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The PGY-1 experience features broad exposure to inpatient and emergency psychiatry across several different settings, as well as a foundation in general inpatient medicine and neurology.

Rotations

The intern year consists of 13 four-week rotation blocks.

ºÚÁÏÍø Inpatient Psychiatry

PGY-1 residents rotate on three of the seven inpatient units in the ºÚÁÏÍø Neurosciences Hospital, located within the ºÚÁÏÍø Hospitals complex in Chapel Hill: the Crisis Stabilization Unit; the Psychotic Disorders Unit; and the Adolescent Unit. Daily rounding and close supervision with teaching attendings is provided in all settings along with a team-based model that involves social work, case management, occupational therapy, physical therapy, pharmacy, and education plans when appropriate.

ºÚÁÏÍø Emergency Department (Psychiatric)

The Emergency Psychiatry Service is an interdisciplinary clinical learning assignment in the context of a general hospital medical/surgical emergency room. During this assignment (two 2-week blocks), the resident assumes full-time responsibility for the emergency care of patients presenting with psychiatric concerns, providing evaluation and assessment. Interns deal not only with medical colleagues and hospital staff, but with family members, police, and security personnel as well.

ºÚÁÏÍø Family Medicine

The ºÚÁÏÍø Family Medicine Department, ranked the #2 Family Medicine program in the country, admits both adult and pediatric patients from an extensive network of practitioners in North Carolina. Patients admitted to the service have a wide diversity of presentations and diagnoses, and an acuity comparable to that of an Internal Medicine service.  On this rotation, interns function as family medicine practitioners and become integral members of the treatment team.

ºÚÁÏÍø Neurology

On the Inpatient Neurology teaching service (two 2-week rotations), residents are exposed to a variety of neurologic illnesses and their neurobehavioral comorbidity and sequelae. The Neurology service is located within the ºÚÁÏÍø Neurosciences Hospital, the same building that houses all of the ºÚÁÏÍø Inpatient psychiatric units. Patients admitted to the service have a wide variety of presentations, facilitating a broad exposure to neurological diseases.

ºÚÁÏÍø Emergency Department (Medicine, Pediatrics)

Interns may spend up to 1 block on Emergency Medicine in the Emergency Department at the ºÚÁÏÍø Hospitals campus. There are up to 19 shifts per block and include a mix of days and nights. Interns will not see any major traumas or psychiatric patients while on this block. interns are able to participate in simple procedures if desired, but may also defer to other Emergency Department providers.

ºÚÁÏÍø Internal Medicine

Interns may spend up to 2 blocks with the Internal Medicine Department to meet their medicine requirements. Current offerings include placement in Internal Medicine’s Same Day Clinic as well as an inpatient geriatric medicine service at ºÚÁÏÍø Hillsborough Hospital. On this rotation, interns function as internal medicine practitioners and become integral members of the treatment team.

Call Schedules

CRH Inpatient Psychiatry: Call is split between the 3 residents on day service on Mon, Tues, Thurs, and Fri afternoons, and lasts until 8:00pm Monday – Thursday and 10:00pm on Friday. Two residents per block spend two weeks each on night float. Those on only day service average 6 weekday calls per month, and those with night float blocks average 4 weekday calls during their 2 weeks on days. There is no call on weekends.

ºÚÁÏÍø Inpatient Psychiatry: Average of 2 – 3 weekend call shifts per block (8:00am – 8:00pm).

ºÚÁÏÍø Emergency Department (Psychiatric): There are no responsibilities beyond the Monday-Friday work week.

ºÚÁÏÍø Family Medicine: Two weeks per block is spent on days (six 12-hour shifts), and two weeks on night float (five 12-hour shifts), with no additional responsibilities.

ºÚÁÏÍø Neurology: Short call up to every other day until 8:00pm (split with all other interns on the service, minimum 2 total interns from various departments on the service at a time).

ºÚÁÏÍø Emergency Department (Medicine, Pediatrics): There are no responsibilities beyond the scheduled shifts.

ºÚÁÏÍø Internal Medicine: There are no responsibilities beyond the Monday-Friday work week.