Instruction in psychiatry is given throughout the medical curriculum. Emphasis is on the teaching of psychiatry as a medical discipline, including the biological, social and psychological mechanisms and manifestations of psychiatric illness as well as psychological reactions to other illnesses. Psychiatric disorders are common and disabling illnesses. An explosion of knowledge resulting from research in neuroscience, genetics and epidemiology is leading to exciting advances in understanding and treating these disorders. Our department is heavily involved in this research, and our didactic curriculum integrates current clinical information with research advances to help students develop the knowledge, skills and attitudes needed to recognize these illnesses and to understand the basic principles of treatment.

William Greenleaf Eliot Division of Child & Adolescent Psychiatry

The Division of Child & Adolescent Psychiatry offers a varied teaching program for medical students, residents in psychiatry, and fellows at St. Louis Children's Hospital and the 4444 Forest Park Child Psychiatry Clinic, which provides outpatient services to children with an array of psychiatric concerns. Trainees are assigned to various services, including the Child and Adolescent Psychiatry (CAP) Clinic, the Pediatric Behavioral Health Unit at St. Louis Children's Hospital, and the CAP Consult services, where they participate in diagnostic evaluations and see patients in treatment, under the supervision of a fellow and the attending physician.

Contact Info

Website:http://www.psychiatry.wustl.edu

Psychiatry Research Electives

During the fourth year, opportunities exist for many varieties of advanced clinical or research experiences.

Note: There are always a number of research projects in the Department of Psychiatry. For additional information, contact Dr. Nuri Farber at 314-362-2460.


Andrey Anokhin, PhD
Genetics of the Brain, Behavior and Psychopathology
Central Institute for the Deaf (CID) Building
660 S. Euclid Ave., Suite 1
Phone: 314-286-2201
andrey@wustl.edu

This research elective is intended for students interested in cognitive neuroscience, biological psychiatry, and behavior genetics. Dr. Anokhin's laboratory investigates the links between genes, brain and behavior in order to better understand the complex etiology of mental disorders. Our major focus is on the externalizing spectrum of psychopathology characterized by deficits in inhibitory self-regulation and related psychopathologies, including ADHD, conduct disorder and addictive behaviors. We are particularly interested in the intermediate phenotypes (endophenotypes) mediating genetic risk for addiction, such as impulsivity, risk taking, and abnormal reward processing. In our laboratory-based studies with human volunteers, including twins, we investigate individual differences in brain activity using the recording of brain oscillations (event-related brain potentials) and functional magnetic resonance imaging (fMRI). For example, an ongoing longitudinal study of adolescent twins explores the developmental and genetic determinants of brain activity related to reward and punishment processing, inhibitory control of behavior, and risk taking to identify prospective predictors of substance abuse and associated behavioral problems. In another ongoing study, we examine twins who are discordant for adolescent marijuana use in order to identify the consequences of substance abuse for the brain, cognition and emotion and to distinguish them from preexisting risk factors. Interested students will be able to learn a variety of methods used in these studies, such as the recording and analysis of neural activity, including electroencephalogram (EEG) and event-related brain potentials (ERPs), MRI scanning,  startle response, autonomic measures, the administration of neuropsychological and behavioral tests, and the statistical analysis of data. The format of this research elective may include the following: (1) directed reading; (2) participation in laboratory experiments involving human subjects; (3) analysis of existing data from various research projects; and (4) designing and piloting new behavioral experiments. Qualifications include reliability and responsibility, the ability to commit a specified amount of time per week and to work a schedule that can be negotiated on an individual basis, and good computer skills.


Deanna M. Barch, PhD
Cognitive and Affective Neuroscience of Schizophrenia and Depression
4525 Scott Avenue, Suite 1153K
Phone: 314-747-2160

Students may participate in the conduct of clinical studies of schizophrenia and depression. Involvement in clinical studies can include training and experience in interviewing psychiatric patients, or it may involve gaining experience in the techniques of assessing cognitive and emotional function using behavioral and brain imaging methods.


Laura Jean Bierut, MD
Renard Building
Phone: 314-362-2544

This research elective will focus on analyzing data from high-risk studies of smoking and other addictions. Students will have the opportunity to examine genetic and environmental factors that place some individuals at risk for developing nicotine, alcohol and other substance dependence and that protect others from the development of these disorders.


