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Psychiatry and Behavioral Sciences

Quillen College of Medicine

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 feature presenters from local, regional and national pools  as well as senior residents presenting  as part of their graduation requirement. Residents also meet for Resident Council twice monthly. 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.  CSE (Clinical Skills Exam) are done  in the last 2 years of residency to assess resident progress and provide feedback.

 All PGY years have a weekly case conference hour that combines PGY 1 & 2. Additionally, about one hour per month is scheduled for PRITE review.

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 (and psychotherapeutic) management 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.Residents are typically expected to pass their Step 3 during the PGY ! year. 

Sample PGY I Rotation Schedule:

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

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. As well as doing Consult/Liaison rotation.

Sample PGY II Rotation Schedule:

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

PGY 3

The 3rd year of residency has a strong  emphasis on more advanced psychotherapy learning and individual supervision utilizing direct interview sessions  or review of videotaped sessions of the resident's cases. Advanced psychopathology, and 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.Also, didactic  time is available to work on grand rounds or a scholarly project.

Sample PGY III Rotation Schedule> July-June Outpatient 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
VA Adult Outpatient
Tele-Psychiatry Clinic
Telepsychiatry
Monday
p.m.
Tuesday
p.m.
Wednesday
p.m.
Thursday
p.m.
Friday
p.m.
VA Mental
Health Clinic
Psychopharmacology
 Clinic
SUDP
Student Health
  1. Didactics            

Note: All residents will do Adult Outpatient Psychiatry (University and VAMC), Substance Use Disorder, outpatient child/adolescent clinic and Psychotherapy clinic as well as one, of the  outpatient specialty clinics.

PGY 4

The final 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, Substance Abuse, Pain Medication, 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 supervision in a group format prepares the resident for future board certification and employment.

Sample PGY IV Rotation Schedule:

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

 

DIDACTICS

PGY I COURSES

Interviewing Skills
Introduction to Psychopharmacology
DSM-V 
Introduction to Psychotherapy 
Case Conference
Prite Review (self)

PGY II COURSES

Various Psychotherapy and Psychopharmacological Topics in Psychiatry
Child Psychiatry
Introduction to Psychotherapy (Supportive, CBT, Psychodynamic Psychotherapy)
Case Conference
Prite review (self)

PGY III COURSES

Advanced Psychopathology
Advanced Psychopharmacology
Neurology
Other Psychotherapies
Transition to Practice
Prite Review (self)
Grand Rounds/Scholarly Project Development Time

PGY IV COURSES

Psychiatry Board Review (self)
Neurology Board Review
Neuroanatomy
Psychotherapy Group Supervision
Forensics
Prite Review (self)
Scholarly Project Development Time

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

Psychiatry 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 CenterUniversity 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.

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 LabResidents 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  (Inpatient)

Residents are on an inpatient service  in a  private community hospital 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) 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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