Electives General Information

PSYCHIATRY

PRESBYTERIAN HOSPITAL AND N. Y. STATE PSYCHIATRIC INSTITUTE

PS01P Psychiatry Advanced Clerkship (New York State Psychiatric Institute)
Course Director: Dr. David Lowenthal, (212) 543-6723, dal9@columbia.edu
Given: All year
Maximum: 2 students per month
Start Date/Time: First weekday of the month, 8:30 AM
Site/Location: CUMC, New York State Psychiatric Institute
Fourth Floor South
Description:

Objectives: To provide training in diagnosis, management and treatment of severely mentally ill patients in acute and remitting phases of illness; To enable the student to obtain an understanding of major psychiatric illness and provide treatment based on biological, psychological (including psychodynamic), and cultural concepts. 
Learning Experience:
The Washington Heights Community Service provides comprehensive psychiatric care for patients over the age of 18 residing in the local catchment area of Northern Manhattan.  The students will be based on the 22-bed acute hospital unit, functioning as first year psychiatric residents (with a reduced caseload) working on an interdisciplinary team.  Students participate in rounds, case‑conferences, seminars and individual supervision, with a strong emphasis on differential diagnosis and the range of psychiatric therapeutic modalities (pharmacotherapy, individual, group, and family therapy, etc.).  The course is also intended to provide an introduction to cultural and ethnic issues involved in the management of a Spanish-speaking, low-income, immigrant population, with multiple psychosocial stressors. 
Feedback: Close supervision by resident and attending staff with continuous access to attending psychiatrists and chief‑of‑service.  Two hours of formal attending psychiatrist supervision will be offered weekly, in addition to access to daily consultation on management issues. 
Evaluation:
Constant, ongoing evaluation from supervisors provided.  Students will be given a final evaluation summary by the unit attending psychiatrists, and will be asked for their evaluation of the program.
Faculty:
Drs. David Lowenthal, David Merrill, and Claire Holderness.

 
PS02P Psychiatry Advanced Clerkship (Presbyterian Hospital)
Course Director: Dr. Stan Arkow, (212) 663-5185, sda1@columbia.edu
Given: All year
Maximum: 1 student per month
Start Date/Time: Start date and time to be arranged (contact course director)
Site/Location: Site and location to be arranged (contact course director)
Description: Objectives: Students will gain experience in evaluation, diagnosis, and treatment of acutely ill psychiatric patients in an inpatient setting.
Learning Experience: 9 Garden North provides a comprehensive multidisciplinary team approach regarding the evaluation and treatment of psychiatrically ill patients.  These include patients with a broad range of affective, anxiety and psychotic disorders, especially those who have been treatment-refractory in the past. There is also major emphasis on diagnosis and management of character disorders that often complicate treatment.  Special areas of interest include, organic disorders, psychosomatic disorders and dissociative disorders.  Students participate as full team members with primary responsibility for their patients under the supervision of an attending psychiatrist; they participate in rounds, case conference, and journal club as well as a special seminar with a senior psychoanalyst on dynamic aspects of patient care.
Feedback: Students work closely with attending psychiatrists in both formal and informal supervision.  In addition the unit chief and senior resident meet with the students weekly.
Evaluation: Due to the close working relationships between attending and student, evaluation is on going. There is a formal sit-down evaluation at the end of the rotation given by the attending psychiatrist.
 
PS03P Child and Adolescent Psychiatry
Course Director:

Lorraine Marshall, MD MSW
Telephone (212) 305-9154
Email: marshalL@childpsych.columbia.edu
Address: Department of Pediatric Psychiatry
Babies Hospital, 6th floor North
Morgan Stanley Children’s Hospital of New York-Presbyterian
3959 Broadway
New York, New York 10032

Given: All year except July and August.  
Maximum: 2 students per month
Start Date/Time: First weekday of the month, time to be arranged (contact course director)
Site/Location:

Morgan Stanley Children’s Hospital of New York-Presbyterian,      
Columbia University Medical Center, Department of Pediatric Psychiatry
Main entrance is at 168th Street and Broadway, New York, New York

Description:

