Understanding the practice of modern psychiatry and utilizing a variety of approaches to biologic and psychological treatment of the mentally ill are the focus of the clinical experiences and didactics throughout the residency. Below is a general breakdown of rotations by year.
5 mo. Psychiatry Inpatient Wards
1 mo. Consult-Liaison Psychiatry
4 mo. MEDICINE or PEDS
2 mo. NEUROLOGY
2 mo. Substance Abuse Program
2 mo. Psychiatry Inpatient Wards
2 mo. Assertive Community Treatment (MHICM)
2 mo. Child and Adolescent Psychiatry
2 mo. Consult-Liaison Psychiatry
2 mo. Night Float
12 mo. Continuity Outpatient Psychiatry Clinic at Tulane Hospital, Ambulatory Mental Health at VA, and Community Mental Health Centers
2 mo. Inpatient Substance Abuse (1/2 time)
10 mo. Continuity Clinic
ELECTIVES* (Administrative, Junior Attending, Research, Geriatrics, Forensic, Addiction, etc.)
3 days per week elective
1 day per week Continuity Clinic
1 day per week of didactics
Categorical internship positions rotate through multiple clinical sites. Interns rotate for inpatient psychiatry at University Medical Center, Northlake Behavioral Health System, and the New Orleans Veteran's Hospital. They also have experiences at the Veterans Hospital and Tulane Hospital for consult-liaison rotations. Other first year core rotations in medicine, pediatrics, and neurology take place at Tulane Hospital or local affiliated institutions. We are also excited about the opening of the completely new state-of -the-art Veteran’s Hospital in Fall of 2017, where we will be doing rotations.
Training during the PGY-1 year covers learning to recognize and describe various forms of psychopathology. Residents also develop their solid interviewing skills through rotations on the various inpatient psychiatry units. In addition to faculty supervision on the inpatient services, residents will begin their first clinical skills verification exam in preparation for future certification with the American Board of Psychiatry and Neurology.
During the PGY-2 year, these skills are refined through a return to the inpatient units (2 months) and via specialty rotations in child/adolescent, addiction, community outreach for severe mental illness, geriatrics, and consultation/liaison psychiatry. Each PGY-2 resident is encouraged to participate in the various research projects currently going on in the department.
The PGY-3 year is comprised of full-time outpatient psychiatry split between the Tulane University Behavioral Clinic and the Veteran's Administration Hospital of New Orleans. Residents in their third year of training spend 12 months in these clinics under supervision of full-time faculty. These sites offer broad practical experiences in the evaluation and treatment of a variety of disorders. Depending on the individual patient needs, some treatments are intensive and psychodynamically-based care, while others are brief or applied in conjunction with psychopharmacologic agents.
In addition, there is the unique opportunity to spend a part of the outpatient experience in a true community based environment via our state wide telepsychiatry service, VA Homeless team, First Break Psychosis Clinic, and our two substance abuse clinics Bridgehouse and Grace House.
Course and seminar topics include psychodynamic theory and practice in conjunction with the New Orleans Psychoanalytic Institute. Residents also learn other modalities of therapy, including but not limited to cognitive behavioral therapy, acceptance and commitment therapy, group therapy, and others. Residents participate in both individual and group medication management supervision and individual psychotherapy supervision with the option of additional group psychotherapy supervision. Additional didactic topics focus on ambulatory and community based public psychiatry.
The PGY-4 year is a continuation of the outpatient experience at the Tulane University Behavioral Health Clinic and the Veteran's Administration Hospital of New Orleans. There is a 2-month half time experience managing an inpatient detox unit. Electives scheduled during this year to allow senior residents to focus on a particular area of interest such as research, chemical dependency, geriatric psychiatry, inpatient junior attending opportunities, or to address further areas in preparation for fellowship or life after residency. Residents further develop their therapy skills with training in couples and family therapy, interpersonal therapy, trauma focused therapy, and dialectical behavioral therapy.
Tulane's Department of Psychiatry faculty is involved in diverse research projects and residents are encouraged to participate throughout their training. Residents are also encouraged to engage in teaching both medical students and junior residents.