging, brain SPECT (single photon emission computed tomography) imaging, and EEG (electroencephalography) in the process of neuropsychiatric evaluation. The student will also be responsible for the presentation of a literature review on a topic of neuropsychiatric interest at the weekly Neuropsychiatry seminar/case conference.
INSTRUCTIONAL FEATURES: : Each student will see 1-2 new patients a week with the attending. The patients will typically have the cognitive (intellectual), mood, behavioral problems, and psychosis (hallucinations and false beliefs) that can result from such illnesses as epilepsy, brain tumors, multiple sclerosis, lupus, hydrocephalus, traumatic brain injury, dementia (like Alzheimer disease), stroke, Parkinson disease, autism and mental retardation. Common cognitive problems from brain disorders include memory impairment, inattentiveness, distractibility, difficulty in problem solving, and loss of self-monitoring skills. Mood and behavior difficulties are also frequently part of brain disorders resulting in depression, irritability, anger, impulsivity, inappropriate behavior, or apathy a history of both a neurological insult such as stroke, dementia, epilepsy or head trauma, and a psychiatric disorder. In many cases, due to the neurological impairment, patients will be accompanied by a family member who will also be interviewed. During subsequent diagnostic evaluation visits, the student will determine the nature and severity of the patient's psychiatric problems and functional impairment and formulate a treatment plan. Students will present their patients at weekly staffings, participate in the monthly patient follow-up groups, and attend monthly meetings with a neuroradiologist to review patients' CT Scans and MRIs. Students will also participate in the activities of the F -MRI Research Center and the Center for Cognitive Medicine. Students will also observe neuropsychological testing of patients and review results with Dr. Neil Pliskin and his staff.
Program Number: ELEC 659
Program Director: Michael Schrift, M.D.
Coordinator: Liz Walch Email: firstname.lastname@example.org
Duration: 2-4 weeks (Only 4 week experiences can serve as Medical Selectives.)
Night Call: No
Students Accepted: Min. 1 Max. 2
Housestaff Used as Faculty: No
Lectures/Conferences/Faculty Contact: Variable
Laboratory/Independent Study: Variable
Total Hours /Week: 30
KEYWORDS: Neuropsychiatry, brain imaging