Objective: The student will train in the evaluation, treatment and management of child and adolescent psychiatric patients. The student will rotate mainly through Pediatric Psychiatry’s Consultation-Liaison Service to Morgan Stanley Children’s Hospital and the Children’s Comprehensive Psychiatric Emergency Program. The student, if interested, may also spend time in the School Based Mental Health Program, also a service of Pediatric Psychiatry.
The student will have a chance to interact with children and adolescents referred for psychiatric services in three very different settings: the emergency room, the hospital, and the outpatient clinic. Children and families coping with psychiatric emergencies, medical illness or acute psychosocial stressors may be seen in addition to children who present for routine or urgent outpatient psychiatric care. Cultural issues, biopsychosocial practice, and evidence based treatment approaches will also be emphasized. 
Learning Experience: The student will gain experience in taking the history from a parent and child, assessing the child’s mental status, formulating a diagnostic impression, and determining the proper treatment modalities appropriate for the case. The student will also participate in the clinical follow up of patients. Active involvement in clinical team meetings, case conferences and didactic sessions will be expected. Attendance at the Division of Child and Adolescent Psychiatry’s weekly Grand Rounds is encouraged.
Hours:  Monday-Friday 9-5, some evenings electively
Feedback: The student will be assigned to work with Child and Adolescent Psychiatry fellows and Attendings who can provide ongoing feedback. The Course Director will be available for discussions and additional meetings as deemed necessary.
Evaluation: The student’s evaluation will be written by the Course Director based on feedback from the Child and Adolescent Psychiatry fellows and Attendings.

 
PS04P Elective in Consultation-Liaison Psychiatry and Psychosomatic Medicine
Course Director: Dr. Jon Levenson, (212) 305-9985, jal11@columbia.edu
Course Coordinator: Ms. Marna Freed, (212) 305-9985, mf251@columbia.edu
Given: All year except July
Maximum: 2 students per month
Start Date/Time: First weekday of the month, 9:30 AM
Site/Location: Presbyterian Hospital 16 Center, Consultation-Liaison Office
Description: This elective is concerned with the psychiatric and behavioral disorders and complications which physicians encounter in the medical-surgical setting. It is appropriate for students who are and who are not pursuing a career in psychiatry. The core experience will be working closely with an attending consultation-liaison psychiatrist and a senior psychiatry resident; the student will participate in performing psychiatric consultations throughout Presbyterian Hospital.
Objective: Student will learn the unique diagnostic issues in evaluating medically ill patients, as well as specific management for such common problems as depression, anxiety, substance abuse, noncompliance with medical care, palliative care/pain management, cognitive disorders (dementia, delirium), and capacity assessment. Student will learn how to apply psychopharmacology, psychodynamic therapy and behavioral therapies (including hypnosis, relaxation training) in this medical-surgical setting.
Learning Experience: Student will attend 3 weekly consult-liaison teaching conferences, as well as have the opportunity to attend specialized liaison conferences with our faculty (AIDS, heart and liver transplantation, oncology). Opportunity will also be available to attend behavioral medicine programs, such as smoking cessation clinic.
Feedback and Evaluation: Students will be supervised by both a senior psychiatry resident and the course director. They will receive ongoing feedback throughout the rotation, and an evaluation at its conclusion.
Faculty: Drs. Jon Levenson, Silvia Hafliger, Ilona Weiner, Peter Shapiro, Philip Muskin, David Fedoronko, Sharon Alspector, Mark Bradley, and Daniel Seidman.
 
PS05P Sexual Behavior Clinic
Course Director: Dr. Meg Kaplan, (212) 740-7330, msk2@columbia.edu
Coordinator: Dr. Mary Vince, (212) 740-7330
Given: All year, except July and August
Maximum: 1 student per month
Start Date/Time: First weekday of the month, time to be arranged (contact course director)
Site/Location: CUMC, Sexual Behaviour Clinic, Audobon Clinic Building,
513 West 166th St., Third Floor
Description: Objective: This elective provides clinical and research experience in the assessment of adolescents with sexual behavior problems.
Learning Experience: Training includes history-taking from parents and subjects, interviewing techniques, test batteries, and psychophysiologic assessment. The student will learn on what basis to make a diagnosis, as well as treatment modalities. The student will also have an opportunity to sit in on treatment groups.
Feedback: Will be ongoing from Dr. Meg Kaplan, Director of the clinic.
Evaluation: Will be based on a consensus of all faculty members involved in the student's education in this course.
 
