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Psychiatry and Behavioral Sciences

Quillen College of Medicine

Curriculum

 

Formal didactic instruction occurs on Tuesday afternoons 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 weekly Resident Council. 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) allow assessment of resident progress and provide regular feedback.

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 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  
Internal  Medicine
Emergency
Psychiatry
Inpatient Neurology
Jan.
Feb.
Mar.
Apr.
May 
June 
Inpatient
Psychiatry
Inpatient 
Internal  Medicine
Outpatient Primary Care
Inpatient 
Internal 
Medicine
Outpatient Primary
Care
Inpatient 
Psychiatry

PGY 2

This year  builds on fundamentals with introduction to supportive psychotherapy as well as child psychiatry, consultation- laiison psychiatry, and inpatient psychiatry 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  night float call coverage.

Sample PGY II Rotation Schedule:

July
Aug.
Sept.
Oct.
 Nov.
Dec.
Inpatient
Psychiatry
Consult/Liaison
Psychiatry
Inpatient
Psychiatry
Night
Float
Inpatient
Psychiatry
Child Inpatient
Psychiatry
Jan.
Feb.
Mar.
Apr.
May 
June
Child Inpatient
Psychiatry
Consult/Liaison 
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 therapy supervision utilizing direct interview sessions  or review of videotaped sessions of the resident's cases with experiences with supportive, cognitive-behavioral, and psychodynamic therapies.. 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
Clinic
Adult Outpatient 
University Psychiatry
Clinic
Student Counseling
Clinic
Veteran's  Adult Outpatient
Tele-Psychiatry Clinic
 
Monday
p.m.
Tuesday
p.m.
Wednesday
p.m.
Thursday
p.m.
Friday
p.m.
Veteran's Mental
Health Clinic
Didactics
 
Substance Abuse Clinic
Student Health
Clinic

Psychopharmacology/Buprenorphine

Clinic    

         
         

Note: All residents will do Adult Outpatient Psychiatry (University and Veterans Affairs Medical Center), 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, Veterans Clinical Living Center Consultation, Tele-psychiatry, Women's Health, PTSD, Emergency Psychiatry, Consultation-Liaison Psychiatry, ECT, Transcranial Magnetic Stimulation, Group Psychotherapy, Hypnosis, Resident as Teacher, Substance Abuse, Pain Management, 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.
Night Float
 
Consult-Liaison
Psychiatry
Elective
Elective
Consult Liaison
Psychiatry
Inpatient
Geriatrics
Jan.
Feb.
Mar.
Apr.
May 
June
Elective
Inpatient
Psychiatry
 Elective
Inpatient
Psychiatry
Elective
 Elective

 

DIDACTICS

PGY I COURSES

Psychopathology
Introduction to Psychopharmacology
DSM-V 
Introduction to Psychopathology
Case Discussion

PGY II COURSES

Various Psychotherapy and Psychopharmacological Topics in Psychiatry
Introduction to Psychotherapy (Supportive, CBT, and Psychodynamic Psychotherapy)
Case Discussion

PGY III COURSES

Advanced Psychopharmacology
Advanced Psychopathology
Other Psychotherapies
Transition to Practice
Grand Rounds Preparation

PGY IV COURSES

Psychiatry Board Review 
Psychotherapy Group Supervision
Forensic Topics
Scholarly Project Development

COMBINED COURSES/TOPICS

Quality Improvement

Internal Medicine Topics

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.

University 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 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 adult and child 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 two months of 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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