PS320.01 – Emergency Psychiatry (Detailed)

Subinternship Location: HARBOR-UCLA MEDICAL CENTER

COURSE CHAIR: David Rad, M.D.
PHONE: (310) 222-1995

SUPPORTING FACULTY: D. Stone, M.D., K. Burgoyne, M.D., A. Djenderedjian, M.D.

STUDENT COORDINATOR: D. Rad, M.D.
PHONE: (310) 222-1995

REPORT TO: Psychiatric Emergency Room, Harbor-UCLA Medical Center @ 8:00 am

PREREQUISITES: Psychiatry
AVAILABLE TO EXTERNS: Yes

STUDENTS PER PERIOD: Max. 3; Min. 1
DURATION: 4 weeks

INTRODUCTION:
The Psychiatric Emergency Service at Harbor-UCLA Medical Center provides evaluation and treatment to approximately 5000 patients a year. Its catchment area includes over 1% of the population of the United States. Direct clinical experience is provided to medical students with an emphasis on bedside teaching.

COURSE OBJECTIVES:

  1. Gain proficiency in formulating differential diagnoses for psychiatric illnesses and in managing these illnesses in an emergency setting, i.e., schizophrenia, bipolar disorder, major depression, substance-induced psychosis, etc.
  2. Acquire familiarity with emergency psychopharmacologic interventions through the use of various psychotropic medications.
  3. Develop skills in psychiatric interviewing techniques, performing mental status examinations, and gathering information for a complete initial psychiatric history.
  4. Learn to make accurate assessments of suicidal and/or dangerous patients and develop plans for proper management.
  5. Learn crisis intervention strategies to intervene with nonpsychotic patients.
  6. Learn to assess and treat patients with various dual diagnoses, i.e. medically and psychiatrically ill patients, as well as those with coexisting substance use disorders.

Student Experiences
COMMON PROBLEMS/DISORDERS

  1. Schizophrenia
  2. Drug psychosis and substance abuse
  3. Bipolar disorder
  4. Major depression
  5. Personality disorders
  6. Panic and anxiety disorders
  7. Obsessive compulsive disorder
  8. Adjustment disorder

CLOSE CONTACT WITH: Full-time faculty, clinical faculty, fellows, residents, interns, and nurses.
APPROXIMATE NUMBER OF PATIENTS EVALUATED EACH MONTH PER STUDENT: 30
TOTAL NUMBER OF PATIENTS EVALUATED EACH MONTH BY ENTIRE SERVICE: 600
REQUIRED WEEKEND ACTIVITIES: None