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| PGY-I year |
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Residents entering our PGY-I year rotate to a number of different services at the VA Medical Center, the University Medical Center, and University Physician's Healthcare Hospital (public sector psychiatry). PGY-I's are required to rotate through two months of Neurology, two months of Emergency Psychiatry, three months of inpatient psychiatry, and two months of Internal Medicine. The final two months of the PG-I year may be chosen from the following: two months of internal medicine, two months of pediatrics, one month of internal medicine and one month of emergency medicine, one month of pediatrics and one month of emergency medicine. While on Internal Medicine, PGY-I's are part of a team which includes medical students, medical residents, and an attending. The team has daily clinical and educational rounds, and residents are exposed to a wide variety of medical illnesses. Night call is every fourth night. The attendings round daily with the team and a substantial part of the rounds is devoted to education. Internal Medicine takes place at the VA Medical Center. The Neurology rotation at the VA Medical Center allows PGY-I's to observe a wide variety of neurologic disorders. Residents join a team that includes an attending and a neurology resident. Rounds are daily Monday through Friday. During the rotation, residents will also participate in Neurology Consultation Services at the VA Medical Center under the supervision of a neurology resident and an attending. There is no night call on neurology rotations. On Pediatrics, PGY-I's rotate on the inpatient pediatric wards or outpatient clinics at UMC. Call on inpatient pediatrics averages every fourth night. The resident joins a pediatric team consisting of a pediatric resident, medical students, and an attending. If a PGY-I elects a month on the Emergency Medicine rotation at University Medical Center, residents work directly under the supervision of attendings who are always present in the emergency room. Residents treat patients with medical problems that range from upper respiratory infections to major trauma resulting from motor vehicle accidents and gun shot wounds. Residents average five 12-hour shifts in the Emergency Room each week. There is no additional night call duty. PGY-I residents spend two months on the inpatient psychiatry service at the VA Medical Center. The 30-bed inpatient unit treats veterans with a wide variety of psychiatric problems. The predominant diagnoses are post-traumatic stress disorders, substance abuse disorders, and personality disorders. The Emergency Psychiatry Rotation is at the VA Medical Center, and includes the emergency room at the VA ("LSU") and handling psychiatric emergencies in the urgent care clinic. This rotation includes didactics on emergency psychiatry. PGY-I's participate in the Night Call Float System for a month after they have completed training call with an upper level resident. Night Float consists of a shift from 7 pm to 8 am, Monday through Friday. There are no weekend responsibilities during this rotation. While on call, psychiatric residents cover psychiatric emergencies and consultations at University Medical Center. They also assist with VA Medical Center call duties by telephone back-up. During the Public Psychiatry rotation at University Physician's Healthcare Hospital, PGY-I's work with a team of psychiatrists, medical students, social workers, and psychologists to care for patients with a spectrum of psychiatric illnesses treated in a publicly funded mental health system. While on this rotation, PGY-I's are exposed to civil commitment proceedings and other complex forensic psychiatric issues.
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