Subinternship in Inpatient Psychiatry

VISITING: Closed to visitors. TYPE OF CLERKSHIP: Selective 2. DESCRIPTION: The inpatient psychiatry subinternship at the Palo Alto VA is designed to provide a training experience similar to that of PGY1 psychiatry residents on an inpatient rotation. The subinternship at the Palo Alto VA offers a diverse patient population across variables such as age, socioeconomic status, ethnicity, and diagnosis. The three week-long experience includes opportunities for robust medication management, individual and group therapy experiences (utilizing behavioral activation, cognitive behavioral therapy, dialectical behavioral therapy, relapse prevention, motivational interviewing, and supportive therapy modalities), management of complex medical-psychiatry cases, forensic/hearing exposure, and the opportunity to work on a multi-disciplinary treatment team in an acute inpatient setting. Additionally, the VA is a unique system in which to work given the number of wrap-around services that serve the veteran's needs including housing assistance, substance abuse treatment, groups, and case management services. The national VA system of care therefore additionally allows a subintern to learn about systems-based practices in an applied manner. The overarching goal of the psychiatry subinternship is that, upon successful completion of the rotation, students will be ready to function at the level of a first-month psychiatry intern and be able to discuss his or her performance according to six ACGME competencies. Objectives that set the subinternship apart from the core psychiatry clerkship are (1) demonstrate progression from an interpreter to manager role in the "reporter-interpreter-manager-educator" (RIME) scheme; (2) efficiently manage a caseload of 3 to 6 patients at a time; (3) assist the attending in teaching patients/families, core clerkship medical students, and/or staff; (4) evaluate his or her efforts toward self-reflective practice and self-directed learning. Satisfactory completion of the core psychiatry clerkship is a prerequisite for this subinternship. PREREQUISITES: Psychiatry 300A. PERIODS AVAILABLE: 1-12, full time for 4 weeks, 1 student per period. CLERKSHIP DIRECTOR: Margaret May, M.D. CLERKSHIP COORDINATOR: Quynh Dang, 650-725-2769, 401 Quarry Rd, Rm. 2204. REPORTING INSTRUCTIONS: Where: Palo Alto VA, 3801 Miranda Ave, Building 520. Quynh will provide reporting information; Time: 8:30 am. CALL CODE: 2 (one evening shift from 4:30 pm to 9 pm per week). OTHER FACULTY: M. Kuppuswamy. LOCATION: PAVA.