Understanding the practice of modern psychiatry and utilizing a variety of approaches to biologic and psychological treatment of the mentally ill are the focus of the clinical experiences and didactics throughout the residency.
Categorical internship positions rotate through multiple clinical sites. Interns rotate for inpatient psychiatry at East Jefferson General Hospital and Gulf Coast Veteran's Hospital or Southeast Louisiana Hospital. They also have experiences as Lakeview Hospital (geriatrics) and the New Orleans VA outpatient clinics (substance abuse). Other first year core rotations in medicine and neurology take place at Tulane Hospital or local affiliated institutions.
Training during the PGY-1 year covers learning to recognize and describe various forms of psychopathology. Residents also develop their solid interviewing skills through rotations on the various inpatient psychiatry units. The first year includes a 4-month inpatient psychiatry rotation, 1-month geriatrics, and 1-month of outpatient substance abuse. The PGY-1 is rounded out by four months on either medicine or pediatrics and a two-month adult neurology rotation. In addition to faculty supervision on the inpatient services, residents will begin their first clinical skills verification exam in preparation for future certification with the American Board of Psychiatry and Neurology.
During the PGY-2 year, these skills are refined through a return to the inpatient units (2 months) ans via specialty rotations in child/adolescent, geriatrics, addiction, community outreach, and consultation/liaison psychiatry.The PGY-2 year provides further specialty training. Each PGY-2 resident is encouraged to participate in the various research projects currently going on in the department.
The PGY-3 year is comprised of full-time outpatient psychiatry split between the Tulane Hospital Outpatient Psychiatric Clinic and the Veteran’s Hospital of New Orleans. Residents in their third year of training spend 12 months in these clinics under supervision of full-time faculty. These sites offer a broad practical experiences in the evaluation and treatment of a variety of disorders. Depending on the individual patient needs, some treatments are intensive and psychodynamically-based care, while others are brief or applied in conjunction with psychopharmacologic agents.
There is the unique opportunity to spend a part of the outpatient experience in a true community based environment via our state wide tele-psychiatry service, VA Homeless team, and Tulane University student health center.
Course and seminar topics include psychodynamic theory and practice in conjunction with the New Orleans Psychodynamic Center. Additional didactic topics focus on ambulatory and community based public psychiatry.
The PGY-4 year is a continuation of the outpatient experience at the Tulane Hospital outpatient clinic. There is a 2-month half time experience managing an inpatient detox unit. Electives scheduled during this year to allow senior residents to focus on a particular area of interest such as research, chemical dependency, or geriatric psychiatry, or to address further areas in preparation for fellowship or life after residency.
Tulane’s Department of Psychiatry faculty is involved in diverse research projects and residents are encouraged to participate throughout their training.
PGY - 1:
PGY - 2:
PGY - 3:
12 Months Outpatient Psychiatry (Tulane Hospital outpatient, VA community psychiatry, Telepsychaitry, VA Homeless ACT)
PGY - 4:
Our didactics are held on Tuesday afternoon and Friday afternoon. The topics are selected by the chief residents in response to resident suggestions. Many of the courses alternate a didactic followed by a case-based approach. They are a combination of faculty led and resident led lectures. The first two years focus on diagnosis, psychopharmacology, and subspecialty treatments. The second two years have a focus on various therapies. All didactics are protected time.
This Tuesday afternoon class is a resident led team based learning course, designed to focus on board preparation. This course is for all residents. A text, such as Kaplan and Sadock's "Comprehensive Textbook of Psychiatry" is selected, and weekly topics are based on a chapter from the text. This assists the residents with reading four full textbooks before graduation. Each resident signs up for the topic of his or her choice. The presentation is usually a PowerPoint format, or a jeopardy style game where the residents divide and compete for a prize. The session includes PRITE-style questions in order to help the resident prepare for the yearly in-service exam.
Psychopharmacology is a combined PGY1 and 2 level course that spans the duration of a year. This session is from 3:15-4:15pm on Friday.
