George E. Wahlen VA Medical Center (VAMC) Rotations

The George E. Wahlen Veteran Affairs Medical center (VAMC) is a tertiary care teaching hospital serving Utah and parts of the Mountain West. It is affiliated with the University of Utah School of Medicine. The inpatient psychiatric unit currently has 21 beds, although the unit may be expanding in the near future. Patients at the VAMC are mostly male, and many carry a diagnosis of post-traumatic stress disorder. Residents will gain proficiency in treating this illness and its comorbidities, but will also frequently see patients with severe and persistent mental illness as well as patients with substance use disorders. Residents will learn about integrated care within the VA system and learn about numerous innovative treatment options available to veterans.

PGY-1

Duration: One month to two months (one month blocks)

The inpatient rotation for PGY-1 residents teaches the skills necessary to do comprehensive psychiatric interviews as well as comprehensive medical evaluations of psychiatric patients. PGY-1 residents are expected to demonstrate the ability to diagnose most psychiatric illnesses and to learn how to make thorough differential diagnoses. Residents will participate as a member of an interdisciplinary team, and should begin to learn how to lead a treatment team in terms of medical decision making and treatment decisions. PGY-1 residents should also learn how to make a case presentation and biopsychosocial formulation of their patients.

Each attending psychiatrist may give additional details about their rotations in individualized rotation descriptions and in descriptions of resident duties unique to their rotations.

PGY-2

Duration: One month to two months (one month blocks)

The inpatient rotation for PGY-2 residents teaches the skills necessary to do more advanced psychiatric interviews, and sophisticated management of medical and psychiatric issues. Residents at this level are expected to demonstrate the ability to diagnose psychiatric illnesses utilizing accurate DSM 5 codes and to generate complete differential diagnoses. Residents will participate as a member of an interdisciplinary team. In accordance with increasing skills and abilities, it is expected that PGY-2 residents will demonstrate increased autonomy in terms of medical decision making and team leadership. It is also expected that PGY-2 residents will be granted more responsibilities within the multidisciplinary team. PGY-2 residents should also demonstrate facility with case presentations and biopsychosocial formulations of patients.

Each attending psychiatrist may give additional details about their rotations in individualized rotation descriptions and in descriptions of resident duties unique to their rotations.

Rotation Goals & Objectives

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