Any videos/outlines for psychiatric patient presentation?

[yanks26dmb]

Having a hard time getting good examples of psychiatric patient presentations. Any resources someone could direct me towards?

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[FlowRate]

What's the context? Are you a fresh MS3, PGY-1, or something else? To whom are you presenting and for what purpose?

 

[yanks26dmb]

What's the context? Are you a fresh MS3, PGY-1, or something else? To whom are you presenting and for what purpose?

Going into a sub I next week. It'll be the first one of fourth year. Didn't get great experience presenting on our CL service during third year so really not sure what expectations are.

 

[NickNaylor]

They aren't all that different than other presentations...?

I guess compared to most other fields of medicine we give more lip service to the social history and you want to gather and present a specific psychiatric history, but beyond those things and the assessment - which typically follows some iteration of the biopsychosocial model - presenting a medical vs. psychiatric case are broadly similar.

 

[FlowRate]

Going into a sub I next week. It'll be the first one of fourth year. Didn't get great experience presenting on our CL service during third year so really not sure what expectations are.

Inpatient, outpatient, CL, PHP? You're still generally less likely to present patients as a med student on most psych services, aside from maybe CL. The skill is in being able to discuss your patients in a cogent way.

That said, I agree with Nick that it's basically the same as other presentations except you are more likely to include social factors and your exam is a mental status.

For a generic answer:

10-15 minutes -- present everything (basically read your h+p), reserved mostly for exams and case presentations and sometimes includes extensive chart review, hospital course, collateral, developmental history, etc.

3-5 minutes -- Basically your H+P but you're sticking to the most relevant items for each section and may summarize. Likely to do this at rounds.

30 seconds - 2 minutes -- A skill you learn over time; discussing the patient as experienced doctors do, focusing on the most important aspects of the case. Often less structured, may weave between sections or omit sections of what you might find on an H+P. Relevant when staffing a relatively straightforward overnight case with an attending or asking for advice about how to approach a case when you don't have much time.

But as with most of these sorts of questions, the best answer is to ask a senior resident or your assigned attending what they expect.