Categorical Psychiatry Rotations
- Inpatient Psychiatry – 3 months
- Neurology – 1 months
- Addiction Psychiatry – 1 month
- Consultation-Liaison – 3 months
- Internal Medicine – 2 months (option to substitute one month of Pediatrics at Cincinnati Children's Hospital)
- Family Medicine – 1 month
- Emergency Medicine – 1 month
Residents work alongside attending physicians and a multidisciplinary team to provide care to patients with a broad range of psychiatric disorders including mood disorders, schizophrenia, organic mental disorders, addictions, personality disorders, and anxiety disorders.
This month is spent on the addiction psychiatry rotation at the VA Medical Center. Residents split their time between the inpatient detoxification unit and outpatient clinics providing outpatient detoxification and diagnostic assessments of dual diagnosis patients.
Psychiatric Emergency Services
Residents train in the Psychiatry Emergency Service performing emergency psychiatric evaluations on patients in the dedicated Psychiatric ER.
Internal Medicine, Family Medicine, Emergency Services
Residents spend 2 months on Internal Medicine at the University of Cincinnati Medical Center and 1 month on Family Medicine at a nearby community teaching hospital. Residents have the option of substituting one of their Internal Medicine months for a month of Pediatrics at Cincinnati Children’s Hospital Medical Center. Residents spend 1 month on Emergency Medicine in the University of Cincinnati Medical Center emergency room, a level 1 Trauma Center.
Residents spend 1 month on inpatient neurology at the VAMC and 1 month of consultation-liaison neurology at the University of Cincinnati Medical Center.
- Inpatient Psychiatry - 4 months
- Emergency Psychiatry - 2.5 months
- Consultation-Liaison Psychiatry - 2.5 months
- Child & Adolescent Psychiatry - 2 months
- Geriatric Psychiatry - 1 month
- Outpatient Psychiatry - long-term insight-oriented psychotherapy - 9 months (1-2 hours per week gradually integrated into the training year beginning in the fall)
Residents work in collaboration with 1-2 other residents and a social worker, under the supervision of an attending physician, to evaluate patients from medical and surgical services. The service is consulted to assess dangerousness, capacity to provide informed consent, delirium, somatization disorders, psychopharmacologic management, and evaluation for inpatient psychiatric treatment among a variety of other questions. Team rounds are held daily to review cases, discuss unique teaching points about the consultative role and building liaison relationships with other specialties, and to review evidence-based literature pertinent to the patients evaluated.
Child and Adolescent Psychiatry
Residents most commonly rotate at the Cincinnati Children's Hospital College Hill Campus, approximately 15 minutes from campus, that affords a full range of psychiatric services for children and adolescents on its spacious grounds. Residents work alongside child and adolescent psychiatry residents and faculty as well as being part of a multidisciplinary team. Residents learn to evaluate children at different developmental stages who present with a broad range of psychiatric and developmental disorders.
The Cincinnati VAMC has a geriatric psychiatry unit that is lead by a geriatric trained psychiatrist. Residents learn the unique components of evaluating older patients presenting with psychiatric disorders, comorbid medical conditions and dementias of various etiologies. Residents also work with a separate geriatric psychiatrist to perform a limited number of inpatient consultations to the medical and surgical services. One-half day per week is spent in an outpatient geropsychiatry clinic working alongside a geriatric psychiatrist learnining outpatient evaluation and treatment approaches to the elderly patient and family.
During this year of training, residents begin to see their first psychotherapy outpatients within the Resident Psychotherapy Clinic which is a low fee, self-pay, private practice model, that was specifically developed for resident training. Residents will have 1-2 patients by the spring of this academic year. An individual supervisor is assigned to each resident for discussion of these cases.
- Central Clinic: Psychopharmacology with a community mental health center clinical population
- VAMC Resident Clinic: Psychopharmacology and psychotherapy
- UC Student Services: Psychopharmacology in collaboration with multidisciplinary therapists
- Resident Psychotherapy Clinic: Cognitive-Behavioral, Psychodynamic, and Supportive
The PGY-3 year focuses on outpatient psychotherapy and psychopharmacology. Residents have the opportunity to treat a diverse patient population. They learn to provide the full continuum of care for some patients while other patients provide them with the experience of collaborating with various disciplines including psychologists, social workers, and case managers as the residents limit their role to psychopharmacologic management. Residents train at 3 sites, all in close proximity, on the University of Cincinnati Campus.
Central Clinic (Logan Hall)
This is a community mental health center located on our medical campus. Here, the PGY-3 and 4 residents have their individual offices. The treatment focus at this site is on psychopharmacology within an interdisciplinary treatment team model that serves the chronically mentally ill. Residents receive individual psychopharmacology supervision weekly with a faculty member.
The Resident Psychotherapy Clinic is located within Logan Hall. Its treatment focus is on psychotherapy training within a self-pay, private practice model that serves a higher functioning population. The 3 major psychotherapeutic modalities that residents are trained in include psychodynamic, cognitive behavioral, and supportive therapies. Residents receive CBT supervision with one of several faculty that have extensive experience and training in CBT. Psychodynamic and supportive therapy supervision is provided individually by supervisors from our neighboring Psychoanalytic Institute, the community, and our own full-time faculty.
Central Clinic is also the site of the PGY-3 year-long, weekly, experiential group process lead by a highly regarded family and group therapist from the community.
VAMC Resident Clinic
The residents provide both psychopharmacolgy and psychotherapy to patients, many of whom, have recently returned from military service. Residents have a separate on-site individual supervisor for these cases. Residents are observed doing diagnostic evaluations to help them in developing the biopsychosocial formulation and treatment plan from the clinical data and physician-patient interaction that just occurred.
UC Student Services (Lindner and Dyer Halls)
Residents train at one of the 2 college student centers providing pharmacologic management for the campus students. Again, they work collaboratively with other disciplines who provide the psychotherapy for most of the cases. Weekly individual supervision is provided for each resident.
- Forensics - required
The required forensics rotation consists of one-half day per week for a 2-3 month rotation at the downtown Court Clinic providing individual forensic evaluations of criminal defendants with legal examiners. Residents receive on-site individual supervision by the attending psychiatrist at the clinic.
PGY-4 residents spend all 12 months in elective rotations in psychiatry. There are many different elective opportunities available to residents and large flexibility in scheduling. Residents work with PGY-4 coordinator, Dr. Brian Evans, to design a schedule guided by the resident's interests. Various elective opportunities are listed below, and other elective opportunities can often be designed by the resident and 4th year coordinator.
- Infectious Disease (HIV) Clinic
- Chief Resident- Inpatient
- Chief Resident- Outpatient
- Forensic Psychiatry
- Individual Psychotherapy
- Psychiatric Consultation and Liaison
- Psychiatry Emergency Services
- Child and Adolescent Psychiatry (Inpatient, Residential, School Consultation, or Partial Hospital)
- Childhood Trauma Service
- Inpatient Junior Attending Rotation
- Public Sector Psychiatry
- State Hospital Psychiatry (Summit Behavioral Health Center)
- VAMC Psychiatry
- Palliative Care Consultation Service
- Group Therapy
- UC Student Health Service
- Sleep Disorders