PS09P Psychiatry Advanced Clerkship
Course Director: Dr. Mary Bongiovi-Garcia, (212) 543-5636, meb9@columbia.edu
Given: All year
Maximum: 1 student per month
Start Date/Time: First day of the month, 9:00 AM
Site/Location: CUMC, New York State Psychiatric Institute, Room 5600
Description:

Objectives: Students will learn to evaluate and treat psychiatric patients on an inpatient clinical research unit. 
Learning Experience: Four Center is a 12-bed research unit that serves the divisions of Child and Adolescent Psychiatry, Eating Disorders, Neuroscience, and Substance Use.  Four Center admits patients with eating, mood and  substance use disorders ranging in age from adolescent to geriatric.  Patients are admitted based on their eligibility and agreement to participate in clinical research that has been approved by the NYSPI Institutional Review Board (IRB). Students will serve as primary therapists for a variety of patients, participate in the unit’s multidisciplinary treatment team, attend rounds and didactic seminars, and present at clinical case conferences. They will be introduced to principles of clinical research and various treatment modalities, including pharmacological, psychotherapeutic and cognitive-behavioral.  Students will be present Monday to Friday with no overnight or weekend call. 
Feedback and Evaluation:
Students will be supervised closely by an attending psychiatrist, and will receive ongoing feedback throughout the rotation.  

 
PS10P Psychiatry: Schizophrenia Research Unit Advanced Clerkship
Course Director: Dr. Roberto Gil, (212) 543-6190, gilrobe@pi.cpmc.columbia.edu
Given: All year for 1 month
Maximum: 1 student per month
Start Date/Time: First weekday of the month, 8:00 AM
Site/Location: CUMC, New York State Psychiatric Institute, SRU, Room 4100
Description: This elective provides an intensive introduction to the research methodology and clinical care of patients with schizophrenia.
Objectives: In-depth learning about the differential diagnosis of psychotic disorders, assessment of capacity to participate in research studies in schizophrenic patients, clinical care of patients participating in research studies, on and off medications, and the ethical decisions related to balance clinical treatment and research participation. Introduction to recent advances in schizophrenia research.
Learning Experience: The SRU is a 12 bed inpatient clinical research unit, part of the Lieber Schizophrenia Research Center at NYSPI. Patients with schizophrenia can participate in a range of research studies, simultaneously, on and off medications. These studies focus on different aspects of the illness (genetic or environmental vulnerability, diagnostic and prognostic indicators, neuropsychology, neurobiology, brain imaging, response to treatment or potential side effects of medications, among others). Occasionally some investigational drug trials are conducted in the unit. Students will function as first year residents, part of a multidisciplinary team, under the supervision of attending psychiatrists. They will participate in all clinical activities, case conferences, and research seminars.
Feedback and Evaluation: The students will be supervised directly by an attending psychiatrist, receiving weekly feedback throughout the rotation.

THE LOCATION OF THE FOLLOWING ELECTIVE IS QUEEN'S CHILDREN PSYCHIATRIC CENTER (PRIMARY) & NY STATE PSYCHIATRY INSTITUTE (SECONDARY)

GN01P Clinical Genetics
  See Genetics


RESEARCH

PS90P Psychiatry Research
All interested students MUST contact Dr. Cutler prior to discuss arrangement for placement in area desired prior to signing up for this elective.
Course Director: Dr. Janis Cutler, (212) 543-5552, cutlerj@pi.cpmc.columbia.edu
Course Coordinator: Ms. Edith White, (212) 543-5552, ew41@columbia.edu
Given: Varies depending on area of interest and time of year. 
Maximum: The number of students is limited in each area.
Start Date/Time:

Start date and time to be arranged with supervisor

Site/Location: Psychiatric Institute
Description:

