Rotations PGY 2
|Dr. Solomon Carter Fuller ||
Second Postgraduate Year
Outpatient Clinic-Boston Medical Center
Second year residents begin their 3 year training in the treatment of outpatient patients at Boston Medical Center Outpatient Clinic. This training experience is a 1/2 day clinic where residents provide long-term care for patients using both psychotherapy and psychopharmacological treatments. Patients may transferred from senior residents as well as referred through the clinic referral system or may come resident cases on other services such as Emergency Psychiatry or Consultation-Liaison. Residents receive a weekly clinic group supervision (2-3 residents) for psychopharmacology and case management and a weekly educational psychotherapy supervisor. A twice monthly team multidisciplinary team meeting provides additional oversight and ensures a diverse an active caseload for residents to begin the learning of two important and integrated components of psychiatric treatment and professional identity. The major strength of starting outpatient psychiatric clinic the second year of residency is that it allows excellent continuity of patient care with a highly diverse patient population.
Consultation-Liaison Psychiatry Boston Medical Center | VA Boston Healthcare System
Two new rotations, each 4 weeks in duration, are designed to prepare residents for new systems of care proposed in national healthcare and currently in design in Massachusetts, a leader in healthcare innovation. One rotation is located at West Roxbury VA campus and one at Bedford VA. Both rotations build upon an existing clinic with an established embedded psychiatrist as part of the primary care team to deliver immediate psychiatric intervention and follow-up to meet the full spectrum of clinical care. Residents are now a member of the team working closely with the integrated psychiatrist to conduct consultations, psychiatric assessment, and treatment with planned follow-up as indicated. Given the clinical system of care at Bedford VA, telepsychiatry is an advanced tool used for clinical care. Residents become certified in telepyschiatry and treat patients with this new technology. Residents participate in educational conferences, journal club and interviewing seminars.
Adolescent Psychiatry Bournewood Hospital
Residents have a 6 week rotation to expand their knowledge and skills additional learning of inpatient psychiatry. Residents have greater leadership in multidisciplinary team approaches and work with first year residents taking on the role of supervising the weekly conference series for the service. Residents are responsible for clinical assessment and treatment veterans with serious mental illness, PTSD, TBI, personality disorders, and dual diagnosis disorders. Supervision is provided daily and an educational core is devoted to geriatric psychiatry and inpatient psychopharmacology. An educational curriculum includes a lecture series in geriatric psychiatry and inpatient psychopharmacology, journal club, psychiatric interviewing, and case based teaching in addition to daily bedside supervision.
Residents have a 4 week rotation working in a variety of settings to learn geriatric psychiatry. Residents evaluate and treatment geriatric veterans as part of a multidisciplinary team on medical units and in the extensive nursing home system located on the medical center campus. Residents have a once a week training experience on the Geriatric Research and Education Clinical Center (GRECC) to learn about the treatment approaches for moderate to severe dementia. Other disorders common in this patient population include delirium, major depression, anxiety disorders, PTSD, bipolar disorder and psychotic disorders. Supervision is provided daily and an educational core is devoted to geriatric psychiatry and inpatient psychopharmacology. Second-year residents work with first year residents supervising the weekly conference series for the service. This rotation develops knowledge and skills to the geriatric patient and provides exposure to network models of care and systems issues that are increasingly regarded as critical to medical training and clinical competence in geriatric care. An educational curriculum includes a lecture series in geriatric psychiatry and inpatient psychopharmacology, journal club, psychiatric interviewing, and case based teaching in addition to daily bedside supervision.
Forensic and Community Psychiatry--Dr. Solomon Carter Fuller Mental Health Center Dr. Solomon Carter Fuller
Dr. Solomon Carter Fuller Mental Health Center located on the Boston University Medical Center campus and has 3 units with a focus on treatment of the severely mentally ill and on providing forensic services for the Commonwealth of Massachusetts. It is one of the core rotations for the second year residents providing both educational and clinical experiences in forensic psychiatry and care of the seriously mentally ill. This 6 week rotation offers frequent opportunities to observe court proceedings and formal competency evaluations, and to participate in commitment and guardianship filings. Because of the long stays of many patients, the site also offers an unusual chance to observe the long-term response of schizophrenic and other illnesses to gradual introduction and consistent maintenance of medication, as well as to the secure social structure and material safety that has often been lacking for many patients before their arrival. Treatment is based on a team approach, with practitioners in several disciplines participating actively in ward activities and regular rounds. Exposure to these broadly collaborative teams, to many of the complex areas in which psychiatry overlaps with the law, and to the challenges and possibilities of long-term psychiatric treatment and community management make the second-year rotation at the Dr. Solomon Carter Fuller Mental Health Center a valuable introduction to the field of forensic psychiatry.
BEST Emergency Psychiatry Boston Medical Center
Night Float Boston Medical Center | VA Boston Healthcare System