Electives: Third and Fourth Year Offerings

PSYH 4500		Subinternship in Clinical Psychiatry
Computer Code:		90214
Course Location:		HSCB, LIJ , KING
Course Director:		Michael Selzer, MD
Registration Information:		(718) 270-3224
Telephone Contact #:		(718) 270-3224
Deadline for Registration:		Add/Drop Deadline - First day of the preceding month
Course Timing:
Month Offered:		Jan, Feb, Mar, Apr, May, Jun, Sep, Oct, Nov, Dec
Duration:		4 Weeks
Weekdays:		Monday through Friday, may have weekend call
# Hours per week:		50
# of Students:		Min: 1; Max:2 Visiting students accepted (Not incl. DMC stud.): No
Prerequisites:		Medicine, Surgery, Women's Health, Psychiatry, Pediatrics
Procedure for Evaluation of Students:		Participation and Observation, Preceptor evaluations
Course Description:		The subinternship in clinical psychiatry is primarily for those students who plan non-psychiatric careers but who would like additional experience in the diagnosis and management of psychiatric inpatients. Students will work in all aspects of patient care; admission evaulation; treatment planning and discharge arrangements, physical examination and management of basic medical problems. Supervision is provided in all areas but it is expected and subinterns will be able to work with considerable independence.

PSYH 4501 In-Patient Psychiatry
Computer Code: 90215
Course Location: HSCB--NS 52
Course Director: Brian Trappler, M.D.
Registration Information: Carmen Torres, Ph: (718) 270-2905; Fax: (718) 270-4045 Telephone Contact: (718) 270-1748
Deadline for Registration: Add/Drop Deadline - First day of the preceding month
Course Timing: Month Offered: Jan, Feb, Mar, Apr, May, Jun, Jul, Aug, Sep,
Oct, Nov, Dec
Duration: 4 Weeks
Weekdays: no. Hours per week: 40
No. of Students: Min: 1 Max: 2
Visiting Students Accepted (Not Incl DMC Stud.): Yes
Research: Optional
Prerequisites: Psychiatry Procedure for Evaluation of Students: Participation and Observation

Course Description: To participate in unique multidiscipline team approach and acquire advanced techniques in clinical interviewing, multiaxis diagnosis and comprehensive case management. Opportunity to become involved in one of several research projects.

PSYH 4504 Chemical Dependency
Computer Code: 90218
Course Location: KING
Course Director: Joseph Gallo, MD
Registration Information: (718) 270-3131 Telephone Contact no.: (718) 270-3131
Deadline for Registration: Add/Drop Deadline - First day of the preceding month
Course Timing: Month Offered: Jan, Feb, Mar, Apr, May, Jun, Jul, Aug, Sep,
Oct, Nov, Dec
Duration: 2 Weeks, 4 Weeks, Variable Weekdays: Monday through Friday
No. Hours per week: 40
No. of Students: Min: 1 Max: 4
Visiting Students Accepted (Not Incl DMC Stud.): Yes
Research: Optional
Prerequisites: Medicine, Psychiatry Procedure for Evaluation of Students: Participation and Observation, Test at end of the course.

Course Description: A clinical experience with drug abuse, involvoing contact with alcohol and drug dependent patients. Introductory lectures on the psychophar-macological, psychological, and social aspects of drug dependence.
Experience with various treatment modalities, individual and group psychotherapy, acupuncture, and pharmacological therapy (antabuse, methadone maintenance, etc.), and community organization.
Opportunity to work with dual diagnosis patients in a day hospital setting.
Involvement in research programs (biochemical, physiological, and social) as desired.

PSYH 4505 Adv Psychopharmacology Techniques
Computer Code: 91199
Course Location: KING
Course Director: Edward Laski, M.D.
Registration Information: G Bldg, Rm no. G43
Telephone Contact no.: (718) 245-2400
Deadline for Registration: Add/Drop Deadline - First day of the preceding month
Course Timing: Month Offered: Jan, Feb, Mar, Apr, May, Jun, Jul, Aug, Sep,
Oct, Nov, Dec
Duration: 2 Weeks, 4 Weeks, 2 wk min/4 wk max
Weekdays: Monday through Friday
No. Hours per week: 40
No. of Students: Min: 1 Max: 2
Visiting Students Accepted (Not Incl DMC Stud.): No
Research : Optional
Prerequisites: Psychiatry Procedure for Evaluation of Students
Participation and Observation, Research and Written Performance

Course Description: This course will offer students an in-depth study of psychotropic medications and their practical clinical applications.

