| CURRICULUM |
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From
the Residency Training |
Didactic instruction takes place in both the on-service teaching programs and in the off-service seminars (Core Curriculum). The on-service seminars fully support the clinical assignments, and are designed to facilitate the acquisition of the particular skills and knowledge established as goals of the individual rotation clinical assignments. Seminars in the course of each year supplement the on-service teaching, and are designed to be appropriate and meaningful to the continuing clinical experience. Lectures and seminars are scheduled in blocks of time, in order to encourage attendance and participation in the learning process. First Postgraduate Year Seminars. The didactic experience for the first year has been developed to introduce the resident to the fundamentals of psychiatry and behavioral neuroscience. Residents on rotations in Internal Medicine, Neurology, Pediatrics or Family Medicine are expected to participate fully in the educational exercises of those departments, and to attend core seminars in Psychiatry. Introduction to Psychopathology: DSM IV Lecture Series/Interviewing Techniques. Intense study of DSM-IV covering all diagnostic categories. The epidemiology and etiology of all diagnoses are also reviewed. Neuroscience Seminar. Survey of neurobiology and neuroanatomy with correlation to diagnosis and treatment. Introduction to Psychopharmacology Seminar. Review of basic psychopharmacology covering topics such as indications, mechanism of action, pharmacology, dosages, side effects, toxicity, and drug interactions. Lectures include basic psychopharmacology principles, typical antipsychotics/ neuroleptics, atypical antipsychotics/neuroleptics, mood stabilizers, stimulants, anxiolytics, and antidepressants. Missouri Modules, Part I. Focuses on common factors across the various modalities of psychotherapy and the integration of contributions from different schools of psychotherapy into a cohesive framework. Psychotherapy Group Supervision/ Introduction to Psychotherapy. Focus on introducing residents to psychotherapy, addressing such issues as how to communicate effectively, taking patients into therapy, contraindications to therapy, transference, and counter-transference. Later in the year, discussion of psychotherapy case material in a group format with emphasis on communication skills and case assessments for therapy. Clinical Neurology Seminar. Survey of neurologic illnesses and the interplay between neurologic and psychiatric illness. Neurological diseases and their treatments are discussed. Dr. Wint who has completed a combined program in neurology and psychiatry conducts the seminar. |
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Intermediate Psychotherapy Seminar. Presentations, readings and discussion of the fundamentals of psychodynamic psychotherapy, supportive psychotherapy, brief, time-limited psychotherapies, and a section on cognitive therapy. A comprehensive review of applications to DSM diagnoses. Outpatient Psychopharmacology Seminar. Detailed review of psychopharmacology concepts and applications to each major class of disorders. Course follows weekly text reading assignments and is lecture format. Rotation of faculty with special expertise in particular classes of medications. Marital, Family and Group-Therapy Seminar. Literature seminar covering key concepts in the areas of marital, family and group therapy. Emphasis on marital and family therapy with application to particular cases during discussion. Adult Outpatient Case Conference. Residents present cases from their outpatient experience, discussion follows - under the direction of faculty supervisor; emphasis on bio-psychosocial case formulations and comprehensive differentials. Introduction to Child and Adolescent Psychiatry. Survey of child and adolescent psychiatry focusing on such topics as interviewing children and adolescents, diagnosis, epidemiology, etiology, neurobiology, and treatment. Psychotherapy Case Conference. Residents present psychotherapy case material in an interactive forum among their peers. Therapy techniques are discussed with emphasis on direct applications to cases. Particular emphasis on CBT and Dynamic therapies. Each participant will present a videotape of a therapy session to be critiqued by the group and instructor. Psychotherapy Group Supervision. Residents present psychotherapy case material in group format. Emphasis on putting didactics to work in real clinical settings. This seminar will focus on Supportive Therapy, Medication Management and Therapy, and Brief Psychotherapy. Video tapes of therapy sessions will be critiqued. Third and Fourth Postgraduate Year Seminars. The course work for the third year has been developed to further refine the knowledge and skills of the psychiatric resident. Advanced Topics in Psychotherapy, Group Supervision. Review of major theoretical positions with emphasis on insight-oriented psychotherapy, self-psychology, and brief therapies. Residents are encouraged to discuss applications to current cases. Psychiatry Lecture Wheel: Cultural, Administrative, CBT, History of Psychiatry, Psychological Testing, Ethics, Forensics. This lecture series for upper level residents covers a variety of important topics in psychiatry. The series begins with a 6 week course on Cognitive Behavioral Therapy, followed by a 4 week segment on the History of Psychiatry. Other topics covered include ethics, cultural psychiatry, administrative psychiatry, forensics, and psychological testing. Addiction Psychiatry Lecture Series. Survey of addiction psychiatry including diagnosis and treatment. Topics include the epidemiology and etiology of addictive disorders, the neurobiology of addictive disorders, and the concept of the 12 step programs. The psychiatric and medical comorbidity of the addictive disorders are also examined. Board Review Seminar. The first part of the course focuses on the written portion of the ABPN examination. A general review of general and child/adolescent psychiatry is accomplished by a resident presenting a topic and the faculty member directing the session. The second portion of the course deals with the oral examination part of the ABPN examination. Resident’s watch videotaped psychiatric interviews, present the case, and then answer questions from the faculty members. Then, the residents are provided the opportunity to perform mock interviews in front of a number of faculty members. LEARNING OPPORTUNITIES APPLICABLE TO ALL YEARS Orientation Lecture Series. Orientation to common emergency, legal and ethical aspects of psychiatry, neurology, and internal medicine. Topics include emergency management of common psychiatric presentations, advanced directives, competency, community