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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 Hospital at Kino (public sector psychiatry). PGY-I's are required to take two months of neurology, two months of emergency psychiatry, four 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 include 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 both at University Medical Center and the VA Medical Center. The Inpatient 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 Neurology Consultation rotation at the VA Medical Center, residents complete neurologic consultation for other medical services 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 at UMC, and call 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 four 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 take night call while on inpatient psychiatry with senior psychiatric residents at University Medical Center for approximately two months until they are "cleared" to take call independently. The in-house call occurs about four times per month. While on call, psychiatric residents cover psychiatric emergencies and consultations at University Medical Center. They assist with VA Medical Center call duties by telephone back-up.
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