Neuro-Psychiatry Residency

The Department of Psychiatry & Behavioral Sciences and the Department of Neurology and Neurosurgery at the Medical University of South Carolina offer an integrated training program that prepares residents for specialty board eligibility in both Psychiatry and Neurology in just six years.

The growth of neuroscience research in the last decade has provided an opportunity to bring together areas of medicine that have drifted apart. This program is based on the belief that psychiatry and neurology are intimately related medical specialties that should be mutually enriching. Physicians with expertise in both psychiatry and neurology will be in a unique position to offer leadership in academic, research and clinical roles in the future.

This is a six-year program consisting of an internship year, followed by four alternating years of neurology and psychiatry, and finally an integrated PGY-6 year of both psychiatry and neurology. There is ongoing participation in clinics and case conferences of both specialties throughout the program. Additionally, there is a monthly journal club/didactic session. The program is increasingly linking the program curriculum with that developed by the American Neuropsychiatric Association.

American Board of Psychiatry & Neurology: Update on Combined Training Programs (Feb 2012)

Curriculum

Combined Residency Neurology/Psychiatry

Length of Training: 6 years

PGY-1:

  • 8 mo Internal Medicine: MICU, Cardiology, 3 mo of General Medicine Wards, 1 mo Outpatient Medicine,  1 mo ER, 1/2 mo Rheumatology , 1/2 mo Infectious Disease
  • 1 mo Neurosurgical ICU (Neurology call)
  • 1 mo Stroke Inpatient (Neurology call)
  • 1 mo Inpatient Psychiatry (VA) (Neurology call only)
  • 1 mo Child and Adolescent Psychiatry (No call)

PGY-2: (1/2 day per week Neurology Continuity Clinic):

  • 3 mo VA Inpatient Neurology
  • 1 mo MUSC Inpatient Neurology
  • 2 mo MUSC Inpatient Stroke Inpatient
  • 2 mo MUSC Pediatric Neurology (Consults and Clinic)
  • 1 mo Neuro-Radiology
  • 1 mo EEG Service
  • 2 mo Neurology Consults

PGY-3 (1/2 day per week Neurology (1 year) & Psychiatry (6 mo) Clinic:

Psychiatry Inpatient (7 of 9 of required months)

  • 1 mo Inpatient Geriatric Psychiatry
  • 1 mo Inpatient Dual Diagnosis Psychiatry
  • 2 mo Inpatient Adult Psychiatry 
  • 2 mo Inpatient High Acuity Adult Psychiatry 
  • 1 mo Inpatient VA Psychiatry 

Psychiatry Outpatient/Emergency Psychiatry/Consults (5 mo)

  • 2 months of Emergency Psychiatry – Night shifts
  • 1 mo Brain Stimulation (ECT, VNS, TMS) – outpt/consults
  • 2 mo Psychiatry Consults (CL)

PGY-4 (1/2 day per week Neuro (6 mo) & Psych (6 mo) Continuity Clinic):

  • 2 mo Inpatient VA Neurology
  • 1 mo Pediatrics Neurology (Consults and Clinic)
  • 2 mo Inpatient MUH Neurology
  • 1 mo Neurosurgical ICU
  • 6 months of Neuro Clinic Outpatient
    • Movement Disorders, Epilepsy, Neuro-Optho/Headache, Neuromuscular, Neuro-Onc, MS

PGY-5 (1/2 day per week Psych Continuity Clinic):

  • Outpatient Psychiatry Clinic (Biopsychosocial Approach – Medications, Therapy)
    • Needs to include: ½ day per week Child Clinic (1 month FTE)
    • Needs to include exposure to various therapies, chronic mentally ill

PGY-6

  • Electives for 12 months
  • Minimum of 4 Psychiatry Electives with Above Proposed Curriculum to equal 30 months
  • Minimum of 4 Neurology Electives with Above Proposed Curriculum to equal 30 months
  • Research encouraged but not required

Length of Training: 6 years

DART Research Track:

PGY-1:

  • 8 mo medicine to include: MICU, cardiology, 3 months of general medicine wards, 1 outpatient medicine month, 1/2 month rheumatology , 1/2 month infectious disease
  • 1 mo NSICU (required for neuro intern year, you have to do this to be able to be on call)
  • 1 mo Stroke Inpatient (required for neuro intern year to be on call)
  • 1 mo VA Psych – Inpt (Counts toward inpt 9 months)
  • 1 mo Adolescent Psych – Inpt (Counts toward inpt 9 months) *

PGY-2: (1/2 day per week Neuro Continuity Clinic):

  • 3 mo VA Neurology Inpatient
  • 2 mo MUSC Stroke Inpatient
  • 2 mo MUSC Pediatric Neurology (Consults and Clinic)
  • 1 mo Neuro-Radiology
  • 1 mo EEG (essential be able to function on call as an upper level)
  • 2 mo Neuro Consults (essential be able to function on call as an upper level)
  • 1 MUSC  Neurology Inpatient

PGY-3 (6 months ½ day per week Neuro Continuity Clinic):

  • 1 mo Geriatric Psychiatry Inpatient
  • 1 mo Dual Diagnosis Psychiatry Inpatient
  • 2 mo Adult Psychiatry  3 north Inpatient
  • 1 mo Adult Psychiatry  1 north Inpatient
  • 1 mo Adolescent Psychiatry 2 north Inpatient 
  • 1 mo VA Psychiatry Inpatient
  • 1 mo Brain Stimulation (ECT, VNS, TMS) – outpt/consults  OR Basics of Research month
  • 2 mo Psychiatry Consults (CL)
  • 2 months of night float

PGY-4 (1/2 day per week Neuro Continuity Clinic):