Provides research training and experience relevant to psychiatry tailored to individual student interests. Possible areas of research include mood disorders, schizophrenia, substance abuse, and eating disorders, as well as basic neuroscience and child psychiatry.  Other areas can also be accommodated. 
Objectives: Vary with area selected. All accord opportunities to participate in ongoing research with potential to execute one's own projects under expert supervision.  Student will learn research methodology and strategies appropriate to the area of study and enrich his or her knowledge of the current status of the field. 
Learning Experience:
Depends on area of interest and current research underway. Student will be assigned to and supervised by a faculty member, participate in research seminars, review present projects, have pertinent literature available for detailed study, attend grand rounds, and have direct research experience in selected aspects of studies. 
Feedback:
Through regularly scheduled conferences with the faculty supervisor, student will be apprised of and discuss areas of strengths and weakness.. 
Evaluation: Will be done by senior faculty member in consultation with other faculty with whom the student works.

 
PS93P Advanced Research in Psychiatry: PI Dept. Neuroscience
All interested Columbia P&S students MUST have approval from the course director for this elective.
Course Director: Dr. Stephen Rayport, (212) 543-5641, sgr1@columbia.edu
Given: All year for 2 months (minimum time commitment)
Maximum: 1 student
Start Date/Time: First weekday of the month, 10:00 AM, throughout the year (students must contact course director, at least one month in advance)
Site/Location: NYSPI Room 3916
Description:

Objectives: Students will gain hands-on experience participating in basic research directed towards elucidating the cellular and molecular underpinnings of dopamine system dysfunction in schizophrenia and drug dependence.
Learning Experience:
Research focus is on the mesolimbic dopamine system as it relates to drug dependence and schizophrenia.  Current projects focus on glutamatergic cotransmission by dopamine neurons, role of glutamate circuitry in drug dependence, dopamine modulation of target neurons, and ligand development to identify potential ligands  for PET studies of dopamine transmission in man.  Student will work one-on-one with a lab member, and will be expected to present one lab meeting focused on the research he/she is pursuing.
Evaluation:
Will be based on lab performance and the presentation.



HARLEM HOSPITAL

PLEASE NOTE THAT THE CUMC/PSYCHIATRIC INSTITUTE RESIDENCY PROGRAM IS DISTINCT FROM THE HARLEM HOSPITAL RESIDENCY PROGRAM. STUDENTS SHOULD CONSIDER IN WHICH RESIDENCY PROGRAM THEY ARE INTERESTED BEFORE CHOOSING AN ELECTIVE.

PS40H Adult Ambulatory Care Advanced Clerkship
Course Director: Dr. Peter H. Schween, (212) 939-8501, 939-3088 (voice mail)
Given: All year, 2-6 months, half or full days
Maximum: 2 students per period
Start Date/Time: First weekday of the month, 9:00 AM
Site/Location: Harlem Hospital Center, 135th and Lenox Ave., Ron Brown Pavilion, 3-3096
Description: Objectives: Acquisition and demonstration of skills in psychiatric work-up, psychotherapeutic approaches, psychotropic drug treatment and disposition/referral of patients; attainment of the ability to work and efficiently communicate within a multi-disciplinary mental health team that treats a patient population of great cultural diversity; becoming aware of the interplay of biopsychosocial factors in contributing to the etiology, maintenance and change of psychiatric and physical disorders.
Learning Experience: Assigned to a multidisciplinary treatment team in the Adult Psychiatry Outpatient Clinic, students will do a limited number of intake interviews in the presence of skilled supervisors, learn diagnosing and treatment planning for a diagnostic variety of patients and experience how empathic communication and awareness of the patient's culture can optimize the doctor-patient relationship by making the patient feel understood. Students will follow up a few cases through supervised brief treatment with various modalities including supportive psychotherapy, pharmacotherapy and cognitive-behavioral approaches. They will participate in team meetings, journal clubs, case presentations to the department director, cultural sensitivity training and 3 weekly lecture series. Students will be trained in motivational interviewing, dealing with noncompliance and drug abuse. They will learn how to decide on, plan for and implement referrals. Experience in group psychotherapy, stress reduction and relaxation training will also be available.
Feedback: Weekly team meetings, daily on-the-job supervision, case presentations to director, clinic chief attendings and other experienced professional staff, weekly group therapy supervision and informal accessibility of preceptor, team leader and clinic.
Evaluation: Throughout the clerkship there will be ratings of the students' interviewing,diagnostic and treatment planning skills, of their ability to interact and understand patients, of their effctiveness in working with the treatment team, in utilizing elementary psychotherapeutic and stress reduction techniques. An initial and a final quiz will be a rough measure of knowledge acquired. A conference of the team leader, preceptor and chief will evaluate the student's overall performance and determine the grade.
 
