Departmental Course: Psychiatry

​​​​Clerkship Coordinator: Gayle Schneider
Phone: 206.744.3443
Email: gschneid@uw.edu

Block Calendar:
Your clerkship dates must correspond with our Clinical Schedule (PDF). You must start at the beginning of the block(s) and finish at the end of the block(s). There are no exceptions to these scheduled dates. . If you have any questions about the application process or UW SoM requirements, please contact the Visiting Student Coordinator, visitstu@uw.edu

To Apply:
1 .You must be a medical student. Medical graduates are not eligible to apply. We do not offer “Observerships” – all electives we offer are in VSAS.
2. Applications must be received at least 6 weeks prior to the start of the requested clerkship date.
3. You must meet all eligibility requirements of the Visiting Student Clinical Elective Program.
4. Complete the VSAS application and upload all supplemental materials to VSAS. You must provide a current CV and one letter of recommendation, which must be uploaded directly to VSAS.  Letters of recommendation should be from someone with whom you have worked closely in a clinical setting and should address why you would be a good candidate to do a psychiatry elective at the UW.  Letters of recommendation must be signed and on official letterhead. Qualified medical students interested in any field are welcome to apply for Psychiatry electives.  No action will be taken on your application until it is complete. Departments may not "pre-enroll" or hold spaces for potential visiting students, regardless of their intent or qualifications.
5. Availability often cannot be determined until 4 weeks prior to the rotation start date. Please do not call or send inquiries about availability. If VSAS lets you rank an elective, it’s currently available.
6. Cancelations: You must withdraw at least 4 weeks before your starting date. Fees are non-refundable. All cancellations and changes must be made in writing to the Clerkship Coordinator.
7. Visiting students will be contacted about course scheduling in the order that their application was approved. Please expect a delay between when your application is approved and when you are contacted about scheduling.
8. If you are offered enrollment, you will have 48 hours to accept or decline the elective(s) offered.
9. A housing resource list will be available to students following enrollment.
10. Absence Policy:
All Psych electives are M-F only, no weekend or night shifts or call. This means that there is no opportunity to make up missed time. No time off is allowed from 2-week rotations, 1 day may be allowed from a 4-week rotation with advance permission from the Clerkship Director (not the course preceptor.) Students planning to do residency interviews or wanting time off for any other reason while they are in Seattle should schedule these for before or after their elective. Please contact Gayle Schneider (gschneid@uw.edu) if you have any questions about the absence policy.

11.  UW Psychiatry Residency Training Program:  If you are interested in the UW Psychiatry Residency Training Program, you need to apply to it through ERAS and be offered an interview. Psychiatry electives are independent of the Psychiatry Residency Training Program.

The University of Washington Department of Psychiatry and Behavioral Sciences offers a funded Diversity Visiting Medical Student Subinternship Program designed to give fourth-year medical students from backgrounds historically underrepresented in medicine the opportunity to experience the exceptional education in psychiatry offered by the University of Washington.  For information about this program, please go to:

https://sharepoint.washington.edu/uwpsychiatry/Education/MedicalSchool/Pages/SubinternshipDiversityScholarship.aspx
 


PBSCI 670 P – Clerkship in Consultation-Liaison Psychiatry UWMC

Offered: AWSpS; 4 weeks only for visiting students
Prerequisite: Psychiatry core clerkship.
Total Enrollment: 1
Preceptor: Dr. ​Ryan Kimmel
Clerkship Coordinator: Gayle Schneider; 206.744.3443; gschneid@uw.edu
Clerkship Site: UW Medical Center

Goals
Assessment of patients with major psychosocial problems associated with physical disease, including problems stemming from the way illness is perceived and experienced. Liaison with other clinical disciplines on complex diagnostic and treatment problems.

