Education & Training
Since much of the clinical teaching on Consultation-Liaison (C-L) Services in general hospitals occurs on rounds or at the bedside, such teaching serves as a pivotal learning experience for trainees. Supervising physicians consider what, when, and how much to teach trainees during case presentations and often approach clinical material differently. They guide trainees in the art of creating a differential diagnosis, deciding upon evaluation strategies, and formulating treatment.
In this workshop, a trainee will present a brief case vignette relevant to several C-L attendings and to attendees of this workshop; this will allow attendees to see and to practice different approaches in real-time. As the case is presented, C-L psychiatrists will demonstrate how they approach the case, frame the differential diagnosis, and shape the discussion so that it can be useful for those with a broad range of experience.
Attendees will be encouraged to participate in the case-oriented discussions. To facilitate audience involvement, the elements of the presentation and the components of successful/unsuccessful feedback will be written on a flip chart, and be incorporated into the manuscripts that flow from the presentation/discussions.
The discussion will conclude with commentary by the Editor-in-Chief of Psychosomatics about how to transform case presentations into educational and interesting publications.
In this 90-minute workshop format, 10 minutes will be used to introduce the workshop and speakers and to set the stage for the workshop, as well as to provide the principles of case presentations and feedback. One case will be presented by a trainee (10 minutes for the presentation, 10 minutes for the interactive case discussion/rounds, 10 minutes for teaching strategies, and 10 minutes of audience question/discussion after the case). Following the case presentation, 20 minutes will be used to discuss how to turn the clinical scenarios into a publishable report. The last 20 minutes of the workshop will be questions/answers and concluding comments.
A case presentation and discussion will serve as a valuable educational experience; it will show how to present clinical case material, how to teach trainees more effectively, and how to prepare cases for publication in journals relevant to C-L Psychiatry/Psychosomatic Medicine.
Wei MH, Querques J, Stern TA. Teaching trainees about the practice of consultation-liaison psychiatry in the general hospital. Psychiatric Clin N Am 2011; 34: 689-707