Psychiatry



E L E C T I V E S

DEPARTMENT OF PSYCHIATRY AND BEHAVIORAL SCIENCES

  | P501 Child and Adolescent Psychiatry | P503  Acute Psychiatric Treatment of Adolescents | P507  Acute Hospital Psychiatry | P508  Latino-American Cross-Cultural Psychiatry Elective | P512  Affective Disorders | P516  Phenomenology in Schizophrenia | P517  Consultation Liaison Service | P520  Emergency Psychiatry | P521  Child and Adolescent Inpatient Psychiatry | P522  Adult Inpatient and Partial Hospital Psychiatry |P524 Psychiatry Research | P525  Research in Neuroendocrinology | P526  Research in Behavioral Genetics | P528  Emergency Psychiatry P537  Introduction to Geriatric Psychiatry | P539 Research in Molecular Psychobiology-Genetic Basis of Nicotine Addiction | P601Subinternship - Inpatient Clinical Psychiatry | P602  Subinternship in Hospital Psychiatry | K531 Addiction Medicine  | P700 Sub in Hospital Psych. NCB | P701 Adult Psych. Day Program: LIJ/HSH | P702 Evaluation Center: LIJ/HSH | P703- Medical Clinic: LIJ/HSH | P704 Geriatric Psych: LIJ/HSH | P705 Inpatient Psych: LIJ/HSH | P706 Consultation-Liaison: LIJ/HSH  | P707 Research: LIJ/HSH  P708 Flexible Elective: LIJ/HSH | P709 Substance Abuse/Community Psych: LIJ/HSH | P710 Dynamic Psych & Psychotherapy in Psych. Patients: LIJ/HSH | P800 Sub Inpatient Psych: BI | P801 Sub Emphasis on Substance Abuse: BI | P802 Sub Emphasis on Consultation Liaison: BI | P803 Sub Outpatient Experience| P804 Sub Geriatric Psych: BI  

The Department of Psychiatry and Behavioral Sciences offers numerous electives which encompass virtually the entire domain of contemporary psychiatry -- and additionally offers students the opportunity to design and negotiate "customized" electives to achieve specific learning objectives. There is also a wide range of research-oriented electives, allowing students the opportunity to explore psychiatry's frontiers, either in the laboratory or in a clinical setting.

The final year of medical school is a unique opportunity in the "long haul" of professional training -- from pre-med through medical school, residency and specialty training. There is time in this fourth year to pursue special interests, of a perhaps more academic, theoretical, or integrative nature. Issues of bioethics, medical judgment, quality of life -- i.e., the psychology of health and health care delivery -- are of interest to some students. There is precious little time to devote to such matters in the whirlwind of professional training, and indeed, there will be even less time available after graduation for such pursuits. Our departments invites you to make the most of this unusual time in your demanding careers.

Students planning to specialize in Psychiatry are encouraged to arrange electives that will enrich their knowledge and experience in areas of their special interest. This is an opportunity to be exposed to areas that may not be covered in-depth during residency training. Students who consider Psychiatry as a possibility can fashion an elective that will help them make a decision. Students not intending to specialize in Psychiatry might consider an elective that will help them make a decision. Students not intending to specialize in Psychiatry might consider an elective in Consultation-Liaison Psychiatry to broaden their expertise in the co-treatment of medical and psychiatric disorders. Studies have indicated that 30-60% of medical inpatients and 50-80% of medical outpatients have psychiatric illnesses severe enough to demand attention.*

Please contact Dr. Salvatore Lomonaco at the Psychiatry Office of Education (430-2020) to review the best elective experience to help with these decisions.

* Psychiatric illness among medical patients. Editorial, The Lancet, March 3, 1979,
pp. 478-479.


