Psychiatry Clinical Rotations

Child and Adolescent Psychiatry

Residents spend two months in the Child and Adolescent Psychiatry Outpatient Clinic during their fifth year of training. Under the supervision of board-certified child psychiatry faculty, residents perform diagnostic evaluations and provide follow-up care. Residents maintain their continuity clinics in the Family Medicine Clinic and Family Medicine Psychiatry during this rotation.

Consultation-Liaison Psychiatry

Residents rotate on the consultation-liaison psychiatry service for two months. The service provides psychiatric consultation for inpatients throughout University of Iowa Hospitals and Clinics and University of Iowa Children's Hospital. Common clinical problems managed by this service include delirium, questions of capacity, mental health commitments, and identifying patients who would be optimally managed on an inpatient psychiatry or medicine-psychiatry unit.

Electroconvulsive Therapy

Residents can spend a month on the electroconvulsive therapy service. At the University of Iowa Hospitals and Clinics, electroconvulsive therapy is available to inpatients and outpatients. The resident, under faculty supervision, administers electroconvulsive therapy and also spends time evaluating patients referred for this treatment. Electroconvulsive therapy is generally administered three or four days per week, residents also spend some time during this rotation in their continuity clinics.

IMPACT

IMPACT stands for integrated medical and psychiatric assertive community treatment. This program is an interdisciplinary service that provides intensive outpatient care for people with serious mental illness. Residents can spend a month with the IMPACT program, during which they participate in interdisciplinary rounds, attend patient activities, do home visits with staff, and may see some patients in the clinic.

Medicine-Psychiatry Inpatient Unit

Residents spend one month of their first year on the Medicine-Psychiatry Inpatient Unit, which counts as one of their psychiatry inpatient months. Patients on this service are being treated simultaneously for active psychiatric and active medical problems. The unit is usually staffed with a dual-trained internal medicine-psychiatry faculty member, but some months are staffed jointly by an internal medicine faculty physician and a psychiatry faculty physician. While on the Medicine-Psychiatry Inpatient Unit, residents take psychiatry call.

Neurology - Outpatient

Residents spend two months on a neurology outpatient rotation. Most of the rotation is spent in the Neurology Outpatient Clinic, where residents may work in the seizure disorder clinic, sleep clinic, movement disorder clinic, or other specialty clinics. Residents may also participate in some neurology consultation during this rotation. While on the neurology outpatient rotation, residents take psychiatry call.

Psychiatry - Outpatient

Residents spend six consecutive months in the psychiatry outpatient clinics. During this longitudinal experience, residents spend time each week in the Adult Psychiatry Outpatient Clinic at the University of Iowa Hospitals and Clinics, the Outpatient Psychiatry Clinic at the Veterans Affairs Medical Center, and at the Community Mental Health Center for Mid-Eastern Iowa. Residents also have a weekly psychotherapy clinic, psychotherapy supervision, and weekly didactics during this rotation. Residents engage in a quality improvement project during this rotation. Residents maintain continuity clinics in the Family Medicine Clinic and Family Medicine Psychiatry during this rotation.

Psychiatry - Inpatient

Residents do a total of seven months of inpatient psychiatry during their training. Residents rotate on all of the adult psychiatry units at the University of Iowa Hospitals and Clinics and on the psychiatry unit at the Veterans Affairs Medical Center. The units at the University of Iowa Hospitals and Clinics include a mood disorders unit, a psychotic disorders unit, a geriatric psychiatry unit, an eating disorders unit, and a medicine-psychiatry unit.

Psychiatry - Float

Residents in this position will assume care of all inpatients in psychiatric units for the evening and overnight hours during the week and after the inpatient team has rounded on the weekends.

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