Registrar Office

Department of Psychiatry & Behavioral Sciences (2014)

K531 Addictions Medicine (Montefiore Medical Center)
The Departments of Psychiatry & Behavioral Sciences and Medicine offer this elective in substance abuse to fourth year students. Students will participate in clinical care in both inpatient and outpatient settings and will be responsible for working up and presenting patients to attending physicians. Inpatient experience will be with the Substance Abuse Consultation and Referral Service (SACRS) at Montefiore Medical Center, which consults on hospitalized patients with substance abuse disorders and provides guidance on the management of acute issues, such as, withdrawal. Outpatient experiences will include observation and participation in the following settings:  Outpatient clinics in the Einstein Division of Substance Abuse, which provide drug treatment services (including pharmacologic treatment of opiate dependence with Methadone and Buprenorphine), as well as, on site medical and psychiatric care.  Montefiore Pain Clinic, which serves many patients with substance abuse disorders.  Citywide Harm Reduction, a social service agency which provides medical and social work services based on a harm reduction model.  12 Step Meetings.  Students will also have the opportunity to participate in ongoing research projects being conducted in the Division of Substance Abuse and to observe therapeutic community and inpatient detoxification facility.

Dr. Melissa Stein
Modules: All
Maximum 1 Students
All students MUST have pre-approval from Course Director prior to registration and where to report on the first day of the rotation.

P501 Child and Adolescent Psychiatry
(Montefiore Medical Center / Bronx Psychiatric Center)
The Division of Child and Adolescent Psychiatry offers electives for Medical Students on acute inpatient units (children's unit/adolescent unit), outpatient and consultation/liaison as well triple board pediatric clinic with special emphasis on psychological and psycho-social functioning of children and their families.  Interested students will be over seen by faculty in the division of child and adolescent psychiatry in the evaluation of mentally ill children in the inpatient and outpatient settings well as children in the pediatric setting with medical illnesses complicated by co-morbid psychiatric disorders.

Measurable learning objectives of elective: Outpatient & emergency assessment and initial treatment of children and adolescents with psychiatric disorders. Assessment and consultation in the Pediatric setting of pediatric patients with neuropsychiatric issues.

Learning experience: Patient care under attending supercion on the consultation – Liaison service at the children’s hospital at Montefiore; the Montefiore child and adolescent child psychiatry outpatient clinic; the psychiatric emergency service at Montefiore and the inpatient units at the Bronx children psychiatric center

Method of student feedback and evaluation: Mid Cycle and end of rotation feedback meeting with site director. Evaluation completed by site director and shared with student at final meeting.

Suggested Textbook:
ISBN: 978-0-7817-6214-4
Title: Lewis’s Child and Adolescent Psychiatry
Edition: Fourth
Author: Andrés Martin, Fred R. Volkmar

Dr. Audrey Walker
718- 430-2020
Modules: All
Maximum 1 students
All students MUST have pre-approval from Course Director prior to registration and where to report on the first day of the rotation.

P507 Acute Hospital Psychiatry (Jacobi Medical Center)
Students will join the staff of an active acute term general psychiatric unit, providing a rich variety of hands-on clinical experience. Students will evaluate and treat patients in crisis, with supervision by faculty, and become active members of an interdisciplinary team. Treatment modalities employed will include individual, group, family, and milieu therapy, acupuncture, relaxation training, and substance abuse therapies, individual tutorials, case conferences, medical and research and psychopharmacology rounds, and departmental Grand Rounds will enhance students' learning. Students will experience first-hand how an integrative model of care is applied in a brief- treatment urban setting.

Learning objectives:
-Develop interview skills
-Perform a comprehensive evaluation of a psychiatric inpatient
-Perform a good MSE
-Create a clinically relevant differential diagnosis treatment
-Develop treatment plans and be able to implement them

Learning experience:
9am – 5pm Monday – Friday
-Working with a multidisciplinary team
-Attending morning reports
-Caseload of 6 -8 patients
-Inpatient admissions, evaluations, treatment, discharge planning
-Brief presentation of relevant clinical issues

Method of student feedback and evaluation: Written and verbal feedback; mid-elective and end of elective

Dr. Maryann Popiel
Modules:  All, except 1A
Max: 2 students
All students MUST have pre-approval from Course Director prior to registration.
On the first day students report to: JMC Building # 1, Room # 9S5 at 10:00am