Clerkship Preceptor                      Site Telephone Number

Dr. Maryann Popiel- Jacobi                   (718) 918-6702

Dr. Karen Inghilterra- Jacobi                 (718) 918-3647

Dr. Laura Herman LIJ-Hillside                (718) 470-8384

Dr. Maria F. Gomez MMC                     (718) 920-2397

Dr. Haseen Sharma Cooper- NCB           (718) 519-4864

Dr. Mary Woesner Bx. Psych. Ctr.         (718) 862-5159

Dr. Jeffrey Levine Bronx-Lebanon          (718) 901-8652

Dr. Ellen Eisenstadt Beth Israel MC        (212) 844-1538

Dr. Raman C. Patel- Bronx-Lebanon       (718) 901-8883

Dr. Jonathan Bauman- Four Winds         (914) 763-8151


P501 Child and Adolescent Psychiatry - Bronx Children's Psychiatric Center

The Division of Child and Adolescent Psychiatry offers electives for Medical Students on acute inpatient units (children's unit/adolescent unit), outpatient and consultation/liaison as well triple board pediatric clinic with special emphasis on psychological and psycho-social functioning of children and their families.

Interested students will be over seen by faculty in the division of child and adolescent psychiatry in the evaluation of mentally ill children in the inpatient and outpatient settings well as children in the pediatric setting with medical illnesses complicated by co-morbid psychiatric disorders.

Dr. Audrey Walker
Director of Training in Child & Adolescent Psychiatry
(718) 920-7967
All modules; Full modules only 2 students
Please contact Dr. Walker one month prior to the onset of the elective to discuss rotation options.

 

P503  Acute Psychiatric Treatment of Adolescents

The evaluation and treatment of acutely disturbed adolescents will be taught through participant observation and clinical conferences including emergency room crisis intervention, acute inpatient evaluation and day hospital intervention.

Dr. Robert Catenaccio (918-4867)
Bronx Children's Psychiatric Center & Jacobi Medical Center
Emergency Room
All Modules; Full or Half Modules
Full-Time
Minimum 1 - Maximum 3
Students should contact Dr. Catenaccio and report to JMC Psychiatric Emergency Room, Child and Adolescent Crisis Intervention Team (C.A.C.I.T.)

 

P507  Acute Hospital Psychiatry - Jacobi Medical Center

Students will join the staff of an active acute term general psychiatric unit, providing a rich variety of hands-on clinical experience. Students will evaluate and treat patients in crisis, with supervision by faculty, and become active members of an interdisciplinary team. Treatment modalities employed will include individual, group, family, and milieu therapy, acupuncture, relaxation training, and substance abuse therapies, individual tutorials, case conferences, medical and research and psychopharmacology rounds, and departmental Grand Rounds will enhance students' learning. Students will experience first-hand how an integrative model of care is applied in a brief- treatment urban setting.

Dr. Maryann Popiel (718-918-6702)
All Modules except 2A
Full or Half Module
Contact Dr. Popiel for time and place of reporting.

 

P508  Latino-American Cross-Cultural Psychiatry Elective for Medical Students

The Jacobi Latino-American Cross-Cultural Units offers an elective in general adult inpatient psychiatry where Latino patients are treated in culturally sensitive and language appropriate manner. Students would be exposed to team approach milieu therapy, including individual psychotherapy, psychopharmacology, family therapy, activity therapy and group therapy. Individual and group supervision will be offered. The elective offers a unique opportunity to differentiate between what is considered pathological in mainstream culture versus what is culturally normative for different Latino groups; learn how to do assessments across the language barrier; how to work with an interpreter; different approaches to engaging members of different cultural groups in treatment.

Dr. Gilbert Valdes, Unit Chief (718-918-6769)
All Modules except 2A
Half Modules
Full-time
One student
Contact Dr. Valdes to arrange schedule.

 

P512  Affective Disorders - Montefiore Hospital

Students will partake in detailed clinical evaluations, including state of the art evaluations on depression and its various subtypes. Students will also learn about biological aspects of depression and participate in various depression studies. Response to antidepressant medication will be assessed particularly in regard to clinical correlates and biological markers.

Dr. G.M. Asnis (920-4287)
All Modules, Full Modules ONLY
Full-Time
Minimum of 2 months required, Maximum 4
First day meet Montefiore - Klau Basement - 9:00 A.M. Contact department before start of elective

 

P516  Phenomenology in Schizophrenia - Bronx Psychiatric Center

The students will earn the PANSS (Poisitive and Negative Syndrome Scale), and if interested or appropriate other symptom rating scales (BPRS- Brief Psychiatric Rating Scale, MADRS- Montgomery- Asberg Depression Rating Scale) for the assessment of schizophrenia.  They will learn how to elicit symptoms and how they cluster ito positive, negative, cognitive, depression and excitement sub syndromes or "factors".  They will also learn movement rating scales for Soft Neurological Signs, Catatonia, Cerebellar Signs and Minor Physical Anomolies.

