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Objectives:
- Diagnosis, management and treatment of common emotional/behavioral disorders in children and families.
- Normal growth and development with emphasis on cognitive and psychosocial development.
- Appropriate utilization of various disciplines and agencies for consultation and referral:
a. Social work
b. Psychology
c. Psychiatry
d. Occupational Therapy
e. Speech/language/hearing
f. DHS/Family Court
g. DOH (Dept of Health)
h. DOE (Dept of Education)
- Interviewing techniques.
Method: Observation and participation in evaluations and treatment of children and families by the various disciplines;
participation in case conferences; individualized supervision; seminars (conference, lectures); films (videotapes)); literature.
The degree of case responsibility will depend on the medical student’s prior expertise. Special interest will be discussed and accommodated,
if possible and feasible.
Evaluation: Supervisory observation; written evaluation of medical students by instructors; written program evaluation
by medical students; chart review.
2. SUB-INTERNSHIP IN
ADULT PSYCHIATRY:
Program Director or Coordinator: Director of Medical Education at the Queen’s Medical Center
Location: The Queen’s Medical Center-Kekela Ward
Department: PSTY
Pre-requisite: PSTY 531 or 532 and 4th year standing
Duration: 4 weeks, available all blocks
Number of Students: Maximum 2
Objectives:
- To strengthen skills in psychiatric evaluation and diagnosis.
- To learn and gain experience in the management of psychiatric inpatients, the psychopharmacologic treatment of
major psychiatric disorders, and short-term, goal-directed, supportive psychotherapy.
Method: Students will be assigned to the inpatient service at the Queen’s Medical Center-Kekela ward.
Faculty or residents on the ward will provide Day to day supervision. The coordinator will oversee the supervision,
and provide direct tutorial input to the student. Student will participate in any ongoing seminars or conference.
Evaluation: Students will receive on-going feedback on their
performance and will have an evaluation conference with the coordinator
at the end of the sub-internship. Written evaluations of the student
and of the experience (by the student) will be developed.
3. ADDICTION MEDICINE:
Program Directors or Coordinator: William F. Haning, III, M.D.; in collaboration with James Staudenmeier,
M.D. (TAMC), David Friar, M.D. (HSH), Jon Streltzer, M.D. (QMC), Mark Herbst, M.D. (Associate PD, Feb 2005),
Addiction Fellows (PGY5), Staff.
Location: Hawaii State Hospital, The Queen’s Medical Center and Tripler Army Medical Center
Department: PSTY
Pre-requisite: PSTY 531 or 532 and 4th year standing
Duration: 4 weeks, available all blocks
Number of Students: Maximum 2
Objectives: To develop clinical competence in prospective primary care physicians and psychiatrists in
the evaluation, diagnosis and treatment of individuals with substance use disorders.
Method: Under the supervision of Dr. Haning and Addiction Psychiatry residents,
students will be responsible for medical and psychiatric evaluation, diagnosis, and treatment of
patients with substance abuse disorders. In addition to participating in group therapy sessions and teaching rounds,
they will participate in consultations. Students will be expected to visit community agencies concerned with substance abuse.
They will be given selected readings from the literature and will have an opportunity in weekly supervision sessions to discuss
these in depth as applicable to their patients. Involvement in statewide and institutional planning sessions for dual diagnosis
is anticipated. The rotation includes a minimum of four (4) training conferences per week, of which two (2) are patient centered.
Evaluation: Individual performance evaluation by faculty members at conclusion of rotation. Student
critique of rotation and faculty is required.
4. GERIATRIC PSYCHIATRY:
Program Directors or Coordinator: Iqbal "Ike" Ahemd, M.D. and Junji Takeshita, M.D.
Location: The Queen’s Medical Center, PACE @ Maluhia Hospital, Liliha Nursing Home
Department: PSTY
Pre-requisite: PSTY 531 or 532 and 4th year standing
Duration: 4 weeks, available all blocks
Number of Students: Maximum 1
Discription:
The medical student will see geriatric patients who require psychiatric evaluation/treatment.
The settings involved will be inpatient, day program and nursing home.
Objectives:
The student will learn about psychiatric care of the elderly with particular emphasis on evaluation and psychopharmacology
of dementias, delirium and depressive disorders. In addition, the student will learn about collaborative care of elderly
involving working with geriatric medicine team.
Method:
The student will evaluate/follow geriatric patients in conjunction with the geriatric psychiatry resident and attending.
Supervision will involve the geriatric resident and attending. Readings will be patient centered.
Evaluation:
The evaluation will be based on attending and resident feedback.
5. MENTAL HEALTH RESEARCH:
Program Directors or Coordinator: Anthony Guerrero, M.D.
Location: UH-JABSOM Department of Psychiatry
Department: PSTY
Pre-requisite: PSTY 531 or 532
Duration: 4 to 8 weeks, available all blocks
Number of Students: Maximum 2
Objectives:
To appreciate the importance of mental health research in advancing the clinical care of underserved populations. To become familiar with ethical issues in research. To gain experience in mental health research methodology, including: study design, data collection and management, and statistics.
Method:
Under the supervision of Dr. Guerrero and collaborating faculty in the Department of Psychiatry’s Research Division,
students will receive advanced instruction in the theory and methods of mental health research and will have supervised
participation in one of the many research projects within the Department of Psychiatry, with an emphasis on mental health
in Hawai‘i and the Pacific Basin. Instruction methods will include small discussion groups, individual mentorship, and directed
reading and research.
Evaluation:
Students will rate their progress in meeting the stated objectives of this course and will be provided with ongoing individual
feedback from course faculty. Students will be expected to produce a written scholarly product by the end of the course. A written
evaluation of the student’s performance will be completed at the end of the course.
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