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Research and Education

Third Year Psychiatry Trainees

Psychiatry Third Year Resident Rotation Schedule-Example
Rotations:

Block 1 (July): Adult Mental Health Clinic (MHC)
Block 2 (August): Electroconvulsive Therapy (ECT) via Eastern Virginia Medical School/ MHC
Block 3 (September): Electroconvulsive Therapy (ECT) via Eastern Virginia Medical School/ MHC
Block 4 (October): Adult Mental Health Clinic/Night Float
Block 5 (November): Child and Adolescent Psychiatry/ MHC
Block 6 (December): Child and Adolescent Psychiatry/ MHC
Block 7 (January): Child and Adolescent Psychiatry/ MHC
Block 8 (February): Continuing Psychiatric Care (CPC) Program/ Transcranial Magnetic Stimulation (TMS)/ MHC
Block 9 (March): Teaching Rotation/ MHC
Block 10 (April): MHC
Block 11 (May): MHC
Block 12 (June): Child and Adolescent Psychiatry/ MHC

The third year of psychiatry training at NMCP focuses on the management of psychiatric patients in the outpatient setting. Residents will finely tune their knowledge of psychopharmacology while gaining experience in a number of psychotherapeutic modalities including Cognitive Behavioral Therapy (CBT), Cognitive Processing Therapy (CPT), Prolonged Exposure (PE), Supportive Therapy, Interpersonal Therapy (IT), Dialectic Behavioral Therapy (DBT) and Psychodynamic Therapy. The specialty labeled months will consist of 25%-50% time devoted to the specialty clinics, including Child and Adolescent Psychiatry, an academic/administrative experience (Teaching Rotation), ECT, TMS, and the care of individuals with severe and persistent mental illness (CPC). 

Clinic hours are from 0700-1600. Residents can create and tailor their schedules to best suit them. Required number of appointments per rotation are provided at the end of your PGY-2 year.

PGY2s, 3s, and 4s rotate through a 24-hour call to cover the inpatient services on the weekends. PGY-3 psychiatry residents complete a total of 2.5 weeks of night float.

Didactics are protected time (daily from 1200-1300) with a range of classes taught by psychiatry and psychology faculty.
 
Rotation Descriptions:
Adult Mental Health Clinic (MHC): Residents will perform intake appoints and follow up appointments for both medication management and individual psychotherapy. Residents will become more familiar with making duty status determinations and managing patients on limited duty and medical boards. Residents are expected to carry a minimum of 9 therapy cases with a variety of treatment modalities (i.e. Trauma-based, CBT, Psychodynamic, Supportive, Family) prior to graduation.  The resident will spend one day per week for six months at a local Community Service Board performing outpatient medication management with those patients with severe mental illness.  The resident will also participate in the jail diversion program and assertive community treatment. 
 
Child and Adolescent Psychiatry: Residents will evaluate and manage psychiatric conditions in outpatient pediatric patients under the supervision of child psychiatrists.  Residents will learn the intricacies of prescribing and managing psychiatric medications in pediatric populations starting in children as young as five to six years old. Residents will master conducting a psychiatric interview with pediatric patients and their parents, as well as the rules of consent and assent to treatment in this state.
 
CPC/TMS: During this month-long rotation, the resident will work with NMCP’s Continuing Psychiatric Care (CPC) Program. This is a program for service members suffering from severe mental illness who are being medically retired. CPC patients will be assigned throughout the year to the resident’s outpatient panel to maximize the longitudinal care experience.  The residents will also receive direct supervision from faculty conducting Transcranial Magnetic Stimulation (TMS). Residents will learn the mechanism of and data behind TMS.  The resident will become familiar with indication, applications, and standard treatment courses. The resident will work closely with attendings during both routine TMS appointments and motor strip mapping.
 
Teaching: During this month-long teaching rotation, residents will work closely with the Academic Chair to teach didactics to both psychiatry and off-service interns.  Through teaching the interns, residents will be able to synthesize and analyze their own knowledge. The resident will continue with their established patient panel.
 
ECT: For one day a week for two months, residents will work with our colleagues performing Electroconvulsive Therapy (ECT) at Eastern Virginia Medical School (EVMS). During this time, residents will become familiar with the process of ECT, to include the machine and its settings, typical medications used for sedation and mitigating other side effects, and the process of administering ECT. Once well acquainted with and trained in the process, the resident will be able to perform ECT under the direct supervision of your attending. Residents will continue to see their established patient panel in clinic on the days when they are not at EVMS.
Updated 21 March 2023
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