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Medical Residency—Year Three

OGME-3 year rotations include:

  • Forensic Psychiatry—4 months
  • Outpatient Psychiatry-8 months

The Outpatient Clinic at Centerstone is an outpatient clinic focused on care of children and adults suffering from mental health and substance abuse disorders. Admission criteria require that the clients must be experiencing mental health or substance abuse symptoms that can be managed at an outpatient level of care. Clients that present as an eminent danger to themselves or others are automatically referred to inpatient for observation and assessment.

The Outpatient Clinic 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 inpatient addictions care.  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 a attending psychiatrist in an outpatient setting.

Ongoing supervision with the attending will happen daily.  A senior psychiatrist will always be present on the floor for immediate supervision and scheduled supervisions with that supervisor will happen regularly.

Centerstone provides a full complement of psychiatric services to clients who are currently involved with the criminal justice system. Services range from medication prescribing/ monitoring while the client is incarcerated in the Manatee County Jail to treatment/ assessment of clients on supervised release/ community control in our outpatient clinic. Participation in Drug Court, DUI Court and outpatient care of felons is possible during this rotation. As this rotation encompasses the interface between law and psychiatry, the ability to testify in court and conduct assessments for court purposes will be an aspect of this rotation. Competency to stand trial assessments, mental status/ risk of harm assessments, and other was to further the adjudication process will be a part of this rotation.

Ongoing supervision with the attending will happen daily. A senior psychiatrist who can act as an expert witness in the case will always be present at the court to assist the resident during testimony.