Training Program Curriculum

Internal Medicine/Psychiatry

 

Education and Curriculum

Over the course of the combined 5 year of residency, you can expect to rotate through a broad range of inpatient and outpatient settings, including numerous integrated Internal Medicine and Psychiatry experiences.

Internship: During the 18 month internship, residents will alternate every three months between internal medicine and psychiatry rotations. Interns also start a weekly internal medicine continuity clinic, where they will care for a panel of patients in a longitudinal setting for the duration of their 5 years in residency.

Year 2:  Residents continue to alternate every three month and can begin to customize their rotations towards their clinical interests. In addition to their weekly internal medicine clinic, residents begin alternating this clinic with an integrated Internal Medicine and Psychiatry clinic caring for homeless veterans at the VA with Dr. Elizabeth Call.

Year 3: Similar to year 2, Medicine and Psychiatry are alternated every 3 months. The internal medicine weekly continuity clinic is alternated with an elective integrated Med/Psych clinic, options include an integrated Sickle Cell Clinic, supervised by Dr. Temeia Martin, or an HIV Psychiatry Clinic co-located in the infectious disease clinic, supervised by Dr. Edward Kantor.

Year 4:  Residents will spend the first six months of their fourth year doing internal medicine rotations. Residents will continue to have an outpatient medicine clinic in addition to beginning a psychiatry clinic (rotating with the internal medicine clinic) of their choosing. The second half of the year residents will begin 12 continuous months of outpatient psychiatry which will continue into the fifth year of training. The outpatient psychiatry year includes six months of child psychiatry and six months of psychiatry at the local community health center. In addition, residents return as senior residents in the integrated Med/Psych clinic at the VA, and also work with Med/Psych Program Director Dr. Barth in the Integrated Behavioral Medicine / Chronic Pain clinic. Longitudinal Internal medicine clinic is continued during this year. In addition to several half-days of general psychiatry clinic, residents are offered a wide variety of options for elective psychiatry clinics including women’s reproductive psychiatry, sleep and anxiety clinic, University Counseling and Psychiatry Services (CAPS), VA Substance Treatment and Recovery (STAR), HIV Psychiatry, Integrated Sickle Cell Clinic, Pain Rehabilitation, College of Charleston outpatient psychiatry, and Brain Stimulation outpatient consults. Residents receive weekly supervision in psychodynamic therapy, cognitive behavioral therapy, psychopharmacology, and psychiatry.

Year 5:  After concluding the year of psychotherapy (finishing in December of the 5th year), residents will finish their training with six months of internal medicine electives, targeted towards career goals following residency.

Didactics

Internal medicine didactics include morning report three days a week, weekly grand rounds, and weekly academic half days (protected time).  Psychiatry didactics during the first three years include weekly seminars. During the year of outpatient psychiatry residents have two full half days of seminars. Topics include psychopharmacology, psychiatric diagnosis and management, and psychotherapy (including cognitive-behavioral approaches, psychodynamic psychotherapy, and introduction to psychoanalytic psychotherapy). All Med/Psych residents attend a weekly resident run Med/Psych noon conference on Wednesday’s at noon. These noon conferences include case reports led by residents, monthly journal club, board review, and also serve as a weekly meeting to discuss Med/Psych business and address any resident’s questions about their progress or current rotations.   

Electives

In addition to general internal medicine and psychiatry rotations, med/psych residents have opportunities to explore their interests through a variety of electives in both psychiatry and internal medicine. Psychiatry elective include: brain stimulation (transcranial magnetic stimulation, electroconvulsive therapy, vagal nerve stimulation, transcranial direct current stimulation), forensics, women’s reproductive psychiatry, sleep and anxiety clinic, University counseling and Psychiatry Services (CAPS), VA substance use clinic, HIV psychiatry, Integrated Sickle Cell clinic, Pain Rehabilitation, and College of Charleston outpatient psychiatry, among several others. Internal medicine electives include all internal medicine subspecialties (both inpatient and outpatient), palliative care, dermatology, orthopedics, research and numerous others. Residents also have the option to participate in a monthly integrated clinic at the CARES free clinic, during which they work with other Med/Psych residents, faculty and students interested in integrated practice.

Research

As part of the internal medicine and psychiatry curriculums, all residents are expected to participate in scholarly activity, including a quality improvement project. Residents are also able to apply for the DART (Drug Abuse Research Training) research track - if accepted they are given protected time both in the form of elective months as well as protected half-days during the outpatient year to complete a research project of their choice with a research mentor. Recent Med/Psych graduates of the DART program have included Dr. Jennifer Jones, Dr. Benjamin Kalivas, and Dr. Sarah Oros.

Mentorship

Residents are paired with a longitudinal attending mentor based on their clinical interests to provide guidance over the course of their residency. They are also paired with a resident mentor who can help with the transition into residency, provide feedback on rotations, and otherwise give advice with general issues during their time in residency.

Professional Society

Residents are strongly encouraged to join the Association of Medicine and Psychiatry. Attendance at the annual conference in the fall is also strongly encouraged.

Sample Schedule

Sample schedule for the Internal Medicine and Psychiatry Residency Training Program