Students will be encouraged to develop their own study to look at aspects of symptoms and signs: for example, does proverb interpretation improve as other symptoms do?  Does the glabella tap belong in a scale of parkinsonism?  And are we particularly interested in cultural differences in psychopathology and whether any of these ratings differ according to time of immigration or country of origin.

Students will be involved in ongoing studies: metabolism in Schizophrenia, some 'add-on' medication studies, surveys of the hospital population of Immigration and Culture, and Movement Disorders/

Students will earn about risk factors for Schizophrenia, it's geographical and historical variation, the relationship between psychopathology and neurological symptoms and wonder about the causes and nature of Schizophrenia.

Dr. Nigel Bark (718) 862-5429
All Modules, Full or Part time
1 student per module
Contact Dr. Bark for location and starting time.

 

P517  Consultation Liaison Service - Montefiore Medical Center

Student will receive general exposure to psychiatric consultation on the medically ill patient with the opportunity to become acquainted with liaison activities in the general hospital.   The student will work under the direct supervision of attendings, fellows, and residents. (Half or full module)

Students who are interested should contact Dr. Maria Gomez. After discussion with the student concerning his background and interests, she will arrange elective program.

Dr. Maria Gomez (920-2397)
All Modules
Full-Time, Part-Time
2 Students
First day student to meet Liaison Division Office - Klau 1 - Montefiore Hospital


P518 Addiction Medicine Research: MMC

The Department of Psychiatry & Behavioral Sciences and Medicine offer this elective work 
in Addiction Medicine Research.  Several studies are ongoing which include investigations funded by the Centers for Disease Control and Prevention, the National Institutes on Drug Abuse and other sources.  All are based in the Division of Substance Abuse, a network of substance abuse treatment programs with on-site primary medical and psychiatric care.  Ongoing investigations include:

Students will assist in the evaluation of study participants and in conducting research studies with research staff.  Supervision will be provided by the Principal Investigator and other key investigators.

          Dr. Julia Arnsten
         (718-920-4571)
         Full time
         Maximum 1 students

Interested students should telephone Dr. Arnsten at the above number.


P520  Emergency Psychiatry - Jacobi Medical Center

The CPE Program offers a one-month elective in the Acute Management of all psychiatric presentations. Diagnostic interviewing skills with an emphasis on generating broad differential diagnoses will be a major focus of this elective.

Under direct Attending supervision, the student will have the opportunity to evaluate acute psychiatric patients. The student will interview, formulate the broad differential diagnoses, and initiate a treatment plan.

Dr. John Navas (918-6593)
All Modules and Half-Modules
Full time or Part-time
Maximum 1
Contact Dr. Navas to arrange meeting date and time.

 

P521  Child and Adolescent Inpatient Psychiatry - Four Winds Hospital

Spend a full module or half module on an inpatient child and/or adolescent unit and/or Partial Hospitalization Program participating in the evaluation and multidisciplinary treatment of youngsters with a broad range of psychiatric pathology.  Participate in treatment in various therapeutic modalities including individual and group therapy, family therapy, milieu therapy and psychodrama.  In addition, principles of brief inpatient treatment in a managed care environment will be experienced in this private psychiatric hospital setting.

Dr. Jonathan Bauman, (914) 763-8151
Modules 3 - 6
Full and Half Module
Maximum 2

 

P522  Adult Inpatient and Partial Hospital Psychiatry in a Managed-Care Setting - Four Winds Hospital

Experience acute inpatient and partial hospital treatment from crisis assessment through stabilization and discharge planning of patients with a broad range of psychiatric pathology, including dual-diagnosis. Participate in treatment planning and all therapeutic modalities, including individual and group therapy, family therapy, milieu therapy and psychodrama. Learn practical aspects of psychopharmacological treatment in a managed-care environment.