Objectives:

  • To recognize and demonstrate the differential diagnosis of the psychiatric conditions most commonly encountered in medical settings (e.g., delirium, dementia, depression, somatoform and factitious disorders, substance abuse and withdrawal).
  • To assess and describe behavioral conditions commonly seen on medical and surgical services (e.g., suicidal and homicidal threats, grief, anxiety, personality problems and pain).
  • To evaluate a patient hospitalized because of a suicide attempt or attempted self-harm and to assess risk of self-harm while on medical or surgical services, as well as the level of psychiatric care needed after discharge.
  • To adapt psychopharmacologic and psychotherapeutic treatments for medically ill patients.
  • To demonstrate an understanding of legal issues involved in consultation psychiatry, particularly to help direct the treatment approach when a patient’s ability to make needed medical treatment decisions (e.g., competency or decisional capacity) is questioned.
  • To help non-psychiatric staff understand and manage psychiatric conditions in their patients.

Schedule:
Daily Monday - Friday, 8:00 am – 5:00 pm, no night or weekend call. 
Daily assessment of patients and daily patient rounds with C-L team members.

Conferences:
Attend departmental conferences as time/patient load permit:
Department of Psychiatry Grand Rounds (one Friday per month).

Presentations: Presentation to C-L team members on topic of interest is optional.

Readings/texts:
Multiple texts and teaching files are available in the C-L office.
Suggested readings include:
UWMC Psychiatry Resident Consultation-Liaison Handbook.
Textbook of Consultation-Liaison Psychiatry (Rundell and Wise).
Seminars in Liaison Psychiatry (Guthrie and Creed).

Evaluation:
By Faculty: The individual psychiatry Consultation-Liaison attending at the time the student does the rotation will provide the evaluation (psychiatry assessment form), in conjunction with the current psychiatry residents whom the student works with.

PBSCI 671 P – Clerkship in Consultation-Liaison Psychiatry HMC

Offered: AWSpS; 2/4 weeks. Four (4) weeks suggested for those interested in psychiatry as a career.
Prerequisite: Psychiatry core clerkship
Total Enrollment: 2
Preceptor: Dr. Shaune DeMers
Clerkship Coordinator: Gayle Schneider; 206.744.3443; gschneid@uw.edu
Clerkship Site: Harborview Medical Center

Goals
The goal of the Consultation-Liaison rotation is to provide organized instruction and supervised clinical experience in the evaluation of psychiatric and/or behavioral problems in patients on medical and surgical services, and in effectively consulting with their health care providers regarding their clinical management.

Objectives:

  • To recognize and demonstrate the differential diagnosis of the psychiatric conditions most commonly encountered in medical settings (e.g., delirium, dementia, depression, somatoform and factitious disorders, substance abuse and withdrawal.)
  • To assess and describe behavioral conditions commonly seen on medical and surgical services (e.g., suicidal and homicidal threats, grief, anxiety, personality problems and pain).
  • To evaluate a patient hospitalized because of a suicide attempt or attempted self-harm and to assess risk of self-harm while on medical or surgical services, as well as the level of psychiatric care needed after discharge.
  • To adapt psychopharmacologic and psychotherapeutic treatments for medically ill patients.
  • To demonstrate an understanding of legal issues involved in consultation psychiatry, particularly to help direct the treatment approach when a patient’s ability to make needed medical treatment decisions (e.g., competency or decisional capacity) is questioned.
  • To help non-psychiatric staff understand and manage psychiatric conditions in their patients.

Schedule:
Daily Monday – Friday 8:00 am – 12:00 pm students will see patients with psychiatry residents. Depending on student skill level, they may see patients individually.  

Ward rounds with C-L attending; 2:00 – 5:00 pm. daily During rounds, students will present the assigned patients, including recommendations and plans. There is no night or weekend call.

Conferences:
Attend departmental conferences as time/patient load permit: Monday - inpatient chief resident teaching seminar; Friday - faculty-resident teaching conference; HMC Psychiatry Grand Rounds.

Presentations:
Presentation to C-L team members on topic of interest is optional.

Readings/texts:
Multiple texts and teaching files are available in the C-L office at 5 East Clinic.
Suggested readings include:
HMC Psychiatry Resident Consultation-Liaison Handbook.
Textbook of Consultation-Liaison Psychiatry (Rundell and Wise).
Seminars in Liaison Psychiatry (Guthrie and Creed).

