Transcript Psychiatry Clerkship Review

Psychiatry Clerkship Review
Student Evaluation Results
Jessie Bay
11/1/13
Overall Evaluation of Clerkship
Experience: General
CPMC
4.62
DHMC
4.42
NHH
4.48
VAMC
4.36
Strengths: Teamwork
• Students loved working with the multidisciplinary team
and felt like valued team members.
– “I enjoyed the team-based approach to health care delivery at
New Hampshire Hospital. It was great to work together with
social workers, nursing staff, mental health workers, and
physicians to coordinate care for our patients and get a better
understanding of their respective circumstances and
responsiveness to treatment.”
– “I really enjoyed the large, inter-disciplinary team on the
inpatient unit at CPMC; everyone worked well together, was very
respectful, and the outcome was truly synergistic.”
– “Medical students were able to play an integral role in the
treatment and care of the patients.”
– “The attendings and residents treated me as if I were a very
important part of the treatment team”
– “I felt that I was a valued member of the team that could make
contributions to patient care.”
Strengths: Learning Environment
• Students felt the learning sites created a
supportive safe learning environment
– “Learning environment was conducive to both selfmotivated and structured formats”
– “The learning environment was very
comfortable/open.”
– “I loved that everyone involved in this clerkship
were shining examples of what good doctoring is
all about. Every attending and every resident was
great to work with and learn from.”
Strengths: Teaching
• “I liked how all the attendings were very
dedicated to our learning. They would take the
time to give a short lecture on a topic
whenever we asked.”
• “Attendings and especially the residents were
amazing at teaching new topics and for taking
an interest in my education of the field”
Quality of Teaching
SITE
Attendings
Residents
CPMC
4.69
4.25
DHMC
4.48
4.30
NHH
4.61
4.29
VAMC
4.21
3.93
Strengths: Variety of Experiences
• “The design of this clerkship provided me a good idea
of the breadth of psychiatry. That is, I got to experience
psych in an emergent inpatient setting, a regular
inpatient setting, outpatient, consult liaison, and
procedural (ECT).”
• “Thought the exposure to a wide variety of aspects of
psychiatry was really helpful--it was very helpful to get
to go to the IOP meeting, an afternoon in the suboxone
clinic, the outpatient clinic at the hospital, the consult
service, and the inpatient service.”
Strengths: Clerkship Leadership and
Design
• Students felt that clerkship leadership was available
and responsive.
– “In terms of administration, they were by far the best in
terms of managing students, answering questions, etc. Dr.
Duncan is great at responding and helping out students,
and the clerkship coordinator, Chris Bolka, is EXCELLENT.”
• Students felt the assignments were appropriate and
there was minimal busywork.
– “They give us tasks and assignments so we can learn our
material at the inpatient wards, in the clinic, and in our
teaching/didactics. They do an excellent job of minimizing
the busy work.”
• Objectives and expectations were clearly presented.
Clarity of Expectations/Objectives
SITE
Expectations
Objectives
CPMC
4.50
4.62
DHMC
4.39
4.43
NHH
4.57
4.61
VAMC
4.29
4.57
Strengths: Site specific highlights
• CPMC: Patient diversity and seeing a good mix
of conditions
• DHMC: Lots of time to spend with patients,
variety of experiences.
• NHH: Exposure to the medico-legal aspects of
the field and working directly with attendings
• VAMC: Teamwork, interesting patient stories
Areas for Improvement: CPMC
• Some students would be interested in more
outpatient experience.
• Some felt that 1 week of consult/liaison
experience would be sufficient.
– “Possibly decrease consult from two weeks to one
week to allow for more continuity on inpatient
unit”
Areas for Improvement: DHMC
• Ways to get students more actively involved in
outpatient clinic?
• More feedback on notes and patient interviews
– “Feedback on notes and interviewing would be helpful
so students can incorporate changes into their clinical
practice. Students would also benefit from getting
their H&P feedback (which was very informative and
helpful) returned to them sooner.”
• Some wanted more variety (time split between
2E/W) and others wanted more consistency.
• Some loved the consult week while others felt it
was a less useful learning experience.
Areas for Improvement: NHH
• Some students were interested in more exposure to
outpatient, consult and psychotherapy, and substance
abuse treatment.
• Parity of call hours between sites—NHH students felt they
had more call overall.
– “Students at NHH have to also do call at DHMC on a full
Saturday and a Friday night. It would be better to make the call
on Thursday night (when we would already need to be in
Hanover the following day for either ECT or outpatient clinic)
and then also keep the Friday night. The full day on Saturday
wasn't as useful for learning -- a couple of us just rounded on the
DHMC patients but then saw no admissions/ER -- and I don't feel
that it was entirely comparable to the students at other sites for
their clerkship given that we also had call at NHH.”
• Mid-day didactics at NHH took away from patient time and
some students felt that they were too long.
Areas for Improvement: VAMC
• Clarify student role/increase active participation of
students
– “I would work to clarify expectations at the away sites (VA,
Concord) in terms of the amount of participation
expected.”
– “Give students more opportunities to lead the discussion
during morning report.”
• More consult experience if possible
• Better organized orientation to the VA on the first day
– “Need better coordination in terms of orientation and
administrative issues at the VA Hospital. It was confusing
in terms of how to obtain my ID and EMR training.”
Areas for Improvement: Overall
• Didactics: mixed reviews, student learning
hampered by presenter absences in some
blocks, students would like more interactive
presentations and fewer powerpoint lectures.
• Make a checklist of all assignments and their
due dates
• Some students at each site indicated they
would have appreciate more opportunities for
exposure to child psych
Quality of Educational Experiences
SITE
Consult/Liaiso Critical
n
Thinking
Didactics
CPMC
3.94
4.47
4.44
DHMC
3.90
3.77
3.93
NHH
4.00
4.09
3.78
VAMC
4.00
4.00
3.93
Summary
• Strengths:
–
–
–
–
Clerkship is extremely well rated by students across sites.
Great leadership and coordination
Supportive learning environment and teaching
Opportunity to work with and learn from a multidisciplinary team
– Students feel like valued team members
– Exposure to a wide variety of experiences
• Areas for Improvement:
– Students at some sites indicate desire for increased
exposure to consult, outpatient, and child psych
– Room for improvement in didactics by making them more
interactive