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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) of ER
1 mo (4 wks) Electives
1 mo (5 wks) Ambulatory
 

PGY3

2 mo Child Psych Inpatient
2 mo Consult-Liaison
1 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

4 mo Outpatient Psych
1 mo ECT (proposed)
1 mo Elective

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

PGY5

4 mo Outpatient Psych
2 mo Electives / Research

2 mo (8 wks) Med Wards
2 mo (8 wks) Elective / Research
3 cycles Ambulatory (3wks)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 *The program recommends that residents complete both ER and ICU rotations during the first two years of training.

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



A Sample Intern Schedule at Tulane in Combined Med-Psych

MONTH

SPECIALTY

ROTATION

July

MEDICINE

Stroke Service, Tulane Hospital

August

MEDICINE

Medicine Wards, University Hospital

September

PSYCHIATRY

Inpatient Psychiatry, Southeast Louisiana State Hospital

October

PSYCHIATRY

Inpatient Psychiatry, Southeast Louisiana State Hospital

November

PSYCHIATRY

Inpatient Psychiatry, VA Biloxi

December

PSYCHIATRY

Inpatient Psychiatry, VA Biloxi

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



















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 morning case conferences, grand rounds, and the ground-breaking educational experiences known as “Friday School” for interns and "Afternoon Delight" for residents.

While rotating on psychiatry, residents will often be able to continue to attend their internal medicine lectures. They will attend weekly Grand Rounds and quarterly Morbidity and Mortality Conference. Additionally, they will be attend multiple didactic series including year-specific courses during protected time Friday afternoons which include: 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. In addition,Psychiatry holds case base conferences on Tuesday afternoons.

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. See the

schedule from 2012-2013 here:

Core Medicine and Psychiatry Didactics

Core Didactics

The Weekly Med-Psych Conference

Topics covered  include:
•    Medical Screening in Psychiatric Patients
•    Psychiatric Screening in Medicine Patients
•    Medical Evaluation for ECT
•    Delusional Parasitosis
•    Munchausen’s Syndrome and Factitious Disorders
•    SSRI’s and Bleeding
•    Serotonergic and Neuroleptic Malignant Syndromes
•    Neuropsychiatric Lupus
•    Psychotic Manifestations of Psychiatric Illness
•    Psychiatric Manifestations of Parasitic Disease
•    Post-Stroke Depression: Localization
•    Post-Stroke Depression: Management
•    Functional Somatic Syndromes
•    Pathogenesis and Management of Delirium
•    Malingering in Inpatient Settings
•    Somatization Disorders
•    Management of the Metabolic Syndrome
•    Trials in Post-MI Depression
•    Psychotherapy including CPT for Post-Traumatic Stress Disorder
•    Cognitive-Behavioral Therapy for Depression
•    Psychotherapy for Eating Disorders”
•    Psychotherapy for Generalized Anxiety Disorders
•    And more…



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