Preceptor: Kathryn Keegan, MD
Course Code: 14-12
Contact clerkship coordinator: Jeffrey Sanchez, Jeffrey.Sanchez@nyulangone.org
Tel: (646) 754-4845
Prerequisite: Psychiatry Clerkship
This elective offers the student the unique opportunity to evaluate and treat patients with both substance abuse and psychiatric disorders at the Dual Diagnosis Training Unit, a 27-bed inpatient psychiatric unit at Bellevue Hospital. While our patients most frequently use alcohol, cocaine, heroin, and cannabis, we also treat patients who use phencyclidine (PCP), hallucinogens, inhalants, methamphetamine, and party drugs like MDMA (ecstasy), ketamine, and GHB. Prescription drug abuse is also common. The majority of patients suffer from psychotic and/or mood disorders, as well as severe personality disorders. The student learns about psychopathology, behavior modification techniques, group therapy techniques, motivational interviewing, and psychopharmacology specifically designed for this patient population. The student assumes direct responsibility for the diagnosis and management of her or his patients under the close supervision of attending physicians who are also faculty member of the Division of Alcoholism and Drug Abuse. Each student is required to lead a weekly patient group; in the past, students have run group activities like relapse prevention, rum and relationships, poetry group, medical consequences of addictions, and life stories. The experience is augmented by individual tutorials, case conferences, and division-wide grand rounds. For students who have completed a core clerkship in psychiatry, this elective is offered at the level of a subinternship.
Objectives of the Elective
The objective of the elective is to gain knowledge of diagnosis and treatment of addiction, mental illness and dual diagnosis.
Key Responsibilities of the student while on Elective
- Clinical management of 2-4 patients under direct attending supervision.
- Participation in daily clinical rounds and weekly treatment team meetings.
- Participation in unit academic conferences and divisional Grand Rounds.
- Running a weekly group.
In addition to the conferences above, the student receives individual weekly supervision from a faculty member.
Method of Evaluation
The student will be evaluated based on her or his participation in ward activities and conferences.
Months offered: All Year except July
Report to: Bellevue Hospital 20 East Unit
Students per period: 1-2
Duration: 4 weeks