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The Mind

Total Contact Hours:

33 hours

Course Director:

Brenda J.B. Roman, M.D., Associate Professor of Psychiatry

Course Description:

Without leaving the "brain," this course is about psychopathology and modern therapies to help those with psychiatric disorders. Through presentations, live and/or video recordings of "real" patients who tell their stories, case discussions, and student interviews of psychiatric patients in the hospital, the student gains an appreciation of the pervasiveness of mental illness, its diagnostic complexity, and what are the evidence-based treatments.


Course Objectives & Integration with the Educational Objectives:

K=Knowledge and Lifelong Learning

C=Interpersonal and Communication

P=Professionalism, Advocacy, and Personal Growth

By the conclusion of this course, the student will demonstrate:

K1 The ability to describe and compare the diagnostic criteria for each of the psychiatric illnesses in these major categories:

  • Mood disorders
  • Anxiety disorders
  • Psychotic disorders
  • Personality disorders
  • Substance use disorders
  • Cognitive disorders
  • Somatoform disorders
  • Dissociative disorders
  • Eating disorders
  • Paraphilias and gender identity disorder
  • Pervasive developmental disorders
  • Childhood psychiatric disorders, including:
    • ADHD
    • Conduct disorder
    • Oppositional defiant disorder

K2 The ability to describe the biological theories for major depression, bipolar disorder, panic disorder, PTSD, OCD, schizophrenia, and the pervasive developmental disorders

K3 The ability to describe the common treatments for the various psychiatric illnesses, including medication and the psychotherapies

K4 The ability to describe typical age-related changes affecting the cerebral cortex, ventricular system, and blood vessels

K5 The ability to identify which normal cells are altered by neurofibrillary tangles, neuritic plaques, and Lewy bodies

K6 An understanding of seven neurodegenerative disorders:

  • Alzheimer disease
  • Pick disease
  • Huntington disease
  • multiple system atrophy
  • Parkinson disease
  • Motor neuron disease
  • Friedreich ataxia
  • For each of the above disorders, the student will demonstrate the ability to:
    • Describe etiology (if known) and pathogenesis for each disorder
    • Explain genetic phenotypes and mechanisms for each disorder
    • Recognize characteristic clinical features for each disorder
    • Describe anatomic distribution of pathologic changes for each disorder
    • Recognize typical gross and histopathologic features for each disorder
    • Describe natural history and prognosis for each disorder

K7 The ability to describe the stages of sleep and to recognize the common sleep disorders

K8 An understanding of the biological basis of learning and memory\

K9 The ability to recognize risk factors of suicide and risk factors of violence

K10 An understanding of the mechanisms of action, common side effects, potentially catastrophic side effects, and contra-indications for the following psychotropic classes of medication:

  • Antidepressants
  • Mood stabilizers
  • Anxiolytics
  • Antipsychotics
  • Sleep agents
  • Cognitive enhancers
  • Stimulants

K11 An understanding of the neurobiological basis of the substance use disorders, including the ability to indicate both intoxication and withdrawal syndromes for the following categories of substances of abuse:

  • Alcohol and other central nervous system depressants
  • Opioids
  • Sympathomimetics
  • Cannabinoids
  • Psychadelics
  • Dissociate anesthetics
  • Steroids
  • Nicotine
  • Miscellaneous prescription medications

C1 The ability to work effectively in teams, through the team-based learning modules in the areas of the dementias, mood disorders, and substance use disorders

C2 The ability to write a psychiatric examination, including the following:

  • General appearance and activity
  • Levels of consciousness
  • Speech characteristics
  • Orientation
  • Concentration
  • Memory
  • Fund of information
  • Mood and affect
  • Perceptual abilities/disturbances
  • Hallucinations/illusions
  • Depersonalization/derealization
  • Thought processes
  • Obsessions/compulsions
  • Delusions
  • Suicidal and homicidal thoughts
  • Self-mutilation thoughts
  • Abstract thinking
  • Judgment
  • Insight
  • Reality

P1 Demonstrate professionalism through the ability to:

  • Be punctual and attend required events
  • Complete written assignments in a timely fashion with legible writing
  • Be truthful
  • Be courteous to patients, patients' families, staff, colleagues, and other health professionals
  • Maintain confidentiality regarding patient care
  • Demonstrate respect, empathy, responsiveness, and concern regardless of the patient's problems, personal characteristics, or cultural background
  • Demonstrate scholarship in the form of contributing to a positive learning environment, collaborating with colleagues, and performing self-assessment and self-directed learning
Learning Activities:

Presentations, Team-Based Learning, Mental Status Examination writing.

Syllabi
Assessment:

MCQ exam, Team-Based Learning, mental status examination.