PS41H Adult Inpatient Service Advanced Clerkship
Course Director: Dr. Henry McCurtis, (212) 939-3060, hlm1@columbia.edu
Given: September through June, one to three month assignments,
weekdays 8:30 a.m. to 4:30 p.m.
Maximum: 2 students each period
Start Date/Time: Start date and time to be arranged (contact course director)
Site/Location: Harlem Hospital Center, 135th and Lenox Ave., location to be arranged (contact course director)
Description: Focuses on the diagnosis, care and treatment of major psychiatric disorders requiring acute inpatient hospital management, and the use of psychiatric intensive care services for the treatment of acute psychiatric emergencies using various therapies and interventions on this active acute treatment service.
Objectives: To teach students basic psychiatry and psychiatric diagnosis and treatment in a controlled setting utilizing clinical case material from a wide spectrum of severe psychopathology, including the inter-relationship with medical/surgical specialties in a major municipal hospital setting. Emphasis on the psychiatric aspects of human behavior, and the interplay of somatic, psychological, and socioeconomic factors on an urban population served by a comprehensive psychiatric network of patient care services.
Learning Experience: Emphasis on clinical indications for hospitalization, diagnosis and evaluation, consideration of treatment modalities and formulation of treatment plans, evaluation and measurement of progress/improvement, and discharge planning considerations. Students will participate in treatment teams directed by attending psychiatrists in daily diagnosis and evaluation/treatment of patients, and will be integrated into team rounds, conferences and supervision, participating in therapeutic community meetings, post-meeting conferences, group and activities therapy. They will be assigned several patients by the resident and the attending psychiatrist. Additional supervision available from the Chief of Service and the Director of Training and Education.
Teaching: In addition to individual supervision, attendance at regular Ward Rounds, Conferences and on-going Teaching Courses along with psychiatric residents, weekly Departmental Grand Rounds, and applicable departmental Seminars/Conferences.
Feedback: Continuous throughout the elective.
Evaluation: On-going evaluation and supervision.
 
PS42H Child/Adolescent Psychiatry Advanced Clerkship
Course Director: Dr. Sady Sultan, (212) 939-3365
Given: All year
Maximum: 1 students per month
Start Date/Time: Start date to be arranged (contact course director), 9:00 AM
Site/Location: Harlem Hospital Center, 135th St. and Lenox Ave., Division of Child and Adolescent
Psychiatry Building, 5th floor
Description: Objective: To become familiar with the major psychiatric syndromes that are to be found in an inner city Child/Adolescent Psychiatry service. There will be an opportunity to see children of all ages for evaluation, diagnosis and treatment planning. However, there will be the flexibility to concentrate on a particular age. In addition, the focus can center on formal evaluations and/or the almost daily emergencies that occur in every age group. Learning Experience: The entire range of psychiatric disorders and developmental delays is seen. The issues can include abuse, neglect, and family chaos with its attendant addiction and alcoholism. These are among the most difficult problems of these times. Special areas of experience are infant psychiatry, child abuse and developmental pediatrics. The latter deals with a wide array of problems such as language delays, fetal alcohol syndrome and autism. In addition, there is active consultation with the pediatric wards wherein the psychiatric aspects of pediatric illness are seen: i.e., abuse, burns and failure to thrive. A broad range of approaches are used with the focus on the family. Visits to the school and home are often indicated. This is a lively organization that would be of interest to any one with enthusiasm, wit and curiosity.
Feedback: Continuous throughout the elective.
Evaluation: Will be based on a consensus of all faculty members involved in the student's education in this course.


