Message from the Chief Resident
Dr. Melisa Tyndall Dr. Raj Patel Dr. Derek Ayers
Chief Residents 2016 - 2017
Welcome to the Wake Forest
University general psychiatry training program! We are honored to be the
co-chief residents for 2016-2017 and would like to provide you with a closer
look at our residency training program, especially from a resident perspective.
During the first year of
residency training, interns complete five blocks (each block is 4
weeks) of adult inpatient psychiatry on the adult inpatient unit at Wake
Forest Baptist Medical Center (WFBMC), one block of med-psych inpatient psychiatry
at the Salisbury VA, one block of night float, and six blocks of off-service
work. This is to include one block of outpatient neurology at WFBMC, one
block of outpatient neurology at the Salisbury VA, two blocks of outpatient
general medicine at the Salisbury VA, one block of outpatient pediatrics at a
local hospital-run satellite clinic and one block of emergency medicine at the WFBMC.
A real strength of our program is
that all overnight call taken by psychiatry residents is psychiatry call.
There is no neurology, pediatrics, or general medicine call taken
by our psychiatry residents. This allows our interns to develop a solid
foundation in emergency psychiatry early in their postgraduate training
experience, which serves them well in residency and beyond. Also, all residents
rotating through outpatient clerkships are free from clinical responsibilities
on Fridays, which is when the department holds all of its various resident
seminars, journal clubs, grand rounds, and resident meetings. Friday afternoon
is also a great time to see psychotherapy patients. We feel that this
arrangement sets an appropriate balance between clinical work and resident
education. The only exception to this is during the first year. Interns
round on the inpatient unit on Friday mornings, and then attend an
intern-specific lecture series in the afternoon.
The second year in our curriculum
includes exposure to various subspecialty clinics. Residents will spend 3
months in the Suboxone, ECT, Geriatric, Neurobehavioral, and Child/Adolescent
Psychiatry clinics, along with 6 months of consultation-liaison
psychiatry. We feel that this gives residents early exposure to most
subspecialty areas of Psychiatry so that they can begin to prepare their career
in the area of most interest. Most of these rotations take place at our
medical center but there is exposure to the VA Medical Center as well.
In addition, second-year
residents begin working with their own psychotherapy patients. This is often
the most exciting (and anxiety-provoking!) part of resident training and to
assist with this task, each of our upper-level residents is assigned two
psychotherapy supervisors for 1:1 guidance. Residents meet for one hour with
each supervisor on a weekly basis to review their psychotherapy cases and
discuss important learning issues. This individual attention nicely complements
the dedicated psychotherapy didactics provided weekly in our department. In
order to give residents a broad education in different psychotherapy
modalities, residents change supervisors every year so that they have the
opportunity to work with supervisors specializing in the various psychotherapy
"schools" (i.e. CBT, psychodynamic psychotherapy, humanistic
psychotherapy, brief psychotherapy, etc.). This experience continues until the
completion of residency training.
During the third year of
training, residents complete 12 consecutive months of adult outpatient
psychiatry. A significant portion of this experience is done in our department
at WFBMC, but there is also training at the VAMC in Salisbury, NC. Residents
also rotate through several off-site psychiatry clinics during their fourth
year of training, which exposes the residents to a greater degree of diversity
regarding patient background, level/type of care provided and geography.
Adult outpatient off-site locations include the Kernersville VA outpatient clinic, the HOTT project (Samaritan Homeless Shelter) and other rotations that are under development.
In addition to the adult
outpatient rotation, PGY-IIIs and PGY-IVs complete three months of psychiatry
work at the W. G. Hefner VA Medical Center in Salisbury. The VAMC offers a
great deal of flexibility with this rotation, depending upon individual
resident interests. This experience can be inpatient, outpatient, medication
management, psychotherapy, substance abuse/dual diagnosis, geriatric, young
adult, PTSD-oriented, traumatic brain injury-oriented, or some combination
thereof. This is especially enjoyable, as it allows residents to work closely
with the department's child/adolescent psychiatry fellowship program. During
the final two years of their training, residents rotate off-site for additional
adult inpatient psychiatry exposure.
Our residency program offers five
months of dedicated elective work. Residents are given a great deal of latitude
in arranging these electives. Residents frequently arrange electives in
forensic psychiatry, sleep medicine, administrative psychiatry and research.
Residents are given the opportunity to conduct off-service electives, such as
rotations in neuro-rehabilitation and in neurologic movement disorders.
Throughout the entire training experience, education, research and service are actively encouraged and supported. Various
opportunities for research are provided granting residents the opportunity work
with MD and PhD level faculty on diverse projects. Multiple residents are
actively involved in research projects and have authored publications.
We hope that this brief introduction to the general psychiatry residency program at Wake Forest School of Medicine has been helpful and informative. Of course, the information provided in this message represents only the tip of the iceberg when it comes to outlining the strengths of our program. If you are interested in our training program, please do not hesitate to contact us, as we would love to hear from you!
Melisa Tyndall, MD
Raj Patel, MD
Derek Ayers, DO
Chief Residents, 2016-2017