Evaluation:
By Faculty: The individual psychiatry Consultation-Liaison attending at the time the student does the rotation will provide the evaluation (psychiatry assessment form), in conjunction with the current psychiatry residents whom the student works with.

PBSCI 672 P – Elective Clerkship in Primary Care Psychiatry at Boise VAMC

Offered: AWSpS;  4 weeks
Prerequisite: Psychiatry core clerkship.
Total Enrollment: 1 ; open to visiting students interested in the Boise Psych Residency Prog.
Faculty Contact: Dr. Heidi Combs
Clerkship Coordinator: Gayle Schneider; 206.744.3443; gschneid@uw.edu
Clerkship Site: Boise, ID

Goals/Objectives:

  • Students will learn about the assessment and treatment of patients with acute psychiatric problems in a primary care/rural setting.
  • Students learn how to provide consultation for general medicine and surgery settings.
  • Students will learn how to asses and deal with outpatient psychiatric problems as they initially present.
  • Students will learn evaluation techniques.
  • Students will learn crisis intervention strategies.
  • Students will learn psychopharmacology.
  • Students will learn brief therapies.

Schedule:
Opportunities to participate in satellite clinics in rural areas and Indian Health Service. Other participation negotiable depending on interest and experience.

Conferences: Clinical care conferences.

Presentations:
Presentation of a specific clinical area to the treatment team is an option.

Readings/texts:
The Care of the Psychiatric Patient, Richard J. Goldberg, M.D., 2nd edition, 1998.

Evaluation:
Evaluation of student is mainly by attending with input from other staff. Same general form as for psychiatry clerkships.

Other: 

Student is responsible for providing their own housing and vehicle.

PBSCI 673 P – Outpatient Psychiatry Elective

Offered: AWSpS; 4 weeks
Prerequisite: Psychiatry core clerkship
Total Enrollment: 1 
Faculty Contact: Dr. Heidi Combs
Clerkship Coordinator: Gayle Schneider; 206.744.3443; gschneid@uw.edu
Clerkship Site: Harborview Medical Center and 401 Broadway

Goals:

  • To develop skills in acute diagnosis, assessment, and crisis intervention for urgent care psychiatric complaints, as well as for those with combined drug/alcohol problems.
  • To develop skills in medication management, psychosocial support, and teamwork in managing severely mentally ill patients.

Objectives:

  • Students will be able to conduct diagnostic interviews.
  • Students will be able to initiate and manage pharmacotherapeutic treatment regimens appropriate to patient problems.
  • Students facilitate co-therapy in groups under the supervision of attendings, resident and other trained staff.
  • Students provide crisis intervention under the supervision of attendings, resident and other trained staff.

Conferences:
Monthly Psychiatry Grand Rounds at HMC.
HMC Psychiatry Friday Faculty-Resident teaching conferences.
Clinical care conferences in each clinical unit.

Presentations:

  1. Patient presentation to attendings.
  2. Option to present a topic to the multidisciplinary team.

Readings/texts:
The Care of the Psychiatric Patient. Richard J. Goldberg, M.D., 2nd edition, 1998.
Reading provided in rotation.

Evaluation:
Fully clinical: attending rating with input from multidisciplinary team members outlined on the Psychiatry Clinical Assessment form which includes a descriptive narrative of performance.

PBSCI 678 P – Clerkship in Psychiatric Long-Term Care and Rehabilitation at American Lake VA

Offered: Currently not available, no preceptor.

 

PBSCI 680 P – Clerkship in Emergency Psychiatry

Offered: AWSpS; 4 weeks. ​
Prerequisite: Psychiatry core clerkship.
Total Enrollment: 1 per 4 weeks.
Preceptor: Dr. Jagoda Pasic
Clerkship Coordinator: Gayle Schneider; 206.744.3443; gschneid@uw.edu
Clerkship Site: Harborview Medical Center

Goals:
To provide organized instruction and supervised clinical experience in emergency psychiatry. Emphasis on clinical evaluation, acute management, and treatment planning for individual patients.