Kevin J. Black, MD
4525 Scott Ave., Room 2205
Phone: 314-362-5041
kevin@wustl.edu

Students will participate in ongoing studies of brain imaging, movement disorders or neuropsychiatric illnesses. Degree of participation will relate to the student's available research time, skills and interest. Visit the laboratory's webpage for examples of past research.


Ginger E. Nicol, MD
Taylor Avenue Building, Suite 121
Phone: 314-362-5154

We are part of the Healthy Mind Lab in the department of psychiatry, and our clinical research broadly focuses on increasing longevity and quality of life in children, adolescents, adults and older adults. Our specific projects focus primarily on obesity treatment and prevention, and they include clinical and genetic studies of psychotropic medications known to cause weight gain, like antipsychotic agents. We are interested in developing and testing medication-assisted psychotherapies with agents like ketamine and psilocybin for weight management and disordered eating. We also employ mobile health (mHealth) tools for collecting data and for delivering healthy lifestyle and behavioral weight loss treatments, and we use precision functional and molecular brain imaging techniques to study individual, brain-based mechanisms of illness and treatment response. This elective offers the student a broad exposure to clinical research protocols, including protocols in adults and children. Students will have an opportunity to focus on a particular project of interest.


 
 

PSY 8005 Psychiatry Consult (Clinical Elective)

Students spend four weeks on the psychiatry consult service at Barnes-Jewish Hospital. Under the supervision of house staff and attending physicians, students participate in the evaluation and collaborative management of inpatients on medical and surgical units for a broad range of psychiatric and behavioral concerns. They learn about the intersection between psychiatry and other medical specialties and important skills for collaborative patient care. Students attend departmental conferences and other educational sessions, and they also prepare and present a clinical topical review of their choice.

Credit 4 units.

Typical periods offered: Medicine Year


PSY 8010 Outpatient Community Psychiatry (Clinical Elective)

This elective will provide the student with a significant outpatient experience in Psychiatry. Students will be paired with a Resident physician and have exposure to two adult clinics and one child clinic over the course of the rotation. Students will observe and assist in the diagnosis and treatment of patients in the clinic setting. Students will attend scheduled lectures and conferences over the course of the rotation relevant to outpatient Psychiatry and meet weekly with the outpatient clinic attending for clinical discussion and review. During the elective, the student will learn about the outpatient presentations of psychiatric disorders, a variety of treatment techniques (psychotherapy and psychopharmacology), and general principles of outpatient clinical management.

Credit 4 units.

Typical periods offered: Medicine Year


PSY 8015 Inpatient Psychiatry (Clinical Elective)

This is a senior rotation that provides the students with an opportunity to expand their knowledge of inpatient clinical psychiatry by functioning as interns. Students attend all staffing and teaching conferences given to first-year psychiatry residents and are responsible for the assessment and management of acute psychiatric patients. Immediate supervision is provided by the inpatient attending, and additional supervision can be arranged as desired. Teaching emphasis is directed toward psychiatric diagnosis, appropriate use of psychopharmacologic agents, psychotherapeutic intervention, use of community resources and pursuit of the psychiatric scientific literature. The student will write a self-selected clinical topic relevant to treatment and management of psychiatric inpatients.

Credit 4 units.

Typical periods offered: Medicine Year


PSY 8020 Child Psychiatry (Clinical Elective)

This elective in child psychiatry offers rich experiences in St. Louis Children's Hospital Pediatric Behavioral Health Unit and the Consult-Liaison service. It provides experience in age-appropriate diagnostic and treatment methods in children and adolescents and families with mental health conditions. You will also have the opportunity to work as part of our multi-disciplinary team with physicians, nurse practitioners, therapists, and social workers. A portion of your time may be spent in the outpatient clinics if interested and if circumstances permit.

Credit 2 units.

