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Electives - Internal Medicine - General Medicine

General Internal Medicine - Acute Care Center - Western State Hospital

Elective Number: 1511 (arranged)

Rotation Supervisor: Dr. Lynn Gardella (Dr. Gardella)

Duration: 4 weeks (flexible)

Report to: Karen Cale (Karen.cale@dbhds.virginia.gov)

Time to Report: 8:30 am (need to be in touch with Karen in advance for arrangements in regard to computer access, etc.)

Place to Report: Main Lobby/Information Desk at Western State Hospital

Attendance: A student may not take time off during this rotation, except by arrangement with preceptor.

Number of students per rotation: 1

Course Description: Students will work in close collaboration with Dr Lynn Gardella, primary care internist, providing general medical care to a typical census of 56 psychiatric inpatients ranging in age from 18 to 64 at Western State Hospital. Half of the patients are on an acute admission unit where length of stay can range from a few days to a few months, and half are on a longer term treatment unit which houses patients whose hospitalizations extend several months to many years. Typical psychiatric diagnoses include schizophrenia, bipolar disorder, borderline personality disorder, substance use disorders, autism spectrum disorders, intellectual disability, post-traumatic stress disorder, etc.

Students have the opportunity to see patients on their own (with chaperone for safety), present to the attending, formulate diagnostic and therapeutic plans subject to the attending physician’s modifications, and produce notes that will be included in the medical record after editing by the attending physician. Students have opportunities to read X-rays and EKGs. Weekly Grand Rounds. Daily work hours are 0815 to 1700. Nights and weekends are not required.