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Curriculum

 

Formal didactic instruction occurs on Tuesday (PGY 1 & 2) or Friday afternoons (PGY 3 & 4) from 1-5 pm with typically 1 hour lectures/conferences. Grand Rounds... local, regional and nationals pools with residents also presenting as part of their graduation requirement Every fall, residents take the PRITE (Psychiatry Resident in Training Examination) which allows resident and program comparison of individual, local and national peer scores to identify strengths and weaknesses that can be worked on. Residents also take the national Psychodynamic Psychotherapy Competency Test (PPCT) annually to assess improvement  in their skills in this as well. Annual CSE (Clinical Skills Exam) are done at the end of PGY 2, 3, 4 years to assess resident progress and provide feedback.

All residents receive didactics in "Residents as Teachers" role with medical students. As well, all PGY years have a weekly case conference hour that combines PGY 1 & 2 and PGY 3 & 4.

PGY 1

Orientation curriculum starts a week before July 1 to prepare incoming interns for their upcoming year in their various rotations. Emphasis in the PGY 1 year is on interviewing and diagnostic skills utilizing DSM 5, emergency psychiatry, as well as pharmacological management and psychotherapeutic relevant to the psychiatry inpatient, primary care, and neurology rotations. Learning how to manage crisis and acute care is an important part of this year.

Sample PGY I Rotation Schedule:

July
Aug.
Sept.
Oct.
 Nov.
Dec.
Inpatient
Psychiatry
Neurology
Inpatient
Psychiatry
Inpatient  Primary
 Care
Emergency
Psychiatry
Neurology
Jan.
Feb.
Mar.
Apr.
May 
June 
Outpatient  Primary
Care
Inpatient Primary
Care
Outpatient Primary
Care
Inpatient
Psychiatry
Outpatient  Primary
Care
Outpatient Primary
Care

PGY 2

This year  builds on fundamentals with introduction to the core psychotherapies as well as child psychiatry, psychosomatic medicine, and behavioral neurology, which correlates with the primary rotations in this year. Residents develop more complex inpatient care plans and informally mentor first year residents on these units.

Sample PGY II Rotation Schedule:

July
Aug.
Sept.
Oct.
 Nov.
Dec.
Inpatient
Psychiatry
Consult Liaison
Psychiatry
Inpatient
Psychiatry
Night Float
Inpatient
Psychiatry
Inpatient
Psychiatry
Jan.
Feb.
Mar.
Apr.
May 
June
Child Inpatient
Psychiatry
Inpatient 
Psychiatry
Night Float
Inpatient 
Psychaitry
Consult/ Liaison
Psychiatry
Inpatient
Psychiatry

PGY 3

The 3rd year of residency has a strong  emphasis on advanced psychotherapy learning and intensive supervision utilizing videotaped sessions of the resident's cases. Advanced psychopharmacology including substance abuse is also presented this year. Rotations in a number of outpatient clinics give the residents opportunity for a more independent role in diverse patient exposure and supervision.

Sample PGY III Rotation Schedule> July-June Outpatien Clinics:

Monday
a.m.
Tuesday
a.m.
Wednesday
a.m.
Thursday
a.m.
Friday
a.m.
Psychotherapy
Outpatient  Child
Clinics
Adult Outpatient 
University Psychiatry
Clinic
Student Counseling
Adult Outpatient
Psychiatry Clinic
Monday
p.m.
Tuesday
p.m.
Wednesday
p.m.
Thursday
p.m.
Friday
p.m.
Women;s Mental
Health
Adult Outpatient
Psychiatry Clinic
Adult Mental Health
Clinic
Student Counseling
Didactics            

Note: All residents will do Adult Outpatient Psychiatry, Substance Use Disorder and Psychotherapy clinics as well as one or more of the specialty clinics.