Forensic faculty lead a set of two sessions, with the first session as a lecture, and the second case presentations so that the resident can apply their knowledge to real-life situations.
The Intern series consists of orientation Courses to get the intern immediately ready to deal with Emergencies, Legal Issues, and a session on high yield medications used on the wards. This is followed by a series of chief-led didactics that uses a case-based format to familiarize the intern with the DSM. This course repeats every six months to account for off service rotations. It is held on Friday from 2-3pm.
On Friday afternoon from 2-3pm second year residents participate in a subspecialty series that includes consult-liaison, child psychiatry, culture, substance abuse, and forensics. At the end of the year, this course includes an introduction to psychotherapy to prepare the rising PGY-3 residents for clinic. A faculty specializing in their particular area of expertise leads each segment.
The advanced patient care series meets weekly from 3:15-4:15pm. It covers documentation, various therapies such as interpersonal therapy and acupuncture, special populations such as treating active duty personnel, and career planning. Presenters include both faculty and guest speakers.
This is a class that meets on select Tuesday afternoons from 2:45-3:30 pm for the intern class. It is lead by the program director, Dr. Kinzie, and includes an introduction to psychological and cultural formulation. In addition, there is a segment devoted to interviewing children.
Psychoanalysis is a year-long course for PGY-3 residents held at the New Orleans-Birmingham Psychoanalytical Center in uptown New Orleans.
The courses are an alternation of discussion of a book chapter, and a presentation of cases by the residents. Faculty includes Alvin Burnstein, Ph.D. and Dale Firestone L.C.S.W.
PGY 3 and 4 level residents have combined didactics, the first of which is a course led by our neuropsychologist on cognitive behavioral therapy where residents discuss cases they have seen in clinic. The second portion of this course is an interdisciplinary case conference, where cases are formally presented for analysis by both psychiatry and psychology faculty and residents.
PGY-4 residents participate in a board review course on Tuesday afternoon from 2:30-3:30 pm. It is resident led and usually comprises PRITE-like question and answer, with discussion on why answers are correct and incorrect. It also includes a comprehensive review of neurology in preparation for this portion of the board exam.
Tulane’s division of child and adolescent psychiatry offers a two-year fellowship. A 5-year Triple Board residency training program is also available, preparing residents for board-eligibility in Pediatrics, Adult Psychiatry and Child Psychiatry. For more information, see the Triple Board Training site.
Tulane’s Departments of Medicine and Psychiatry administer this five-year program, which leads to board-eligibility in both specialties. The curriculum blends rotations on inpatient and outpatient psychiatry units with rotations on medicine wards, medicine subspecialty clinics, the emergency room and intensive care unit. Applicants must be approved by both departments. For more information, see the Medicine/Psychiatry website.
The University allows residents at least five days of educational leave per year for attending appropriate scientific meetings.
Medical insurance is provided free for all residents. Coverage for spouse and dependents is available for an additional cost to the resident via payroll deduction. Dental insurance is available for a small premium. Life and disability insurance are provided at no charge to residents.
PARENTAL LEAVE/DAY CARE
A parental leave policy allows a new parent time off to be with his or her infant. This time represents vacation and sick leave. Affordable daycare is available for infants through pre-kindergarten at "Kidopolis," located at Tulane University Medical Center’s downtown site.
Free parking is provided.
Salary levels for Tulane residents are commensurate with those offered by other major medical centers in the southern U.S.
First year residents receive 15 days of paid vacation. Residents beyond the PGY-1 level are given 20 days. Vacation is taken with departmental approval.
We accept applications for PGY-1 positions through ERAS only. International medical graduates must be ECFMG certified. The university sponsors J1 visas.
Inquiries about our training programs may be directed to:
Erik Kinzie, M.D.
Director of Psychiatry Residency Training
Department of Psychiatry and Behavioral Sciences TB53
1440 Canal Street
New Orleans, LA 70112-2715
Ms.LaTonya Guice, Recruitment Coordinator
Tulane University, New Orleans, LA 70118 504-865-5000 email@example.com