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Department of Neurology

 

Milestone 14: Psychiatry for the Adult Neurologist — Patient Care

 

Specifics about each Level and each Item:  What you do you need to know:
 

Level 2

Identifies common psychiatric disorders

Delirium, including from medications, hospitalization, post-operative, and Intensive care setting

Anxiety disorders

Mood disorders including Bipolar, Depression and Mania

Psychotic disorders including Schizophrenia

Conversion disorders and Malingering

Identifies psychiatric co- morbidities in patients with a neurologic disease


Level 3

Recognizes when a patient’s neurological symptoms are of psychiatric origin

        Non-epileptic seizures

Non-Physiological syndromes  (Hemiparesis, sensory symptoms, psychogenic blindness)

Psychiatric aspects of Headaches

Self-Injurious behavior

Recognizes when a patient’s psychiatric symptoms are of neurologic origin

Strokes and Psychiatric medicines

Psychiatric aspects of Epilepsy

Identifies major side effects of psychiatric medications             

Acute extrapyramidal syndromes (dystonic reactions, etc.)

Chronic extrapyramidal syndromes (Tardive dyskinesia, etc.)

Weight gain

Lethargy , Sedation, Insomnia

Sexual side effects

Autonomic effects

Serotonin syndromes

Drug induced tremors (Lithium, Valproate, SSRI)


Level 4 

Diagnoses common psychiatric disorders

Same as Level 2 but is able to diagnose

Initiates management of psychiatric co- morbidities in patients with a neurologic disease

Understands side effects of anti-depressants

Understands side effects of typical and atypical neuroleptics

Depression in Neurological Illnesses

Anxiety in Neurological Illnesses

Psychosis in Neurological Illnesses

Understands need for psychiatric consultation

Understands utility of counseling and Talk therapies

Understands modalities and utility of non-pharmacological treatments for Psychiatric disorders

Medicolegal aspects of Neuro/Psychiatric practice

Understands role of ancillary providers in maintaining mental health

Understands role for alternative and complementary medicine in managing Neurological and Psychiatric disorders


Resources for each Level:

Level 2 Resources:

Psychiatry for Neurology Lecture Series

Inpatient consults

Self reading


Level 3 Resources:

Psychiatry for Neurology Lecture Series

Inpatient consults

Self reading


Level 4 Resources

Psychiatry for Neurology Lecture Series

PGY4 Psychiatry rotation

Inpatient consults

Self reading