Psychiatry

General Psychiatry Residency Educational Experience

A major goal of 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.  In addition to enhancement of clinical acumen, residents also have abundant opportunities to improve their teaching, presentation, and research skills.

Residents complete rotations in the following areas:

Inpatient Psychiatric Training – This training is achieved through rotations at a variety of outstanding local facilities that include Prisma Health Baptist Hospital, Prisma Health Richland Hospital, the psychiatric pavilion of the Dorn Veteran’s Affairs Medical Center, and the Department of Mental Health’s G. Werber Bryan Psychiatric Hospital.

Primary Care and Neurology Training  – A close relationship with Palmetto Health, USC School of Medicine and Veteran’s Administration has evolved to provide several opportunities for primary care and neurology experiences. First year residents have a choice of three (Pediatrics, Family Medicine, Internal Medicine) primary care outpatient rotations. First year residents also have an inpatient internal medicine rotation at the VA hospital. The neurology rotations are completed at the Dorn Veteran’s Hospital and the Palmetto Health-USC Medical Group Outpatient Clinic.  

Emergency Psychiatry – Emergency psychiatry experience is gained through a rotation within Prisma Health Richland’s Level I trauma Center. Named the Joyce Martin Hill Emergency Mental Health Center, this emergency room treatment area allows residents to work as consultants within a multidisciplinary model under the guidance of an experienced emergency psychiatrist. Residents also obtain exposure through call (as described below).

Subspecialty Training – The presence of nationally known post-graduate training programs in child and adolescent psychiatry, forensic psychiatry, and geriatric psychiatry allows for significant exposure to these specialties using faculty from those programs in the general residency program. Subspecialty exposure is emphasized in the first two years of training. This exposure results in a large proportion of our general residents electing to pursue further fellowship training.

Training Sites

Prisma Health–Midlands/USC School of Medicine psychiatry residents gain first-hand experience in the modern facilities of several hospitals and clinics in the Columbia area:

Prisma Health Baptist Hospital is a state-of-the-art medical center that provides a comprehensive continuum of mental health and substance abuse services for patients ages five through geriatrics. Services include outpatient counseling, intensive outpatient and partial hospitalization, inpatient crisis stabilization, and an inpatient geriatric unit.

Prisma Health Richland Hospital is a nationally recognized regional community teaching hospital. Residents may spend time here on pediatrics, internal medicine, family medicine, addiction psychiatry, or psychiatric inpatient and consultation-liaison rotations. Prisma Health Richland includes a freestanding psychiatric facility with inpatient units for adult and geriatric patients. In addition, this facility provides intensive outpatient treatment for psychiatric disorders and addictions.

Dorn Veterans Hospital is a government medical complex, which includes a psychiatric pavilion for adult and geriatric psychiatry. With annual ambulatory visits totaling 160,000, it is one of the most active Department of Veterans Affairs hospitals in the South Carolina-Georgia region.

S.C. Department of Mental Health incorporates a comprehensive statewide network that includes 17 community mental health centers and satellite offices, as well as the G. Werber Bryan Psychiatric inpatient State psychiatric facility.

Didactic Curriculum

There are weekly courses for residents at each level of training. All residents are required to attend this core curriculum on 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) which prepares residents for the American Board of Psychiatry and Neurology certification examinations after graduation. National guest speakers deliver monthly Grand Rounds presentations. We have a yearly resident retreat to review and improve our curriculum.

Electives

Generally, PGY-IV residents design an elective program of five months to meet individual educational needs and interests in preparation for future careers. Electives are created with the goal of having a robust educational experience with increased autonomy in preparation for future practice.

Call Experiences

Residents are required to participate in call throughout PGY1-PGY3 rotations. This call involves the inpatient medicine service, inpatient psychiatry service at Bryan Psychiatric Hospital, Prisma Health Richland Emergency Psychiatry service, and the Palmetto Health-USC Medical Group outpatient psychiatry clinic.

Scholarly Activity, Teaching & Research

Residents have numerous opportunities to participate in scholarly activity, teaching and research. Residents hone teaching skills through formal presentations (Evidence Based Medicine, Journal Clubs, Case Conference, Grand Rounds, and didactics) and clinical teaching. Residents provide clinical teaching and/or didactics to other psychiatry residents, rotating residents, non-psychiatry specialty departments, and medical students.

Resident research is strongly supported by the program, the department and the graduate medical education office. Introductory didactic instruction is given on human subjects research, the Institutional Review Board, digital library literature reviews, question development, and proposal writing. Residents subsequently develop a personal longitudinal research project under the guidance of a mentor and the resident research committee. Residents are encouraged to submit their research for poster presentation and publication, and to present the results as their Senior Grand Rounds. Residents also participate in online quality improvement training and develop a group practice based learning/quality improvement project for the outpatient clinic.

Rotations

Post Graduate Year 1

  • Primary Care: Inpatient Internal Medicine: 2 blocks
  • Outpatient (Internal Medicine, Family Medicine, or Pediatrics): 2 blocks
  • Neurology: 1 block
  • Adult Inpatient: 4 blocks
  • Addiction Psychiatry: Inpatient and Consultation-Liaison: 1 block
  • Child & Adolescent Inpatient: 1 block
  • Emergency Psychiatry: 1 block
  • Geriatric Psychiatry: 1 block

Post Graduate Year 2

  • Adult Outpatient : 12 months
  • Child & Adolescent Outpatient: 6 months 
  • Additional Experiences:
    • Child & Adolescent Consultation-Liaison: 3 months 
    • ECT: 10 weeks
    • DBT Group: 3 months
    • Psychological Testing/Adult ADHD Experience

Post Graduate Year 3

  • Community 
    • Forensic Psychiatry - Evaluations for the Court: 4 months
    • Integrated Perinatal Psychiatry Clinic: 4 months
    • Telepsychiatry: 2 months
    • Outpatient SPMI Medication Management, VA: 2 months
    • Research: 4 months
    • Dept of Mental Health Treatment Team: 2 months
    • Outpatient SPMI Medication Management, Dept of Mental Health: 4 months
    • USC Student Health Services: 1 month
    • Addictions: Substance Use Treatment Program, VA: 1 month
    • Consultant - Liaison Psychiatry: 2 months
    • Geriatric Psychiatry: 1 month 
    • Adult Inpatient: 2 months
    • Neurology: 1 month
    •  Outpatient Continuity Clinic (1/2 day per week): 12 months 

Post Graduate Year 4

  • Outpatient Junior Attending: 2 blocks
  • Consultation-Liaison, VA: 1 block
  • Child & Adolescent Psychiatry, Three Rivers Residential Treatment Facility: 1 block
  • Inpatient Psychiatry, VA: 2 blocks
  • Inpatient Psychiatry: 2 blocks
  • Elective: 5 blocks 

Miscellaneous

  • Residents Meeting: Wednesdays, 11:30 a.m.–12 p.m.
  • Seminars: Wednesdays, 1–5 p.m.
  • Grand Rounds: Third Friday, 12–1 p.m.
  • Journal Club: Third Wednesdays, monthly 12–1 p.m.
  • Case Presentation: Fourth Fridays, monthly 12–1p.m