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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 three or four 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. Night call during the PGY-II year is approximately three times per month. While on call, a resident is responsible for emergencies and consultations at University Medical Center. They assist the VA Medical Center with telephone back-up.
During the Public Psychiatry rotation at University Physician's Hospital at Kino, PGY-II'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-II's are exposed to civil commitment proceedings and other complex forensic psychiatric issues. One month of the four-month rotation at Kino includes training in geropsychiatry. The purpose of this rotation at Kino’s geropsychiatry unit is to familiarize residents with the biopsychosocial diagnosis and treatment of common psychiatric disorders of later life, especially the interactions between medical, neurological, and psychiatric problems of the elderly
PGY-II residents rotate on the University Medical Center inpatient ward for four months. 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 at the University Medical Center for two months. During this rotation, residents see an average of 30 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.
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.
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