Course SyllabusPsychiatric Clerkship for Medical Students



Required readings
    Optional readings
      Peer Activities
        QuizzesAssignments
          DiscussionsQuestionnare

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          Required readings
            Optional readings
              Peer Activities
                Quizzes
                  Assignments
                    Discussions
                      Questionnare

                        Psychiatric Clerkship: Resource Library for Medical Students

                         


                        Welcome to our Psychiatric Clerkship for Medical Students. This course aims to provide medical students with essential resources and knowledge to help develop foundational skills and competencies related to their psychiatry training. The course is organized into modules and lessons which cover a range of psychiatric disorders as outlined in the DSM-5, including but not limited to sleeping disorders, sexual disorders, substance use disorders, eating disorders, and adjustment disorders. The modules focus on identifying and screening for specific symptoms and proposing feasible treatment and management strategies. In addition, a COVID-19 module explores the impact of the pandemic on mental health conditions. By engaging in this course, you will be able to develop skills specific to psychiatry, such as history-taking, medical interviewing, and clinical reasoning, through our interactive learning components.

                        This course was developed based on the “Clinical Learning Objectives Guide for Psychiatry Education of Medical Students,” created by the Association of Directors of Medical Student Education in Psychiatry (ADMSEP). Subject matter experts reviewed the ADMSEP learning objectives in 2022 to ensure alignment with the most recent updates to the DSM-5. Like all NextGenU.org materials, this course was developed as a joint effort of expert instructional designers and subject matter experts in psychiatry and addiction. The subject matter experts involved in designing and reviewing the learning materials are Scott Oakman, MD, Ph.D; Eduardo Bianco, MD, MSc; Magali Collonnaz, MD, MPH, MSc; Lucia Villalba, MD; Gabriel Rossi, MD; and Medical Residents Dr. Aditya Shah, Dr. Diana Nguyen, Dr. Lucia Lamberti, Dr. Kimberly Evans, and Dr. Monthe Kofos. The instructional designers who participated in the design and development of this clerkship are  Alixandria Ali, BSc; Reisha Narine, M.Sc., B.Sc.; Hugo Rojas, MD, MSc, DiplEd; Pablo Baldiviezo, MD, DiplEd; and  Carolina Bustillos, MD, DiplEd; Sherian Bachan, M.Sc., B.Sc; Seema Persaud, M.Sc., B.Sc.; Sara Wildman, B.Sc.; and Rhonda Prudent, B.Sc.

                        This course uses resources from accredited, world-class organizations such as the American Psychiatric Association, American Psychological Association, Association of American Medical Colleges, Cambridge University, International Society for Traumatic Stress Studies, and National Institute of Mental Health, among others.

                        For publications on NextGenU.org’s courses’ efficacy, see
                        our publication page.

                        This course is divided into six (6)  modules:

                        • Module 1: Developmental, Cognitive, and Somatic Disorders
                        • Module 2: Prevalent Psychiatric Conditions 
                        • Module 3: Disease Prevention, Therapeutics, and Management
                        • Module 4: Professionalism, Ethics, and the Law
                        • Module 5: COVID-19 and Mental Health
                        • Module 6: Clinical Skills

                        The completion time for this course is estimated to be 260 hours which includes 76 hours of readings, 151 hours for study and assimilation, and 33 hours of work participating in activities comprising of 11 discussion forums, 1 reflection, 19 case studies, and module quizzes to assist the student in the synthesis of the materials. This course is equivalent to a total of 6  credit hours.

                        At the end of each module, there is a practice quiz with unlimited attempts, and at the end of the course, after you’ve completed each lesson, quiz, and learning activity, you’ll have access to a final exam of forty (40) multiple-choice questions with a maximum of 3 attempts, and a chance to evaluate this course. Once you’ve passed that last test, you can download a certificate of completion from NextGenU.org. We keep all of your personal information confidential, never sell any of your information, and only use anonymized data for research purposes, and we are also happy to report your testing information and share your work with anyone (your school, employer, etc.) at your request. 

                        Engaging with this course:

                        This free course is intended for medical students and hospital teaching staff who would like to learn more about the diagnosis, management, and treatment of a range of psychiatric disorders as outlined in the DSM-5 manual. 

                        The course is intended for any student in a psychiatric clerkship who wants to use this material for support learning at the hospital, and for universities and institutions who want to use this as part of a psychiatric clerkship to distribute all content modules during the clerkship including the online assessments and activities.

