Psychiatry Rotation
-
For the following medical conditions or disease processes,
understand the
-
physiology and epidemiology
-
clinical presentation, acute and chronic
-
laboratory and diagnostic findings
-
treatment
-
management, pharmacological and non-pharmacological
-
prevention
-
Resources: first-year lectures, required reading, preceptor’s
materials, PANCE review books, the Blueprint series, and
Uptodate.com
- In general
- Know the prevalence of mental
health conditions in primary care.
- Know the steps to evaluate and
diagnose psychiatric symptoms.
- Know how biological, psychological,
and social factors play into the diagnosis of psychiatric disorders.
-
- DSM
- Know the three conditions to be met
for diagnosis
- Be familiar with the multiaxial
system used by the DSM and the use of each axis
- Know how to administer mini-mental
status exam, complete mental status exam
-
- Schizophrenia
and Other Psychotic Disorders
- Characteristics and typical
presentations of psychotic disorders
- 5 subtypes of schizophrenia
- Clinical features:
- 3 phases of schizophrenia
- Symptoms of schizophrenia
- Effects on social and
occupational functioning
- Time line of events and duration of
symptoms required to make a diagnosis.
- Treatment: negative vs. positive
symptoms and medication used to treat each type of symptom
- Types of disorders
- Schizoaffective
- Delusional
- Schizophreniform
- Brief psychotic
-
- Somatoform
Disorders
- Characteristics and treatment for:
- Somatization disorder
- Body dysmorphic disorder
- Conversion disorder
- Factitious disorder
- Malingering
- Hypochondriasis
- Pain disorder
- Mood Disorders
- General
characteristics, diagnosis, and treatment for:
- Major depressive disorder (MDD)
and subtypes
- Bipolar I & II disorders
- Dysthymic disorder
- Cyclothymic disorder
- Adjustment disorder
- Mood episodes
- Major-depressive episode
- Manic episode
- Hypomanic episode
- Mixed episode
-
- Personality
Disorders
-
The 3 clusters of personality
disorders, disorders in each cluster, and general characteristics and
treatment of each of the following personality disorders
- Cluster A: Paranoid,
Schizoid, Schizotypal
- Cluster B: Antisocial,
Borderline, Histrionic, Narcissistic
- Cluster C: Avoidant,
Dependent, Obsessive-Compulsive
- Personality Disorders NOS:
Passive-Aggressive, Depressive, Sadomasochistic, Sadistic
-
- Anxiety
Disorders
- General characteristics and the
treatment for the following disorders.
- Generalized anxiety disorder
- Panic attacks and panic
disorder
- Obsessive-compulsive disorder
- Post traumatic Stress disorder
- Acute stress disorder
- Phobias
- Differential diagnosis for a person
with an anxiety attack
-
- Eating Disorders
- General
characteristics, diagnosis, treatment, and epidemiology for anorexia
nervosa, bulimia, obesity.
-
- Childhood
Disorders
- General
characteristics, symptoms, diagnosis, and treatment for
- Attention-deficit disorder and
attention-deficit hyperactivity disorder
- Disruptive behavioral disorders:
Conduct disorder, Oppositional defiant disorder
- Pervasive developmental disorders:
Autistic, Asperger, Rett’s
-
Substance Abuse Disorders
- Types of abuse
- Addiction
- Substance dependence and criteria
for classifying. Refer to PANCE study guide.
- Substance abuse and criteria for
classifying. Refer to PANCE study guide
- Treatment
- CAGE screening test—what it is and why
it is used
- Non-pharmacological modalities
- Pharmacological therapy
- Symptoms of withdrawal of the following
substances and their treatment:
- Alcohol
- CNS depressants
- Opiates
- Nicotine
- Hallucinogens
-
- Abuse and
Neglect
- Child abuse:
- Physical signs and history that
would lead one to consider child abuse.
- Legal implications of suspected
abuse
- Munchausen by proxy
- Sexual abuse: Most common age and
gender; Signs to look for
- Spousal abuse: Medical treatment for
battered patient; referral, precautions
- Elder abuse: Physical or sexual,
psychological, financial, neglect
-
Rape crisis
- Psychological sequelae
- Special history and physical
considerations
- Prevention of disease and pregnancy
- Counseling
-
Medications
- Classes of anti-psychotic drugs
- Common medications used in treating
the above-mentioned diseases
- Mechanism of action
- Side effects
|
Jefferson College of Health
Sciences