Preceptor: Clancy Jones, MD
Contact: Jeffery Sanchez, Jeffery.Sanchez@NYULangone.org
Telephone: 646-754-4845

Prerequisites: Psychiatry Clerkship

Who should enroll in this elective?

Students who are considering psychiatry as a career
Students who are entering an allied field, such as obstetrics and gynecology or ambulatory care
Students who are simply interested in this clinical area

Clinical sites

Bellevue Hospital and NYULH

Description

This is a 4-week elective that seeks to introduce students to the field of reproductive psychiatry. Students will be expected to gain a broad understanding of the core principles, foundational knowledge, and essential skills relevant to the specialty through encounters with a diverse range of cases reflective of this specialty. The goals of this elective are:

1. To provide an in-depth, interdisciplinary, evidence-based introduction to the psychiatric evaluation and treatment of pregnant and postpartum women 
2. To develop essential clinical skills needed to: 
   • Identify psychopathology in pregnant and postpartum women
   • Develop clinical case formulation in complex patient presentations
   • Think critically about treatment planning: individual psychotherapy, psychopharmacology, group, and/or dyadic treatments

Objectives of the Elective

By the end of this elective, through daily contact with patients and didactics, you will:

1. Provide an interdisciplinary, evidence-based introduction to caring for women with psychiatric disorders associated with pregnancy and the postpartum period
2. Develop clinical skills needed to gather a thorough and focused psychiatric history 
3. Demonstrate use of the biopsychosocial model to formulate an assessment of the patient
4. Assess patient safety and identify indications for hospitalization and/or ACS involvement when needed
5. Work professionally and effectively in a multidisciplinary team 
6. Develop skills in treating psychiatric disorders associated with the perinatal period 
7. Develop and understand the psychiatric differential diagnosis and evidence-based treatments for the following disorders presenting perinatally: 
   • Mood disorders 
   • Anxiety disorders 
   • Psychotic disorders 
   • Substance use disorders
   • Experience the role of collaborative care clinics in treatment of complex patients
   • Explore the larger themes around fertility, motherhood, and family in society

Key Responsibilities of the student while on Elective

By enrolling in this elective, you have agreed to:

1. Participate in at least 35 contact hours of education each week
2. Provide communication of any excused absences to the Office of Student Affairs (excused absence form) and to the elective coordinator, in a timely fashion 
3. Arrive in a timely fashion to all locations to which you are assigned  
4. Participate in daily morning rounds and patient care with residents and attendings
5. Be an active participant in the care of patients being followed by the team, as dictated by the resident/attending
6. Attend all didactics provided for trainees, as outlined below

Key Responsibilities of the preceptor/residents/faculty while you are on Elective

By accepting your enrollment in this elective, the department has agreed to:

1. Clearly communicate their expectations of you
2. Maintain a supportive clinical learning environment 
3. Ensure that you have access to a broad case mix and clinical experience  
4. Provide the education necessary for you to gain an understanding of the patients and pathology reflective of this specialty
5. Provide feedback on your clinical skills

Didactic program

Women’s High-Risk Ob-Gyn Clinic/3-2-1 IMPACT Clinic 

• 1 session/week 
• Supervision with Women’s Mental Health Attending, PGY5 Reproductive Psychiatry       

Fellows, and PGY4 Psychiatry Residents  

NYU FGP OBGYN-Psychiatry Co-located Clinic (53rd Street) 

• 2 sessions/week 
• Supervision with Women’s Mental Health Attendings and PGY5 Reproductive 

Psychiatry Fellows Bellevue CL Psychiatry Service L&D Inpatient Consults 

• Intermittently 
• Supervision with Dr. Cathy Kondas and PGY5 Reproductive Psychiatry Fellows 

Bellevue Outpatient Psychiatry Clinic 

• Intermittently 
• Supervision with Women’s Mental Health Attending and PGY5 Reproductive           

Psychiatry Fellows

Weekly Schedule

Monday	Tuesday	Wednesday	Thursday	Friday
Clinical Focus: NYU FGP OBGYN Co-located Clinic with WH Fellows	Clinical Focus: 3-2-1 IMPACT Clinic at Bellevue OBGYN with Dr. Clancy Jones	Clinical Focus: Scholarly Activity + NCRP Curriculum	Clinical Focus: Scholarly Activity + NCRP Curriculum	Clinical Focus: NYU FGP OBGYN Co-located Clinic with WH Fellows
	Didactics: Introduction to Women’s Mental Health (with Dr. Jones)	Consults PRN	Consults PRN	Didactics: Bellevue Psychiatry Department Grand Rounds (virtual)
	Women’s Mental Health Rounds (virtual)	Didactics: H+H Domestic Violence Grand Rounds (virtual)	Didactics: NYU Psychiatry Department Grand Rounds (virtual)
			PGY2 Psychiatry Didactics

Throughout: National Curriculum for Reproductive Psychiatry lectures (virtual)
Final Week: Presentation by student of clinic case or topic of interest

Method of evaluation

• Interdisciplinary team assessments will be made based on clinical encounters, teamwork, written psychiatric notes, and oral presentations of cases 
• Journal club presentations and participation 
• Final scholarly presentation on topic of student’s choice in consultation with supervisor, assessing medical student’s preparation and presentation

Scheduling information

Duration: 4 Weeks 
Months Offered: August, September, October, November
Student point of contact before start of elective: Jeffery.Sanchez@NYULangone.org
On day 1, students report to: Dr. Clancy Jones, Clancy.Jones@NYULangone.org
Students per elective block: 1