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SYLLABUSCollege of Medicine

2018-2019

Course title and number MPSY810 00T, Consultation/Liaison PsychiatryTerm (e.g., Fall 200X) All Year

Credit Hours 1.25 to 10 1.25 to 10 Other HoursMeeting times and location 8:00 a.m.; Monday – Friday, Baylor Scott & White Health, Temple Campus

Course Description and Prerequisites

This 4-week elective (1 student per 4 week rotation) will provide the student the opportunity to experience and practice primary psychiatric care of patients under the close supervision of a senior staff physician. Increase the student’s familiarity and knowledge to recognize and treat common psychiatric disorders occurring in the medical-ill (e.g. delirium, dementia, substance abuse, anxiety, depression, somatoform disorders); recognize common medical problems and/or drug side effects which may masquerade as psychiatric illness; work effectively with treating staff and/or families to support and educate them so as to minimize the emotional and behavioral impact of the patient’s illness; understand how medical illness may alter psychopharmacologic strategies, and why.

Prerequisite: 1. Successful completion of basic science curriculum. 2. Successful completion of all clerkships.

Instructor Information

Course Director CoordinatorName Jim Airhart, M.D. Name Tina MillerTelephone number 254-724-3874 Telephone number 254-724-3874

Email address [email protected] Email address Tina.miller@bswhealth.

orgOffice hours 8:00 a.m. – 5:00 p.m. Office hours 8:00 a.m. – 5:00 p.m.Office location STC-1 Office location Mental Health Clinic

Learning Outcomes & Objectives

http://www.tamhsc.edu/education/catalog/

The faculty will assist the student in learning to assess and treat psychiatric problems occurring in medical/surgical patients, and in reviewing pertinent literature.

COM Competency Based Learning Objectives: http://medicine.tamhsc.edu/academic-affairs/curriculum/objectives/Principles and Guidelines for Curriculum Development: http://medicine.tamhsc.edu/policies/pdf/curriculum-principles-guidelines.pdf

Date Created/Revised: _____By:_____Curriculum Committee Subcommittee Approval Date:Curriculum Committee Approval Date:

http://medicine.tamhsc.edu/policies/pdf/curriculum-principles-guidelines.pdf

http://www.tamhsc.edu/education/catalog/

Course Objective:

COM Competency Based Learning

Objectives (CBLO):

Taught (T) and/or

Evaluated (E): Evaluation:

1. Recognize and treat common psychiatric disorders occurring in the medical-ill (e.g., delirium, dementia, substance abuse, anxiety, depression, somatoform disorders)

MK1: Demonstrate knowledge of normal human structure and function at the organ-system, tissue, cellular and molecular level; and of the interaction of human systems inmaintaining homeostasis

Taught AND Evaluated

Clinical Performance Rating/Checklist

Click here to enter text.

MK2: Describe the basic mechanisms involved in the causation of human disease and their influence on clinical presentation and therapy




MK3: Demonstrate an understanding of how healthy lifestyles, psychosocial factors, and behavioral factorsinfluence heath




MK4: Apply evidenced-based methods to clinical problem solving



Click here to enter text. MK5: Demonstrate an understanding of the epidemiology of common diseases within a




population and the approaches which are useful in reducing their incidence and prevalence


PC1: Obtain bothcomplete and system-focused medical histories that include psychosocial and behavioral determinants of health


Clinical Documentation Review


PC2: Perform both complete and system-focused physical examinations



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PC3: Develop appropriate differential diagnoses by integrating collected clinical information




PC4: Develop contextual and individualized diagnostic and treatment plans based upon collected clinical information




PC5: Interpret the results of commonly used laboratory and radiologic studies




PC6: Recognize common immediately life-threatening conditions and initiate therapy



Click here to enter text. PC7: Formulate an initial


Clinical Performance


management plan for critically ill patients

Rating/Checklist


PC8: Demonstrate an understanding of the principles involved in the care of patients across the spectrum of the human life cycle




PC9: Perform technical procedures including: venipuncture and arterial puncture; insertion of intravenous, central venous, and urethral catheters; insertion of a nasogastric tube; lumbar puncture; basic suturing; and basic airway management




PC10: Discuss the principles of pain management and formulate a basic multidisciplinary care plan