                        To obtain a certificate, a learner must first register for the course and then successfully complete:

                        • all the reading requirements;
                        • all quizzes and pass with a 70%;
                        • all reflection activities;
                        • all discussion forums;
                        • all case studies;
                        • the final exam with a minimum of 70%;
                        • the self and course evaluation forms;
                        • complete skill based component in a hospital setting supervised by a mentor.*

                        *In order to receive a certificate of completion, you will need to complete a skills-based component of the course, which requires you to identify a hospital teaching staff member (physician) as a mentor, for local observation and supervised practice. 

                         To obtain credit:

                        • Complete all requirements listed above for the certificate, and
                        • Your learning institution or workplace should approve the course for educational credit, as they would for their learner taking a course anywhere. Check with your learning institution before beginning this course to ensure institutional credit.

                        To obtain a degree, NextGenU.org co-sponsors degree programs with institutional partners. To obtain a full degree co-sponsored with NextGenU.org, registrants must be enrolled in a degree program as a student of a NextGenU.org institutional partner. If you think that your institution might be interested in offering a degree with NextGenU.org, contact us.

                        We hope that you will find this a rewarding learning experience, and we count on your assessment and feedback to help us improve this training for future students.

                        Here are the next steps to take the course.

                        • Complete the registration form.
                        • Take the pre-test.
                        • Begin the course with Module 1: Developmental, Cognitive, and Somatic Disorders. In each lesson, read the description, complete all required readings and activities, and take the corresponding quizzes.
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                                      Module 1: Developmental, Cognitive and Somatic Disorders

                                      This module provides the learner with a comprehensive overview of developmental, cognitive, and somatic disorders which prevail throughout the lifespan.Required readings
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                                                    Module 1: Lesson 1: Disorders in Childhood and Adolescence

                                                    This lesson provides the learner with resources to be knowledgeable about child development, obtain an accurate developmental history, perform an age-appropriate mental status, and recognize signs and symptoms associated with psychiatric disorders to refer, evaluate and manage them successfully.

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                                                                Module 1: Lesson 2: Geriatric Psychiatry

                                                                This lesson provides the learner with resources to recognize signs and symptoms suggestive of mental disorders in a culturally competent manner, know the physiological and sociocultural changes accompanying aging, to refer, evaluate, and treat them successfully.
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                                                                          Module 1: Lesson 3: Cognitive Disorders

                                                                          This lesson provides the learner with resources that allow one to make initial assessments of cognitive disorders, examine underlying conditions and causes, appropriately utilize cognitive assessment tools, account for language and cultural variations, and successfully manage, treat, and refer patients with cognitive disorders.

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                                                                                    Module 1: Lesson 4: Dissociative and Amnestic Disorders

                                                                                    This lesson provides the learner with resources to recognize indicative signs and symptoms of dissociative and amnestic disorders to evaluate, refer and treat them successfully.

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                                                                                                Module 1: Lesson 5: Psychosis Spectrum Disorders

                                                                                                This lesson provides the learner with resources that allows one to recognize the signs and symptoms of possible Psychotic Disorders, make initial assessments, examine underlying conditions and successfully manage, treat and refer patients with psychotic disorders.

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                                                                                                          Module 1: Lesson 6: Personality Disorders

                                                                                                          This lesson provides the learner with resources to recognize signs and symptoms suggestive of personality disorders, assess how these disorders may complicate treatment efforts, to refer, evaluate and treat them successfully.

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                                                                                                                      Module 1: Lesson 7: Somatoform Disorders, Factitious Disorder and Malingering

                                                                                                                      This lesson provides the learner with resources that allows one to recognize signs and symptoms of possible Somatoform Disorders, Factitious Disorder, and Malingering, make initial assessments, examine underlying pathology, and successfully manage, treat and refer patients with these disorders.

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                                                                                                                            Module 2 : Prevalent Psychiatric Conditions

                                                                                                                            This module provides the learner with a comprehensive overview of a range of psychiatric disorders according to DSM-5 criteria, including common signs and symptoms, making initial assessments, and successful referral, treatment, and management strategies.

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                                                                                                                                          Module 2: Lesson 1: Anxiety Disorders

                                                                                                                                          This lesson provides the learner with resources to recognize signs and symptoms of anxiety, become familiar with the diagnostic criteria for various anxiety disorders, make initial assessments, examine possible emergent underlying conditions, and successfully manage, treat and refer patients with anxiety disorders.


