Fourth Year Psychiatry Trainees
Psychiatry Fourth Year Resident Rotation Schedule- Example
Rotations:
| Block 1 (July): |
CHKD (Child and Adolescent psychiatry) CL |
| Block 2 (August): |
Elective/Night Float |
| Block 3 (September): |
Geriatric Psychiatry |
| Block 4 (October): |
Teaching/Leadership |
| Block 5 (November): |
VA - Consult Liaison |
| Block 6 (December): |
VA – Substance Abuse Treatment |
| Block 7 (January): |
Sub-Attending, ER/CL Psychiatry |
| Block 8 (February): |
Sub-Attending, Inpatient Psychiatry |
| Block 9 (March): |
Operational Psychiatry |
| Block 10 (April): |
Elective |
| Block 11 (May): |
Forensics/Community Service Board (CSB) |
| Block 12 (June): |
Elective |
The fourth year of psychiatric training at NMCP continues the resident’s outpatient experience, while reducing the number of patients on each resident’s outpatient panel per month to allow for other specialty psychiatry services.
PGY2s, 3s, and 4s rotate through a 24-hour call to cover the inpatient services on the weekends. PGY-4 psychiatry residents complete a total of 2.5 weeks of night float.
Didactics are protected time, occurring in a weekly block on Thursday mornings, with a range of classes taught by psychiatry, neurology, and psychology faculty.
Rotation Descriptions
Operational Psychiatry: There are several options for rotation locations to include SURFLANT, Submarine Squadron, USMC and Naval Special Warfare. The goal of this rotation is to gain more experience and knowledge about practicing mental health care in the operational setting. By the end of this rotation, the resident will be comfortable not only treating patients, but liaising with commands, making duty status and dispositional changes and recommendations, and waiver processes. There is flexibility to tailor this experience to what is most interesting and beneficial to the resident to align with their future goals in the military.
Hampton VA Substance Abuse Treatment Program: The resident will provide evaluation and treatment to patients often experiencing barriers to treatment such as homelessness, chronic medical conditions, and severe and persistent mental illness. The resident will become more familiar with psychopharmacology in the addiction field.
Forensics: The resident will perform several different types of forensic evaluations with patients, to include disability determinations (TDRL examinations), evaluation for security clearance (DODCAF examinations), and evaluations of the impact of mental health on criminal charges and one’s ability to stand trial (706 evaluations).
CSB: The resident will work with the local community services boards in the Tidewater area. CSBs are publicly funded and offer mental health and substance abuse treatment as well as developmental services for intellectual and developmental disabilities. In addition, there are opportunities for exposure to assertive community treatment programs and jail diversion programs.
CHKD: The resident will work on the Child and Adolescent Psychiatry Consult Liaison team at Children’s Hospital of The King’s Daughters (CHKD) in Norfolk, VA. In addition to consult liaison work, there are opportunities to learn about early childhood psychiatric treatment.
Geriatric Psychiatry: The resident will spend one week with an outpatient geriatric psychiatrist at the Hampton Community Service Board. The resident will spend 3 weeks performing geriatric psychiatry consults at NMCP. The resident will learn about neurodegenerative conditions and will provide care for patients with delirium, dementia, mood disorders of later life, and substance use disorders.
Sub-Attending Inpatient Psychiatry: The resident will hone their inpatient psychiatric skillset, while also focusing on their leadership skills and team management as a military psychiatrist, in preparation for their next duty station.
Teaching/Leadership: Senior residents will work closely with the Academic Chair in teaching both psychiatry and off-service interns and to grow and solidify their own knowledge base. Continued leadership development will occur during this month as well, and can include attendance at leaderships conferences/courses, completion of service-specific schools, and other trainings that support the resident’s military goals.