ST. LUKE'S – ROOSEVELT HOSPITAL CENTER
ROOSEVELT SITE

PLEASE NOTE THAT THE CUMC/PSYCHIATRIC INSTITUTE RESIDENCY PROGRAM IS DISTINCT FROM THE ST. LUKE'S/ROOSEVELT HOSPITAL CENTER RESIDENCY PROGRAM. STUDENTS SHOULD CONSIDER IN WHICH RESIDENCY PROGRAM THEY ARE INTERESTED BEFORE CHOOSING AN ELECTIVE.

PS60R Adult Inpatient Service Advanced Clerkship
Course Director: Dr. Scott Masters, (212) 523-5089, smasters@chpnet.org
Coordinator: Dr. Zainab Hasan, (212) 523-8871, zhasan@chpnet.org
Given: All year, for 1 or 2 months
Maximum: 1 student per month
Start Date/Time: First weekday of the month, 9:00 AM
Site/Location: St. Luke's-Roosevelt Hospital Center, Roosevelt Hospital, 1000 Tenth Ave., Suite 7G
Rotation Schedule M-F 8am-5pm
Description: Focuses on theory and practice of treatment of psychiatric patients on acute inpatient service in a general hospital.
Objective: Learn following basic principles: clinical indications for psychiatric hospitalization, available acute inpatient treatment modalities and which to select for each patient; how to implement and carry out the treatment; how to measure improvement; how to assess the patient's readiness for discharge and appropriate post‑discharge treatment plans.
Learning Experience: Integrated into treatment team on an inpatient unit; participate in therapeutic community activities such as community meetings, group therapy, occupational therapy, staff rounds, case conferences and the like; assigned two patients for whom he will be the primary therapist; supervised by an attending psychiatrist.  Student will be scheduled to attend weekly resident courses on interview techniques, psychopathology, clinical case conferences and departmental Grand Rounds.
Feedback: Verbal feedback from individual supervisor and unit chief.
Evaluation: Supervisor will complete a written evaluation of student's performance.
Faculty: Drs. Hasan, Grin, and Meckler.
 
PS61R Dialectical Behavioral Therapy
Course Director: Dr. Prameet Singh, (212) 523-5089, psingh@chpnet.org
Coordinator: Dr. Galina Mindlin, (212) 523-7858, gmindlin@chpnet.org
Given: All year
Maximum: 1 student per month (exchange students permitted)
Start Date/Time: Contact course coordinator
Site/Location: Contact course coordinator
Rotation Schedule M-F 8am-5pm
Description:

To provide training in the evaluation and treatment of a broad spectrum of psychiatric outpatients. 
Objectives:
Learn techniques of evaluation, diagnosis, crisis intervention, and treatment ranging from psychopharmacology to individual, group, and family therapy in an outpatient psychiatric population. 
Learning Experience:
The student will spend time in a psychiatric outpatient partial hospitalization program with a dialectical behavioral therapy orientation.  The student will participate in initial psychiatric evaluations and take an active role in formulating diagnoses and treatment options.  Treatment formulation will focus on selecting the type of psychotherapy and pharmacotherapy appropriate for the patient's disorder.  The student will co-lead a DBT group and learn the principles of this evidence-based therapy.  The student will attend classes, grand rounds and clinical conferences.  All clinical work will be under the supervision of an attending physician and DBT specialist.
Feedback:
  Students will receive verbal feedback from individual supervisors.
Evaluation:
  Supervisors will complete a written evaluation of student’s performance. 
Faculty:
  Drs. Mindlin and Twardan.