  • 2 mo VA Neuro Inpatient (really need this as well to get enough exposure)
  • 1 mo Pediatrics Neurology (Consults and Clinic)
  • 2 mo MUH Inpatient Neurology
  • 1 mo NSICU (essential be able to function well on call as an upper level)
  • 6 months of Neuro Clinic Outpatient (required by the board and had to drop other inpatient months to fulfill this requirement)

PGY-5 (1/2 day per week Child Psych Clinic):

  • ½ Time Psychiatry Outpatient Clinic
  • ½ Time DART PSYCHIATRY AND NEUROLOGY RESEARCH
  • Needs to include: ½ day per week Child Clinic (1 month FTE)
  • Need to have exposure to various therapies, chronic mentally ill

PGY-6:

  • ½ Time Psychiatry Outpatient Clinic
  • ½ Time DART PSYCHIATRY AND NEUROLOGY RESEARCH

Program Directors 

Thanks so much for your interest in the MUSC Combined Residency Program in Psychiatry & Neurology, sometimes referred to as “Neuro-Psych” or Psych-Neuro” and often abbreviated as “NP”). 

We are excited to have one of only several training combined NP programs in the country and offering a unique and comprehensive experience that prepares residents to practice in both psychiatry and neurology in just six years. Even though residents have less total months in each specialty, we believe that in the combined training each specialty augments the other and graduates are prepared to enter either specialty with confidence and competence. The program allows residents to complete the requirements and become Board Certified in Neurology and Psychiatry (after graduation and taking both exams). More than 65 years ago, Psychiatry and Neurology became separate medical specialties, partly because of the thinking of the day where most believed in a mind/body dichotomy. Mental illness was not thought to have a biologic or organic etiology. In the last few decades, with so much overlapping research, discovery and innovation across the neurosciences, the disciplines of psychiatry and neurology are once again finding common ground. Still, each specialty is focused a bit differently with the combined NP program facilitating a more complete picture of what we now consider to be more of a mind, brain and body continuum.  

Our NP program takes advantage of the strong resources across the two great departments and service areas of the health system. In fact, over the last few years we have been able design a much more integrated schedule where residents participate in both specialties every year of training. Though the first year includes 8 months of Medicine, the remaining 4 months are split between Psychiatry and Neurology. In the upper years, residents have longitudinal and integrated schedules with a significant amount of elective time and the ability to participate in research if desired. The level of cooperation and collaboration over the last few years has been exceptional between the departments and feedback from residents on their experiences has been excellent. We continue to try to improve based on resident feedback and the ever-evolving nature of both fields.  

Between the two core programs, the NP program takes a maximum of six residents in total; typically that is one resident per year. The Psychiatry Residency Core Program accepts 14 categorical residents and 2 Combined Medicine-Psychiatry residents per year with 62 accredited positions. Training is extensive and convenient occurring across our free standing Institute of Psychiatry, the Medical University Hospital, the on campus Ralph H. Johnson Veterans Medical Center and several Regional Community Mental Health partners from the state Department of Mental Health. The program is housed in a resident education center building with classrooms, call rooms, work space, Chiefs, coordinators and program director all in the same building, and ends up as a “one stop shop” for most resident needs and is a gathering place for trainees across the years of training. Psychiatry also offers accredited fellowships in addictions, child and adolescent, forensics, and geriatric psychiatry. In addition we have a new Women’s Mental Health Fellowship, and an Interventional Psychiatry Track. The Neurology Residency Core Program is a four year categorical residency and accepts 7 residents per year. The Department of Neurology has faculty across all of the subspecialties of Neurology and includes a level 4 Epilepsy center, deep brain stimulation program, and an extensive tele-stroke and tele-neurology network. Neurology fellowships are offered in clinical neurophysiology, epilepsy, vascular neurology, neuro-intensive care, and movement disorders.

We hope you take the opportunity to get to know us better - chat with our residents, faculty and graduates. Please do not hesitate to contact us with questions at psychresidency@musc.edu with Neuro Psych in the subject line. 

Ed Kantor and Nick Milano
Program Directors  

How to Apply

Thank you for your interest in the combined Neurology/Psychiatry Residency Program at MUSC. We participate in NRMP and accept applications through ERAS only. Interviews are granted on a first come, first served basis.  Applicants with strong academic interests and a commitment to neuropsychiatry are encouraged to apply.

The following items must be received through ERAS (please go to the ERAS website for further instructions):

  • Common Application Form
  • Personal Statement
  • Curriculum Vitae
  • Recent Photograph
  • Dean's Letter
  • Four Other Letters from medical school faculty (at least one from psychiatry faculty)
  • Official Medical School Transcript Copy of USMLE or COMLEX board scores. Results of USMLE Step 2 (CK) should be received by February 1, 2012.

Applications from International Medical School Graduates including American citizens from medical schools outside the U.S. or Canada must also include a valid copy of the ECFMG certificate, and Verification that you have worked at least 2 years in an American Medical School or Hospital setting as a research assistant or observer. Applicants to our program must have graduated from medical school within the last three years, have minimum scores of 210 on both Steps 1 and 2 of the USMLE examinations, be fluent in both  written and spoken English, and submit 2 additional letters of recommendation from attending physicians where you obtained experience in an American hospital setting. With regard to VISA sponsorship, the program will determine its sponsorship of J1 VISAs on a case by case basis, however, we are currently not set up to support the H1B VISA process.

Thank you for your interest. We look forward to hearing from you. If you have any further questions, please contact:

Liz Puca, BA
Program Manager
MUSC Department of Psychiatry
67 President Street, MSC 861
Charleston, SC 29425
Phone: 843-792-0192
Email: pucalm@musc.edu