| |
The PGY-II year emphasizes inpatient psychiatry but also includes a two-month rotation in consultation-liaison psychiatry. The PGY-II resident is expected to follow two or three outpatients under supervision through the University Psychiatry Outpatient Clinic. The residents receive two hours of individual supervision per week in addition to daily attending rounds on all rotations.
PGY-II residents rotate on the University Medical Center inpatient ward for one month. This 8-bed unit exposes residents to a wide spectrum of psychiatric problems, especially patients with concomitant medical and psychiatric diagnoses. Residents receive training in inpatient group psychotherapy during their UMC rotation. In addition, residents are exposed to day hospital programs, transitional and residential services that are part of the spectrum of care offered through the University liaison with public psychiatry.
The PGY-II residents rotate through the Consultation-Liaison psychiatry service Monday through Friday at the University Medical Center for two months. During this rotation, residents see an average of 60 consults a month and attend daily teaching rounds with the Director of the C-L Service. By the end of the two-month rotation, residents develop an intimate understanding of the interface between psychiatry and medicine. They become familiar with the medical causes of psychiatric symptoms, use of psychotropic medications in the medically ill, management of delirium and dementia, and coarse brain disease (stroke, tumor, demyelinating diseases, complex partial seizures). They also gain experience in evaluation of the suicidal patient for in-hospital management, and legal issues, particularly the evaluation of competency to refuse medical treatment. In addition, they are exposed to basic issues in the psychological management of the medically ill, fundamentals regarding pain management (acute, chronic benign and malignant), and psychiatric issues in patients with a wide variety of illnesses including AIDS, substance abuse and those undergoing organ transplantation. There are no weekend clinical responsibilities during this rotation.
Another two-month rotation for PGY-II residents is the inpatient child psychiatry service at Northwest Hospital’s Sonora Behavioral Health Facility. Residents see a wide variety of disorders of children and adolescents. The residents learn to conduct a complete and comprehensive diagnostic interview with children and adolescents. In addition, they spend their afternoons in the Child Psychiatry Specialty Clinics based at the University Medical Center.
Finally, PGY-II's spend one month on the Night Float Rotation, which involves working shifts Monday through Friday, from 7 pm to 8 am. The Night Float resident is responsible for coverage of the Emergency Department, consultation in the hospital, and phone coverage of the VA. There are no weekend clinical responsibilities during this rotation.
|
|
|
