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Medical Residency—Year Four

OGME-4 year rotations include:

  • Emergency Psychiatry—4 months
  • Severe Persistent Mental Illness Psychiatry—4 months
  • Consultation/Liaison Psychiatry—4 months

     

The ACCESS Center at Centerstone is a hospital-based intake and emergency evaluation program focusing on the care of children, adolescents and adults suffering from acute psychiatric and/or substance abuse issues.  All people in the community may come for an assessment, but admission criteria require that only the most seriously impaired be referred to in-patient care. Clients that present as an eminent danger to themselves or others are automatically referred to inpatient for observation and assessment. Those evaluated at the ACCESS Center are referred to the level of care that can best serve their presenting issue.

The Emergency Psychiatry Rotation at Centerstone will be responsible for the psychiatric care of clients under the supervision of an attending psychiatrist.  Broadly, the resident will be engaged in the full continuum of emergency psychiatric care.  This will include consulting on admissions and unit placement, conducting initial psychiatric evaluations, coordinating care with other disciplines (nursing, occupational therapy, counseling, psychological services), contributing to the formulation of a treatment plan, monitoring the progress of symptom relief prior to starting a level of care, contributing to the discharge plan, interacting with families around treatment issues, and other duties of a attending psychiatrist in an emergency psychiatric setting.

The Severe & Persistent Mental Illness Rotation at Centerstone is an in-home and on-site based outpatient psychiatric practice focusing on the care of adults suffering from severe and persistent mental health issues. Admission criteria require that the clients must be experiencing mental health problems of the most severe kind: schizophrenia, bipolar, major depression etc. They must have failed at other levels of outpatient care and have been referred for this service. Clients that present as an eminent danger to themselves or others are automatically referred to inpatient for observation and assessment.

The Severe & Persistent Mental Illness Rotation at Centerstone will be responsible for the psychiatric care of clients under the supervision of an attending psychiatrist.  Broadly, the resident will be engaged in the full continuum of care in an in-home or on-site basis.  This will include consulting on admissions and unit placement, conducting both initial and ongoing psychiatric evaluations, coordinating care with other disciplines (nursing, occupational therapy, counseling, psychological services), contributing to the formulation of a treatment plan, monitoring the progress of symptom relief from interventions, contributing to the discharge plan, interacting with families around treatment issues, and other duties of an attending psychiatrist in an outpatient, in-home, on-site setting.

The Consultation and Liaison Rotation is designed to allow residents to consolidate their diagnostic, therapeutic and administrative skills. Residents will be involved in four months of inpatient consultation and liaison training at one or more of our inpatient settings.

The Consultation and Liaison Rotation offers psychiatric consultation to attending physicians, primary care physicians and other health professionals at the inpatient program where clients with underlying psychiatric problems may go undiagnosed or under treated. Further community based outpatient opportunities are available for interested residents.

Residents have the opportunity to choose from a variety of experiences and clinical settings to create a schedule which reflects their areas of interest. During this module, the residents gain experience as supervisors and have greater participation in educational activities Opportunities for teaching, research and pursuit in areas of special interest are available. The chief residency is a fourth year position and carries both administrative and educational responsibilities.