Introduction
Patients with neurological disease often have psychiatric co-morbidities, and patients with psychiatric presentations often have an underlying neurological disorder. Thus, neurologists must have a good understanding of psychiatric disease and the ability to provide basic care for patients with psychiatric illness. This rotation is one month in duration, taken during the PGY-1 year. Two weeks of the experience will be on the psychiatry consult service at UW Health and the Middleton VAH. The other two weeks will be in various outpatient clinics.
Goals
The goals of this rotation are for beginning neurology residents to be able to recognize psychiatric disease, differentiate purely psychiatric conditions from those caused by “organic” brain lesions, and institute basic management for psychiatric patients.
Objectives and Evaluation Matrix
As with all of the neurology rotations, the specific objectives are reflected in the entrustable professional activities and individual milestones listed below. These form the basis for the end-of-rotation evaluation. (Please see the section End-of-Rotation Evaluations above for the list of milestone abbreviations).
| Rotation Objectives | ||
| Upon completion of the curriculum, residents will . . . | ||
| # | Description | Milestones |
| 1 | Recognize when a patient’s symptoms are psychiatric in nature | PC1, PC2, PC3, PC12, MK1 |
| 2 | Classify psychiatric disorders according to DSM-V criteria | PC1, PC12 |
| 3 | Perform a suicide risk assessment | PC1, PC12 |
| 4 | Describe basic non-pharmacological and pharmacological treatments for depression | PC12 |
| 5 | Communicate effectively with requesting clinical services, nurses, and other members of the patient’s team | SP3, SP4, PR1, IC3, IC4 |
| 6 | Write a psychiatric consultation report | IC4 |
| 7 | Describe the unique constraints imposed by our health care system upon on the care of patients with psychiatric disease | SP4 |
| Milestones | ||
| Please grade the resident on any of the following milestones you were able to evaluate during this rotation: | ||
| PL1, PL2, PR2, PR3, IC2 | ||
Schedule
During the inpatient portion of the rotation, the resident will see and staff psychiatry consults with the psychiatry resident and psychiatry staff attending throughout the day depending on the number and acuity of psychiatry consults. Time between consults will be spent in reading of selected psychiatry texts and readings as suggested by the staff attending. Residents will continue to participate in the neurology resident call schedule.
During the outpatient portion, the resident will attend a variety of clinics; an example schedule follows the key below; the current schedule is accessible on a Google calendar through this link:
| Monday | Tuesday | Wednesday | Thursday | Friday |
| Week 1 | ||||
| VAMH | ITC | Reading | CAP | OPC |
| Week 2 | ||||
| VAMH | ITC | Seminars | CAP | OPC |
Key:
VAMH: VA Mental Health Clinic (Kat Dutra): VA Building 22, Room 125, 1-4:30 p.m.
Geri: UW Geriatric Psychiatry Clinic at WisPIC, 6001 Research Park Blvd (Art Walaszek)
CAP: UW Child & Adolescent Psychiatry Clinic (Peggy Scallon & Brooke Kwiecinski): WisPIC 12:15-5 p.m.
ITC: UW Immediate Treatment Clinic (Alexander Fritz): 1102 S. Park St., 1-5 p.m.
OPC: UW Adult Outpatient Psychiatry Clinic (Claudia Reardon, and others): WisPIC, 1-5:15 p.m.
If you find that you need to make a change to your schedule, such as for a personal emergency, please notify the psychiatry education coordinator, Carrie Schaub. Email: cschaub@wisc.edu. Phone: 608-265-8130.
Work Hours
There is no additional call responsibility for psychiatry. Estimated work hour total is 45 hours per week. Residents must log work hours and notify supervisory attending or program director if work hours restrictions are in danger of violation.
Suggested References
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry : behavioral sciences/clinical psychiatry.
DSM-5 (available via the Ebling Library at http://dsm.psychiatryonline.org.ezproxy.library.wisc.edu/book.aspx?bookid=556)
Latest revision: 05-14-2021