P516 Phenomenology in Schizophrenia (Bronx Psychiatric Center)
The students will learn the PANSS (Positive and Negative Syndrome Scale), and if interested or appropriate other symptom rating scales (BPRS- Brief Psychiatric Rating Scale, MADRS- Montgomery- Asberg Depression Rating Scale) for the assessment of schizophrenia. They will also learn rating scales for drug induced movement disorders - Parkinsonism, Tardive Dyskinesia and Akathisia and if interested Soft Neurological Signs, Catatonia, Cerebellar Signs and Minor Physical Anomolies. Students will be encouraged to develop their own study to look at aspects of symptoms and signs: for example, does proverb interpretation improve as other symptoms do?  Does the glabella tap belong in a scale of parkinsonism? How have movement disorders changed in the past 20 years?  And we are interested in cultural differences in psychopathology and whether any of these ratings differ according to time of immigration or country of origin. Students with their own idea for a project should contact Dr Bark as early as possible so that it can be approved by the IRB in time for their coming.  Students will be involved in ongoing studies: a survey of Vitamin D, a controlled study treatment of Vitamin D deficiency, an Immigration and Culture survey of the hospital population, a survey of Movement Disorders and a genetic study of diabetes in schizophrenia.  Students will learn about risk factors for Schizophrenia, it's geographical and historical variation, psychopharmacology, psychiatric services in the Bronx and will be encouraged to wonder about the causes and nature of Schizophrenia.

Dr. Nigel Bark
Modules: All
Maximum: 1 student
Contact Dr. Bark or Ms Mary Woesner at for location and starting time.

P517 Consultation Liaison Service (Montefiore Medical Center)
Student will receive general exposure to psychiatric consultation on the medically ill patient with the opportunity to become acquainted with liaison activities in the general hospital. The student will work under the direct supervision of attendings, fellows, and residents. Students who are interested should contact Dr. Maria Gomez. After discussion with the student concerning his background and interests, she will arrange elective program.

Dr. Maria Gomez
Dr. Rich Catanzaro
718-920-4441 or 718-920-2397
Modules: All
Maximum: 2 Students
First day student to meet Liaison Division Office - Klau 1 - Montefiore Hospital

P518 Addiction Medicine Research (Montefiore Medical Center)
The Department of Psychiatry & Behavioral Sciences and Medicine offer this elective work in Addiction Medicine Research. Several studies are ongoing which include investigations funded by the Centers for Disease Control and Prevention, the National Institutes on Drug Abuse and other sources. All are based in the Division of Substance Abuse, a network of substance abuse treatment programs with on-site primary medical and psychiatric care. Ongoing investigations include:  A behavioral intervention to reduce HIV risk behaviors and to improve health-care behaviors among HIV infected drug users.  A study of the ways to enhance adherence with HIV medications which compares directly observed administration of antiretroviral medications to an adherence-enhancing counseling intervention.  A national survey of addiction treating physicians regarding their attitudes and knowledge of hepatitis C treatment and drug users.  A study of the pharmacokinetic interaction between methadone and interferon (used in the treatment of hepatitis C infection).  Students will assist in the evaluation of study participants and in conducting research studies with research staff. Supervision will be provided by the Principal Investigator and other key investigators.

Dr. Julia Arnsten
Modules: All
Maximum 1 students
All students MUST have pre-approval from Course Director prior to registration and where to report on the first day of the rotation.

P520 Emergency Psychiatry (Jacobi Medical Center)
The CPE Program offers a one-month elective in the Acute Management of all psychiatric presentations. Diagnostic interviewing skills with an emphasis on generating broad differential diagnoses will be a major focus of this elective.  Under direct Attending supervision, the student will have the opportunity to evaluate acute psychiatric patients. The student will interview, formulate the broad differential diagnoses, and initiate a treatment plan.

Dr. John Navas
Modules: All
Maximum 1
All students MUST have pre-approval from Course Director prior to registration and where to report on the first day of the rotation.

P524 Psychiatry Research (Weiler Hospital)
The primary aim of the Lachman lab is to understand the genetic basis of schizophrenia and bipolar disorder, two of the most disabling conditions on the world.  Over the past decade, a number of genes involved in these disorders have been identified.  However, the few exceptions, the causative alleles have not been found.  One reason could be that genetic variants occurring in regulatory domains that are relatively far removed from the transcription start site are involved.  One of our areas of interest, therefore, is to identify distal regulatory domains and determine if functional genetic variants in those regions are associated with schizophrenia and biploar disorder.  A ChIp on chop approach is being used to characterize functional domains.  As a result of our studies, several novel functional domains and regulatory pathways in candidate genes have been identified, which are currently being analyzed in the lab.  No previous laboratory experience in needed; the techniques used in our studies are relatively easy to learn.

Dr. Herbert Lachman
Modules: All
Maximum: 2 students
All students MUST have pre-approval from Course Director prior to registration and where to report on the first day of the rotation.

