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Rotation Schedule

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The following is a brief overview of the residency program by training year:

PGY1 : Interns will complete their experiences in internal medicine (one month), family medicine (two months), neurology (two months) and emergency room at Cabell Huntington Hospital, a regional, multi-specialty hospital affiliated with Marshall School of Medicine, for a total of six months in general medical and neurology training. A month rotation of pediatrics instead of family medicine, for those interested in child psychiatry, is also available. The remaining six months are spent in inpatient psychiatry, two months each at three different hospitals, for very different and educational experiences, yet all located in downtown Huntington. Two months are spent at Mildred Mitchell-Bateman Hospital, the regions state hospital, on the general psychiatry unit. There, residents will learn to evaluate, treat and appreciate individuals with severe and chronic mental health disorders. Two other months are spent at a general psychiatry inpatient unit. Two months are also spent at River Park Hospital, an amazing 140 bed private free standing psychiatric hospital, working on the general adult unit. Didactics take place at the “home base”, at Marshall Psychiatry outpatient clinic. There, residents will see residents from all years of training, have access to clinical, educational and research space and facilities, as well as their lounge area.

PGY2: PGY2 residents spend three months on the consult-liaison service, covering both the inpatient units at the Cabell Huntington Hospital (CHH) and the emergency room. The patient mix and psychiatric diagnoses seen are diverse and offer a comprehensive training experience for the resident. PGY2 residents will have one half day continuity outpatient clinic, where they will be able to follow patients who they have worked with on inpatient or consult rotations, as well as assigned outpatients. PGY2 residents also spend a month doing Addictions training, at the Huntington VAMC, and will receive training and didactics from a Board Certified Addictions Psychiatrist and the comprehensive substance abuse team at the VA. PGY2 residents will also rotate on inpatient services at River Park hospital for two months on the Geriatric Psychiatry service with a board certified geriatric psychiatrist, two months on the Child and Adolescent services at River Park with board certified child psychiatrists, and two months each of inpatient adult psychiatry. Residents may have ECT training for two months as a 20% time rotation, with the remaining 80% time as electives. Didactics will be at the “home base” Marshall Departmental Offices, except for the month on Addictions, where they will occur at the VAMC.

PGY3: PGY3 residents receive education and training in outpatient psychiatry, with 80% time spent at the Marshall Psychiatry Outpatient Clinic. Residents will see general psychiatry patients under the supervision and expertise of the faculty. Patients ranging from young children to senior citizens are served in this clinic, with subspecialty clinics to enhance the clinical and educational experience. Residents will treat patients individually, but also in group, couples and family therapy. Twenty percent (20%) time is spent at the Huntington VAMC, with 10% time at the PTSD clinic, with a focus on combat related disorders, and 10% time on telepsychiatry. Didactic experience during this year is substantive, and occurs at the both the Marshall outpatient clinic site and the VAMC.

PGY4: During the PGY4 year, residents have a number of rotations including sub-attending on general psychiatric inpatient service, addiction services, Trans Magnetic Stimulation (TMS), nursing home service, and integrated psychiatry (Family Medicine/Cancer Center). Intensive outpatient and partial hospitalization as well as consult services. Residents will continue the outpatient continuity clinic on day per week. Elective time is also built into the schedule for further educational opportunities.