Underserved Experience

Michigan State University – Department of Psychiatry 

Adult Psychiatry Elective Clerkship – Underserved Experience                                    

Course Number: PSC 609                                                                                     

Enrollment Limit:  1 student per rotation after approval of supplemental application by course director.

Course Director:  Miko Rose, DO

Description:  This 4-week elective is designed to give students with a strong interest in psychiatry a more focused experience in the area of Adult/general psychiatry and underserved populations.  The student will work with attendings and residents in a variety of settings.  Students will also attend weekly resident seminars and case conferences.  At the end of the elective, the student will either complete a case presentation or create an educational teaching material.

 Goals and Objectives:

  • Expose medical students to the field of adult/general psychiatry.
  • Provide them with experience in a variety of different settings and with a diverse patient population.
  • Have them work directly with adult psychiatrists and/or adult psychiatry residents in various outpatient underserved community health clinics.
  • At the conclusion of their clinical experiences, trainees will have specialized cross-cultural psychiatric knowledge and skills, including treatment of refugees and immigrants, sociocultural variables that influence the assessment and treatment of a wide range of psychiatric conditions, and comfort with cultural dynamics that influence both the doctor/patient relationship and collaboration with a wide range of mental health professionals.
  • Trainees will also have a greater understanding of the unique challenges and services offered for underserved communities including: immigrant/refugees, LGBTQ, and homeless patients in the Ingham County area.
  • Have them attend weekly seminars and lectures discussing psychiatry and related topics.
  • Have them attend a journal club and or Grand Rounds presentation during their clerkship.
  • Provide the students with information regarding the field of psychiatry as a career choice.
  • Have the student learn how to obtain psychiatric information on a patient and present the case in an organized and sophisticated manner. Learning the basics of a biopsychosocial formulation in the context of special populations.

Recommended Reading and Viewing

  1. Fadiman, Anne. The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures. New York: Farrar, Straus, and Giroux, 2012.
  2. Human Flow. Ai Weiwei. Amazon, 2017. (Documentary movie, free viewing with Prime).
  3. Kleinman A, Benson P (2006) Anthropology in the Clinic: The Problem of Cultural Competency and How to Fix It. PLoS Med 3(10): e294. https://doi.org/10.1371/journal.pmed.0030294
  4. DSM-5: The Future of Psychiatric Diagnosis, Fifth Edition, May 2013, Washington, DC: American Psychiatric Association. 
    http://ezproxy.msu.edu:2047/login?url=http://dsm.psychiatryonline.org/book.aspx?bookid=556
  5. MacKinnon RA, Michels R, Buckley P. The Psychiatric Interview in Clinical Practice. Vol Third edition. Arlington, VA: American Psychiatric Publishing; 2016. Chapter 10: The Traumatized Patient
    http://ezproxy.msu.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&scope=site&db=e000xna&AN=1610175
  6. In preparation for beginning the Underserved Clerkship, please watch the video "We Have Only Come To Dream," which is an ode to the best in all of us, to respect and compassion and gratitude for all.

Students interested in this elective should contact:

Sarah McVoy, College of Human Medicine – Lansing Campus
Email: sarah.mcvoy@hc.msu.edu 
Phone: 517-364-5890