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What to expect during Residency

PGY- I

ROTATION OBJECTIVES IN RELATION TO ACGME COMPETENCIES:

The PGY-I year at Texas Tech University Health Sciences Center, Psychiatry Residency Program, is designed to consolidate resident's knowledge base and clinical skills in General Medicine, Neurology as well as inpatient Psychiatry and Emergency Psychiatry. The clinical assignment in the PGY-I year consists of 4 months of Primary Care Medicine (including Internal Medicine, Pediatrics, Family Medicine and Emergency Medicine), 2 months of Neurology, and 6 months of in Inpatient Psychiatry.

RESPONSIBILITIES OF PGY-1 RESIDENT INCLUDE:

  • Perform initial assessment of the patients on each service, actively participate in all aspects of diagnosis and care, including: history and physical, diagnostic and therapeutic planning, procedures, writing orders, interactions with families, daily visits, regular progress notes and admission and discharge summaries.
  • In-depth discussion with the attending and/or senior resident prior to initiation of all but the most basic diagnostic studies or therapeutic interventions.
  • Ensure active medical student involvement in the care of patients the resident is following.
  • Obtain appropriate knowledge to enable selection under supervision of patients for supportive psychotherapy in inpatient settings and to provide this modality of treatment, including documentation of the indications, benefits/risks, prescriptions, and results of supportive psychotherapy with inpatients (always under supervision of the inpatient attending).
  • Participate in Case Conferences, Journal Clubs, and Ground Rounds.
  • Participate in clinical skills verification.

PGY-II

ROTATION OBJECTIVES IN RELATION TO ACGME COMPETENCIES:

The PGY-II year consists of 3 months of Emergency Psychiatry, 3 months of Inpatient Psychiatry, 3 months of Child/Adolescent Psychiatry, 3 months of Consultation Liaison Psychiatry, half day per week in Adult Outpatient General Psychiatry for experience in supportive psychotherapy, and 1 month in Addiction Psychiatry.

RESPONSIBILITIES OF THE PGY-II RESIDENT INCLUDE:

  • Being familiar with patients and their families, serving as the attendings' principle resource for day-to-day patient data.
  • Supervising medical students and in special circumstances orienting the PGY-1 residents.
  • Initiating common diagnostic studies and therapeutic interventions as appropriate in non-complex patients prior to the attending evaluation.
  • Supervising selected presentations from PGY-1residents and medical students with attending approval.
  • Maintaining medical records.
  • Being available for on call responsibilities from outside of the hospital.
  • Participating in Case Conferences, Journal Clubs, and Grand Rounds.
  • Participating in clinical skills verification.

PGY-III

ROTATION OBJECTIVES IN RELATION TO ACGME COMPETENCIES:

During the PGY-III year, residents complete rotations in General Adult Outpatient Psychiatry (12 months), and Child/Adolescent Psychiatry (1 month full-time equivalent rotation) with ongoing exposure to patients in a Community Mental Health Setting at Texas Tech University Student Health Center, VA, as well as a two week experience of ECT training at Laurel Ridge Treatment Center in San Antonio, Texas. In addition, residents continue to have psychotherapy patients with a focus on supportive, psychodynamic and cognitive-behavioral psychotherapy. 

RESPONSIBILITIES OF THE PGY-III RESIDENT INCLUDE:

  • Refine proficiency in full range of psychiatric assessment procedures.
  • Gain experience in diagnosis and treatment of the full range of ambulatory adults, adolescents and children with mental disorders.
  • Under direct attending supervision take a leadership role in supervising non-psychiatric colleagues from other programs (Geriatric, Primary Care/Internal Medicine/Family Medicine, and Pediatrics), and medical students.
  • Demonstrate competence in principles and skills of supportive, psychodynamic, and cognitive-behavioral psychotherapy, and attend the regularly scheduled didactic seminars.
  • Participate in Case Conference, Journal Clubs, and Grand Rounds.
  • Participate in clinical skills verification.

PGY-IV

ROTATION OBJECTIVES IN RELATION TO ACGME COMPETENCIES:

The PGY-IV resident is expected to consolidate the professional identity as a highly qualified specialist in psychiatry.

RESPONSIBILITIES OF THE PGY-IV RESIDENT INCLUDE:

  • Leadership role in teaching for medical students and junior colleagues in inpatient, outpatient, and didactic settings.
  • Develop expertise in special areas of interest.
  • Attend elective clinics as part of their intent to develop expertise in special areas of interest.
  • Recognize and deal with one's own strengths and weaknesses in relation to different patient populations during the PGY-IV rotations, to include outpatient psychiatry, senior inpatient psychiatry, and elective rotation.
  • Participate in the clinical skills verification.
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