PC11: Assist in the provision of appropriate end-of-life care withina multidisciplinary team




PC12: Educate patients in personalized health maintenance



Click here to enter text. PC13: Perform Taught AND Clinical Date Created/Revised: _____By:_____Curriculum Committee Subcommittee Approval Date:Curriculum Committee Approval Date:

basic health risk assessment and formulate appropriate screening plans Evaluated

Performance Rating/Checklist


PC14: Properly utilize clinical, laboratory, radiologic, and pathologic examinations to diagnose and treatcommon maladies




PC15: Formulatepreventive, curative, rehabilitative, andpalliative therapeutic strategies for common disorders




ICS1: Demonstrate effective listeningskills




ICS2: Discuss diagnostic and treatment options in a manner comprehensible to the patient




ICS3: Communicate effectively with patients, patients' family members, peers, and other members of the health care team



Click here to enter text. ICS4: Educate patients, patients' family members, peers, and other members of the health care team at an appropriate level using appropriate




technologies


ICS5: Maintain accurate medical records




PROF1: Demonstrate an understanding of legal and ethical principles governing the physician-patient relationship




PROF2: Display honesty, integrity and ethical behavior




PROF3: Act in the patient's best interest and serve as a patient advocate




PROF4: Treat patients and patients' family members respectfully and compassionately, regardless of age, disability, gender,race, ethnicity, culture, religion, sexual preference,and socio-economic status




PROF5: Respect the privacy of patients




PROF6: Work with other health professionals in a collaborative fashion



Click here to enter text. PROF7: Demonstrate an awareness of leadership roles inmedicine and




society


PROF8: Recognize potential conflictsof interest and demonstrate awareness of appropriate courses of action




PROF9: Demonstrate an understanding of peer review and the expectations of professional licensing boards, including medicaljurisprudence




PROF10: Demonstrate knowledge of responsibilities to patients, peers, and other members of the health care team




PROF11: Respond to conflicts in a professional manner




PROF12: Projecta professional image in demeanor and personal appearance



2. Recognize common medical problems and/or drug side effects which may masquerade as psychiatric illness

MK1: Demonstrate knowledge of normal human structure and function at the organ-system, tissue, cellular and molecular level; and of the interaction of human systems in




maintaining homeostasis














MK5: Demonstrate an understanding of the epidemiology of common diseases within a population and the approaches which are useful in reducing their incidence and prevalence



3. Work effectively with treating staff and/or families to support and educate them so as to minimize the emotional and behavioral impact of the patient’s illness

MK1: Demonstrate knowledge of normal human structure and function at the organ-system, tissue, cellular and molecular level; and of the




interaction of human systems inmaintaining homeostasis


















SBP1: Apply knowledge of health care systems to improve and optimize patient care



Click here to enter text. SBP2: Advocate Taught AND Clinical Date Created/Revised: _____By:_____Curriculum Committee Subcommittee Approval Date:Curriculum Committee Approval Date:

for continuous quality improvement in patient care and patient safety Evaluated



SBP3: Demonstrate an understanding of cost containment principles and their application in the delivery of health care




SBP4: Demonstrate an understanding of the legal and regulatory frameworks governing the practice of medicine which affect payment, reimbursement, referrals and incentives



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SBP5: Recognizevarious approaches to the organization, financing, and delivery of health care




SBP6: Utilize information technology in providing medicalcare for individuals



Click here to enter text. Choose an item Choose an item Choose an item4. Understand how medical

illness may alter psychopharmacologic strategies, and why.

MK1: Demonstrate knowledge of normal human structure and function at the organ-system, tissue, cellular




and molecular level; and of the interaction of human systems inmaintaining homeostasis

















Click here to enter text. PC1: Obtain bothcomplete and system-focused medical histories that include psychosocial and




behavioral determinants of health


PC2: Perform both complete and system-focused physical examinations




PC3: Develop appropriate differential diagnoses by integrating collected clinical information




PC4: Develop contextual and individualized diagnostic and treatment plans based upon collected clinical information




PC5: Interpret the results of commonly used laboratory and radiologic studies




PC6: Recognize common immediately life-threatening conditions and initiate therapy




PC7: Formulate an initial management plan for critically ill patients




PC8: Demonstrate an understanding of the principles involved in the care of patients across the spectrum of the human life cycle