Dr. Jonathan Bauman, (914) 763-8151
Modules 3 - 6
Full and Half Modules
Maximum 2

 

P524 Psychiatry Research- AECOM

EThe primary aim of the Lachman lab is to understand the genetic basis of schizophrenia and bipolar disorder, two of the most disabling conditions on the world.  Over the past decade, a number of genes involved in these disorders have been identified.  However, the few exceptions, the causative alleles have not been found.  One reason could be that genetic variants occurring in regulatory domains that are relatively far removed from the transcription start site are involved.  One of our areas of interest, therefore, is to identify distal regulatory domains and determine if functional genetic variants in those regions are associated with schizophrenia and biploar disorder.  A ChIp on chop approach is being used to characterize functional domains.  As a result of our studies, several novel functional domains and regulatory pathways in candidate genes have been identified, which are currently being analyzed in the lab.  No previous laboratory experience in needed; the techniques used in our studies are relatively easy to learn.

         Herb Lachman, M.D.
         Departments of Medicine & Psychiatry
         Albert Einstein College of Medicine
         Phone (718) 430-2428
        
         All modules
         Maximum: 2 students



P525  Research in Neuroendocrinology

Students will participate in ongoing research projects in Neuroendocrinology. Current projects include studies on brain sites and mechanisms of hormonal regulation of female reproductive physiology; interactions of steroid hormones with brain neurotransmitter systems; mechanisms underlying estrogen attenuation of global ischemia-induced hippocampal cell death. Interested students should call Dr. Etgen to arrange an appointment to discuss the elective.

         Dr. Anne M. Etgen (718) 430-3662
         Full Module Only
        
Minimum 1 - Maximum 1
         First day student meet Forchheimer Building - Room 113 - 8:00 a.m.

 

P526  Research in Behavioral Genetics

Our major interest is identifying genes involved in psychiatric disorders including bipolar disorder, schizophrenia, violent behavior and substance abuse.

1.Candidate gene analysis in bipolar disorder: We have recently identified a candidate gene for a severe form of bipolar disorder known as ultra rapid cycling. Additional patients are being recruited into the study in order to replicate our original findings. In addition, we have used genetic linkage analysis to identify a locus on chromosome 22 that may contain a

The lab has been accumulating evidence that the genetic variant that causes low COMT activity is involved in substance abuse vulnerability and increased violent behavior in
chronic schizophrenics. These are ongoing studies that we are attempting to replicate.
Although previous laboratory experience would be a plus, students without extensive research experience are welcome. We have training many inexperienced students in basic recombinant
DNA techniques. The principal investigator does not believe in the "sink or swim" philosophy of teaching. Laboratory techniques will be learned by direct instruction and students will work independently only when they feel comfortable with the material.

Dr. Herb Lachman (718) 430-2428, 430-3143, (lachman@aecom.yu.edu)
All Modules, Full Modules
Full Time
Maximum 2 students
Interested students should call or e-mail to arrange for introductory conversations. Reprints of relevant articles will be provided. Lab is located in Forchheimer 103.

 

P528  Emergency Psychiatry - Psychiatric Observation Suite - Montefiore Medical Center

Student will function as a junior attending under the supervision of the regular POS attending staff. Duties include initial evaluation and treatment of patients presenting to the psychiatric emergency room, participation in case conferences and in any ongoing research projects.

Dr. Paul Jayson (718) 920-7460
All Modules
Full time
1 student per module
First day meet POS Montefiore Medical Center - 8:30 a.m.

 

P537  Introduction to Geriatric Psychiatry

Students will participate in the full range of geriatric psychiatry practice including home visits to persons with dementia and to the well elderly.  Students will also visit a teaching nursing home and perform outpatient evaluations, both in the geriatric psychiatric and medical settings.  Additional experience in legal and ethical issues is also available.  Students will participate in weekly case conferences at each clinical site, attend ongoing lectures and journal clubs and receive individual supervision from faculty and fellows of the Division of Geriatric Psychiatry.  A variety of research investigations are also underway offering students the unique opportunity to participate in funded clinical research.

