Psychiatry (VS)

The purpose of this elective is to provide 4th year medical students interested in child and adolescent psychiatry and/or adolescent medicine an experience in working with adolescents presenting with acute psychiatric illness. This elective will be based on the adolescent inpatient unit at Yale-New Haven Psychiatric Hospital; a short-term 15-bed unit serving patients aged 12-18. Students will gain exposure to a diverse patient population with severe mood, psychotic, behavioral, and/or substance use disorders, as well as begin to understand the intricacies of working with families and systems providing care for adolescents with significant emotional and/or behavioral disturbances. Teaching activities include daily rounds and weekly case conferences.

Length of Rotation: 4 weeks (maximum -1 student)

Scheduling Restriction: N/A

Student's Class Level: 4th year

Prerequisite: Psychiatry 106 (required psychiatry clerkship)

Accept Visiting Students: yes 

Learning Objectives

This elective offers senior medical students the opportunity to work closely with a variety of patients who are hospitalized during their participation and treatment in research protocols. The Clinical Neuroscience Research Unit (CNRU) is a thirteen-bed inpatient ward with associated outpatient clinics and basic science laboratories on the third floor of the Connecticut Mental Health Center (CMHC). Supervised implementation of novel psychopharmacology, exposure to multiple aspects of clinical and basic science research, and in-depth experience with individual and group psychotherapies are educational aspects of this elective. Patients’ diagnostic categories include depression, obsessive-compulsive disorder, schizophrenia, cocaine abuse and substance abuse and psychiatric genetics.

Length of Rotation: 4 weeks (maximum-1 student)

Scheduling Restriction: N/A

Student's Class Level: 4th year

Prerequisite: Psychiatry 106 (required psychiatry clerkship)

Accept Visiting Students: yes

Learning Objectives

STEP (Specialized Treatment Early in Psychosis) is a multi-disciplinary team-based treatment for individuals presenting early in the course of a psychotic illness. This clinic offers unique opportunities in the assessment and treatment of a population that is difficult to access in other clinical settings. Trainees will have the opportunity to observe structured research assessments and interpretation of these scales in light of careful clinical follow-up. Given the diagnostic and prognostic heterogeneity of illnesses presenting with psychosis, this experience provides the opportunity to develop clinical expertise in diagnosis and management of a range of mental health issues. The enriched treatment includes cognitive-behavioral group therapy, family psycho-education groups and cognitive remediation in addition to vocational support with a focus on rapidly reintegrating patients back to age appropriate social, educational and employment goals. Students will have the opportunity to observe or participate in any of these treatments. The multi-disciplinary and pluralistic nature of the intervention presents a rich opportunity to participate in collaborative care with other mental health disciplines. Trainees will also be able to participate in regular seminars sponsored by the STEP and PRIME (Prevention through Risk Identification, Management & Education) clinics. The latter is a research clinic focused on prodromal psychosis. Positions: 1-2. Site: Connecticut Mental Health Center (CMHC). Scholarship: STEP is designed as a service delivery model with a built in observational cohort and experimental pragmatic randomized controlled trial. Trainees will be invited to take an active role in the various domains of scholarship including community and clinician education efforts publication and learning about clinical research design.

Length of Rotation: 4 weeks (maximum-1 student)

Scheduling Restriction: This experience must be paired with a main placement at one of the available elective inpatient services.

Student's Class Level: 4th year

Prerequisite: Psychiatry 106

Accept Visiting Students: yes

Learning Objectives

This elective includes intensive work with inpatients who suffer from major psychiatric disorders with or without substance abuse. Emphasis is on assessment, acute treatment, and arrangement of continuing care in the community. The subintern functions as an integral member of a multidisciplinary treatment team. Clinical research participation is encouraged. Opportunities are available to explore special areas of interest (e.g., forensics, psychopharmacology, administrative) with CMHC faculty and scheduled during regular clerkship rotations.

Length of Rotation: 4 weeks (maximum-1 student)

Scheduling Restriction: N/A

Student's Class Level: 4th year

Prerequisite: Psychiatry 106 (required psychiatry clerkship)

Accept Visiting Students: yes

Learning Objectives

This elective includes intensive work with patients who suffer from major psychiatric disorders, and range in age from college students to middle age. Emphasis is on assessment, acute treatment and arrangement of post-discharge follow-up care in the community. The subintern is an advanced clerk functioning as a member of the multidisciplinary treatment team, taking on primary clinician and psychiatric/medical responsibilities for patients under the supervision of senior clinicians. The elective is given on the inpatient service at the Yale Psychiatric Hospital; clinical research and outpatient involvement may be options.

Length of Rotation: 4 weeks (maximum-1 student)

Scheduling Restriction: N/A

Student's Class Level: 4th year

Prerequisite: Psychiatry 106 (required psychiatry clerkship)

Accept Visiting Students: yes

Learning Objectives

This elective affords opportunities for third and fourth year students to observe and participate in “competency to stand trial” evaluations with a clinical team who make these assessments at the New Haven Correctional Center. In addition, they may attend Law School classes with students who represent psychiatric patients, observe civil commitment procedures, attend probate court hearings, as well as the criminal proceedings in local New Haven Superior Courts. Students attend work seminars where case evaluations and write-ups are discussed and prepared, and read appropriate legal cases and psychiatric literature. Students may be able to participate in parts of evaluations of insanity defense, custody determination, and other forensic issues. They attend the Law & Psychiatry seminar during their rotation.

Length of Rotation: 4 weeks (maximum-1 student)

Scheduling Restriction: N/A

Student's Class Level: 4th year

Prerequisite: Psychiatry 106 (required psychiatry clerkship)

Accept Visiting Students: yes

Learning Objectives