Click here to enter text. PC9: Perform Taught AND Clinical Date Created/Revised: _____By:_____Curriculum Committee Subcommittee Approval Date:Curriculum Committee Approval Date:

technical procedures including: venipuncture and arterial puncture; insertion of intravenous, central venous, and urethral catheters; insertion of a nasogastric tube; lumbar puncture; basic suturing; and basic airway management Evaluated



PC9: Perform technical procedures including: venipuncture and arterial puncture; insertion of intravenous, central venous, and urethral catheters; insertion of a nasogastric tube; lumbar puncture; basic suturing; and basic airway management




PC10: Discuss the principles of pain management and formulate a basic multidisciplinary care plan




PC11: Assist in the provision of appropriate end-of-life care withina multidisciplinary team



Click here to enter text. PC12: Educate patients in


Clinical Performance


personalized health maintenance

Rating/Checklist


PC13: Perform basic health risk assessment and formulate appropriate screening plans




PC14: Properly utilize clinical, laboratory, radiologic, and pathologic examinations to diagnose and treatcommon maladies




PC15: Formulatepreventive, curative, rehabilitative, andpalliative therapeutic strategies for common disorders




ICS1: Demonstrate effective listeningskills




ICS2: Discuss diagnostic and treatment options in a manner comprehensible to the patient




ICS3: Communicate effectively with patients, patients' family members, peers, and other members of the health care team



Click here to enter text. ICS4: Educate patients, patients' family members, peers, and other members of the





ICS5: Maintain accurate medical records



Click here to enter text. Choose an item Choose an item Choose an itemClick here to enter text. Choose an item Choose an item Choose an item

Textbook and/or Resource Material

Grading Policies

1. Clinical Evaluation Form – 100%

Direct observation by attendings and the clinical evaluation form provided by the Texas A&M Health Science Center.

Remediation: This will be determined on a case by case basis by Dr. Airhart & Dr. Antunes.

The final course grade will be based on the following:

Clinical Evaluation Form 100%

GRADING SCALEHonorsPassFail

Attendance and Make-up Policies

TAMHSC – COM student handbook states: Students who miss more than 20% of a 4th year elective for any reason (2 weekdays during a two-week rotation or 4 weekdays for 4 week rotation) will require a remediation plan. The elective director will consider students attendance and remediation if the student is requesting extended time off during interview season. • Be on time for all activities.• Every Department adheres to attendance policies as set forth in the College of Medicine Student Handbook. Absences will be allowed for the following reasons:


o Death in the family.o Critical illness within the immediate family (i.e. spouse, child, mother, father, sibling)o Legal proceedings.o Personal illness.• In case of illness or other circumstances where you will not be able to participate in required activities, you must follow the following directions for reporting your absences: o If you are absent due to illness please notify your appropriate Program Coordinator and the faculty you are scheduled to work with.o For an absence other than illness please put the request in the form of a memo addressed to the Clerkship Director one week prior to your absence. If approved, you are responsible for notifying your attending.• Scheduled classes and conferences are mandatory and take precedence over any clinical or surgical activity.• The Departments encourage student participation in extracurricular activities such as AMA and TMA or official College of Medicine activities. If you are a student delegate or have other commitments that you wish to fulfill please contact the Clerkship Director to arrange permission to attend.

Policies and Procedures (generic information for all campuses)

Professional Behavior• Dress Professionally• Address your patients as Dr., Mr., Mrs., etc. unless on Pediatrics then first names may be used.• Introduce yourself as a student doctor. The highest standards of professional conduct, such as honesty and integrity in relations with patients, colleagues, and staff is expected at all times.

** Failing any component of the clinic rotation in areas of professional attributes will result in failure of the clerkship.

Patient Confidentiality• All aspects of patient care are confidential. This includes the electronic medical data base, paper information/chart and lab. Do not access inappropriately.• Do not discuss patient care in hallways, stairwells, elevators, etc.

Course Topics, Calendar of Activities, Major Assignment Dates

Consultation /Liaison Psychiatry is a 4 week rotation. Student will adhere to the same work schedule as the attending. Student will report to STC-1 at 8:00 a.m.