PSYH 4506 In-Patient Psychiatry
Computer Code: 91236
Course Location: HILL
Course Director: Laura Herman, M.D.
Registration Information: Kauffman Bldg., no.105
Telephone Contact no. : (718) 470-8384
Deadline for Registration: Add/Drop Deadline - First day of the preceding month
Course Timing: Month Offered: Jan, Feb, Mar, Apr, May, Jun, Jul, Aug, Sep,
Oct, Nov, Dec
Duration: 4 Weeks Weekdays: Monday through Friday
No. Hours per week: 40
No. of Students: Min: 1 Max: 2
Visiting Students Accepted (Not Incl DMC Stud.): Yes
Research: Optional
Prerequisites: Medicine, Psychiatry Procedure for Evaluation of Students
Participation and Observation, Evaluations and write-ups

Course Description: The medical student will be assigned to one of the inpatient service units and will have primary responsibility for the care of assigned patients. This includes the history, physical and psychiatric examinations, laboratory evaluations, psychiatric diagnostic assessment and management of newly-admitted patients.
The student will receive individual supervision from an attending physician and, depending on the unit will work alongside PGY I or II Residents.
Part of the experience will involve participation in didactic seminars, educational conferences in psychopharmacology and movement disorders, as well as clinical cases involving Neurology, Medicine and Psychiatry.

PSYH 4507 Adult Psychiatric Day Program
Computer Code: 91237
Course Location: HILL
Course Director: Laura Herman, M.D.
Registration Information: Psychiatric Education, Kaufman Bldg, Rm. #105
Telephone Contact #: (718) 470-8384
Deadline for Registration: Add/Drop Deadline - First day of the preceding month
Course Timing: Month Offered: Jan, Feb, Mar, Apr, May, Jun, Jul, Aug, Sep,
Oct, Nov, Dec
Duration: 4 Weeks Weekdays: Monday through Friday
# Hours per week: 40
# of Students: Min: 1 Max: 2
Visiting Students Accepted (Not Incl DMC Stud.): Yes
Research: Optional
Prerequisites: Psychiatry Procedure for Evaluation of Students: Participation and Observation, Write-ups and charting

Course Description: This elective allows a student to become acquainted with the structure and function of a day treatment program, and with the clinical management issues involved for patients in treatment with this modality. Day treatment is a unique and emerging field in psyhiatry.
The Hillside Day Program offers an opportunity for extended five-day-a-week treatment to seriously ill or disabled patients not requiring 24-hour hospitalization (with its attendant high cost and consequent pressures for rapid discharge). In this setting, intensive interventions may be undertaken, with close monitoring of the patient's condition and adjustment of treatment in a more realistic time frame in terms of what we currently know about the course of psychiatric disclosures and the recovery process.
Moreover, treatment in this setting is measured against "real life". Patients spend evenings and weekends at home, have an opportunity for leisure and social activities, and can plan for serious vocational preparation and rehabilitation within the context of the program.
The Hillside Adult Day Program is divided into several components: a partial hospitalization program, a continuing treatment program and an intensive rehabilitation program.
Patients are assigned to these programs on the basis of their clinical needs and can move back and forth appropriately among them as their treatment progresses.

PSYH 4508 Evaluation Center- Psychiatry
Computer Code: 91240
Course Location: HILL
Course Director: Laura Herman, M.D.
Registration Information: Psychiatric Education, Kaufman Bldg. - Rm. #105
Telephone Contact #: (718) 470-8384
Deadline for Registration: Add/Drop Deadline - First day of the preceding month Course Timing: Month Offered: Jan, Feb, Mar, Apr, May, Jun, Jul, Aug, Sep,
Oct, Nov, Dec
Duration: 4 Weeks Weekdays: Monday through Friday
# Hours per week: 40
# of Students: Min: 1 Max: 2
Visiting Students Accepted (Not Incl DMC Stud.): Yes
Research : Optional
Prerequisites: Psychiatry Procedure for Evaluation of Students: Participation and Observation, Patient write-ups.