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                                                                                                                                                      Module 2: Lesson 2: Mood Disorders

                                                                                                                                                      This lesson provides the learner with resources that allows one to recognize signs and symptoms of possible Mood Disorders, make initial assessments, examine underlying conditions, assess the risk of suicidal and homicidal behavior, and successfully manage, treat and refer patients with mood disorders.

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                                                                                                                                                                  Module 2: Lesson 3: Eating Disorders

                                                                                                                                                                  This lesson provides the learner with resources to recognize the signs and symptoms of an eating disorder and successfully refer, evaluate, and treat them.

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                                                                                                                                                                              Module 2: Lesson 4: Sexual Disorders

                                                                                                                                                                              This lesson provides the learner with resources to recognize the signs and symptoms of sexual disorders and obtain an accurate sexual history to refer, evaluate and treat successfully.

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                                                                                                                                                                                        Module 2: Lesson 5: Sleep Disorders

                                                                                                                                                                                        This lesson provides the learner with resources to recognize the signs and symptoms of sleep disorders and obtain an accurate sleep history to refer, evaluate and manage them successfully.

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                                                                                                                                                                                                    Module 2: Lesson 6: Substance Use Disorders

                                                                                                                                                                                                    This lesson provides the learner with resources that allows one to recognize the signs and symptoms of Substance Use Disorders, make initial assessments, examine underlying conditions and successfully manage, treat and refer patients with Substance Use Disorders.

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                                                                                                                                                                                                              Module 2: Lesson 7: Adjustment Disorders

                                                                                                                                                                                                              This lesson provides the learner with resources to recognize signs and symptoms associated with an adjustment disorder, provide support, and refer, evaluate, and treat them successfully.

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                                                                                                                                                                                                                    Module 3: Disease Prevention, Therapeutics, and Management

                                                                                                                                                                                                                    This module provides a comprehensive overview of disease prevention and a range of therapeutics and management strategies.Required readings
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                                                                                                                                                                                                                                  Module 3: Lesson 1: Prevention

                                                                                                                                                                                                                                  This lesson provides the learner with resources to be knowledgeable about the necessary preventative strategies in decreasing the occurrence of illness, reducing the duration of diseases, and minimizing the associated disability of medical conditions.

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                                                                                                                                                                                                                                            Module 3: Lesson 2: Pharmacological Therapies

                                                                                                                                                                                                                                            This lesson provides the learner with resources to know the indications, contraindications, presumed mechanism of action, pharmacodynamics, pharmacokinetics, common and serious adverse effects of psychotropic drugs, and its interactions with disease and other drugs.

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                                                                                                                                                                                                                                                      Module 3: Lesson 3: Brain Stimulation Therapies

                                                                                                                                                                                                                                                      This lesson provides the learner with resources to recognize and refer patients for an ECT or further evaluation to treat psychiatric disorders via alternative brain stimulation therapies that are approved and accepted for general use.

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                                                                                                                                                                                                                                                                Module 3: Lesson 4: Psychotherapies

                                                                                                                                                                                                                                                                This lesson provides the learner with resources to understand psychotherapy, the different types of psychotherapy, its relevant principles to the doctor-patient relationship, and evidence-based psychotherapy for treating particular disorders.

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                                                                                                                                                                                                                                                                        Module 3: Lesson 5: Multidisciplinary Treatment Planning and Collaborative Management

                                                                                                                                                                                                                                                                        This lesson provides the learner with resources to collaborate effectively with other physicians in different specialties, other healthcare workers in various disciplines, and the patient’s family to optimal clinical outcomes.

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                                                                                                                                                                                                                                                                                  Module 3: Lesson 6: Complementary and Alternative Treatments

                                                                                                                                                                                                                                                                                  This lesson provides the learner with resources to understand the use of Complementary and Alternative treatment modalities across all cultures and age groups and supporting evidence for its use and possible adverse effects.

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                                                                                                                                                                                                                                                                                        Module 4: Professionalism, Ethics and the Law

                                                                                                                                                                                                                                                                                        This module provides a comprehensive overview of professionalism and ethics in a clinical setting, including medical-legal issues in psychiatry and cultural competence and mental health disparities.Required readings
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                                                                                                                                                                                                                                                                                                      Module 4: Lesson 1: Professionalism

                                                                                                                                                                                                                                                                                                      This lesson provides the learner with resources to demonstrate high quality, unbiased care for mentally ill patients, detect medical conditions in psychiatric illnesses, develop patient advocate skills, discuss patient boundaries, and promote a positive learning environment.

