inpatient/outpatient observership in psychiatry
MD2B Connect Physician ID # 155
Where will this rotation take place: This combined inpatient and outpatient rotation will take place in Houston. Although you will be spending time at the preceptor's outpatient practice and multiple hospitals, transportation will not be needed to travel to these locations as you will accompany the preceptor in his car.
Hours: Monday 7 AM to 1 PM; Tuesday - Thursday 7 AM to 4 PM; Friday 7 AM to 1 PM; Saturday and Sunday (optional)
What you will do: You will be under the supervision of a physician who is board-certified in psychiatry. He is actively involved in teaching family medicine residents from an HCA-affiliated residency program who spend time with him in his outpatient practice. He holds hospital appointments at Memorial Hermann Southwest, West Oaks Hospital, and Behavioral Hospital of Bellaire.
On most days of the rotation, you will be spending time in the inpatient mental health units of several hospitals. As you observe encounters between the preceptor and hospitalized patients with acute psychiatric illness, you will see how interviews and mental status examinations are performed in patients in crisis. Discussions following these encounters will help you improve your abilities to develop differential diagnoses and select appropriate tests. You will learn how assessments and plans are made using a bio-psycho-social model. On the inpatient units:
You will observe how psychiatrists care for patients with psychiatric disorders in a respectful manner.
You will observe effective communication strategies and professional behaviors between psychiatrists and patients, families, and staff.
You will learn the major DSM-IV signs and symptoms for Bipolar Disorder, Delirium, Dementia, Generalized Anxiety Disorder, Major Depressive Disorder, Panic Disorder, Schizophrenia, Substance Abuse & Dependence, and Substance Intoxication & Withdrawal.
You will learn the indications, mechanism of action, and adverse effects of psychoactive medications.
You will learn about the medico-legal aspects related to involuntary hospitalization and the importance of confidentiality
You will also be able to observe electroconvulsive therapy (ECT). You will learn about the indications for this treatment, how patients are evaluated for this procedure, how the procedure is performed by a team of trained professionals, and side effects as well as safety concerns. .
In the outpatient clinic, you will observe the evaluation and management of patients with mood disorders, anxiety disorders, psychotic disorders, personality disorders, and substance use disorders.
Please note that this is a fast-paced rotation that will expose you to a wide range of psychiatric disorders in both the inpatient and outpatient settings. Although you may have some opportunities to ask patients questions, this rotation is best classified as an observership.
Who should consider this rotation: International medical graduates (IMGs) and students seeking clinical experience in psychiatry. IMGs seeking careers in family medicine or internal medicine will also find this rotation particularly useful since mental health problems are common in these specialties.
Will a letter of recommendation be offered: Yes, assuming that the IMG meets the expectations of the rotation. Dr. Desai will provide the physician with guidelines which will improve the quality of the letter. In some cases, the preceptor may ask the rotator to write a letter of recommendation draft.
During the rotation: Our team will be checking in periodically with you to ensure that you are having an optimal experience. We encourage you to contact us if you have any questions during the rotation.
"I highly recommend this rotation for anyone applying to psychiatry. The breadth of experience I gained during the rotation was unbelievable. I was able to rotate through three different hospitals and one outpatient clinic. The doctor is genuinely committed to making sure students have the the best learning experience possible. He's a great teacher and mentor, often giving advice on what may show up on the USMLE and board exams. I also appreciate the opportunity to observe an ECT, which I had never seen previously." - Anu