PSYCHIATRIC rOTATION
Team Structure
Schedule
Goals and Objectives
Key Readings
Neurology residents will rotate on Psychiatry Consult-Liason for one month, typically during their PGY-3 year of training. During your time on this service, you will see psychiatry consults along with the psychiatry team.
For details about the service, please review: Psychiatry Consult/Liaison Service Policies and Procedures
On Day 1 of your rotation report at 8 AM to the Consult Liaison work room P1G25, first floor shock trauma hallway.
Team Structure
Psychiatry Attendings:
Charles Robinson, MD
David Glovinsky, MD
Anique Forrester, MD
Patricia Widra, MD
Samantha Latorre, MD
Psych residents are each assigned to one attending. You will staff and see every consult you are assigned the same day, but will need to find an attending who is free (i.e. not currently staffing with a psych resident).
3-4 Psychiatry Residents: typically the residents rotating on this service are PGY-2's, and thus are the same class of residents the PGY-3 Neurology residents worked with on the Stroke, General, and VA services. Occasionally there are also other rotating residents from specialties such as family medicine or internal medicine.
3-4 Medical Students
Schedule
Rotation Calendar
The neurology resident should function as a member of the psychiatry consult liaison team and the team patient care and didactics take priority over any other activities.
With the exception of their once a week Continuity Clinic, the Neurology residents will follow the same schedule as the psychiatry residents while on the rotation.
Taking consults in turn with other team members
Psychiatry didactics (daily didactics and grand rounds)
If the C-L service is not busy, Neurology residents can attend Neurology grand rounds and neurology midday didactics, but neurology didactic sessions are NOT required when residents are on the psychiatry rotation.
The neurology resident has no night or weekend call for the psychiatry service.
consults
Consults are called in and fielded by an administrative assistant who records general information (patient demographics, primary team, reason for consult, etc.). This information is then passed on to the residents on a rotating basis. While consults are called in all day, they are dispatched out to the residents twice a day: once in the morning and once in the afternoon.
*You will be assigned 1-3 consults per half day and the residents or attendings will give you the contact information for the primary team.
Resident Responsibilities:
Residents will evaluate psychiatry consult patients and present the patient to the psychiatry attending and team. Under the guidance of psychiatry attendings, residents will formulate a differential diagnosis and treatment plan. The neurology resident will take responsibility for new consultation patients in rotation with the other residents on the service. The resident will own their consult patients and should continue to follow/write follow up notes as appropriate.
Evaluation
Evaluations of the resident performance will be sent to all Psych attendings in MedHub.
GOALS AND OBJECTIVES
The following Goals and Objectives are linked to the core competencies of “Patient Care” and “Medical Knowledge”.
Become proficient in obtaining an appropriate psychiatric history
Learn to recognize when a patient may have a psychiatric disorder
Learn indications for medications commonly used in psychiatry
Learn about complications of medications used in psychiatry
Learn about psychological aspects of patient-physician relationship
Learn about importance of personal, social, and cultural factors in disease processes and their clinical expression
Learn to identify and diagnose common psychiatric disorders
Key READINGs
Role of Antipsychotics in Delirium Management
Comparative Efficacy Study of Haloperidol, Olanzapine, and Risperidone in Delirium
Assessment of Patients’ Competence to Consent to Treatment
QTc Prolongation by Psychotropic Drugs and the Risk of Torsade de Pointes
OTHER REFERENCE MATERIAL
These additional references are available in both the C-L office and our own Resident Library:
The American Psychiatric Association Publishing Textbook of Psychosomatic Medicine and Consultation-liaison Psychiatry Revised Edition
Diagnostic and Statistical Manual of Mental Disorders, 5th Edition: DSM-5 5th Edition
Last Updated: November 2022