psychiatry, neurological and general medical examinations, geriatric evaluation and assessment, and addictions psychia try. Department of Psychiatry Grand Rounds. Twice each month, the department invites speakers to present their research or educate us on an area of great clinical importance. National speakers are frequent invitees, as are members of other departments of the University of Florida. Previous years have featured National Institute Directors such as Bob Dupont, Nora Volkow, Jean Lud Cadet and Dennis Charney, Psychiatry Chairs, and esteemed scientists. This upcoming year we have an exciting group of experts from the NIMH’s David Rubinow to UCSD’s Mark Schuckit and Harvard’s David Herzog and David Gastfriend to former SAMSHA Director Benny Primm. Frequently there are clinical presentations by residents and faculty of the various services and divisions of the Department. After the presentation, residents and the speaker meet over a casual lunch. The focus in this series is on clinical presentations by the various services, with both faculty and residents on that service presenting. Invited speakers also participate, both from other Departments in the College of Medicine as well as national speakers. Visiting Professor Program. This program consists of monthly seminars with the goal of preparing the resident for the practice of Psychiatry in the community. The seminars are given by successful practioners from Miami to Georgia practice of psychiatry. The seminar will focus on 8 basic tenets: 1) Psychiatrist as physician, 2) The medical model, 3) The psychiatric history, 4) The doctor patient relationship, 5) Psychiatrist as team player, 6) The burden of the community psychiatrist, 7) Psychiatrist as integrator, and 8) Psychiatrist as community advisor, leader. Rotating seminars. Each summer, all residents are required to attend a seminar series which will be offered once during a three-year cycle. Each series will be led by faculty in our department and guests from the Health Science Center and University. Topics include Introduction to Psychiatric Research Methodology, Fundamentals of Psychiatric Practice in the 21st Century and Cultural Psychiatry. Journal Club. Residents present articles from current literature, review latest psychopharmacology developments in Psychiatry Drug Alerts, discussion follows with faculty direction. Senior Mentors. Residents are given the opportunity to choose career mentors, whether they are interested in academic medicine careers or clinical practice. Mentors include all of the Full Professors, Chair and Vice Chairs from Drs Goodman, Lazoritz, and Shapira to Piggott, Blier, and Gold. Clinical Supervision. A cornerstone of the training program is the individualized, one-to-one supervision that the resident receives during all phases of training. While on a specific service, the resident is supervised by the attending physicians of that service. The resident meets regularly with the attending to discuss his or her entire caseload, and is advised on the development of diagnostic and therapeutic skills. Faculty members observe residents in the examination and interviewing of their psychiatric inpatients. In addition, each resident is assigned two psychotherapy supervisors at the beginning of the second postgraduate year of training. The resident is expected to meet with each supervisor for a minimum of one hour a week for in-depth discussion of his or her ongoing psychotherapy cases. Additional supervisory time is scheduled as needed. Specialized supervision is provided when the resident is involved in- group and family therapy. Research Supervision. The Department of Psychiatry has established nationally recognized research programs in both the clinical and basic Neurosciences. Our residents have the opportunity to obtain hands-on experiences ranging from fundamental molecular biology and pharmacology to the implementation of state-of-the-art treatment trials in clinical research. Research faculty have joint appointments in a number of different departments including Pharmacology, Psychology, Neuroscience and Medicine, as well as the Brain Institute promoting interdisciplinary scientific interactions among investigators both within the Medical Center and throughout the University. Research activities include clinical investigations of new psychopharmacological treatments of major psychiatric disorders, the neurobiology of addictions, clinical studies of the behavioral neurology of ADHD, the neurobiological basis of obsessive-compulsive disorder, MRI studies of the cortical structural changes in schizophrenia, studies of neural mechanisms involved in mediating immune physiology in response to stress and clinical depression, neurobiology of addiction/neurotoxicity of drugs of abuse, clinical and animal studies of the neurobiological basis of repetitive behaviors, and the potential risk of neurobiological and autoimmune processes on neural circuitry relevant to certain neuropsychiatric disorders (e.g., Alzheimer's disease, schizophrenia, obsessive compulsive disorder). Residents are scheduled to attend research seminars within the department in which faculty actively engaged in research, interact on a regular basis, and to participate in ongoing investigations from the laboratory to the clinic. Each resident is encouraged to select a research advisor with whom they will develop a scholarly project during the ir residency years. Faculty will actively assist residents interested in academic careers in selecting PGY-5 and PGY-6 research fellowship opportunities. In addition, the Department specifically encourages applications from M.D.-PhD. resident candidates who would like to combine postdoctoral experience with their residency training. COMBINED RESIDENCY PROGRAM IN NEUROLOGY AND PSYCHIATRY This combined
program leading to Board eligibility in both psychiatry and neurology
is ideal for the physician who wants the skills of the future. This
Combined training is designed for physicians who plan on a clinical
or research career in the clinical neurosciences and who have determined
that completing clinical training in each specialty will provide them
with the best background to meet their career goals. The McKnight Brain
Institute and collaborations among the brain sciences make this the
ideal location for a physician to gain the basic and clinical skills
necessary to be both a psychiatrist and neurologist. Academic opportunities
exist as well. Research on Tourette’s
Syndrome, Obsessive-Compulsive Disorder, exposure to drugs of abuse as
Parkinsonian risk factors, Obesity, and other collaborations exist
across Departments at the Brain Institute ready for the motivated and
trained researcher. Advanced imaging techniques used here in animals
and man make this combined Residency competitive as well. |