Training Program | Texas Tech University Health Sciences Center

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INPATIENT PSYCHIATRIC UNIT:
This rotation lasts for five months, interspersed throughout the academic year. The workday lasts from 7:00 AM to 4:30 PM.
 
CONSULT-LIAISON PSYCHIATRY SERVICE:
This one-month rotation occurs during the second half of the academic year. The PGY1 residents see patients on the hospital medical floor, where the various hospital services have psychiatric questions. In addition, the PGY-1 resident will be working hand-in-hand with a PGY-2 resident.
 
INTERNAL MEDICINE ROTATION:
This two-month rotation is interspersed throughout the academic year. Patients are part of the internal medicine medical team seeing various patients for various medical conditions throughout the hospital. Call days occur every fourth day, with said call days typically lasting between approximately 6:30 AM until 7:00 PM.
 
FAMILY MEDICINE ROTATION:
This one-month rotation occurs during the first half of the academic year, where residents see patients on the hospital floor covered by the family medical service. Residents will also assist with admission for patients from the emergency room to the hospital medical floor. Days typically last from 6:45 AM until 6:00 PM.
 
NEUROLOGY ROTATION:
This two-month rotation occurs interspersed throughout the academic year, where psychiatry residents evaluate patients with various neurological disorders on the neurology consult hospital floor team. Days typically last from 7:30 AM until 5:00 PM. The neurology consult service does not usually require residents from the psychiatry service to see or evaluate patients on the weekends.
 
PEDIATRICS ROTATION:
This one-month rotation occurs during the second half of the academic year, where psychiatry residents see patients on the pediatric hospital floor. Days typically last from 6:30 AM until 6:30 PM.
 
CALL SCHEDULE: 
PGY-1 residents, when they are on the Consult-Liaison Service or Inpatient Psychiatric Unit, will have "weekend rounds," days where they see inpatient psychiatric unit patients. These days occur throughout the academic year.

First-Year residents will also participate in two to three 24-hour shift Saturday calls and two to three Sunday calls. In addition, they will see inpatient psychiatric patients and participate in psychiatric emergency room consultations and medical floor psychiatric consultations.

EMERGENCY PSYCHIATRY:
This two-month rotation is interspersed throughout the academic year, with residents being on home call from approximately 4:30 PM until 7:00 AM, daily from Sunday until Thursday night. In addition, the PGY-2 resident participates in Emergency Room consultations for psychiatric emergencies and providing treatment recommendations and disposition recommendations to either the medical floor, the psychiatric inpatient unit, or if necessary, discharge with close follow-up.
 
INPATIENT PSYCHIATRY UNIT:
This one-month rotation occurs during the first six months of the academic year. The PGY-2 resident assists the PGY-1 residents in seeing and evaluating patients in the emergency room and helping orient the PGY-1 residents to policies and patient procedures on the psychiatric inpatient unit.
 
CONSULT-LIAISON PSYCHIATRY SERVICE:
This three-month rotation is interspersed throughout the academic year. The PGY-2 residents see and evaluate patients on the medical hospital's floor for various psychiatric disorders. The PGY-2 resident also assists the PGY-1 resident during their consult-liaison service.
 
TELEMEDICINE SERVICE:
This two-month rotation occurs interspersed throughout the academic year where PGY-2 residents see and evaluate child, adolescent, and adult patients, on an outpatient basis.
 
CHILD-ADOLESCENT PSYCHIATRY SERVICE:
This is a three-month rotation that occurs interspersed throughout the academic year, where second your residency and evaluate child and adolescent patients either via telemedicine or in clinic on an outpatient basis.
 
ADDICTION ROTATION:
This one-month rotation occurs during the second half of the academic year. Resident with go to inpatient detoxification and rehabilitation facility where they will observe and assist in patient care. The resident will typically not be expected to work on weekends.
 
THERAPY:
This is a longitudinal rotation where PGY-2 residents will see a therapy patient weekly for approximately one hour except during the night service months. The PGY-2 residents will also attend a group supervision session with the supervising psychologist, who will help facilitate the training in psychotherapy.
 
CALL SCHEDULE:
PGY-2 residents will have approximately seven to eight, 24-hour shift Saturday calls where they assist the PGY-1 resident in the inpatient psychiatric unit. In addition, they provide emergency room and medical floor consultations.

PGY-2 residents will also have approximately four to five Sunday shifts from approximately 7:00 AM until 4:30 PM.  

Third-year psychiatry residents will provide longitudinal psychiatry care on an outpatient basis. This rotation generally occurs at the Ìð¹ÏÊÓƵ psychiatry clinic campus. 
Third-year psychiatry residents will also see 1-3 therapy patients on various days throughout the year.

For one-half day per week, third-year residents will see geriatric patients longitudinally during the year. This longitudinal geriatric experience will soon be switched to a one-month rotation in the second year of the residency. 

Third-year psychiatry residents will also have approximately four months of perinatal psychiatry and forensic psychiatry during the year. They will see perinatal patients and engage in the justice system for education and evaluation of patients.
 
CALL SCHEDULE:
PGY-3 psychiatry residents will have approximately eight or nine 24-hours Friday call shifts that start at 4:30 PM. The PGY-3 residents will see and evaluate emergency psychiatry consults as well as aid in disposition of any medical psychiatry consults that occur overnight.

PGY-4 psychiatry residents will spend a minimum of two months to a maximum of three months in the inpatient psychiatry unit acting as a junior attending.

PGY-4 psychiatry residents will spend the remainder of their year in rotation electives and continue to see patients at the outpatient clinic throughout the week.
 
CALL SCHEDULE:
Fourth-year psychiatry residents do not participate in calls.