 
PS62R Community Mental Health Advanced Clerkship
Course Director:

Dr. Prameet Singh, (212) 523-5089, psingh@chpnet.org

Coordinator: Dr. Ralph Aquilla, (212) 523-4773, raquilla@chpnet.org
Given: September through May, for 1 or 2 months.
Maximum: 2 students per month (exchange students permitted)
Start Date/Time: Contact course coordinator
Site/Location: Contact course coordinator
Rotation Schedule M-F 8am-5pm
Description: To provide training in psychosocial rehabilitation models for the chronically mentally ill.  Students will conduct evaluations, crisis intervention, and treatment of patients and families on site at Fountain House and an associated clinic on the West Side mid-Manhattan Community.
Objectives: Learn techniques of evaluating and working with patients in need of mental health evaluation, crisis intervention, and prevention techniques in an outreach setting.
Learning Experience: The student will be integrated into Fountain House, an internationally recognized psychosocial rehabilitation facility.  He/she will be involved in therapeutic group activities, medication clinics, clubhouse model vocational programs and rehabilitation activities, as well as interventions in psychiatric crises which occur in multiply disabled patients.  The student will be individually supervised by the Director of Community Mental Health Services Division and a Fellow in Public Psychiatry.
Feedback: Verbal feedback from individual supervisors.
Evaluation: Each supervisor will complete a written evaluation of student's performance.
Faculty: Drs. Ralph Aquila and Fellow.
 
PS63R Emergency Psychiatry Advanced Clerkship
Course Director: Dr. Gary Lefer, (212) 523-7683, glefer@chpnet.org
Given: All year
Maximum: 2 students per month
Start Date/Time: First weekday of the month, 9:00 AM
Site/Location: St. Luke's-Roosevelt Hospital Center, Roosevelt Hospital, 1000 Tenth Ave.
Emergency Room
Description: Objective: To provide training in the evaluation and management of a variety of psychiatric conditions presenting in the emergency room.
Learning Experience: The student will work for a period of four weeks in a psychiatric emergency rooms which include a facility for brief hospitalization for crisis intervention. The student will attend daily ER rounds and will participate in the assessment and management of patients with acute psychiatric syndromes. The clinical experience will focus on differential diagnosis, including ruling out organic etiologies and the psychopharmacologic treatment of acute psychiatric syndromes. In addition, the curriculum will include time for the development of a special interest project. The student will also be encouraged to follow a small group of crisis intervention cases which he/she initially treated in the emergency room.
Feedback: The student will receive regular feedback during daily emergency psychiatry rounds. In addition, the student will have weekly meetings with the director of the service. The director of the service will recommend Readings.
Evaluation: Students will be evaluated by the Director and Assistant Directors of the service on an on-going basis.
Staff: Dr. Gary Lefer andstaff.
 
MD63R Performing Arts Medicine
  See Medicine.

ST. LUKE'S - ROOSEVELT HOSPITAL CENTER
ST. LUKE'S SITE

PLEASE NOTE THAT THE CUMC/PSYCHIATRIC INSTITUTE RESIDENCY PROGRAM IS DISTINCT FROM THE ST. LUKE'S/ROOSEVELT HOSPITAL CENTER RESIDENCY PROGRAM. STUDENTS SHOULD CONSIDER IN WHICH RESIDENCY PROGRAM THEY ARE INTERESTED BEFORE CHOOSING AN ELECTIVE.

PS50L Adult Inpatient Service Advanced Clerkship
Course Director:

Dr. Prameet Singh, (212) 523-5089, psingh@chpnet.org

Coordinator: Dr. Howard Millman, (212) 523-5684, hmillman@chpnet.org
Given: September through June
Maximum: 1 student per month
Start Date/Time: First weekday of the month, 8:00 AM
Site/Location: St. Luke's Hospital, Clark 8, 1111 Amsterdam Avenue, New York, NY
Description:

To provide advanced training in the treatment of psychiatric patients on an acute inpatient service in a general hospital.
Objectives:
The student should learn to evaluate, diagnose and patients with pharmacological and psychotherapeutic treatments and should enhance their clinical interviewing skills. 
Learning Experience: The student will be a full member part of a treatment team on an acute psychiatric inpatient unit which includes an attending, residents, medical students and psychologists. Treatments consist of psychopharmacologic and psychotherapeutic interventions for acutely ill patients.  The student will carry 2 to 4 patients under the supervision of an attending and the Chief Resident and will attend all rounds, resident conferences and patient care meetings.  Students will also spend one half day per week in the psychiatric emergency room, under the supervision of an attending, with emphasis on continuity of care from emergency room to inpatient unit. Experiences in Consultation-Liaison are also available for interested students. 
Feedback: Student will receive ongoing feedback from individual supervisors.
Evaluation:
Supervisors will complete a written evaluation.
Faculty: Drs. Millman and Amighi, and Chief Resident.

