Ascension Providence Hospital Psychiatry Sub-Internship

Faculty Contact: Paul Lessem, MD

Rotation Location: Ascension Providence Hospital, Southfield Campus

Duration of the Rotation: 4 weeks

Students Per Month: 2

Work Hours: Weekdays; 8am-5pm; no call

Prerequisites: 2 years of medical school; 3rd year completion of Psychiatry clerkship

MSUCHM Course #: PSC 609

General: The senior elective in psychiatry at Providence-Providence Park Hospital introduces students to the presence and management of psychiatry issues in outpatient and medical patients. This elective stresses the implications of recent neuroscience discoveries on the mental functioning of patients who a primary care specialist may expect to encounter in their medical practice.

Recommended Readings:

  • Eagleman, David, Incognito: The Secret Lives of the Brain, First Edition, April 2012
  • Groopman, Jerome, How Doctors Think, March 2008
  • Selected readings in standard psychiatry texts regarding somatic disorder, and physical conditions with psychological factors

Goals & Objectives: Students will follow patients in the partial hospital program and interview patients of the academic internal medicine inpatient practice to evaluate and learn to manage poor health behaviors including social inhibition, medication noncompliance, denial, concreteness, bad health habits, substance abuse, and affective disorders. They will practice their interviewing skills with these patients in order to improve their ability to recognize difficulties and develop a capacity to approach medical patients with psychiatric illness or psychiatric reactions to medical illness. They will explore some techniques of thinking medically and using their own mental mechanisms to better understand patients and facilitate their own understanding of patterns of health and illness. Students will spend a balanced amount of time between seeing patients in the partial hospital and going on post call rounds with resident teams of the internal medicine department. They will select and interview patients of the academic team and explore how they function mentally in response to the stress of being in inpatient medical care. They will follow up with these patients as appropriate and may suggest psychiatric consultation for patients whom they discover with the help of supervision may benefit from psychiatric consultation with staff psychiatrists.

Students will also attend weekly grand rounds and consultation rounds where they will present cases, and meet weekly with the course director to discuss their patients and their readings.

Evaluation: At the end of the rotation, the Rotation Director will collect data from the supervising physician and other medical team members and complete a written evaluation of the student that is reflective of the student’s academic competence, procedural proficiency and professional attributes. The standard medical school form from the student’s medical school will be used. If required, the student should complete a case log and an evaluation of the rotation and submit them to their medical school.