College of Medicine MD Curriculum

Addiction Psychiatry Acting Internship

Title of Clerkship: Addiction Psychiatry Acting Internship

Elective Year(s): Fourth Year Elective

Department: Psychiatry

Type of Elective: Clinical

Clerkship Site: UTMC – 6D – Detox Unit

Course Number: PSCH 716

Blocks Available: Must check availability with Clerkship Coordinator prior to enrolling in the course.

Number of Students/Block: 1

Faculty: Tanvir Singh M.D.

Elective Description/Requirements: The student participating in this clinical elective will be working primarily at UTMC in the inpatient Detox Unit. The student will be responsible for the completion of the initial evaluation of individuals with addiction who are admitted to this hospital. This will be done with supervision from Tanvir Singh M.D. These physicians will supervise the student in all aspects of clinical management following admission. The student will assist in clinical team preparation for multidisciplinary care meetings and planning post-discharge care. In addition to learning about the clinical aspects of psychiatric management, the student will gain an understanding of various systems of care and the necessity for cross-system collaboration. It is expected that the student will take significant responsibility for the daily responsibility of individuals assigned to him/her, under the supervision and close collaboration with other members of the multi-disciplinary team will be expected. The student will also be expected to prepare a paper/presentation based on a topic agreed upon with the attending by the end of the term.

Length of Clerkship: 4 weeks

Educational Course Objectives and Links to EPOs:

  1. Explain the cognitive and neurobiological changes that occur with addiction and substance abuse.  (EPOs: MK-1, MK-4, PBL-2, PC-6)
  2. Explain the clinical manifestations of intoxication and withdrawal of various drugs of abuse and their acute and chronic management. (EPOs: MK-1, MK-4, MK-6, MK-7, PBL-2, IPC-1, PC-6)
  3. Discuss the interactions that occur between a multidisciplinary treatment team in an inpatient detoxification unit and individuals who are involved in the outpatient clinic setting, criminal justice system, and various community-based programs and initiatives. (EPOs: PC-2, MK-2, MK-3, PB-1, PC-4, SBP-1, SBP-2, SBP-3, SBP-4, SBP-5, PB-1)
  4. Peform a complete psychiatric assessment on admission, discuss differential diagnosis. (EPOs: MK-1, MK-4, MK-6, MK-7, PC-2, PB-1, PC-1, PC-4, PC-6, PC-7,PC-8)
  5. Recommend appropriate laboratory / diagnostic testing, and develop a treatment plan that includes community-based resources and recommendations for outpatient management. Include situations in which the individual is at risk of self-harm. (EPOs: PC-1, PC-6, PC-7, PC-8, PC-9, SBP-1, SBP-3, SBP-5)
  6. Discuss the sociopolitical impact of substance abuse and addiction and the relevant legal, social, and medical contributing factors and preventative measures. (EPOs: MK-2, MK-3, MK-6, MK-7, IPC-1, IPC-3, PBL-1, SBP-1, SBP-2)
  7. Discuss the environmental and genetic factors that predispose an individual to drug use, relapse, and recovery from addiction. (EPOs: MK-1, MK-3, MK-4, MK-6, MK-7)
  8. Identify and discuss ethical issues related to substance abuse treatment. (EPOs: PC-2)

Professionalism: UT/COM students will meet or exceed the institutional standards for professionalism as stated in the current Educational Program Objectives and the current Educational Course Objectives for the Sponsoring Department.

Instructional Methods: Case write-ups, clinical case presentations/discussions, use/interpretation of various laboratory and diagnostic tests, independent studies, and a paper or presentation based on a topic agreed upon with the attending.

Evaluation Methods: Attendance, clinical competency evaluation via faculty observation of clinical skills, narrative, and self-assessment. 

Prerequisites: Successful completion of all third-year required clerkships.

Clerkship Director: Chandani Lewis, M.D.

Associate Clerkship Director: Thomas Roach, D.O.

Clerkship Coordinator: Micheal’e Hands
Phone Number: 419-383-5615

Special Requirements: None

ECC Approved
July 2023

Last Updated: 2/15/24