Course Description: The Evaluation Center functions as a combination psychiatric crisis intervention service and brief psychotherapy service. As a psychiatric crisis service, the Evaluation Center provides professional consultation to the LIJ Emergency Room during the day.
The Clinic also evaluates patients who come in without an appointment. Different approaches to care may include appointments/referrals to private clinicians, clinics or day programs and psychiatric hospitalization. The clinic also offers brief psychotherapy to patients who could benefit from this approach. This brief therapy is flexibly defined and may call for such activities as clarifying aspects of the patient's life which are producing distress, environmental manipulation (e.g., patient may need referral to social service agencies), family interviews, medication and support.
An ambivalent patient may be seen briefly with the hope that he/she can be motivated to accept further needed treatment. During the rotation in the Evaluation Center , the student will have an opportunity to experience first-hand the assessment of a patient in crisis and receive direct supervision by the attending psychiatrist.
By successfully completing a rotation in the Evaluation Center, the student should be competent in the rapid assessment of psychiatric emergency situations.
Depending on the student's interest, there may be time to participate in intake and treatment through the student's rotation.

PSYH 4509 Dynamic Psychiatry and Psychotherapy
Computer Code: 91930
Course Location: HILL, LIJ
Course Director: Laura Herman, M.D.
Registration Information: (718) 470-8384 - Kaufman Bldg, Rm. #105
Telephone Contact #: (718) 470-8384
Deadline for Registration: Add/Drop Deadline - First day of the preceding month
Course Timing: Month Offered: Jan, Feb, Mar, Apr, May, Jun, Jul, Aug, Sep,
Oct, Nov, Dec
Duration: 4 Weeks Weekdays: Monday through Friday
# Hours per week: 40
# of Students: Min: 1 Max: 2
Visiting Students Accepted (Not Incl DMC Stud.): Yes
Research: Not Available
Prerequisites: Psychiatry Procedure for Evaluation of Students: Participation and Observation, Practical and written performance.

Course Description: Students will become acquainted with the principles of dynamically oriented psychotherapy and other psychotherapeutic modalities.
Intake evaluations, biopyschosocial formulations and implementation of initial treatment plans will provide the core of the clinical experience. On-going intensive individual supervision and preceptorships comprise the supervisory component of the rotation. Didactics will include reading tutorials with individual mentors, as well as participation in psychotherapy classes and case conferences.
This outpatient facility is divided into a Diagnostic and Assessment Unit and six specialty clinics: Affective (Mood) Disorders, Schizophrenia, Adjustment and Personality Disorders, Phobia-Anxiety Disorders, Geropsychiatry and Human Sexuality.

PSYH 4520 Flexible Psychiatry Elective
Computer Code: 90221
Course Location: HILL
Course Director: Laura Herman, MD
Registration Information: Kaufman Bldg, Rom #105
Telephone Contact #: (718) 470-8384
Deadline for Registration: Add/Drop Deadline - First day of the preceding month
Course Timing: Month Offered: Jan, Feb, Mar, Apr, May, Jun, Jul, Aug, Sep,
Oct, Nov, Dec
Duration: 4 Weeks Weekdays: Monday through Friday
# Hours per week: 40
# of Students: Min: 1 Max: 2
Visiting Students Accepted (Not Incl DMC Stud.): Yes
Research : Optional Prerequisites: Medicine, Psychiatry Procedure for Evaluation of Students: Participation and Observation, Written performance.

Course Description: This elective is tailored to the individual interests and needs of the student. A variety of combinations are possible, integrating materials from the menu of different electives (Adult Day Hospital, Hillside Evaluation Center, Research, Medical Clinic, Geropsychiatry, Child/Adolescent Psychiatry, In-Patient Psychiatry and Consultation-Liaison Psychiatry). Each student may create a unique schedule as worked out with the Director of Psychiatry Medical Student Student Education at Hillside.

