Psychiatry Clerkship

Medical Students (M.D.)

The MUSC Psychiatry clerkship is one of seven required clerkships for 3rd-year medical students. This clerkship is six weeks in length and students are assigned to a primary inpatient unit as well as an ancillary unit to which they report one day per week for five weeks for either a half or whole day. The goal of the Psychiatry clerkship is to deliver a challenging and enjoyable learning experience which focuses on the development of clinical, interpersonal and professional competence which can only be achieved by students taking an active role. Understanding that not all students choose Psychiatry as a career, the ability to recognize mental illnesses, and treat or refer patients appropriately, is a crucial skill set for all future physicians to develop. The knowledge and skills students acquire during this rotation will provide a critical foundation regardless of what field of medicine is chosen.

Primary Unit Assignments

• Addictions
• Adult Acute Care
• Child and Adolescent
• General Adult
• Senior Adult Care
• Psychosomatic Medicine Consult Team
• Ralph H. Johnson VA Medical Center

Ancillary Unit Assignments

• Addictions
• Charleston Dorchester Mental Health Clinic (CDMHC)
• Center for Drug and Alcohol Programs (CDAP)
• Child and Adolescent Inpatient Clinic
• Child and Adolescent Outpatient Clinic
• Comprehensive Pain Management Clinic
• Crisis Stabilization Center
• National Center for Victims of Crime (NCVC)
• Perinatal Psychiatry Outpatient Clinic
• ReVisions Clinic
• Stabilization, Treatment, Assessment and Reintegration (STAR) Children’s Day Treatment Clinic
• Telehealth Psychiatry
• VA General Mental Health Clinic
• VA Homeless Patient Aligned Care Team (H-PACT)
• VA PTSD Clinical Team (PCT)

Core Teaching Experiences

Morning Report: Students report to their assigned primary unit between 7:00 a.m. – 8:00 a.m. (depending on the unit) for morning rounds every day except on the day they are to report to their ancillary experience (if it is in the morning).

• Lectures:

• Mental Status Exam
• Psychopharmacology #1
• Psychiatry Quadrants – How to Interview a Psychiatric Patient
• Psychopharmacology #2
• Child & Adolescent Psychiatry
• Substance Abuse
• Psychotherapy
• Mood Disorders
• NBME Review
• Psychiatric Disorders Due to another Medical Condition
• OSCE Review

• Workshops/Didactics:

• Hearing Voices (Psychosis)
• SIM Center (Delirium Diagnosis and Management)
• Reflective Workshop

• Dept. of Psychiatry Grand Rounds: These take place on Fridays from September to May from 12:00 p.m. – 1:00 p.m. in the IOP Auditorium.

Clerkship Requirements

• Mid-point Feedback: Students will receive a mid-point feedback card that must be completed by their attending and turned in on Monday of the fourth week of the clerkship (Tuesday if Monday is a holiday).
• History and Physical Notes: Students are expected to write a daily progress notes in Epic which are then reviewed by the resident and attending with feedback given to the student.
• Call: Students are required to do 1 weekday short call (8:00 p.m. – 10:00 p.m.), 1 weekday long call (6:00 p.m. – 11:00 p.m.) and 1 weekend afternoon of call (1:00 p.m. – 6:00 p.m.) during the rotation.
• Diagnosis and Procedure Logs: Students are expected to complete the Diagnosis and Procedure Log as they progress through the clerkship. Any diagnosis or procedure which the student has not seen through “Direct-Based Care or Team-Based Care of Patient” at the end of the fifth week of the clerkship must be reported to the Clerkship Coordinator.

• Feedback Lunch: This takes place the last Monday of the clerkship.
• OSCE: This takes place the last Tuesday afternoon of the clerkship.
• NBME Shelf Exam: This takes place at 7:30 a.m. on the last Friday of the clerkship.

Psychiatry Clerkship Objectives Part 1

Psychiatry Clerkship Objectives Part 2

Psych PxDx table image