Community Medicine and Psychiatry

Community Medicine and Psychiatry rotations are a full block each, and are blocks during which vacation is taken. The community medicine rotation in the first six months is focused on residents learning community resources that they can access for their patients during the subsequent three years of residency. These include:

  • Home health agencies
  • Hospice
  • Epidemiology, specifically for sexually transmitted diseases
  • Health education and nutrition
  • Developmental pediatrics
  • Pharmacotherapeutics resources

The psychiatry block allows time in both the inpatient and several outpatient clinics. Both rotations involve video taping personal clinics and specific readings in psychiatry.

Community Medicine and Psychiatry rotations are usually three weeks of activities and one week of vacation although there are exceptions to this model. The Community Medicine rotation typically occurs during the first six months of the intern year, Psychiatry occurs during the final six months of the intern year.

These rotations share 3 important goals. During each of these rotations, interns are videotaped with consenting patients during their clinics. At least two video-review sessions are scheduled during each rotation when intern and the behavioral science faculty review the taped material in an effort to help the intern identify strengths, weaknesses, and growing points for conducting an efficient and interpersonally sensitive clinic visit.

Particularly during the Community Medicine rotation, residents will participate in exercises and spend time with a number of agencies in order to familiarize him/herself with community resources that can assist with important aspects of patient care. Such resources include domestic violence counseling and shelters, hospice organizations, public health, adult and child protective services, and the like. Readings are also provided pertinent to such services

Finally, during both Community Medicine and Psychiatry rotations, interns will interact with psychiatrists providing child/adolescent and adult psychiatric services. Interns will spend time on an acute, short-term inpatient unit that offers the opportunity to observe patients struggling with acute phase symptoms. In addition, interns will accompany psychiatrists in their outpatient offices to observe evaluation and treatment of outpatients. Readings and tutorials are also provided pertinent to the provision of mental health services in primary care settings.

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