PGY II The second year of psychiatry is both a consolidation of knowledge and an expansion of experience. Residents continue some work on our inpatient and emergency units, and venture into consult service, child/adolescent inpatient, forensic psychiatry, geriatric psychiatry, substance abuse treatment, and rural psychiatry. It is a busy year full of new and exciting rotations. A brief description of our rotation sites may help to illustrate this.
One month is spent at Oklahoma County Crisis Intervention Center (OCCIC). This is a very busy acute care and triage center located in Oklahoma City. At this rotation residents see patients as they arrive by walk-in, police transport, or ambulance. Residents learn how to triage care, manage acute psychiatric conditions, screen for acute medical conditions, and communicate with other service providers.
Two months in the PGY II year and one in the PGY IV year are spent at the University Of Oklahoma Health Sciences Center rotating on a consultation service. Residents manage psychiatric conditions on general medical, surgical, and trauma units.
One month as a PGY II and two months as a PGY IV, residents rotate at the Children’s Recovery Center in Norman Oklahoma (one block from Griffin). This unit is dedicated to the care of co-occurring mental illness and substance teens. They have a strong focus on trauma recovery, and treat using many therapy modalities. There residents will attend treatment teams, individual therapy, psychoeducational groups, expressive groups, and many process groups.
This rotation is partly based at the Oklahoma Forensic Center in Vinita Oklahoma. There residents learn the evaluation and process of patients awaiting competency, or the treatment of those found not guilty by reason of insanity (NGRI). The remainder of the rotation consists of going to drug court, mental health court, and Oklahoma county evaluations of competency.
Residents return to Griffin and rotate on our geropsych unit. Here they become comfortable with evaluation and treatment of older populations with medical and cognitive issues that interact with psychiatric illness.
This rotation is at the Referral Center in Oklahoma City. The object is to learn how to evaluate and treat adults with substance dependence as their primary diagnosis. This includes detox, medical evaluation, medical treatments for substance, and 12 step group treatments.
Residents can rotate at either the Northwest Center for Behavioral Health in Ft. Supply, or Jim Taliaferro mental health center in Lawton. At these sites, residents are exposed to the practice of psychiatry in a rural setting.