P526 Research in Behavioral Genetics (Weiler Hospital)
Our major interest is identifying genes involved in psychiatric disorders including bipolar disorder, schizophrenia, violent behavior and substance abuse.  Candidate gene analysis in bipolar disorder: We have recently identified a candidate gene for a severe form of bipolar disorder known as ultra rapid cycling. Additional patients are being recruited into the study in order to replicate our original findings. In addition, we have used genetic linkage analysis to identify a locus on chromosome 22 that may contain a.  The lab has been accumulating evidence that the genetic variant that causes low COMT activity is involved in substance abuse vulnerability and increased violent behavior in Chronic schizophrenics. These are ongoing studies that we are attempting to replicate.  Although previous laboratory experience would be a plus, students without extensive research experience are welcome. We have training many inexperienced students in basic recombinant.  DNA techniques. The principal investigator does not believe in the "sink or swim" philosophy of teaching. Laboratory techniques will be learned by direct instruction and students will work independently only when they feel comfortable with the material. Interested students should call or e-mail to arrange for introductory conversations. Reprints of relevant articles will be provided. Lab is located in Forchheimer 103.

Dr. Herbert Lachman
Modules: All
Maximum: 2 students
All students MUST have pre-approval from Course Director prior to registration and where to report on the first day of the rotation.

P528 Emergency Psychiatry (Montefiore Medical Center)
Student will function as a junior attending under the supervision of the regular Psychiatric Observation Suite attending staff. Duties include initial evaluation and treatment of patients presenting to the psychiatric emergency room, participation in case conferences and in any ongoing research projects.

Dr. Paul Jayson
Modules: All
Maximum: 1 student
First day meet Psychiatric Observation Suite, Montefiore Medical Center - 8:30 a.m.

P537 Introduction to Geriatric Psychiatry (Montefiore Medical Center)
Students will participate in the full range of geriatric psychiatry practice including home visiyd to persons with dementia and to the well elderly. Students will also visit a teaching nursing home and perform outpatient evaluations, both in the geriatric psychiatric and medical settings. Additional experience in legal and ethical issues is also available. Students will participate in weekly case conferences at each clinical site, attend ongoing lectures and journal clubs and receive individual supervision from faculty and fellows of the Division of Geriatric Psychiatry. A variety of research investigations are also underway offering students the unique opportunity to participate in funded clinical research.

Dr. Gary J. Kennedy
Modules: All
Maximum 2
All students MUST have pre-approval from Course Director prior to registration and where to report on the first day of the rotation.

P539 Mouse Models of Neuropsychiatric Disorders
The human genome includes many variations, ranging from duplications and deletions of full chromosomes to single nucleotide polymorphisms. Moreover, a large number of kilo- to mega-base copy number variations (CNVs) are associated with autism spectrum disorders, intellectual disability and schizophrenia. Human chromosome 22q11.2 is one of those CNVs. Children and adolescents with 22q11.2 duplications and deletions consistently exhibit these neuropsychiatric disorders, along with associated cognitive and intellectual impairments during development. However, because duplications and deletions of 22q11.2 encompass 1.5 Mb or larger regions, it is not possible to determine whether segments or single genes are responsible for specific phenotypes in humans. To circumvent these obstacles, our laboratory examines the role of individual 22q11 genes in distinct aspects of cellular and behavioral phenotypes in genetically engineered mice.

Dr. Noboru Hiroi
Modules: All
Maximum 2
All students MUST have pre-approval from Course Director prior to registration and where to report on the first day of the rotation.

P601 Subinternship Inpatient Clinical Psychiatry (Montefiore Medical Center)
The student will experience a one month rotation working on the level of a resident in psychiatry under the direct supervision of the Chief Resident and Attending Psychiatrists. Please call the ward before start of subinternship.

Dr. Ann Rohs
Modules: All
Maximum: 1
Contact Dr. Rohs for time and place of reporting.

P602 Subinternship in Hospital Psychiatry (North Central Bronx Hospital)
Students will join the staff of a lively acute-treatment psychiatric unit, providing a diversity of clinical experience in a brief time. Students will evaluate and treat adults, with supervision by attending faculty. Students will receive education in psychotherapy, psychopharmacology, and the diagnosis of mental disorders. Students will have the opportunity to observe experienced staff interview patients and participate in interdisciplinary treatment meetings. Medical students will also participate in group therapy with patients. students will have the opportunity to attend Grand Rounds at either NCB or Montefiore Hospital on a weekly basis (Grand Rounds are suspended during the summer months).

Learning objectives:
-Learn how to interview psychiatric patients comprehensively
-Be able to do case presentations in interdisciplinary team meetings
-Become adept at differential diagnoses using standardized criteria
-Become knowledgeable about psychotropic medications and their use
-Be able to successfully engage psychiatric patients and their families in treatment

Learning experience: Monday–Friday 9am - 5pm on an inpatient unit. Students have the opportunity to have after hours Psychiatric ER experience as well if they choose. Student will work under the supervision of Attending Psychiatrists. Medical Students will be responsible for the psychiatric and medical care of their assigned patients, under the supervision of the Attending staff.

Method of student feedback and evaluation: Verbal mid rotation feedback; more often if warranted. End of rotation written evaluations, as required by their primary program.

Dr. Haseen Sharma-Cooper
Modules: All
Maximum 2 students
On the first day students report to Dr Sharma-Cooper 10A-07, North Central Bronx Hospital at 9am
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