Dr. Gary J. Kennedy (920-4236)
e-mail gkennedy@aecom.yu.edu
All Modules
Full Modules (6 months also available)
Minimum 1 - Maximum 2

P539 Research in Molecular Psychobiology, Genetic Basis of Nicotine Addiction- Albert Einstein College of Medicine

There is considerable individual variation in the degree of nicotine addiction among smokers.  Twin and adoption studies have provided evidence for the hypothesis that this variation in part depends on differences in their genetic composition.  Moreover, individuals at increased risk for nicotine addiction exhibit a host of co-morbid traits, including novelty seeking, anxiety, impulsiveness, aggression and depression. (Hiroir and Agatsuma, 2004) It remains unclear, however, exactly what genes contribute to the variation to nicotine addiction and novelty seeking.  Genetically engineering mice that lack the fosB gene show heightened responsiveness to nicotine's reinforcing effects and novel stimuli (Hiroi et al., 1997; Zhu et al., 2001).

Our research uses genetically engineered mice to ascertain the role of foxB in nicotine addiction and it's co-morbid traits.  Students will have the opportunity to learn behavioral, anatomical and biochemical techniques.

     Noboru Hiroi, Ph.D. 430-3124
     hiroi@aecom.yu.edu
     Golding 104, 102
     Ullmann 1206
     Minimum 1, Maximum 2
     Please email Dr. Hiroi to set up an interview.

P601  Subinternship - Inpatient Clinical Psychiatry - Montefiore Medical Center

The student will experience a one month rotation working on the level of a resident in psychiatry under the direct supervision of the Chief Resident and Attending Psychiatrists.  Please call the ward before start of subinternship.

Dr. Bernard Wyszynski (718) 920-4736
Half Module, Full-Time
Minimum 1 
Contact Dr. Wyszynski for time and place of reporting.

K531 Addictions Medicine- Departments of Medicine/Psychiatry Montefiore Medical Center


 The Departments of Psychiatry & Behavioral Sciences and Medicine offer this elective in substance abuse to fourth year students.  Students will participate in clinical care in both inpatient and outpatient settings and will be responsible for working up and presenting patients to attending physicians.  Inpatient experience will be with the Substance Abuse Consultation and Referral Service (SACRS) at Montefiore Medical Center, which consults on hospitalized patients with substance abuse disorders and provides guidance on the management of acute issues, such as, withdrawal.  Outpatient experiences will include observation and participation in the following settings:

v     Outpatient clinics in the AECOM Division of Substance Abuse,    which provide drug treatment services (including pharmacologic treatment of opiate dependence with Methadone and Buprenorphine), as well as, on site medical and psychiatric care.

v     Montefiore Pain Clinic, which serves many patients with substance abuse disorders.

v     Citiwide Harm Reduction, a social service agency which provides medical and social work services based on a harm reduction model.

v     12 Step Meetings

 

Students will also have the opportunity to participate in ongoing research projects being conducted in the Division of Substance Abuse and to observe therapeutic community and inpatient detoxification facility.

         Faculty include: Dr. Melissa Stein, Dr. Peter Tenore, Dr.      
         Ruy Tio, Dr. Susan Whitley, Dr. Rita Aszalos and Dr. Sean  
         O'Mahoney

         All Modules
         Maximum 3 Students
         Interested students should contact Dr. Stein
         (718) 292-2401 or mstein@montefiore.org



P602  Subinternship in Hospital Psychiatry at North Central Bronx Hospital

Students will join the staff of a lively acute-treatment psychiatric unit, providing a diversity of clinical experience in a brief time. Students will evaluate and treat adults, with supervision by attending faculty.  They will attend training seminars in family and individual psychotherapy, psychopharamcology, and the diagnosis and theory of mental disorders.  The students will have the opportunity to hear visiting faculty speak at biweekly Grand Rounds.

Dr. Haseen Sharma-Cooper (518-4864)
Full Modules ONLY
Minimum 1 - Maximum 2 students
First day of elective student to meet 11B Inpatient - North Central Bronx Hospital

P700 Inpatient Child and Adolescent Psychiatry- Long Island Jewish Medical Center/Hillside Hospital

The Division of Child and Adolescent Psychiatry offers electives for medical student’s in-patient, day hospital and consultation/liasion.  Interested students will be able to join Division staff in the evaluation and treatment of mentally ill children and adolescents.  Special opportunities for learning through the use of one way mirror psychotherapy and assessment clinics are also available.

