Over the course of the first three years of residency, you can expect to rotate through a broad range of inpatient and outpatient settings.
Internship: During the 18 month internship, residents will alternate every three months between internal medicine and psychiatry rotations. Interns will also start an internal medicine continuity clinic where they will grow their panel of patients over the course of the residency.
Years 2&3: Residents continue to alternate every three months and can begin to customize their rotations towards their clinical interests. In addition to internal medicine clinic, residents will also begin to see psychiatric patients in an outpatient setting. A combined medicine/psychiatry clinic is being created at the VA and will open in Spring 2013.
Year 4: Residents will spend the first six months of their fourth year doing internal medicine rotations. The second half of the year residents will begin 12 continuous months of outpatient psychiatry which will continue into the fifth year of training. The outpatient psychiatry year also includes six months of child psychiatry and six months of psychiatry at Charleston/Dorchester Mental Health.
Year 5: After concluding the year of psychotherapy, residents will finish their training with six months of internal medicine rotations.
Internal medicine didactics include morning report three days a week, weekly grand rounds, and daily noon conferences. Psychiatry didactics during the first two years include weekly seminars. During the year of outpatient psychiatry residents have two half days of seminars. Topics include pharmacology, mood disorders, and becoming a therapist. Every other month there is a Med/Psych Noon Conference which is given by a med/psych attending or resident to educate our internal medicine colleagues on topics such as delirium, decision making capacity, alcohol withdrawal, depression, and dementia. Med/psych residents also participate in a monthly journal club where peer-reviewed articles at the interface of internal medicine and psychiatry are discussed and applied to clinical care.
In addition to general internal medicine and psychiatry rotations, med/psych residents have opportunities to explore their interests through electives. These include: Electroconvulsive therapy/brain stimulation lab, forensics, psycho-oncology, or an elective that they have created. Residents also have opportunities to volunteer in outreach clinics such as Crisis Ministries, CARES clinic, Harvest Free Medical Clinic, and Barrier Islands Medical Clinic.
As part of the internal medicine curriculum, all residents are expected to participate in scholarly activity, including a Quality Improvement project which is started during the second year of residency. Residents also have the option of doing a research elective month to spend additional time developing their research skills.
Residents are paired with a longitudinal mentor based on their clinical interests to provide guidance over the course of their residency.