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Medical Student Program

4th Year Electives

Students from other medical schools are welcome to apply for the following electives:

Child and Adolescent Psychiatry (001DEVI.U)

Students will be involved in admissions to the Child and Adolescent Inpatient Psychiatry Service, attending to patient care, management and treatment planning. Students will participate in the multidisciplinary team responsible for diagnosing and treating children and adolescents with a variety of psychiatric disorders, as well as co-morbid medical diagnoses. Students will participate in admission interviews involving patients and families and participate in daily rounding. Students will also help coordinate care with outside providers, appropriate consultative services and primary care. Students may also have some exposure to the child and adolescent consultation service, looking at psychiatric/psychological issues of children with illness working with children and their families and with the pediatric teams. By individual arrangement this rotation can provide the opportunity for doing supervised outpatient evaluations. Elective should be considered by students thinking of pediatrics and family practice as well as psychiatry.

Psychiatry Consult-Liaison (1CONI.U)

Students rotating on the psychiatry consult-liaison elective will work within a multidisciplinary team of health care providers, including psychiatrists, social workers, a psychologist, and a nurse practitioner. The team performs evaluations on patients admitted to University Hospital, VonVoigtlander Women's Hospital, and the Frankel Cardiovascular Center. Both comprehensive and focused psychiatric evaluations are requested for a variety of reasons, including: change in mental status/delirium, agitation, exacerbation of a previously diagnosed mental health condition, new onset psychiatric symptoms, capacity to make medical decisions, difficulty in adjustment to illness, and suicide risk evaluation, among others. The psychiatry consult-liaison team provides diagnostic and treatment recommendations to primary medical teams, and helps support the mental health needs of patients admitted to the hospital. Students will learn the indications for a psychiatric consult, understand how the psychiatry consult team can be helpful to both patients and primary teams, and will improve knowledge base around a variety of mental health and neurocognitive diagnoses. Students will also improve interviewing and oral presentation skills, and learn how to communicate recommendations to other health care providers. The M4 will be encouraged to be the primary point of contact to the primary team, with extensive supervision from psychiatry residents and attendings. The elective has broad appeal given its applicability to multiple different career pathways in medicine.

Emergency Psychiatry (001 EMRO.U)

The Psychiatric Emergency Services (PES) is a busy clinical service where students can see a variety of the psychiatric and psychosocial problems that they will encounter in practice no matter what field they choose. Patients of all ages presenting with all psychiatric diagnosis are seen in PES. This elective is especially useful for students interested in psychiatry, emergency medicine, or any primary care specialty. Students will have the opportunity to work closely with psychiatry faculty members and other PES clinical staff in direct patient care and become an integral part of our treatment team during the month-long experience.

Geriatric Psychiatry (001GERP.X)

This elective can be tailored to the individual interests of each participating medical student and would be an especially valuable experience for those planning to pursue neurology, internal medicine, family medicine as well as psychiatry. A variety of settings allow clinical opportunities for participation in the evaluation and treatment of older patients with dementia and mental illness, to prepare future physicians to meet the need of the rising percentage of elderly in the population. Medical students will learn advanced skills in the assessment of geriatric psychiatry patients in both inpatient and outpatient settings as members of an interdisciplinary treatment team. Diagnoses focus on the 3 D's of geriatric psychiatry- Dementia, Depression, and Delirium. Advanced strategies in bedside neurocognitive testing will be presented. Learners will develop familiarity with geriatric community resources and family interventions. Interested students may sit in on neuro-psychometric testing sessions. Sites include the University Hospital for inpatient and ECT, the East Ann Arbor Geriatrics Center for outpatient, and the VA for consultation/liaison and outpatient services. Participation at a nursing home, and a dementia care assisted living unit at Chelsea Retirement Community will round out the experience. Clinical opportunities can be tailored to the individual student's interests, including palliative care, ECT and more.

Inpatient Psychiatry (1GENI.U)

The elective consists of active involvement on an inpatient psychiatry unit as a functioning member of the treatment team. Students will conduct initial and follow-up evaluations of psychiatric inpatients, lead treatment team discussions of diagnosis and treatment, and serve as the primary therapist (under attending and house officer supervision) of 2-3 patients at a time. Clinical activities will be similar to those of a house officer on the service. The experience is designed primarily for students interested in psychiatry or students who wish to see severe or complicated manifestations of psychopathology.

Pediatric Consultation-Liaison Psychiatry (2PCLI.U)

The Pediatric Consultation-Liaison Psychiatry Rotation at the C.S. Mott Children's Hospital of the University of Michigan has been designed to provide the fourth year medical student with a comprehensive clinical and academic experience at the interface of pediatric medicine and child and adolescent psychiatry. This four-week rotation will focus primarily on the psychiatric consultation-liaison service at the C.S. Mott Children's Hospital. This service provides inpatient consultation to a wide variety of general and specialty pediatric services within the larger pediatric hospital. The medical student will see patients with the consult faculty member and child psychiatry fellow and present them to one of a team of child psychiatrists who work in this setting. The medical student will also be responsible to write notes on the patients they are following as well as engage in other clinical activities including brief psychotherapeutic interventions, attendance at care coordination meetings and providing psycho education. Over the course of the rotation, the medical student will gain increased autonomy, such that by the end of the rotation they should be functioning at the level of an early psychiatry intern. In addition to this primary focus, medical students will also participate in clinical and educational activities specific to consultation psychiatry and have the opportunity to engage in unique educational opportunities in pediatrics, if so interested. Lastly, the student will be expected to develop either a small quality improvement project or brief review of the literature during their rotation with regular weekly supervision with Dr. Malas on Friday afternoons for guidance and support. We hope this broad exposure will provide a strong foundation in Pediatric Consultation- Liaison Psychiatry, and enrich the student's overall training in pursuit of a future career in Psychiatry, or Pediatric Medicine.

Alcohol/Substance Abuse (001SUBO.U)

Learn the essentials of identification, assessment, and treatment of patients with substance-related disorders. Emphasis on screening and brief intervention techniques. Learn principles of detoxification for alcohol, opioids, and cocaine; interpretation of drug testing results; proper prescribing practices for patients with substance use disorders. Students follow patients and accompany the attending during psychiatric evaluations of patients with substance use disorders.

For more information about studying at the University of Michigan Medical School, please visit the Visiting Student Program Website

Updated: Febraury 10, 2017