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ROTATIONS

 

 

July

Aug

Sept

Oct

Nov

Dec

Jan

Feb

Mar

Apr

May

June

PGY 1

Primary Care

Neurology

Inpatient Psychiatry

PGY 2

Substance Abuse/Community Psychiatry

Inpatient Child & Adolescent

Outpatient Child & Adolescent

Emergency Psychiatry

Consultation-Liaison Psychiatry

Forensic Psychiatry

Geriatric Psychiatry

PGY 3

Outpatient Psychiatry: LSU-OLOL Center for Psychiatric Services

PGY 4

ED/CL Junior Attending 

Assertive Community Treatment, One Stop Homeless shelter

Electives

Outpatient Psychiatry:  LSU-OLOL Center for Psychiatric Services

 

PGY 1

The first year curriculum prepares the resident for his/her future practice by providing a firm grounding in medicine and neurology and by learning the basics of adult psychiatry on the inpatient units and psychiatric emergency room

Primary Care

Emergency Medicine: residents will have the option to do one of their four primary care months in the OLOL emergency room, working shifts alongside the ER staff and Emergency medicine residency program.

Internal Medicine:  depending on the resident’s ultimate career goals, the resident can choose to do 1-4 months of internal medicine at Our Lady of the Lake, outpatient or inpatient rotations.  These rotations will occur with the LSU Internal Medicine program, under the supervision of their faculty.

Pediatrics:  depending on the resident’s ultimate career goals, the resident can choose to do 1-2 months of Pediatrics at Our Lady of the Lake in conjunction with the OLOL Pediatrics residents and faculty.  There is the option to do both inpatient and outpatient work during this time.

Neurology

Adult Neurology:  2 months of adult neurology will be done with the faculty of the Neuromedical Center.  The rotation will consist of consultation-liaison work at Our Lady of the Lake Hospital.

Psychiatry

Adult Inpatient Psychiatry:  residents will have 6 months of inpatient psychiatry on Our Lady of the Lake’s two adult inpatient units—1 North and St. Clare.  The focus of 1 North is primarily psychotic disorders and St. Clare's unit treats primarily affective, anxiety, and personality disorder issues.

 

PGY 2

In the second year curriculum, the resident will get exposure to a number of different psychiatric subspecialties, increasing his/her competence and confidence in these different settings with different populations. During the spring, each resident will complete 2 weeks of night float.

Child and Adolescent Psychiatry:  (1 month outpatient,1 month inpatient) During this rotation, residents work one month in the resident clinic seeing C&A outpatient consults, one month on the inpatient Child and Adolescent unit, and throughout doing child and adolescent consults in the hospital.

Consultation-Liaison Psychiatry:  (4 months total) Residents see inpatient consults within OLOL during this rotation.

Substance Abuse & Community Psychiatry:  (2 months total) Residents participate in the local community mental health clinic's 28 day inpatient rehabilitation program and work in the outpatient dual diagnosis and naltrexone clinics as well.  For the community component, they see outpatients at the community mental health center

Geriatric Psychiatry:  (1 month) Residents do an inpatient rotation at a neighboring community hospital geriatric unit and will also be exposed to the procedure of ECT during this rotation.

Emergency Psychiatry:  (2 months) Emergency Psychiatry is done at the OLOL Emergency room with the faculty and OLOL COPE team.  Residents have the opportunity to assess, triage, and treat patients emergently.

Forensic Psychiatry: (1 month). This rotation is completed at the Elayn Hunt Correctional Center in St Gabriel, Louisiana and the Louisiana State Penitentiary in Angola.

In the spring of the PGY 2 year, each resident completes 2 weeks of night float.

PGY 3

In the third year curriculum, the resident will mainly be performing outpatient services in our resident clinic, perfecting their skills as physician prescribers and providers of psychotherapy services. Residents also rotate thru the night float system for a total of four to five weeks.

Outpatient Psychiatry (LSU-Our Lady of the Lake Clinic):  Residents will spend their time at the LSU-OLOL outpatient clinic seeing outpatients in a private practice setting, delivering both psychopharmacological treatment as well as offering psychotherapy. PGY 3 residents also do a total of 4 weeks of night float over the course of the academic year. One afternoon a week is protected for didactics, and another for psychotherapy supervision.

PGY 4

The fourth year curriculum is focused on preparing the resident for transition to independent practice.  Time will be spent serving as junior attending of the medical staff, as a teacher, as a supervisor, and in electives. Residents also continue with their patients in the outpatient clinic from the 3rd year, thus extending the continuity experience.

ACT and One Stop homeless shelter: residents will work 2 months with an ACT team, going into patients' homes and perform disability evaluations at the homeless shelter

Junior Attending:  (2 - 4 months) Residents will serve in an attending role on either the inpatient, C-L service, or in the ED.

Outpatient (LSU-OLOL clinic): During the fourth year, residents will continue to spend about 1/3 of their time in the outpatient clinic, following some of their patients from the prior year to ensure a longitudinal experience, continuing to participate in psychotherapy supervision, and having one half day a week protected for didactics.

Electives: Residents can choose from any of the previous rotations they have already done or could choose to do such electives as Assertive Community Treatment, Research, Community Psychiatry, Addiction Medicine, Inpatient Psychiatry, Child & Adolescent Psychiatry, Psychotherapy, Assisted outpatient treatment program, private practice settings, and extra resident and medical student teaching, a Clozapine clinic, and integrated medicine program.

RESIDENT WORK HOURS, CALL, AND WEEKEND RESPONSIBILITIES 

We do not have an in-house call system. We use a night float rotation with a graded system of responsibility so that you are prepared for independent work. This means that night float is a rotation where all you do is night flight Sun to Thur (2 consecutive weeks in the Spring for PGY 2s, and spread out for the 3s and 4s). This takes the place of whatever rotation you are assigned, so this is not in addition to other clinical duties. An upper level resident is with you for the first week each year. Then faculty take over the supervision. This is an excellent educational experience towards the autonomy of moonlighting, rather than jumping into moonlighting after the 1st year without any night or weekend experience on your own. Our residents value this oppurtunity and feel much more prepared for moonlighting and/or employment after graduation using this approach.

CALL/NIGHT FLOAT

PGY 1 on psych

PGY 2

PGY 3

PGY 4

None

(Call for residents on non-psych rotations is at the discretion of the department you are rotating with)

Take home call for all services every 7th Saturday 

In the Spring, 2 weeks of night float during the forensic rotation. 

Take home call for all services every 7th Friday night

Four weeks of night float throughout the year.

 

Two weeks total of night float in the Fall. 

 

 

WEEKENDS and HOLIDAYS

PGY 1 on psych                            

PGY 2

PGY 3

PGY 4

Work two weekends per month and get 6 days off per month.

Residents work holidays when on rotations that require weekend coverage

On CL, work every other weekend for the 4 month rotation

Work two OLOL holidays during consults and ED rotations

Back up the 2nd year residents on CL every 7th weekend.

Work one of 6 holidays at OLOL doing consults. 

 

Do not work weekends or holidays unless they choose an elective that requires it.

 


 

LSU-OLOL Psychiatry Residency Program
5246 Brittany Drive
Baton Rouge, LA 70808
Ph: 228-757-4212