The Second Post-Graduate Year (PGY-2)
The Second Post-Graduate Year
The PGY-2 year is considered to be a transitional period between the inpatient and outpatient modalities. The resident is expected to consolidate skills in the assessment of acutely ill patients and to assume greater responsibilities as a team leader.
Clinical experiences include two months in a community-based psychiatric emergency service, two months of consultation/liaison psychiatry, two months of geriatric psychiatry, one month of addiction psychiatry, and five months of general inpatient psychiatry at Desert Vista Behavioral Health or MIHS Psychiatric Center. Inpatient experiences are designed to allow the resident to develop greater autonomy and facility in dealing with severely ill patients.
The Emergency Psychiatry rotation occurs at a free standing psychiatric emergency room operated by the Regional Behavioral Health Authority. It is the larger of two public psychiatric emergency rooms serving Maricopa County. Residents evaluate patients to assess the need for hospitalization or to develop and carry out a treatment plan designed to stabilize the patient sufficiently that hospitalization will not be necessary. All resident work is supervised by on site faculty psychiatrists.
As a member of the Psychiatric Consultation/Liaison Team, the PGY-2 resident provides psychiatric consultation services to the Maricopa Medical Center. The Consultation/Liaison Team delivers services throughout the hospital and residents are exposed to cases from surgery, internal medicine, pediatrics, obstetrics/gynecology, emergency medicine, and orthopedics. There are also a number of specialty programs, such as a burn unit, oncology services, and a pain clinic that refer patients for consultation. This service, under the direction of a full-time faculty member, is considered to be an integral part of the Medical Center and averages four to six new consults per day.
Geriatric Psychiatry is taught on an inpatient rotation by a board certified psychiatrist with additional qualification in Geriatric Psychiatry. Residents learn to appreciate the impact of aging and medical problems on the course and management of serious mental illness.
The Addiction Psychiatry rotation occurs half the time at a community based substance abuse program where patients are regularly detoxed and introduced to continuing chemical dependency treatment and half the time in the office of a physician doing private addiction medicine. Residents have experience with chemical dependency treatment across the socioeconomic scale.
The PGY-2 didactic courses are designed to meet increasing and expanding responsibilities. In addition to year-long courses in child and adolescent development and psychiatric syndromes and therapeutics, residents receive instruction in addiction psychiatry; group, psychodynamic and cognitive-behavioral psychotherapies; and advanced psychopharmacology.
INPATIENT PSYCHIATRIC SERVICE, UNITS 2, 3, 4, 5/ DESERT VISTA BEHAVIORAL HEALTH CAMPUS
EMERGENCY PSYCHIATRY ROTATION
CHEMICAL DEPENDENCY: Carl T Hayden VA Medical Center
3rd Post-Grad Year