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                                                                                                                                                                                                                                                                                                                Module 4: Lesson 2: Medical Ethics

                                                                                                                                                                                                                                                                                                                This lesson provides the learner with resources to identify and discuss issues of ethical concern, ethically risky and problematic situations in patient care, and how one’s knowledge and attitudes influence care and one’s area of clinical competence.

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                                                                                                                                                                                                                                                                                                                        Module 4: Lesson 3: Medical-Legal Issues in Psychiatry

                                                                                                                                                                                                                                                                                                                        This lesson provides the learner with resources to screen and address suspected abuse in vulnerable populations, discuss the role of the physician in treating and managing abuse, and civil commitment, recognize the variations in state law, the implications of the voluntary and involuntary status of a patient; discuss the elements of informed consent, evaluation of decision-making capacity, the principles and process of the physicians “duty to warn” obligation, and discuss breach of confidentiality.

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                                                                                                                                                                                                                                                                                                                                  Module 4: Lesson 4: Cultural Competence and Mental Health Disparities

                                                                                                                                                                                                                                                                                                                                  This lesson provides the learner with resources to discuss mental health care disparities, stereotypes, biases, and prejudices experienced by multi-cultural backgrounds and how to elicit the practices of those communities; and incorporate cultural information and the DSM- V elements into the assessment of assigned patients.

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                                                                                                                                                                                                                                                                                                                                            Module 5: COVID-19 and Mental Health

                                                                                                                                                                                                                                                                                                                                            This module provides a comprehensive overview of the impact of COVID-19 on Mental Health, including the likelihood of developing neuropsychiatric symptoms during and after infection.Required readings
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                                                                                                                                                                                                                                                                                                                                                          Module 5: Lesson 1: Pandemic Consequences on Mental Health

                                                                                                                                                                                                                                                                                                                                                          This lesson provides the learner with resources to understand the immediate and long-term consequences of the Covid-19 pandemic on various aspects of mental health.

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                                                                                                                                                                                                                                                                                                                                                                  Module 5: Lesson 2: Neurocognitive Disorders post COVID-19

                                                                                                                                                                                                                                                                                                                                                                  This lesson provides the learner with resources to understand neurocognitive disorders using DSM-5 criteria and demonstrate the ability to identify potential acute conditions related to COVID-19.

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                                                                                                                                                                                                                                                                                                                                                                          Module 6: Clinical Skills


                                                                                                                                                                                                                                                                                                                                                                          This module provides the learner with a comprehensive overview of clinical skills, including history-taking, examination, medical interviewing, documentation and communication, clinical reasoning, and differential diagnosis and assessment of psychiatric emergencies.Required readings
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                                                                                                                                                                                                                                                                                                                                                                                        Module 6: Lesson 1: History-Taking, Examination and Medical Interviewing

                                                                                                                                                                                                                                                                                                                                                                                        This lesson provides the learner with resources to effectively and successfully engage in history taking, patient evaluation, and medical interviewing in a culturally competent manner.

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                                                                                                                                                                                                                                                                                                                                                                                                Module 6: Lesson 2: Documentation and Communication

                                                                                                                                                                                                                                                                                                                                                                                                This lesson provides the learner with resources to improve their written and oral communication skills by communicating clearly and concisely to other professionals, patients, and their families.

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                                                                                                                                                                                                                                                                                                                                                                                                          Module 6: Lesson 3: Clinical Reasoning and Differential Diagnosis

                                                                                                                                                                                                                                                                                                                                                                                                          This lesson provides the learner with resources to become skillful at discerning signs and symptoms of psychiatric disorders and formulate reasonable diagnostic hypotheses with plans for further evaluation.

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                                                                                                                                                                                                                                                                                                                                                                                                                    Module 6: Lesson 4: Assessment of Psychiatric Emergencies

                                                                                                                                                                                                                                                                                                                                                                                                                    This lesson provides the learner with resources that allows one to recognize potential psychiatric emergencies, perform risk assessments, evaluate the patient and initiate an appropriate intervention for patients with altered mental status, behavioral dyscontrol, and potential assaultive behavior.

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                                                                                                                                                                                                                                                                                                                                                                                                                          Final Exam

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                                                                                                                                                                                                                                                                                                                                                                                                                                      Course and Self Evaluation & Certificate

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