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Determining, Monitoring, and Verifying Patient-Student Involvement (ED-2) in a Psychiatry Clerkship: Preliminary Findings

Received Sepetember 8, 2005; revised January 5, 2006; accepted March 8, 2006. Drs. Pary and Becker are affiliated with the Department of Psychiatry, Southern Illinois University School of Medicine, Springfield, Illinois. Address correspondence to Dr. Pary, 901 W. Jefferson, Springfield, IL, 62794; rpary{at}siumed.edu (E-mail). Copyright © 2006 Academic Psychiatry.

OBJECTIVE: This article describes the process and preliminary findings that a department of psychiatry developed to meet a new Liaison Committee on Medical Education (LCME) educational standard known as ED-2. METHOD: At an educational retreat, 92% of faculty and 56% of residents who attended developed the types of patient symptoms all students should see and document during a 6-week psychiatry rotation. Data from the first three rotations were collected, including the opinions of faculty and students. RESULTS: Both faculty and students found the system easy to use. Almost half (46%) of the encounters were met through observation with a range of 12% to 81%. There was a significant inverse correlation between students who met encounters through observation and Shelf examination scores. DISCUSSION: The Required Patient Encounter card tracks the patients whom students are seeing, thus enabling the clerkship to meet new LCME educational standards. Future directions will include evaluating whether the categories of symptoms need revision and whether there should be a maximum number of encounters that can be met through observation.

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