Each student will be assigned to an Attending physician who will service as a mentor and advocate during the course of the rotation.  Every attempt will be made to tailor an elective to the particular needs of each individual.

         Dr. Laura Herman
         All Modules
         Maximum 2
         Students must contact Dr. Laura Herman at (718) 470-8384 at least 4 weeks prior to the onset of the elective and to register.


P701 Adult Psychiatric Day Program- LIJ/Hillside Hospital
 

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 of psychiatry.  The Hillside Day Program offers an opportunity for an 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 patients condition and adjustment of treatment in a more realistic time frame in time frame in terms of what we currently know about the course of psychiatric disorders 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 distinct components; a partial hospitalization program, a continuing treatment program with rehabilitation and relapse prevention tracks.  Patients are assigned to these programs on the basis of their treatment progresses.

 

A student participating in this elective will have an opportunity to become familiar with the various components of day treatment and develop expertise in modalities, which are likely to become increasingly important and more highly utilized in Psychiatry.  This elective is offered throughout the year.

 

        Dr. Laura Herman
        All Modules
        Half and Full Modules
        Maximum 2 Students
        Students must contact Dr. Laura Herman at (718) 470-8384

 

P702 Evaluation Center- LIJ/Hillside Hospital
 

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 Center 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 Center 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 interventions, medication and support.  An ambivalent patient may be seen briefly with the hope that he 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 interests. There may be time to participate in the intake/treatment through the Ambulatory Care Center.  This outpatient facility is divided into a Diagnostic and Assessment Unit and six specialty clinics; Affective (mood) Disorders, Phobia-Anxiety Disorders, Geropsychiatry and Human Sexuality.  This elective is offered is offered throughout the year.
 

        Dr. Laura Herman
        All Modules
        Half or Full Modules
        Maximum 2

Students must contact Dr. Laura Herman at (718) 470-8384 for registration of the elective.

 

P703 Medical Clinic- LIJ/Hillside Hospital
 

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:

1.    Half-day sessions in Neurology

2.    Primary medical care of both hospitalized and ambulatory patients with psychiatric disorders.

3.    Medical Consultation directed at the interface of Medicine and Psychiatry (e.g., medical causes of behavioral disorders).

4.    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 evaluation procedures as well as knowledge of the drug interactions between 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.


        Dr. Laura Herman
        All Modules
        Half or Full Modules
        Maximum 2

Students should contact Dr. Laura Herman at (718) 470-8384 for registration of elective.

 

P704 Geriatric Psychiatry- LIJ/Hillside Hospital
 

The broad-based goal of this program is in-depth exposure to the rapidly developing field of Geriatric Psychiatry.  Medical students can participate in a wide range of clinical activities at diverse sites, including a 20-bed geriatric psychiatry inpatient unit, a comprehensive geropsychiatry outpatient clinic, a geriatric psychiatry day hospital, a community-based program, and home care programs and a long term care facility.  They will have exposure to ongoing research initiatives in late-life depression and dementia, Tardive Dyskinesia, brain imaging and psychiatric health care delivery in nursing homes.  Students will participate in structured educational activities that include clinical case conferences, family conferences, geropsychiatry Journal Club and didactic curriculum.


        Dr. Laura Herman
        All Modules
        Half or Full Modules
        Maximum 2

Students must contact Dr. Laura Herman at (718) 470-8384 for registration of elective.

 

P705 Inpatient Psychiatry- LIJ/Hillside Hospital
 

The medical student will be on one of three inpatient service units and will have primary responsibility for the care of the assigned patients.  This includes the history, physical and psychiatric examinations, laboratory examinations, psychiatric diagnostic assessment and management of newly admitted patients.
 

The student will receive individual supervision from an Attending physician and depending on the unit, work alongside PGY1 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.  Depending on the student’s interest, this rotation would also include time spent in either the Evaluation Center or Outpatient Substance Abuse Clinics.
 

         Dr. Laura Herman
         All Modules
         Half or Full Time
         Maximum 2

         Students must contact Dr. Laura Herman at (718) 470-8384 for registration of elective.

