The University of Tennessee Health Science Center

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PSY3-4010/F Public Sector Inpatient Psychiatry in the 21St Century-Chatt

Course Coordinator: Terry Holmes, MD

Course Contact: Crystal Champion Crystal.H.Champion@tn.gov

Location: Moccasin Bend Mental Health Institute

Size: 1-2

This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.

Note: This course will be offered by special arrangement only. Email Crystal Champion with Dr. Holmes to request approval: Crystal.H.Champion@tn.gov.
The primary goal of this rotation is to provide the student with a clinical appreciation of the spectrum of common psychiatric diagnoses and their management. Psychopharmacology and psychopathology are emphasized along with clinical problem - solving. The student should gain an understanding of the types of problems referred for in-patient treatment. Use of the scientific literature to base decision-making on is stressed in this science of the practice of behavioral medicine. The students will have total-under supervision of attending physician with support of the treatment team. Daily supervision by faculty and residents. The student will learn and perform mental status exam. They will become familiar with DSM-IV axis system. The student will also become familiar with DSM-IV diagnostic criteria for: delirium, dementia, alcohol abuse/dependence, drug abuse/dependence, schizophrenia, affective disorders (unipolar, bipolar), anxiety disorders (social phobia, GAD, PTSD, ob-comp, panic disorder, simple phobia), personality disorders, somatoform disorders. The student will be able to rule in or out “organic” causes of psychiatric symptoms. The student ©will learn how to approach the treatment of: unipolar depression, pain disorder, anxiety disorders, bipolar affective disorder, diagnostic clarification and treatment of psychosis, alcohol/drug intoxication/withdrawal. The student will attend weekly Internal Medicine grand rounds at Erlanger hospital. Monthly rounds at Moccasin Bend Mental Health Institute – Psych Link and monthly clinical case conference. The student will work in Admissions on evenings/nights/weekends – entirely optional. Free housing is available on hospital grounds if desire.
PSY3-4150/F ELECTIVE IN PRIVATE PRACTICE PSYCHIATRY-CHATT

Course Coordinator: Timothy R. Jennings, MD

Locations: M-F – TMS Chattanooga

6148 Lee Highway, Suite 200, Chattanooga, TN 37421, (423-531-4110)

Size: 1

This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
Note: This elective can be half-time (PSY3-4150/H)

This elective is offered in Blocks 1, 2, 6, 8, 11 and 12
The student will learn the day to day routines of running a private practice, clinically and administratively, with particular emphasis on no-invasive TMS treatments (Transcranial Magnetic Stimulation) for depression. The student will sit in session with Dr. Jennings and directly observe initial assessments, psychotherapy, family therapy and marital therapy. The student will discuss differential diagnosis and formulate treatment plans in conjunction with Dr. Jennings. As patients permit, there will be limited opportunity for the student to do initial interviews on their own, present to Dr. Jennings and then observe Dr. Jennings’ evaluation of the patient. Dr. Jennings will provide teaching and supervision. The student will also be exposed to the administration/business operation of a private practice and, as an exercise, develop an action plan to start their own practice and devise a basic marketing plan.

URO3-4010/F Urology Elective – CHATTANOOGA

Course Coordinators: Amar Singh, M.D.

Course Contact: Joyce Poke Joyce.Poke@erlanger.org

Location: Erlanger Health System

Size: 1

This is a face to face clinical rotation offered in the fall and spring semesters and receiving 7 credit hours.
The educational learning objectives for this course:

Patient Care

Demonstrate efficient history taking skills on patients presenting with complaints.
Demonstrate physical examination skills in the evaluation of non-critical patients presenting with common urology complaints.
Formulate a differential diagnosis of the most likely conditions based upon symptoms and signs.
Consider the differential diagnosis in order non-critical patients presenting with common urology complaints. From the most serious pathology to the least.
Order and interpret common ancillary studies such as lab tests or radiographs on urology patients.
Institute appropriate therapy of common urology complaints.
Make decisions concerning the need for patient hospitalization.
Demonstrate proficiency in procedural skills appropriate for the medical student level, under the direct supervision of an attending physician.
Establish the ability to manage 1 to 3 patients simultaneously.
Develop and carry out patient management plans.

The numbers of patients per week for whom the student will have some responsibility for are 10.

Students are responsible for pre-rounding on their personal patients prior to rounds and presenting to the team on daily rounds including a complete assessment and plan. Personal patients are assigned by the resident or attending. Students observe and assist in surgeries and follow their respective patients from admission until discharge thus establishing a pattern of continuity of care. Students will also experience patient care in an outpatient setting by seeing patients in the urology clinic under the supervision of the faculty and senior residents. For the 3rd year rotating students, emphasis will be placed on history and physical performance and gaining an understanding of basic urological disease. For 4th year students their responsibility is increase to overseeing and guiding pre-rounds with regards to the junior students. They will be expected to act as interns albeit without the same authority and level of supervision. All students will not be responsible for performing any procedures in an independent unsupervised manner.
All patient care will be supervised or directed by either a resident or faculty member. Indirect supervision by a faculty member or resident may be applicable to obtaining a history and physical, surgical dressing changes and postoperative surgical drain management. All inpatient, outpatient and floor procedures will be performed with direct supervision from a faculty member or a resident with the appropriate supervisory status (senior resident may take the student through a cystoscopy).

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