PSYH 4522 Medical Clinic
Computer Code: 91238
Course Location: HILL
Course Director: Laura Herman, M.D.
Registration Information: Psychiatric Education, Kaufman Bldg. - Rm. #105
Telephone Contact #: (718) 470-8384
Deadline for Registration: Add/Drop Deadline - First day of the preceding month
Course Timing: Month Offered: Jan, Feb, Mar, Apr, May, Jun, Jul, Aug, Sep,
Oct, Nov, Dec
Duration: 4 Weeks Weekdays: Monday through Friday
# Hours per week: 40
# of Students: Min: 1 Max: 2
Visiting Students Accepted (Not Incl DMC Stud.): Yes
Research: Optional
Prerequisites: Medicine, Surgery, Psychiatry Procedure for Evaluation of Students: Participation and Observation, Patient evaluations and case presentations.

Course Description: With the ever increasing recognition of the interface that can occur between medical and psychiatric illnesses, a month-long elective based in the Medical Clinic at Hillside Hospital is being offered.
The student will participate in the following activities: o Half-day sessions in Neurology o Primary medical care of both hospitalized and ambulatory patients with psychiatric disorders o Medical consultation directed at the interface of Medicine and Psychiatry (e.g., medical causes of behavioral disorders) o Clinical conferences involving Psychiatry, Neurology and Medicine During a rotation in the Medical Clinic, the student will be taught how to differentiate between psychiatric and medical conditions; proper diagnostic evaluations as well as knowledge of the drug interactions between psychotropic drugs and drugs used to treat medical conditions.
The student will also have gained expertise in the medical effects of specific psychotropics and other therapies (e.g., ECT), medical contradictions to their use, and appropriate ways in which to follow their use in medically complicated patients.

PSYH 4523 Consultation-Liaison Psychiatry
Computer Code: 91239
Course Location: HILL
Course Director: Laura Herman, M.D.
Registration Information: Psychiatric Education, Kaufman Bldg. - Rm.#105
Telephone Contact #: (718) 470-8384
Deadline for Registration: Add/Drop Deadline - First day of the preceding month
Course Timing: Month Offered: Jan, Feb, Mar, Apr, May, Jun, Jul, Aug, Sep,
Oct, Nov, Dec
Duration: 4 Weeks Weekdays: Monday through Friday
# Hours per week: 40
# of Students: Min: 1 Max: 2
Visiting Students Accepted (Not Incl DMC Stud.): Yes
Research: Optional
Prerequisites: Medicine, Surgery, Psychiatry Procedure for Evaluation of Students: Participation and Observation, Patient evaluations and case presentations

Course Description: Consultation-Liaison Psychiatry is a unique discipline within the field of psychiatry which combines knowledge of medical illnesses, psychotherapy and psychopharmacology with an ability to forge liaisons within the medical community. This field is perfect for the psychiatrist who has a strong interest in psychotherapy and also enjoys working within a general hospital setting. Our elective in Consultation-Liaison (CL) Psychiatry exposes the students to the education and daily work of the CL psychiatist.
Clinical experience is being gained by seeing patients with Fellows and Residents and by participating in teaching rounds led by one of our psychiatric attendings. As the students gain skills and confidence, they work up consults on their own and present the patients on rounds.
In addition to the clinical work, the students attend classes given by attendings and Fellows, which focus on various aspects of CL work, e.g.: "Psychiatric Aspects of Obstetrics," "Psychiatric Complications of Medical Drugs," and "Delirium." One of the highlights is the teaching clinical case conference run by our department on Friday mornings, in which a current case is presented (either by an Attending, a Fellow, a Resident or a Medical Student), the patient is interviewed and the case is discussed. For the medical students this is a special opportunity to get to know how psychiatrists with different interests and backgrounds formulate opinions and treatment plans. We also encourage the students to discuss their own thoughts about cases. In summary, our goal is to acquaint the medical students with our program and the field of CL psychiatry and help them to become comfortable with the role of the psychiatist within the general hospital through classes, conferences and hands-on experience.