Rotations are scheduled to meet ACGME requirements and support the professional development of the psychiatric resident.
The first year of residency consists of six months of inpatient psychiatry at the two major training sites, Sentara Norfolk General Hospital (SNGH) and the Hampton Veterans Affairs Medical Center (VAMC). Four months of internal medicine and two months of neurology occur at the same training sites.
Emphasis is placed on assessment, development of comprehensive differential diagnoses, biopsychosocial formulation, and development of a treatment plan. Participation in treatment teams allows the resident to develop collegial and leadership skills.
- Inpatient Psychiatry: 6 months
- Internal Medicine: 4 months
- Neurology: 2 months
The second year consists of three, three-month rotations in inpatient, consult, and emergency psychiatry at SNGH. Child psychiatry at Children’s Hospital of the King’s Daughters (CHKD) is a two-month rotation. An additional one-month rotation in addiction medicine at the VAMC or geriatric psychiatry at SNGH completes the year.
Emphasis is placed on an immersive experience in assessment of psychiatric patients outside of the inpatient unit. The child psychiatry rotation provides experiences in inpatient, consult, and outpatient psychiatry. Residents learn the importance of family integration through exposure to Parent Child Interaction Training.
- Inpatient Psychiatry: 3 months
- Consult and Liaison: 3 months
- Emergency Psychiatry: 3 months
- Child Psychiatry: 2 months
- Addiction Medicine: 1 month
Third year is a twelve-month rotation in outpatient services at local community health centers and several VAMC outpatient clinics as well as the main outpatient practice at the hospital.
Emphasis is placed on longitudinal care of outpatients provides the psychiatry resident the opportunity to learn how patients manage psychiatric illness in their world.
- Outpatient Services: 12 months
The fourth year rotations include a senior resident/junior attending rotation at the inpatient units at SNGH and VAMC where the resident essentially is responsible for the care of the patients on an inpatient service.
This experience serves as an element of the residents developing progressive responsibility for academic and patient care activities while teaching more junior residents and receiving supervision on team management.
Diverse elective options are present as well, including rotations in
- Sleep Medicine,
- Transcranial Magnetic Stimulation (TMS)
- Pain Management Clinic
- Program of Assertive Community Treatment (PACT) Team,
- electroconvulsive therapy,
- Posttraumatic Stress Disorder Clinical Team
- Mental Health Intensive Case Management Program
- Another option is to add an advanced rotation in child or consult psychiatry, or neurology.