Core 3: UH/VA

Neuropsychiatry

Overall Design Structure

Core 3 encompasses Neurology and Psychiatry

8weeks total duration
Neurology rotation is 4weeks in length

At UH, students spend two weeks on General

Inpatient Neurology and 2 weeks on Neurosurgery or
Subspecialty Neurology
At VA, students spend four weeks doing a combination
of inpatient/consult service and outpatient clinics

Psychiatry rotation is 4weeks in length

At UH, Psychiatry rotation is divided into two 2week

segments
At VA, students spend four weeks on an acute
psychiatry ward.

Overall Design Structure - Sites

Neuroscience UH + Wade Park VA

UH Psychiatry locations:

UH main campus, at University Circle

Hospital site for C/L clinical experiences
Walker Building (corner of Stokes and Euclid) for
orientation, weekly Grand Rounds, weekly
didactics
UH-Richmond Medical Center
Hospital site for inpatient clinical experiences

VA Psychiatry location: Louis Stokes Cleveland

Department of Veterans Affairs Medical Center,
Psychiatry Service 116A(W) 10701 East Blvd.

Overall Design Structure Clinical

Services

UH Neurology clinical services:

General Neurology
Stroke Service
Neurosurgery/Neurocritical Care
Pediatric Neurology
Ambulatory Neurology clinic at various sites

VA Neurology clinical services:

Inpatient/consult service
Outpatient Neurology clinic

Overall Design Structure Clinical

Services

UH Psychiatry clinical services:

Consultation-liaison (C/L) psychiatry service (UH

main)
Perform consultations as requested for general
medical, surgical, OB, ICU patients
Acute inpatient psychiatry (UH Richmond)
General adult psychiatry unit = 18yo to ~60yo
Geriatric psychiatry unit = ~60yo and over, or
younger if the patient has many medical
complications

VA Psychiatry clinical services:

Acute adult psychiatry wards with a predominantly

male population, ages 18yo and above

Weekly Schedule

UH/VA Neurology

UH Psychiatry:

Inpatient schedule depends on service

One afternoon per week in outpatient Neurology clinic
with faculty preceptor
Conferences
Monday through Friday, 0800-1700*
*Evenings = one evening of call per week, only
during the 2weeks that you are on inpatient service
at UH-Richmond
M/T/W/Th = clinical experiences, Friday = didactics

VA Psychiatry:

Monday-Friday 0800-1630

Lectures/conferences

UH/VA Neurology:

Weekly Neurosurgery didactics

Grand Rounds
Neurology case-based discussion groups
Weekly meetings with Dr. Cohen
(Neurosurgery)
Neuroradiology W
Neuro-Ophthalmology, CPC, Journal Club

Lectures/conferences

UH Psychiatry:

Introductory lectures = orientation day AM

Other core lectures = each Friday AM after
Grand Rounds, from 0900-1200
Case conferences = one presentation per
student, days/times vary, done during the
2weeks that you are on C/L service

VA Psychiatry:

Introductory lectures during orientation

Didactic series every Thursday from 13001615

Design Features

Orientation
Learning relationships (faculty + residents)
Feedback
Direct observation
Exposure to career options
On call schedules
Inpatient-outpatient balance
Incorporation of assigned Advanced Core learning
objectives

Core 1 Peri-Op and Acute Pain

Core 2 Prevention + WH (Menopause, osteoporosis,
etc.)
Core 3 Chronic Pain

Design Features

Orientation:

Neuroscience:

Psychiatry:

8-9 am: Neurological history and physical exam review

9-10:30 am: Distribution and explanation of schedules

General information, schedules, pagers/keys, introductory psychiatry

lectures
Done on first morning of the rotation, usually at Walker Building
(times vary)

Learning relationships

Work in typical team setting on inpatient settings, i.e. attending

faculty, residents, interns, and other students
Work one-on-one with faculty preceptor in outpatient clinic
Students will work with faculty as well as residents/fellows during
their rotation
Learning will occur via direct patient contact, patient discussions,
informal and formal learning opportunities, and case conferences

Design Features Continued

Feedback

Direct observation

Clinical Assessment System for specific patient-based experiences

and presentations
Mid-rotation feedback
End-of-rotation feedback (one-on-one with Clerkship Director)
History taking, physical exam, and team communication will be
directly observed by faculty, residents, and interns in various
inpatient and outpatient settings with feedback verbally and
through CAS.