Typical periods offered: Medicine Year


PSY 8025 Forensic Psychiatry (Non-Clinical Elective)

The medical student will learn many aspects of forensic psychiatry including criminal competency, the insanity defense, civil litigation, workman's compensation, malpractice, civil commitment, and guardianship. The rotation is primarily self-directed through selected readings, but the student will have opportunities to observe and participate in forensic evaluations depending on faculty availability. The student will meet with the Course Director a minimum of two hours per week to discuss readings and case law. They will also shadow at the St. Louis Psychiatric Rehabilitation Center, a nearby forensic hospital, as well as observed the Sexually Violent Predator unit in Farmington, Missouri. The student will also be assigned readings of landmark cases, textbooks, psychiatric expert opinions, and attend civil hearings. There may be the opportunity to witness sexually violent predator evaluations and/or treatment. The student will be required to write a forensic report based on an evaluation during the rotation or using materials from a previously pre-recorded evaluation. The objectives will be measured by attendance and by formal evaluation of the student's participation and knowledge during the supervision discussion. It will also be determined by the thoroughness and quality of their written forensic report.

Credit 4 units.

Typical periods offered: Medicine Year


PSY 8030 Schizophrenia Precursors & Prodromal States (Clinical Elective)

This is an opportunity for trainees to gain knowledge and experience related to evaluation of children and adolescents who may be at high risk for schizophrenia or other psychotic disorders. It is mainly a reading elective, in which students are required to read scientific related to the topic of the elective, discuss readings with the course director, and write a brief paper reviewing existing literature on a related sub-topic. There may also be opportunity to see about 1-2 patients per week through an outpatient consultation clinic which evaluates patients with characteristics suggestive of prodromal schizophrenia (such as new-onset attenuated psychotic symptoms along with recent deterioration in functioning) and/or early life characteristics that may indicate risk for developing schizophrenia later in life. Since the full symptoms of schizophrenia are often preceded by a wide range of childhood behavioral and developmental abnormalities, this rotation helps trainees integrate information regarding the continuity between childhood development and adult psychopathology. There may be opportunities to learn how to administer and score specialized assessments. The amount of direct clinical care of patients is usually not more than one half-day per week. 

Credit 2 units.

Typical periods offered: Medicine Year


PSY 8035 Interventional Psychiatry (Clinical Elective)

The Phase III elective experience in child neurology is designed to adapt to the individual goals and objectives of students. The elective takes place in one or two 2-week blocks that occur among five possible venues as chosen by the student after discussion with the course director:
   1. Outpatient clinics,
   2. Inpatient ward service,
   3. Inpatient general consult service,
   4. NICU consult service, and
   5. Video EEG (VEEG) monitoring service.
   The combination of services and experiences will be arranged directly between the student and the Course Director prior to beginning the rotation.
   
In the outpatient clinics, students will rotate between a variety of subspecialty clinics and work with a variety of attendings in order to experience the breadth of outpatient pediatric neurology. Students rotating on the inpatient ward service will work closely with the pediatric neurology resident to develop neurology-specific care plans and will function above a clerkship level. No call or weekend duties will be expected on this rotation. On the general consult services, students will work with the consult attending and pediatric neurology residents on that team to see consults in the PICU, CICU, ER, and other hospital floors. The NICU consult team focuses on infants in the NICU. Student rotating on the VEEG monitoring service will focus on learning the indications and uses of VEEG and basic EEG reading skills.

Credit 2 units.

Typical periods offered: Medicine Year


PSY 9100 Psychiatry Advanced Clinical Rotation (ACR)

This is an advanced rotation that provides the students with an opportunity to expand their knowledge of inpatient clinical psychiatry by functioning as interns. While rotating through the inpatient psychiatry units on the main campus, students will encounter patients with a variety of severe psychiatric illnesses that are oftentimes complicated by various medical comorbidities requiring consultation services. Students will work on patient care teams with a PGY-1, and an attending psychiatrist. Students attend all staffing and teaching conferences given to first-year psychiatry residents and are responsible for the assessment and management of acute psychiatric patients. This includes writing notes, entering orders, and updating the handoff list. The students will also complete one week of night-float with a PGY-1, and shadow a PGY-2 in the Emergency Department's behavioral health unit. Immediate supervision is provided by the inpatient attending, senior resident, and intern on the service. Teaching emphasis is directed toward psychiatric diagnosis, appropriate use of psychopharmacologic agents, psychotherapeutic intervention, the use of community resources and pursuit of the psychiatric scientific literature.

Credit 4 units.

Typical periods offered: Medicine Year