Psychiatry Residency Curriculum

Residents will have three-month blocks of inpatient psychiatry wards alternating with three months of inpatient medicine wards and inpatient or outpatient Neurology rotations. While on inpatient medicine, residents will attend the Internal Medicine didactics and work with internal medicine residents, transitional years residents and other Parkview GME residents. Residents will be given one month of research time and will complete Phase 1 of their research program.

Residents will have monthly rotations in consultation-liaison psychiatry (two to three months), psychiatric emergency services (two months), inpatient child and adolescent psychiatry (two months), advanced inpatient psychiatry (one month), inpatient addiction psychiatry (one month), the ACT team (one month). Residents will also have half-day of psychotherapy clinic with dedicated teaching and supervision time. Residents will be given one month of research time and will complete Phase 2 of their research program. See research curriculum below. Residents will have eight weeks of night float.

Residents will transition to 100 percent outpatient experience with general psychiatry continuity clinic, outpatient child and adolescent psychiatry clinic, outpatient addiction psychiatry and outpatient geriatric psychiatry clinic. Residents will be given a half-day of research for the entire year and will complete Phase 3 of their research program. See research curriculum below. Residents will have one week of night float.

Residents will have flexibility in choosing electives, including telehealth consults, sleep medicine, additional research time, intensive outpatient program, clozapine clinic, long-acting injectable antipsychotic clinic, forensic experiences at Logansport Memorial Hospital and chief resident administration time. Residents are required to carry on with their continuity for at least three months but may extend longer. Residents are also required to complete two months as a junior attending on inpatient psychiatry and consultation-liaison psychiatry in addition to two months of neuromodulation (electroconvulsive therapy (ECT) and transcranial magnetic stimulation (TMS)). Residents will be given a half-day of research. Residents will have four weeks of night float.

Residents will have a half day (five hours) of dedicated time throughout all four years of residency for didactics. Each didactic day will include a monthly rotating conference (Grand Rounds, Morbidity and Mortality (M&M), Case Conference, and Open Forum with the program director) followed by journal club and three hours of didactics. The didactic curriculum is organized by modules that build on prior knowledge and clinical experience throughout the residency journey. Each module has a leader to ensure that each lecture or didactic experience in their module is high-quality. Module topics include:

• PGY-1 Foundations: This module covers basic topics such as interviewing, case formulation and the mental status exam to prepare PGY-1 physicians; led by Chad Percifield, DO.
• Diagnosis and Psychopathology: This module delves into psychiatric diagnosis and differential diagnosis; led by Dr. Chad Percifield.
• Psychopharmacology: This module will provide comprehensive teaching in medications utilized to treat psychiatric symptoms and disorders with a progression from basic to advanced to new and emerging treatments; led by Michelle E. Wiese, MD, MPH and Jenna Gilbert, PharmD.
• Consultation-Liaison Psychiatry: This module explores the interface of psychiatry and medicine with an emphasis on diagnostic skills and treatment of psychiatric disorders in medically ill patients. Special topics include psycho-oncology, transplant psychiatry, and integrated care; led by Dr. Michelle Wiese.
• Child and Adolescent Psychiatry: This module will give residents foundational knowledge in the treatment of psychiatric disorders occurring in children; led by Dr. Chad Percifield and Deepak Khemka, MD.
• Geriatric Psychiatry: This module provides residents with the knowledge and skills to diagnose and treat psychiatric and neurocognitive disorders in the elderly; led by Ahsan Mahmood MD, MBA.
• Perinatal Psychiatry: This module covers diagnosis and treatment of psychiatric disorders before, during and after pregnancy; led by Dr. Michelle Wiese.
• Neuropsychiatry and Neuroscience: This module provides additional teaching in neurology and neurosciences to not only prepare residents for Psychiatric boards but also enhance residents’ diagnostic skills; led by Dr. Ahsan Mahmood.
• Psychotherapy: This comprehensive module leads residents from basic skils and supportive psychotherapy to cognitive behavioral therapy (CBT) and psychodynamic psychotherapy to more advanced strategies such as dialectical behavioral therapy and acceptance and commitment therapy; led by Andrea Patterson, MD and Courtney Washington, PsyD, CSAYC, HSPP.
• Physician Development and Professionalism: This module guides residents’ professional development and career development; led by Dr. Michelle Wiese.
• Systems-Based Practice and Quality Improvement: This module teaches residents about different models of health care delivery and quality improvement principles; led by Dr. Michelle Wiese and Dr. Ahsan Mahmood.
• Psychiatric Emergency Services: This module teaches PGY-2 residents knowledge and skills specific to psychiatry emergency settings; led by Dr. Michelle Wiese.
• Forensic Psychiatry: This module delves into the ethical principles and regulations at the interface of psychiatry and the law; led by Dr. Ahsan Mahmood.
• Neuromodulation: This module covers non-pharmacologic, biological treatments such as ECT and TMS, including their history; led by Dr. Michelle Wiese.
• Education: This module develops residents’ skills for teaching not only other medical learners but patients and their families as well; led by Dr. Michelle Wiese.
• Community and Cultural Psychiatry: This module covers social determinants of health and special populations; led by Dr. Andrea Patterson.

Phase 1: Pedagogy in study design, biostatistics, scientific integrity. Residents will identify an area of interest and a potential faculty mentor.

Phase 2: Pedagogy in quality improvement (QI) and implementation science. Residents will complete a rough draft of background knowledge/introduction, primary questions/end point, and goals and aims of study and will work with Parkview Mirro Research Center staff to submit an Institutional Review Board (IRB) application.

Phase 3: Residents will collect data and work with Parkview Mirro Research Center staff on biostatistical analysis. Residents will present their initial findings at the Parkview Health Resident Research Symposium.

Phase 4: Resident will complete data collection and analysis and will write up a final manuscript. Residents are required to submit an abstract to a local, regional or national meeting and to submit a manuscript to a journal. Residents will present their final project at the Psychiatry Grand Rounds and at the Parkview Health Resident Research Symposium.