Exposure to career options

On the Neuroscience rotations students have opportunity to

preference experiences in Neurosurgery, Pediatric Neurology, or
Neurology Subspecialty such as Stroke
During the two parts of your Psychiatry rotation, you will be
exposed to clinical faculty and fellows who are pursuing various
different career options including
Inpatient, consultation, and outpatient settings
Younger adult-focused versus geriatric-focused practices

Design Features Continued

On call schedules
Neuroscience:

Students required to take 2 calls (until 9 pm) only while on

General Neurology service
Students allowed to choose call days, and welcome to take
more call as long as stay within duty hours
No overnight call

Psychiatry:
Students required to take 2 weekday evening calls (from 5pm
until 10pm, one call per week) only while on UH-Richmond
inpatient service
Duties: Shadow the on-call resident, participate in ER
evaluations, participate in acute consultations, address unit
issues/questions as needed
One weekend day of rounding, only while on UH-Richmond
inpatient

Design Features

Inpatient-outpatient balance

Neuroscience - Students see a mixture of

inpatients, consults, and outpatients during
their four week rotation, regardless of how
they preference their second two weeks
UH Psychiatry: Experience primarily inpatient
(inpatient on the psychiatric unit and in the
general medical/surgical hospital arenas),
with opportunities available for interested
students to visit outpatient psychiatric clinics
as electives in M4 year

Design Features
Incorporation of Advanced
Core 3:learning
Chronic painobjectives
Core

On Neurology service, you will see inpatients and

outpatients dealing with chronic pain, and
didactics will include selected chronic pain topics
On Psychiatry service, you will likely interact
with patients for whom chronic pain is a
significant issue
Psychiatric consultations are often called in
conjunction with the Pain Management team
Chronic pain is highly comorbid with psychiatric
illness

What are the unique features

of this rotation?

UH/VA Neurology:

Relevant and interesting introduction to rotation,

with review of the neurologic history and exam,
neuroanatomy, neuropathology, and neuroradiology
Ability to spend four afternoons working one-on-one
with a faculty neurologist in clinic, with progressive
increase in responsibility over the course of rotation
Ability to spend time in unique areas of Clinical
Neuroscience, in order to tailor rotation to specific
interests
Combination of didactics, case-based discussions,
and patient presentations to supplement learning
on the wards

What are the unique features

of this rotation?

UH Psychiatry:

Through diversification of the psychiatric experience,

including both inpatient and hospital-based services,
students will get broad exposure to psychiatric
patients, diagnoses, and treatment options
There is a specially-designated resident liaison
who helps with student orientation, and also meets
with students periodically throughout the rotation for
extra teaching and support!

VA Psychiatry:

Students are responsible for the management of up

to four patients. They are expected to do admission
notes, daily notes, orders, and discharge summaries
for their patients. There are no evening or weekend
requirements.

Personnel

UH/VA Neurology personnel:

Neurology Clerkship Director

Colleen

Neurology Clerkship Coordinator

Doris

Evans

Director of Neurosurgery
Alan

Tomcik, MD

Cohen, MD

Neurosurgery Clerkship Coordinator

Lois

Hengenius

Personnel

UH Psychiatry personnel:

Director of Psychiatry medical student

education
Kathy

Clegg, MD ext 45061

UH site Psychiatry clerkship director

Jeanne

Lackamp, MD ext 35656 or pager

38383 (best)

UH clerkship coordinator (schedules,

pagers, keys, all routine questions!)
Debbie

Martin ext 48911

Personnel (UH Psych cont)

Consultation-liaison
faculty

Jeanne Lackamp, MD
Joseph Locala, MD
Susan Stagno, MD
Stefani Parrisbalogun,
MD

Adult inpatient faculty

David Hahn, MD
Luis Ramirez, MD

Geriatric inpatient faculty

Philipp Dines, MD
Irina Korobkova, MD

Inpatient Child faculty

Other CL personnel

CL coordinator: Sandy
Wallack, RN
CL residents and
sometimes fellows

Peter Corpus, MD

Other inpatient personnel

Inpatient
coordinators/RN/SW
Geriatric fellow
Residents

Personnel

VA Psychiatry personnel:
Clerkship Director

David Blank, MD 216-791-3800, ext. 6795

Clerkship Coordinator

Decey Cabarle 216-791-3800, ext. 6808