
Acad Psychiatry 29:395-a-396, October 2005 2005
doi: 10.1176/appi.ap.29.4.395-a
© 2005 Academic Psychiatry
A Day in the Life
Mentor:
Frederick Sierles, M.D.

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INTRODUCTION
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During the clinical neuroscience (CNS) course and the M3 clerkship, we treat all students similarly. For students interested in psychiatry careers, we spend considerable time advising them about planning for M4 and obtaining the best residencies. For those choosing senior electives with us, we customize the elective, as Brad and Dr. Vaidya describe. We recommend that future psychiatrists take no more than two psychiatry electives, and devote their fourth year primarily to developing as general physicians (1).
Brads elective illustrates many aspects of psychiatric education, including the centrality of having caring teachers (2) who have adequate time protected to teach (2, 3); the importance to students of taking considerable patient care responsibility (2); the merits of holding students to high standards; the perceptiveness of some students about the politics of patient care and education; and the periodic occurrenceprobably more prominent in managed care and other productivity-oriented environmentsof students and residents "competing" to take this responsibility (3). Although neuropsychiatry is our departments main didactic theme (4), and psychiatric education is our research forte (13, 5), our students who choose psychiatric careers, including Brad, strongly value psychiatrys interpersonal and psychotherapeutic components.

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ACKNOWLEDGMENTS
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Drs. Atre Vaidya and Sierles are affiliated with the Rosalind Franklin University of Medicine and Science (RFUMS), Department of Psychiatry and Behavioral Sciences, North Chicago, IL. Dr. Sadler graduated from RFUMS in 2003 and is currently a third-year resident in psychiatry at Johns Hopkins University, Baltimore, MD.

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REFERENCES
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- Sierles FS, Vergare MJ, Hojat M, et al: Academic performance of psychiatrists compared to other specialists before, during and after medical school. Am J Psychiatry 2004; 161:14771482[Abstract/Free Full Text]
- Brodkey AC, Sierles FS: Psychiatric clerkships, in Handbook of Psychiatric Education and Faculty Development. Edited by Kay J, Silberman EK, Pessar L. Washington, DC, American Psychiatric Association, 1999
- Brodkey AC, Sierles FS, Spertus IL, et al: Clerkship directors perceptions of the effects of managed care on medical students education. Acad Med 2002; 77:11121120[Medline]
- Taylor MA: The Fundamentals of Clinical Neuropsychiatry. New York, Oxford University Press, 1999
- Vaidya NA, Taylor MA: Patient-based teaching: a clinical instructional method for large classrooms. Acad Psychiatry 2000; 214:202208
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