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COMBINED INTERNAL MEDICINE & PSYCHIATRY

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The Medicine-Psychiatry Curriculum

Internal Medicine-Psychiatry Training at Tulane


TRAINING YEAR

PSYCHIATRY

INTERNAL MEDICINE

PGY1

4 mo Adult Inpatient Psychiatry

3 mo (12 wks) Med Wards
1 mo (4 wks) ICU
1 month (4 wks) Stroke
1 mo (8 wks) Electives
2 mo (7 wks) Ambulatory

PGY2

3 mo Adult Inpatient Psychiatry
1 mo Substance Abuse Outpatient
1 mo Geriatric Psychiatry Inpatient
1 mo Neurology Inpatient

3 mo (12 wks) Med Wards
1 mo (4 wks) ICU
1 mo (4 wks) Electives
1 mo (5 wks) Ambulatory
 

PGY3

2 mo Child Psych Inpatient
2 mo Consult-Liaison
2 mo Adult Inpatient Psychiatry

2 mo (8 wks) Med Wards
1 mo (4 wks) ICU
2 mo (4 wks) Electives
1 mo (5 wks) Ambulatory

PGY4

6 mo Outpatient Psych

2 mo (8 wks) Med Wards
1 mo (4 wks) ICU
2 mo (4 wks) Electives
1 mo (5 wks) Ambulatory

PGY5

6 mo Outpatient Psych
2 mo Electives / Research

1 mo (4 wks) Elective / Research/ Wards
1 mo (4 wks) Ambulatory

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Internal Medicine Core Curriculum:   Core rotations covered during the elective time during residency include Cardiology, Gastroenterology, Nephrology, Oncology and Pulmonary Disease.   Anesthesia, Physical Medicine & Rehabilitation, Bone Marrow Transplant, Hepatology, and ER electives are also available

A Sample Intern Schedule at Tulane in Combined Med-Psych*

MONTH

SPECIALTY

ROTATION

July

MEDICINE

2 weeks Stroke Service, Tulane Hospital
2 weeks Hematology/Oncology, Tulane Hospital

August

MEDICINE

Medicine Wards, University Hospital

September

PSYCHIATRY

Inpatient Psychiatry, Depaul Interim LSU Hospital

October

PSYCHIATRY

Inpatient Psychiatry, Depaul Interim LSU Hospital

November

PSYCHIATRY

Inpatient Psychiatry, Northlake Hospital

December

PSYCHIATRY

Inpatient Psychiatry, Northlake Hospital

January

MEDICINE

CCU, Tulane Hospital

February

MEDICINE

Medicine Wards, University Hospital

March

MEDICINE

Gastroenterology Elective

April

MEDICINE

Medicine Wards, Veteran’s Affairs Service at Tulane

May

MEDICINE

Ambulatory Clinics and Nightfloat

June

MEDICINE

Intensive Care Unit



















*The medicine residency program has a “4+1” schedule which entails 4 weeks of wards or electives followed by 1 week of clinic. This allows residents to be fully devoted to their inpatient activities when they are on wards and fully devoted to outpatient activities during their clinic weeks. The above schedule would have a “+1” clinic week after each 4 weeks of wards or electives.

Med-Psych Didactics

At the Tulane Medicine-Psychiatry Combined Program, education is a top priority. Residents are given protected time to attend the didactics specific to that rotation, which includes specialized didactics in each sub-specialty.

 

While rotating on Internal Medicine, residents will attend afternoon case conferences, grand rounds, and the ground-breaking educational experiences known as "Friday School" for interns and "Monday School" for residents. Visit the Internal Medicine website for specific details.

 

While rotating on Psychiatry, residents will attend weekly Grand Rounds and quarterly Morbidity and Mortality Conference. Didactics occur Tuesdays in the form of case-based conferences and Friday afternoons. On Friday afternoons, residents attend year-specific courses which include the following: Emergency Psychiatry, Introduction to the DSM-IV-TR, Child Psychiatry, Forensic Psychiatry, Consultation-Liaison Psychiatry, Psychopharmacology, Geriatric Psychiatry, Substance Abuse, Cultural Psychiatry, Introduction to Therapy, Psychodynamic Therapy, Cognitive-Behavioral Therapy, and Advanced Psychotherapy. For more detailed information about Psychiatry didactics, visit the Psychiatry website.

 

Medicine-Psychiatry Residents hold a weekly Med-Psych Conference on Thursdays. This conference is an evolving curriculum which includes a comprehensive set of topics unique to Med/Psych, including those of psychosomatic medicine; geriatric psychiatry; neuropsychiatry; medical complications of psychopharmacology; drug and alcohol addiction and withdrawal; special considerations of medical and psychiatric co-morbidity; psychiatric aspects of cardiopulmonary, renal, infectious, and hepatic disease; somatoform; eating and factitious disorders; and the unique issues of functional somatic psychiatric disorders. This series includes monthly guest speakers from other departments and institutions and seminar-style discussions of hot topics led by students and residents. As noted below, the conference covers a wide variety of topics.

 

2013-2014 Med/Psych Conference topics:

·  AIDS Mania

·  Obesity epidemic

·  Forced med efficacy

·  Risk of autoimmune diseases in individuals with psychosis and schizophrenia

·  Medical monitoring of psychiatric drugs

·  Motivational interviewing primer

·  TBI assessment

·  Bedside cognitive evaluations

·  Evidenced-based pharmacological treatment of chronic back pain

·  Non-pharmacological treatment of chronic back pain

·  Mortality in severe mental illness

·  ICDs in the psychiatric patient

·  Drug rashes

·  Diagnostics in the worried well

·  Pseudoseizures

·  Functional bowel disorders

·  Psychiatric and medical risks of hormone supplementation

·  Depression and sexuality

·  Collaborative care in post-MI patients

·  Delirium update

·  Managing personality disorders in hospitalized medical and surgical patients

·  Psycho-oncology

 


10/29/2014  

Tulane University, New Orleans, LA 70118 504-865-5000 website@tulane.edu