Activities:

1. Supervised clinical consultations2. Formal literature review; in-depth case write-up

Other Pertinent Course Information


N/A

Americans with Disabilities Act (ADA)

The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights protection for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact Disability Services, currently located in the Disability Services building at the Student Services at White Creek complex on west campus or call 979-845-1637. For additional information, visit http://disability.tamu.edu.

Academic IntegrityFor additional information please visit: http://aggiehonor.tamu.edu

“An Aggie does not lie, cheat, or steal, or tolerate those who do.”

Professionalism and integrity Statement (Academic Honesty and Plagiarism)

All College of Medicine students are required to comply with the student code of conduct and the academic integrity and honesty standards published in each component’s Student Handbook. Disciplinary action will be taken in accordance with the policies of each component. Students found guilty of Academic Dishonesty will receive an “F”/Unsatisfactory in the course. For a full list of actions qualifying as academic dishonesty, please review the College of Medicine Student Handbook at http://medicine.tamhsc.edu/student-affairs/docs/handbook.pdf.

According to the Aggie Honor System Office, plagiarism is defined as the appropriation of another person's ideas, processes, results, or words without giving appropriate credit. Intentionally, knowingly, or carelessly presenting the work of another as one’s own (i.e., without crediting the author or creator). Plagiarism and other academic misconduct definitions can be viewed on the Aggie Honor System Office website; http://aggiehonor.tamu.edu/RulesAndProcedures/HonorSystemRules.aspx#definitions.

TAMHSC E-mail Access and FERPA

The College of Medicine is communicating all official information to students through the students’ TAMHSC e-mail accounts. Please check the account frequently during the semester for updates.This course is supported with web-based and/or e-mail activities. In order to take advantage of these additional resources and participate fully in the course, you have been assigned an e-mail address by the Texas A&M Health Science Center. This e-mail address is for internal use only, so that faculty may communicate with you and the entire class. By registering for this course, you are agreeing to allow your classmates to have access to this e-mail address. Should you have any questions, please contact the TAMU’s Office of the Registrar at 979-845-1031.

The Family Educational Rights and Privacy Act of 1974 (FERPA), which the HSC complies fully, is intended to protect the privacy of education records, to establish the rights of students to inspect and review their education records and to provide guidelines for the correction of inaccurate or misleading data through informal and formal hearings. Students also have the right to file complaints with the Family Educational Rights and Privacy Act Office of the Department of Education in Washington, D.C., concerning alleged failures by the HSC to comply with the act.

Mistreatment of Students

The College of Medicine is committed to providing a positive learning environment in which students can meet their academic goals based on mutual respect in the teacher/learner relationship. Both parties must be sensitive to the needs of others and differences in gender, race, sexual orientation, religion, age or disability. As outlined in the Student Handbook under the section titled Standards of Conduct in the Teacher-Learner Relationship, belittlement, intimidation and humiliation are unacceptable for effective learning and undermine self-esteem. Breaches involving student mistreatment may result in a faculty or staff member being sanctioned or the loss of faculty and/or staff appointment. Date Created/Revised: _____By:_____Curriculum Committee Subcommittee Approval Date:Curriculum Committee Approval Date:

http://aggiehonor.tamu.edu/RulesAndProcedures/HonorSystemRules.aspx#definitions

http://medicine.tamhsc.edu/student-affairs/docs/handbook.pdf

http://aggiehonor.tamu.edu/

http://disability.tamu.edu/

These policies address student mistreatment involving College of Medicine employees, residents, affiliate staff, or patients. Mistreatment may be reported through the College of Medicine telephone hotline, 1(855)-397-9835 or through an online form at http://medicine.tamhsc.edu/current/student-mistreatment-form.html. For a full list of reporting avenues, please refer to the Student Handbook under the Mistreatment Policy.

Exposure and Occupational Hazard

The Needle Stick Policy and Bloodborne Pathogen Exposure information for Medical Students may be accessed in the Student Handbook at: http://medicine.tamhsc.edu/student-affairs/docs/handbook.pdf

Note: More information is available on the aforementioned topics to all students on the College of Medicine website.


http://medicine.tamhsc.edu/student-affairs/docs/handbook.pdf

http://medicine.tamhsc.edu/current/student-mistreatment-form.html

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