Residency Programs
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Psychiatry General
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Curriculum
A major goal of our General Psychiatry Residency Program is to prepare psychiatrists to deliver comprehensive mental health care to their patients and their families in a variety of inpatient and outpatient settings, including the public sector and private practice. An approach to human behavior and mental illness that emphasizes the importance of biological, psychological, social, and cultural factors is employed. Graduates are capable of delivering comprehensive mental health care in a variety of inpatient and outpatient settings, in either private practice or the public sector.
Residents complete rotations in the following areas...
- Inpatient Training – This training is achieved through rotations at a variety of outstanding local facilities that include Palmetto Health Baptist, Palmetto Health Richland, the psychiatric pavilion of the Dorn Veterans' Affairs Medical Center and G. Werber Bryan Psychiatric Hospital.
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- Outpatient Training – This training occurs in public and private settings. A close relationship with Palmetto Health and the USC School of Medicine training program has evolved to provide a choice of three (Pediatrics, Family Medicine, Internal Medicine) primary care rotations for first-year psychiatry residents. The neurology rotation is completed at the Dorn Veteran's Affairs Medical Center and the University of South Carolina Specialty Clinics, Department of Neurology. A dedicated 12-month continuous outpatient rotation the second year focuses on training in the major psychotherapies and the skills necessary to combine psychotherapy with medication management. Third year residents experience a six-month outpatient rotation in public psychiatry, where residents see patients in their choice of the state's 17 mental health centers, many of which are in rural areas. They also experience participation in a split therapy clinic model. Other outpatient training includes child and adolescent outpatient clinics and forensic rotation experiences.
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- Emergency Psychiatry – Emergency psychiatric experience is gained through a rotation within Palmetto Health Richland's Level I trauma center, allowing residents to work as consultants within a multidisciplinary model.
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- Subspecialty Training – The presence of nationally known post-graduate training programs in child and adolescent psychiatry, forensic psychiatry, and the newly accredited geriatric psychiatry, allows for significant exposure to these specialty areas using faculty from those programs in the general residency program. This exposure results in a large proportion of our general residents going on for further training.
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- Didactic Curriculum – There are weekly courses for residents at each level of training. All residents are required to attend this core curriculum Wednesday afternoons, and are excused from clinical duties to do so. Residents are excused for other educational experiences such as the Psychiatry Residents-in-Training Examination (PRITE) and yearly mock oral examinations, both of which prepare residents for the American Board of Psychiatry and Neurology certification examinations after graduation. National guest speakers deliver monthly Grand Rounds presentations. A regular journal club is organized and run by chief residents. We have a yearly resident retreat to review and improve our curriculum.
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- Electives – Residents have a choice of elective experiences. Generally, PGY-IV residents design an elective program of seven months to meet individual educational needs and interests in preparation for future careers. Although the emphasis is on training in clinical skills, residents receive training in research principles as well as academic psychiatry, and may pursue a research project or academic/administrative project as an elective.
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- Call Experiences – Residents are required to participate in call throughout the PGY1-PGY3 rotations. This call involves the inpatient medicine service during the intern year, as well as psychiatry call for the VA hospital, Palmetto Health Richland, and the University Specialty Clinic for outpatient psychiatry. Overnight call is required during two months of the PGY1 adult inpatient psychiatry rotation within the South Carolina Department of Mental Health.
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Rotation
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Post Graduate Year 1
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Rotation
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Duration
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Primary Care (Internal Medicine Inpatient)
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2 months
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Internal Medicine or Family Medicine or Pediatrics
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2 months
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Neurology
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1 month
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Adult Inpatient
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2 months, VAH
2 months, State acute admission unit
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Addiction
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1 month
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Child & Adolescent Inpatient
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1 month
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Emergency Psychiatry
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1 month
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Post Graduate Year II
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Rotation
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Duration
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Adult Outpatient/
Child & Adolescent Outpatient
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12 months
80% Adult
20% Children
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Post Graduate Year III
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Rotation
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Duration
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Adult Outpatient Specialty Clinics (Internal Medicine Clinic Consults, Forensics and Dual Diagnoses Clinic)
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6 months (50% of time)
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Outpatient Public Psychiatry
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6 months (50% of time)
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Consult – Liaison
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2 months
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Geropsychiatry
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1 month
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Managed Care Adult Inpatient
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2 months
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Neurology
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1 month
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Post Graduate Year IV
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Rotation
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Duration
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Outpatient Junior Attending
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3 months
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Addiction Psychiatry
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1 month
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Child and Adolescent Selective
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1 month
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Elective
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7 months
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Miscellaneous
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Event
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Time
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| Chairman's Rounds |
First Tuesday, monthly, 7:30 am |
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Residents Meeting
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Wednesdays, 11:30 a.m.–12 p.m.
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Seminars
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Wednesdays, 1–4:30 p.m.
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Grand Rounds
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Third Friday, 12–1 p.m.
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Journal Club
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Third Wednesdays, monthly
12–1 p.m.
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