PGY 4

The senior year curriculum focuses more on resident consolidation of prior learning with more senior roles in inpatient and C/L roles helping to mentor junior residents. Six months of electives round out the curriculum with  the residents' particular interests helping direct sub-specialization or work choices. Past electives have been Hospital Psychopharmacology, Clinical Living Center Consultation, Tele-psychiatry, Women's Health, PTSD, Emergency Psychiatry, Consultation-Liaison Psychiatry, ECT, TMS, Group Psychotherapy, Hypnosis, Resident as Teacher, and Research.  Residents are encouraged to develop new electives that suit their interests. Psychiatry and Neurology Board Review course, Transition to Practice, and continuation of clinical psychotherapy training prepared the resident for future board certification and employment.

Sample PGY IV Rotation Schedule:

July 
Aug.
Sept.
Oct.
 Nov.
Dec.
Senior Consult/ Liaison
Psychiatry
Inpatient
Psychiatry
Senior Inpatient
Psychiatry
Elective
Consult Liaison
Elective
Jan.
Feb.
Mar.
Apr.
May 
June
Elective
Night Float
 Elective
Inpatient
Psychiatry
Elective
 Elective

 

DIDACTICS

PGY I COURSES

Interviewing and Therapeutic Communication
Introduction to Psychopharmacology
DSM-V
Schizophrenia Unit
Substance Abuse
Case Conference
Resident as Teacher

PGYII COURSES

Behavioral Neurology
Child Psychiatry
Introduction to Psychotherapy
Psychodynamic Medicine
Case Conference
Resident as Teacher

PGY III COURSES

Advanced Psychotherapy
Behavioral Neurology
Clinical Seminar in Psychotherapy
Advanced Psychopharmacology
Advanced Topics in Substance Abuse
Case Conference
Resident as Teacher

PGY IV COURSES

Psychiatry Board Review
Neurology Board Review
Transition to Practice
Neuroanatomy
Clinical Seminar in Psychotherapy
Case Conference
Resident as Teacher

TRAINING SITES

We offer residents a diversity of experiences with our various sites in a university town that services a large patient catchment area including rural areas of Tennessee.

1) East Tennessee State University & Quillen College of Medicine

Psychiat ry Building  Residents have outpatient general adult, child, and psychotherapy clinics as well as didactics at this site, which is housed on the campus of the Veterans Administration Medical Center (VAMC).

Student Counseling Center University students can receive psychotherapy from a variety of counselors at this location. Psychiatry residents provide supervised psychiatric medication services here.

Student Health Center - This is a general medical clinic through the Nursing department for university students where faculty and psychiatry residents provide medication management.

Women's Health Clinic - Residents provide psychiatric services within the OB/GYN outpatient clinic.

Family Medicine ClinicsResidents have outpatient primary care experience in one or more of the three nearby family medicine clinics as part of a team with family medicine residents and medical students.

Innovation Lab Residents have the opportunity to be involved with Tele-psychiatry, TMS and research at this site.

2) VA Medical Center

The James H. Quillen Mountain Home VA Medical Center services the 41 county area of Tennessee, Virginia, and Kentucky. Psychiatry training experiences here include adult inpatient, outpatient, substance use, Consultation-Liaison, PTSD, Community Living Center, ER, Tele-psychiatry, CBT psychotherapy, and ECT. Residents work in interdisciplinary teams including consultive roles. The VAMC is a comprehensive care hospital offering medical, psychiatric, and surgical services for residents.

3) Woodridge Hospital

A free standing 84 bed psychiatric private hospital affiliated with and across the street from Johnson City Medical Center that offers child and adult inpatient, intensive outpatient, and crisis services. residents do several inpatient psychiatry ward months at this location.

4) Neurology Clinic

Residents are embedded in one or more of two private community neurology teaching practices for their two months of Neurology.

5) Johnson City Medical Center (JCMC)

This is a large regional tertiary referral center that has medical, surgical, women's, and pediatric services. JCMC is an acute-care teaching hospital where psychiatry residents receive inpatient general internal medicine months as part of their primary care training.

6) Frontier Mental Health Center

Residents may have the opportunity of doing either adult or child psychiatry outpatient experience. This community MHC services a wide variety of patient populations with opportunity for the resident to interact with providers from other disciplines.

7) Helen Ross McNabb Center

A full service center providing care to those with mental illness, addiction and social challenges. Residents can receive child and adolescent residential and outpatient experiences in this center, which is located in nearby Hamblen County.

 

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