 

P706 Research: LIJ/Hillside Hospital

Hillside Hospital is a Clinical Research Center sponsored by the National Institute of Mental Health.  Hillside is engaged in a variety of ongoing research projects.  Some of these are:

    (1) Longitudinal studies of newly admitted schizophrenic patients including MRI and 
         cognitive functioning.

    (2) Clozapine treatments of patients shown to be refractory to standard narcoleptics or with 
         severe Tardive Dyskinesia.

    (3) A survey of axis II diagnosis in outpatients with alcohol/dependence.

    (4) Neuropsychiatric Rehabilitation.

    (5) Applications of MRI brain-imaging technique and neuropsychology to the study of brain 
         abnormalities in schizophrenia, Alzheimer's disease and epilepsy.    

    (6) Research in mental retardation.

    (7) Unilateral ElectroConvulsive Therapy vs. Bilateral ECT.

Other projects are planned. Students will participate in weekly research meetings, receive individual supervision from a senior attending and if desired, get assistance in writing a paper.

This is a unique opportunity to learn what clinical psychiatric research is like from the "nuts and bolts" view of an insider.

        Dr. Laura Herman
        All Modules; Half & Full Modules
        Maximum 2


Students must contact Dr. Laura Herman at (718) 470-8384 for registration of elective.

P707 Psychiatric Consultation-Liaison Service: LIJ/Hillside Hospital

The purpose of this elective is to acquaint the medical student with what consultation-liasion psychiatry is all about.  Students will see patients who are    having emotional reactions to psychical illness, such as, Cancer and Heart Disease, and learn how to treat them.  They will also learn the impact of psychiatric comorbidity on general health care, as well as, how the emotion effect specific medical disorders, such as, granulomatous bowel disease and heart disease. Students will be supervised by the Fellows and staff of the C-L service and work with them on actual cases.  In addition, the students will participate in Neurology Teaching Rounds, Renal Dialysis Rounds, Med-Psych Teaching Rounds on Medicine and a weekly staff-wide C-L Clinical Case Conference.  They will also gain experience in the use of biofeedback in psychosomatic disorders by observing the actual treatment of patients as well as being given brief didactic exposure to the topic.  Other specialized experiences are available on request.

        Dr. Laura Herman
        All Modules, Half and Full Modules
        Maximum 2

        Students must contact Dr. Herman at (718) 470-8384 for registration of elective.


P708 Flexible Elective- LIJ/Hillside Hospital

In recognition of the fact that the students may wish to pursue more than one specific area of interest. we are now offering an elective that may be tailored to the individual interests and needs of the student.  A variety of combinations are possible, integrating material from the menu if different electives that is offered at Hillside (Adult Day Hospital, Clinic, Evaluation Center, Medical Clinic, Geropsychiatry, Inpatient Psychiatry, Research Psychiatry, Research Psychiatry and Consultation-Liaison Psychiatry).

        Dr. Laura Herman (718) 470-8384
        All Modules

       
Students must contact Dr. Herman at (718) 470-8384 for registration of elective.


P709 Elective Substance Abuse/Community Psychiatry- LIJ/Hillside Hospital
 

This elective exposes students to comprehensive substance abuse treatment and to patients in varying degrees of recovery from this type of psychiatric illness.  Students may choose to join clinical teams from a variety of community based and hospital programs.  With nine separate sites to select from and the opportunity to work at different sites simultaneously, a meaningful experience can be fashioned to suite almost any interest and educational need.
 

Students may elect to work with patients of different ages, ranging from adolescents to elderly adults.  There is also the opportunity to gain experience with different treatment modalities, such as, Methadone maintenance, medically monitored detoxification and group psychotherapy.  Those students with research interests are welcome to participate in ongoing protocols.  In all electives, the student is given on-site supervision.


        Dr. Laura Herman
        All Modules
 

        Students must contact Dr. Laura Herman at (718) 470-8384 at least 4 weeks prior to the onset of the elective.