Objectives:

  • Show in an interview establishment of rapport with acutely disturbed patients.
  • Outline elements of dangerousness in a patient who was assessed.
  • Outline medical, neurological, and physiological causes for observed psychiatric symptoms.
  • Demonstrate why inpatient care is required rather than outpatient (and vice versa) after interview of a patient and review of data base.
  • Discuss patient data base and assessment in complete and succinct manner.

Schedule:
Monday - Friday, 8:00 am – 5:00 pm in the Psychiatric Emergency Services area at Harborview Medical Center. No night or weekend call.

Conferences:
Mondays, 12:00 – 1:00 pm, Chief Resident’s conference (as workload permits).
Fridays, 12:00 – 1:00 pm, Friday teaching conference (as workload permits).

Readings/texts:
Articles and textbooks available in the PES(Psych Emergency Services) Unit.
The Care of the Psychiatric Patient, second edition, Richard J. Goldberg, M.D.

Evaluation:
By faculty: “Evaluation of Student Performance in the Clinical Curriculum” form and in descriptive narrative of performance.

Conjoint 680 P – Introduction to Detoxification and Rehabilitation Programs for Alcoholism and Drug Abuse

Offered: AWSpS; 2/4 weeks – 2 weeks preferred.
Prerequisite: Psychiatry core clerkship
Total Enrollment: 1 student maximum at any time
Preceptor: Joseph Reoux, M.D.
Clerkship Coordinator: Gayle Schneider; 206.744.3443; gschneid​@uw.edu
Clerkship Site: VAPSHCS – Seattle (Seattle VA)

Goals:
A supervised introduction to alcohol and drug detoxification and rehabilitation as they apply to the general physician. The student will have supervised clinical experience in a variety of addiction treatment programs, which will be accompanied by a core series of discussions. Students with particular interest in psychiatry may choose to spend most of the rotation in the Addictions Treatment Center and focus on the therapeutic/intervention process.

Objectives:

  • The student will be able to list DSM-V criteria for substance related disorders.
  • The student will be able to outline methods of detoxification for alcohol, opioids, and stimulants.
  • The student will participate in interdisciplinary treatment planning and describe the advantages to patients of such collaboration.
  • Observe/participate in addiction treatment group therapy.
  • Become familiar with medications for relapse prevention such as naltrexone and disulfiram, and demonstrate an understanding of the indications and dosages of these medications.
  • Develop a broad perspective on the range of bio-psycho-social-spiritual resources available for addiction treatment and relapse prevention and be able to describe them.

Schedule:
Week one, Mon - Fri: 8:15 - 9 am Treatment team meeting.
9 - 9:30 am Check in/out rounds.
9:45 am - 2 pm Treatment groups.
2:30 - 3 pm Check in/out round.
9:30 am - 4:30 pm Patient assessments.

Week 2, Mon - Fri: 8 am - 4:30 pm Site visits (students arrange times for site visits with the
particular programs they are interested in visiting; this is at the discretion of the particular program).

Weeks 3-8, Mon - Fri: 8 am - 4:30 pm Combination of the above tailored to meet the individual student’s educational goals. Degree of focus can vary, but generally it will include increased responsibility for the direct management of the ongoing medical and psychiatric care for assigned individual patients and, if desired, an opportunity for the expanded role in the psychoeducational treatment modalities.

Conferences:
• Daily (M-F) treatment team meetings.
• 2x daily (M-F) medical-nursing “check in/out rounds.”
• Inpatient and outpatient treatment groups.
• Site visits to 4 to 8 addiction treatment related programs in the community.

Presentations:
• Perform H&P, write admission orders, and decide detoxification strategy for at least 1 patient admitted to the inpatient addiction treatment program.
• Perform or observe at least 1 screening assessment for prescribing medication for relapse prevention.
• Complete a brief summary paper describing, comparing, and contrasting the community programs visited.

Readings/texts:
Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
Addiction treatment related literature distributed during clerkship.

Evaluation:
By faculty: “Evaluation of Student Performance in the Clinical Curriculum” form and in descriptive narrative of performance.

Other:

Student will need to complete all required VA paperwork, HR appointment, and be fingerprinted before starting this rotation.  Failure to do this by deadline given will result in cancellation of elective.

