1. The clinical clerk will write up four to five clinical case evaluations in a comprehensive manner. Patients may be selected from the student’s primary clinical site, from the on-call experience, or from a supplemental site such as the Child and Adolescent Clinic. The general outline for this write-up is on this website. This may be altered as circumstances and training site dictate. Each evaluation should be reviewed by the preceptor.

2. The clinical clerks will meet once per week with their preceptors to review their write-ups. Preceptor meetings are a joint meeting of the preceptor and all students assigned to him/her. Each student will give his/her written case evaluation to his/her preceptor and to each student participating in the preceptor meeting at least one day prior to their scheduled meeting. Clerks are expected to have reviewed the case write-ups prior to their preceptor session and to come prepared to discuss the case and the write-up. Preceptor sessions take precedence over clinical activities.

3. Ward and clinical service requirements are arranged in meeting with the individual ward/service chief and supervising residents. Didactic meetings take precedence over ward/service activities. (This includes courses which conflict with ward outings.)

4. The clinical clerk will, with his/her group, attend an AA meeting under the supervision of a faculty preceptor.

5. All students will take night call. Those students in the NCA will take night call at WRAMC. The students will be on call with a supervising resident. This call includes coverage of emergencies generated from the ER and all inpatient units to include psychiatry and medical and surgical wards. Schedules for night call will be distributed at orientation.

6. All Wednesday educational activities (Simulation Center, TBL sessions and any other afternoon didactics) are MANDATORY. If you are going to miss any of these activities, it is the student's responsibility to clear this through the on-site coordinator and/or clerkship director.

7. All Interviewing classes (WRAMC Monday afternoon student interview class) are MANDATORY.

8. Students must enter all patient data in the clinical log.

9. At the end of the clerkship, the clerk will complete a both a clinical examination and written examination. The written examination is the psychiatry shelf exam from The National Board of Medical Examiners.  The clinical examination consists of an observed interview and case discussion as well as an essay.   The essay is designed to look at the ability of the clerk to integrate biological, psychological, and sociocultural data and develop a coherent plan for assessment and intervention with patients. This essay portion of the examination assesses diagnostic formulation skills that you have worked on with the preceptor. 

10. At the end of the rotation, all students complete an electronic feedback form about all aspects of the clerkship experience. These evaluations are reviewed carefully by the faculty for suggestions on improving the clerkship experience.