 

P710 Elective in Neurology in a  Psychiatric Patient Population- LIJ/Hillside Hospital
 

During this elective, students have the opportunity to work in the realm that is the interface of psychiatry and neurology.  Individual supervision with an attending neurologist who specializes in this patient population forms the core of this rotation.  Clinical work will encompass neurologic conditions in both inpatient and outpatient psychiatric populations.  Additional clinic exposure and specialty evaluations (i.e., movement disorder, seizure, etc.) enhance the experience.

          Dr. Laura Herman
          All Modules

          Students must contact Dr. Laura Herman at (718) 470-8384 at least 4 weeks prior to the onset of the elective.



 

P800 Subinternship in Inpatient Psychiatry- Beth Israel Medical Center
 

Each student will be responsible for the care of approximately four inpatients with resident and faculty supervision.  Student will follow their patients from initial evaluation to discharge planning and will learn the factors that lead to a decision to admit, gain skills in diagnosis and the use of medications and understand the relationship among biological, psychological and social factors in psychiatric disorders.  Students will be integrated into an interdisciplinary team and will learn how to act as a team leader for their patients.  The service will try to accommodate a student’s needs and interests.
 

         Dr. Boris Mekinulov
         (212) 420-4233
         Half Modules
         All Modules, except 1A, 1B, 2A
         Maximum 2

         Students are to contact Dr. Mekinulov prior to the onset of elective.

 

P801 Subinternship in Psychiatry with Emphasis in Substance Abuse- Beth Israel Medical Center
 

Students will be responsible for the evaluation and care of the patients, substance abuse and other psychiatric disorders.  Students will be assigned primarily to the dual diagnosis inpatient unit.  The student will become familiar with the evaluation and treatment of the complex Biopsychosocial problems associated with this population as well as with the outpatient treatment resources.


         Dr. James Wolberg
         (212) 420-4566
         All Modules except 1A, 1B, 2A
         Half Modules

         Students are to contact Dr. Wolberg prior to the onset of the elective.

 

P802 Subinternship in Psychiatry with Emphasis in Consultation-Liaison Psychiatry- Beth Israel Medical Center

Students will join the consultation-liasion staff in providing psychiatric care of the medically ill throughout the medical center.  Students will attend daily rounds; liaison-teaching conferences perform consultations and follow patients with close supervision.  Special interests (i.e., AIDS, cardiac surgery, oncology, etc.)
 

         Dr. Philip Bialer (212) 420-4230
         Half Modules
         All Modules except 1A, 1B
         Students are to call prior to the onset of the elective. 
         First day students are to meet at 9:00AM-5: 00PM, 5 Fierman, Beth Israel Medical Center.

 

P803 Subinternship in Psychiatry with Outpatient Experience- Beth Israel Medical Center

Students will be responsible for the care of outpatients, with resident faculty supervision.  They will learn about and take care of psychiatric patients from initial evaluation as outpatients, thorough decisions to admit patients to discharge planning.  Emphasis will be on understanding the interplay of biological, psychological and social factors in the occurrence and course of psychiatric disorders.  Students will be assigned primarily to a specific area of the outpatient clinic.
 

         Dr. David Brody & Staff
         All Modules except 1A, 1B, 2A
         Half Modules
         Maximum 1 student

         Students are to contact Dr. Brody at (212) 420-4259 prior to the onset of the elective.

 

P804 Subinternship in Geriatric Psychiatry- Beth Israel Medical Center
 

Students will be responsible for the care of aged psychiatric inpatients with a wide range of psychopathological disorders.  In addition, the student will have outpatient experience in the comprehensive evaluation and treatment of patients 65 years and older.  The student will become familiar with the complexity and special problems of the aged psychiatric patient using the Biopsychosocial research.  The student will coordinate the psychiatric, medical, neurological and social evaluation of elderly patients.  There will be supervision in individual and family therapy, as well as exposure to working with outside agencies.  Opportunities for geriatric consultation can also be arranged.  Readings will be provided to further assist the student in understanding the process of normal aging and the multitude of pathologic processes that may rise.
 

        Dr. Melinda Lantz
        (212) 420-2457
        All Modules except 1A, 1B, 2A
        Half Modules
        Maximum 1
        Students are to call prior to the onset of the elective. 
        First day students meet 6 Karpas- Beth Israel Medical Center at 9:00Am-5:00PM