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Message from the Chief Residents

Giambarberi Luciana  Cyzeski Kelley Anne  Malik Muneeb        
Dr. Luciana Giambarberi
Dr. Kelley-Anne Klein 
Dr. Muneeb Malik
Chief Residents 2017 - 2018

A warm welcome to the Wake Forest School of Medicine General Adult Psychiatry training program! We are honored to be the Chief Residents for 2017-2018 and would like to provide you with a closer look at our residency training program, particularly from a resident perspective.

Residents and faculty come together throughout the year for holiday parties, fundraisers and other local events.  This July, the department sponsored “A Night at the Ballpark” at BB&T stadium for residents and faculty that included baseball, food and fireworks.  We begin the academic year with intern orientation and a resident retreat.  Residents also participated in a fun team building scavenger hunt around Winston-Salem.  Each new resident is assigned an upper level mentor, who will “check in” with their mentee periodically.  We’ve also added, “Coffee with Muneeb,” which is a casual way of letting our residents know we are here for them, if they have a problem or just want to chat.

During our first year, interns complete 6 blocks (each block is 4 weeks) of adult inpatient psychiatry at Wake Forest Baptist Medical Center (WFBMC), 1 block of night float, and 5 off-service blocks.  These off-service rotations are located at one of our two VA sites (Salisbury or Kernersville) and include: 3 blocks of outpatient Internal Medicine, 2 blocks of outpatient Neurology and 1 block of Emergency Medicine.  

Amongst the many strengths of our program, we emphasize emotional and clinical support during initial training.  There is an in-house upper-level “backup” provided for the first three months of intern call.  Throughout this period, interns gradually progress to solo call.  All overnight call consists ONLY of psychiatry (no neurology or medicine call is taken by our psychiatry residents), thus producing highly independent psychiatrists who can confidently navigate through emergency psychiatry.

Second year residents are exposed to a combination of diverse hospital-based psychiatric services.  One of the highlights includes 1-2 blocks of inpatient Child Psychiatry.  Interested residents often continue on to our Child and Adolescent Psychiatry Fellowship. Through their Consultation-Liaison blocks at WFBMC, residents collaborate with a variety of other specialties in evaluating and treating complex medical patients with psychiatric symptoms.  We also provide the unique experience to consult via telepsychiatry, both as a regular service and while on call as an upper-level resident (mostly from home). 

During our third year, residents complete 12 months of outpatient continuity clinic.  A majority of this time is comprised of Faculty-Teaching Clinic, which allows for comprehensive psychiatric care and focused resident supervision.  Subspecialty clinics include:  Child Outpatient Psychiatry, Geriatric Psychiatry, Medication-Assisted Therapy for Opiate Dependence (MAT clinic), Neurobehavioral Clinic, Neuromodulation Clinic (ECT and/or TMS), UNC School of the Arts, Wake Forest Student Health, Winston Salem State University and Women’s Health Clinic.

By fourth year, rotations are more individually tailored.  Residents can work on research or choose from electives, such as ECT/TMS, Forensics, Pain Management and Sleep Medicine.  PTSD Residential Treatment Program, Substance Abuse Recovery and Rehabilitation (SARRTP) and TBI/ Neuropsychiatry are available through the VA.  

Leadership roles further assist in transitioning fourth year residents to “the real world” of clinical practice.  Both inpatient and Consultation-Liaison blocks include Jr. Attending rotations.  The Jr. Attending leads rounds and assesses patients for admission and discharge, while incorporating education for residents and students throughout the day.  Fourth year residents are also given the opportunity to lead their own Grand Rounds.  Having this experience in a familiar environment is incredibly useful preparation for anyone who is interested in academia or wishes to simply refine his or her public speaking skills and reinforce knowledge base of a specific topic.

While our program provides an extremely strong foundation in clinical psychiatry and biologically-based practice, the department ensures that residents graduate as well-rounded psychiatrists.  Each year, residents receive group and individual psychotherapy supervision.  During second year, residents gradually begin carrying their own therapy patients. 

Although residency is mainly distinguished from medical school by an emphasis on self-directed learning, we strongly believe in ongoing academic education.  Protected didactic hours include: Grand Rounds, Journal Club, major topics in psychiatry, Performance Improvement, PRITE review, resident meetings, etc. 

Additional emphasis on academics is recognized through our research.  Residents participate in an annual Psychiatry Research Symposium, and there are various opportunities to work with psychiatry faculty or members of another department at WFBMC.  Some residents have also chosen to present their research at The North Carolina Psychiatric Association annual meetings and national conferences.  

We hope that this brief introduction to the General Adult Psychiatry residency program at Wake Forest School of Medicine has been helpful and informative.  If you are interested in our training program, please do not hesitate to contact us, as we would love to hear from you!

All the best, 

Kelley Klein, MD 
Luciana Giambarberi, MD 
Muneeb Malik, MD

Chief Residents, 2017-2018

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