PBSCI 685 P – Geriatric Psychiatry

Offered: AWSpS; 2/4 weeks 
Prerequisite: Psychiatry core clerkship
Total Enrollment: 1 per 2/4 weeks.
Faculty Contact: Dr. Heidi Combs
Clerkship Coordinator: Gayle Schneider; 206.744.3443; gschneid@uw.edu
Clerkship Site: Varies daily - includes Harborview Medical Center, community nursing homes and VAPSHCS-Seattle

Goals and Objectives:

  • The ability to perform and record an accurate and comprehensive psychiatric evaluation of the elderly patient. Special emphasis will be placed on functional assessment and a multidisciplinary approach.
  • The development and enhancement of communication, interpersonal, and psychotherapeutic skills to put patients and families at ease, elicit information in an empathic manner, and address relevant emotional and interpersonal aspects of illness.
  • The ability to evaluate, differentially diagnose, and develop a treatment plan for common psychiatric symptoms and disorders of elderly psychiatric, neurological, and medical patients, e.g., mood disturbances, delirium, paranoia, dementia, stroke, movement disorders.
  • The ability to assess and manage elderly psychiatric patients in the inpatient, outpatient, consultation, long-term care, and community settings.
  • The ability to refer to and utilize allied health personnel and resources in developing a comprehensive treatment plan for older patients.

Schedule:
Monday through Friday from 8:00 am- 5:00 pm at different sites in the Seattle area. The schedule will include participating in the VA Puget Sound Geriatric Evaluation and Management (GEM) Unit, seeing patients in the Geriatric Outpatient Clinic, performing consults at the VA Medical Center consultation services, seeing patients in the UW Brain and Wellness Clinic, and community nursing homes as a member of the Harborview Geriatric Psychiatry Service. The student may also be able to participate in neuropsychiatric assessments in the VA Memory Disorders Clinic. The student should anticipate needing a vehicle for this elective.

Conferences:
Geriatric Fellows Conference, Clinical Pathology Conference, Expert Consensus Conference, Post-clinic Conference, Geriatric Medicine Grand Rounds, Neurology Grand Rounds (summer), Psychiatry Grand Rounds, conferences, research seminars, Post-clinic conference, and other clinical teaching activities of the UW geriatric teaching program.

Readings/texts:
Journal articles will be handed out. No specific text.

Evaluation:
Routine UW medical student (Psychiatry) evaluation forms will be used.

Other:

Student will need to complete all required VA paperwork, HR appointment, and be fingerprinted before starting this rotation.  Failure to do this by deadline given will result in cancellation of elective.

PBSCI 688 P – Subinternship in General Psychiatry

Offered: AWSpS;  4 weeks
Prerequisite: Permission by preceptor required. Psychiatry core clerkship.
Total Enrollment: Variable.
Faculty Contact: Dr. Heidi Combs
Clerkship Coordinator: Gayle Schneider; 206.744.3443; gschneid@uw.edu
Clerkship Site: Harborview Medical Center, Seattle VA Medical Center 

Goals:
Students will function as interns under the supervision of house staff and attending psychiatrists. Further development of the diagnostic and therapeutic skills will be emphasized. Special areas of interest such as family intervention, substance abuse, psychoses, neuropsychiatry, community psychiatry, administration, research, etc., may be pursued.

Objectives:

  • Be able to make assessments of immediate risk for violence and suicide of inpatients and appropriate interventions.
  • Be able to outline a thorough differential diagnosis.
  • Be able to manage patient care including writing orders, determining appropriate laboratory and other testing.
  • Be able to interface with a multidisciplinary team for effective patient care.
  • Be able to determine and put into place effective outpatient plans.
  • Be able to interface effectively with other treating health professionals.
  • Be able to document care and complete discharge summaries that are accurate, coherent, and succinct.

Conferences:   
Monthly Psychiatry Grand Rounds at HMC.
HMC Psychiatry Friday Faculty-Resident teaching conferences.
Clinical care conferences in each clinical unit.

Presentations:
One presentation of a patient-related topic to the treatment team; daily rounds presentation about patients cared for.