 
PS51L Child and Adolescent Psychiatry Advanced Clerkship
Course Director: Dr. Ramon Solhkhah, (212) 523-3069, rsolhkhah@chpnet.org
Given: September through June
Maximum: 2 students per month
Start Date/Time: First weekday of the month, 9:00 AM
Site/Location: St. Luke's Hospital, 411 West 114th St., Ste 5C, , New York, NY
Description: Objective: Provides training in assessment and treatment of children exhibiting psychopathology and their families.
Learning Experience: Student conducts supervised evaluations of children and teenagers and is introduced to several models of treatment including individual, family and group/play therapy. Didactic courses include lectures in normal child development and psychopathology of childhood, family therapy, interview techniques. Each student works up one or two patients and their families under close supervision, including discussion of diagnoses, a psychodynamic formulation and treatment plans. Experiences with pediatric cases and emergency room consultations are also included.
Feedback: Receives regular evaluations from attending and Child Fellow.
Evaluation: During the last two days, time is set aside for the overall evaluation of his rotation through Child Psychiatry.
Faculty: Dr. Solhkhah and staff.
 
PS52L Chemical Dependency Advanced Clerkship
Course Director: Dr. Petros Levounis, (212) 523-6876, plevounis@chpnet.org
Given: September through June, 1 or 2 months
Maximum: 1 student per month
Start Date/Time: First weekday of the month, 9:30 AM
Site/Location: Addiction Institute, Trinity House Division, 324 W. 108th Street, Room 505
Description:

Objectives: To educate the student about diagnosis and management of chemical dependency in a nationally recognized treatment program, The Addiction Institute of NY. 
Learning Experience:
Participate in the evaluation and management of substance abusers and the screening of addicted patients for detoxification. There is full exposure to a full range of drug treatment modalities that includes individual, group and family counseling and self-help approaches.  The student will be appropriately instructed and supervised by attending internists, psychiatrists and social workers, and is expected to read relevant literature on alcoholism and substance abuse and attend seminars on selected topics.
Feedback: Student will receive continuous feedback about his or her progress and specific learning needs during the entire course. 
Evaluation: At the end of the course, an evaluation will be formulated by consultation among all the students' preceptors.
Faculty: Drs. Posner, Lonesome, Levounis and staff.

 
PS54L Psychosomatic Medicine: An Introduction
Course Director: Dr. Prameet Singh, (212) 523-5089, psingh@chpnet.org
Coordinator: Dr. Melvin Gilbert, (212) 523-3763, mgilbert@chpnet.org
Given: September through June, for 1 or 2 months
Maximum: 2 students per month
Start Date/Time: First weekday of the month, 9:00 AM
Site/Location: Call Dr. Gilbert to confirm location
Description: Objective: To acquaint the student with the assessment and management of patients with co-morbid psychiatric and general medical illness.
Learning Experience: The student will learn about the intersection of psychiatric and general medical illness. Particular emphasis is placed on neuropsychiatric syndromes and systems aspects of hospital functioning. Clinical experience will be combined with supervisory sessions and didactic seminars.  Experience will be gathered on the medical and surgical wards of the hospital, and in specialized areas such as the Renal Dialysis and Coronary and Medical Intensive Care Units. There will be exposure to theoretical issues in Psychosomatic Medicine (formerly known as Consultation-Liaison Psychiatry).  Teaching will be accomplished through participation in hospital consultations under the direct supervision of an attending.  There also will be didactic seminars in Consultation-Liaison with PGY3 residents and Fellows.
Feedback: One-to-one contact with members of the Consultation‑Liaison staff will allow for flexibility of the program to meet individual needs.
Evaluation: Ongoing feedback from supervisor and service director. Students will also receive a written evaluation of their performance.
Faculty: Dr. Melvin Gilbert, MD MBA.