Readings/texts:
The Care of the Psychiatric Patient. Richard J. Goldberg, M.D., 2nd edition, 1998.
Reading provided in rotation.

Evaluation:
Fully clinical: attending rating with input from multidisciplinary team members outlined on the Psychiatry Clinical Assessment form which includes a descriptive narrative of performance.

PBSCI 695 P – Advanced Clerkship in Child Psychiatry, CSTC Location

Offered: AWSpS; 2/4 weeks full-time.
Prerequisite: Psychiatry core clerkship.
Total Enrollment: 2 at any time.
Preceptor: Dr. Mick Storck, (206) 469-6282, storck@uw.edu
Clerkship Coordinator: Gayle Schneider; 206.744.3443; gschneid@uw.edu
Clerkship Site: Child Study and Treatment Center, Lakewood, WA

Objectives:  At the end of the clerkship, the student will be able to:

  • Conduct a complete psychiatric interview with a child or adolescent and his family
  • Formulate a diagnosis for children and adolescents
  • Develop a biopsychosocial formulation taking into account the issues salient for children and adolescents
  • Develop a comprehensive treatment care plan
  • Effectively communicate the results of the assessment and treatment plan to the family, child or adolescent
  • Communicate and work effectively with other treating professionals.

Conferences:​
​Clinical care conferences in each of the clinical sites (inpatient and outpatient).

Readings/texts: 
Child and Adolescent Psychiatry: A Comprehensive Text. Melvin Lewis, M.D., editor.

Evaluation: ​
​By Faculty: Evaluation of student is mainly by psychiatry attending, with input from other faculty and staff whom the student works with in this rotation. The completed “Evaluation of Student Performance in the Clinical Curriculum” form includes a descriptive narrative of performance.

Other:
Lakewood is approximately 80 minutes from Seattle. Student will need a vehicle for this elective.  Students generally spend one day per week at Seattle Children's and must be credentialed by SC in advance in order to participate in this elective.  Failure to previde requested information and/or complete online training will result in cancellation of this elective.  Additional paperwork and background check will be required by the Child Study & Treatment Center.

PBSCI 696 P – Advanced Clerkship in Child Psychiatry

Offered: AWSpS; 4 weeks full-time.
Prerequisite: Psychiatry core clerkship.
Total Enrollment: 1 or 2 per 4/6 weeks.
Preceptor: Dr. Shannon Simmons
Clerkship Coordinator: Gayle Schneider; 206.744.3443; gschneid@uw.edu
Clerkship Site: Seattle Children’s Hospital

Goals:
This clerkship is an introduction to child and adolescent psychiatry for fourth-year medical students who have taken the general psychiatry core clerkship. It provides students an opportunity to participate in evaluation and treatment of children and adolescents in a number of settings, including an acute inpatient psychiatric unit and consultation/liaison service at Seattle Children’s Hospital and outpatient child psychiatry clinic at Lake City.

Experiences in outpatient and specialized clinics are also available, with an opportunity to visit other child and adolescent mental health programs, including Child Study and Treatment Center in Tacoma, the children’s wing of Western State Hospital, and Echo Glen, a facility for incarcerated youth.

Students will work closely with the Child and Adolescent Psychiatry resident both on the IPU and in the OPD. At the end of the clerkship, the student will be able to assess psychiatric disorders in children and adolescents and to be familiar with a biopsychosocial approach to treatment.

Objectives:

  • Student will be able to interview a child or adolescent and his family and formulate a diagnosis, an assessment of need for care and a treatment approach and describe them to the family, the child or adolescent, and other care givers.
  • Student will be able to discuss a biopsychosocial formulation of child or adolescent interviews.

Conferences:
Clinical care conferences in each of the clinical sites (inpatient and outpatient).

Readings/texts:
Child and Adolescent Psychiatry: A Comprehensive Text. Melvin Lewis, M.D., editor.

Evaluation:
Evaluation by attending with input from multidisciplinary team members outlined on the Psychiatry Clinical Assessment form which includes a descriptive narrative of performance.

Other:

Students must be credentialed by Seattle Children's in advance in order to participate in this elective.  Failure to provide requested information and/or complete online training will result in cancellation of this elective.