{"id":2363,"date":"2016-08-17T17:20:00","date_gmt":"2016-08-17T21:20:00","guid":{"rendered":"https:\/\/www.med.unc.edu\/psych\/education\/residencies\/program-curriculum\/pgy-1\/"},"modified":"2025-03-13T13:38:47","modified_gmt":"2025-03-13T17:38:47","slug":"pgy-1","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/psych\/education\/residency\/program-curriculum\/pgy-1\/","title":{"rendered":"PGY-1"},"content":{"rendered":"<p style=\"text-align: center\"><div class=\"large-quote\"><p>NC is such a lovely place to live &#8211; it has great weather, fantastic dining options, friendly people, and is close to the mountains and beach. I had a gut feeling after interviewing that I would want to end up here!\"<br\/>-<em>Class of 2023 member<\/em><\/p><\/div>\n<p>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.<\/p>\n<h2>Rotations<\/h2>\n<p>The intern year consists of 13 four-week rotation blocks.<\/p>\n<table class=\"table table-hover\" style=\"height: 452px;width: 54.555%\" border=\"0\">\n<tbody>\n<tr style=\"height: 23px\">\n<td style=\"text-align: left;height: 23px;width: 651.875px;background-color: #ededed\"><strong>Rotation<\/strong><\/td>\n<td style=\"height: 23px;width: 99.4375px;background-color: #ededed\"><strong>Blocks<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 59px\">\n<td style=\"height: 59px;width: 651.875px\"><strong><em>Psychiatry<\/em><\/strong><\/td>\n<td style=\"height: 59px;width: 99.4375px\">8<\/td>\n<\/tr>\n<tr style=\"height: 23px\">\n<td style=\"height: 23px;width: 651.875px\">\u00a0 UNC inpatient units (Adolescent, Psychotic,\u00a0 \u00a0Crisis)<\/td>\n<td style=\"height: 23px;width: 99.4375px\">3<\/td>\n<\/tr>\n<tr style=\"height: 23px\">\n<td style=\"height: 23px;width: 651.875px\">\u00a0 UNC Emergency Department (<em>Psychiatric<\/em>)<\/td>\n<td style=\"height: 23px;width: 99.4375px\">1<\/td>\n<\/tr>\n<tr style=\"height: 42px\">\n<td style=\"width: 651.875px;height: 42px\">\u00a0 \u00a0Addiction Psychiatry<\/td>\n<td style=\"width: 99.4375px;height: 42px\">1<\/td>\n<\/tr>\n<tr style=\"height: 59px\">\n<td style=\"height: 59px;width: 651.875px\"><strong><em>Medicine<\/em><\/strong><\/td>\n<td style=\"height: 59px;width: 99.4375px\"><\/td>\n<\/tr>\n<tr style=\"height: 23px\">\n<td style=\"height: 23px;width: 651.875px\">\u00a0 UNC Family Medicine<\/td>\n<td style=\"height: 23px;width: 99.4375px\">1 &#8211; 2<\/td>\n<\/tr>\n<tr style=\"height: 23px\">\n<td style=\"height: 23px;width: 651.875px\">\u00a0 Central Regional Hospital<\/td>\n<td style=\"height: 23px;width: 99.4375px\">1 &#8211; 2<\/td>\n<\/tr>\n<tr style=\"height: 22px\">\n<td style=\"width: 651.875px;height: 22px\">\u00a0 UNC Emergency Department (<em>Medicine<\/em>)<\/td>\n<td style=\"width: 99.4375px;height: 22px\">0 &#8211; 1<\/td>\n<\/tr>\n<tr style=\"height: 42px\">\n<td style=\"width: 651.875px;height: 42px\">\u00a0UNC Emergency Department (Medicine,\u00a0 \u00a0Pediatrics)<\/td>\n<td style=\"width: 99.4375px;height: 42px\">0 &#8211; 1<\/td>\n<\/tr>\n<tr style=\"height: 22px\">\n<td style=\"width: 651.875px;height: 22px\">\u00a0UNC Internal Medicine<\/td>\n<td style=\"width: 99.4375px;height: 22px\">0 &#8211; 2<\/td>\n<\/tr>\n<tr style=\"height: 23px\">\n<td style=\"height: 23px;width: 651.875px\"><strong><em>Neurology<\/em><\/strong><\/td>\n<td style=\"height: 23px;width: 99.4375px\"><\/td>\n<\/tr>\n<tr style=\"height: 23px\">\n<td style=\"height: 23px;width: 651.875px\">\u00a0 UNC inpatient Neurology<\/td>\n<td style=\"height: 23px;width: 99.4375px\">1<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>UNC Inpatient Psychiatry<\/h3>\n<p>PGY-1 residents rotate on three of the seven inpatient units in the UNC Neurosciences Hospital, located within the UNC Hospitals complex in Chapel Hill: the\u00a0<strong>Crisis Stabilization\u00a0<\/strong>Unit; the\u00a0<strong>Psychotic Disorders<\/strong>\u00a0Unit; and the\u00a0<strong>Adolescent<\/strong>\u00a0Unit.\u00a0Daily 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.<\/p>\n<h3>UNC Emergency Department (Psychiatric)<\/h3>\n<p>The Emergency Psychiatry Service is an interdisciplinary clinical learning assignment in the context of a general hospital medical\/surgical emergency room.\u00a0During 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.<\/p>\n<h3>UNC Family Medicine<\/h3>\n<p>The UNC 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. \u00a0On this rotation, interns function as family medicine practitioners and become integral members of the treatment team.<\/p>\n<h3>UNC Neurology<\/h3>\n<p>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.\u00a0The Neurology service is located within the UNC Neurosciences Hospital, the same building that houses all of the UNC Inpatient psychiatric units. Patients admitted to the service have a wide variety of presentations, facilitating a broad exposure to neurological diseases.<\/p>\n<h3>UNC Emergency Department (Medicine, Pediatrics)<\/h3>\n<p>Interns may spend up to 1 block on Emergency Medicine in the Emergency Department at the UNC 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.<\/p>\n<h3>UNC Internal Medicine<\/h3>\n<p>Interns may spend up to 2 blocks with the Internal Medicine Department to meet their medicine requirements. Current offerings include placement in Internal Medicine\u2019s Same Day Clinic as well as an inpatient geriatric medicine service at UNC Hillsborough Hospital. On this rotation, interns function as internal medicine practitioners and become integral members of the treatment team.<\/p>\n<h2>Call Schedules<\/h2>\n<p><strong>CRH Inpatient Psychiatry:<\/strong>\u00a0Call is split between the 3 residents on day service on Mon, Tues, Thurs, and Fri afternoons, and lasts until 8:00pm Monday \u2013 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.<\/p>\n<p><strong>UNC Inpatient Psychiatry:<\/strong>\u00a0Average of 2\u00a0\u2013 3 weekend call shifts per block (8:00am \u2013 8:00pm).<\/p>\n<p><strong>UNC Emergency Department (Psychiatric):<\/strong>\u00a0There are no responsibilities beyond the Monday-Friday work week.<\/p>\n<p><strong>UNC Family Medicine:<\/strong>\u00a0Two 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.<\/p>\n<p><strong>UNC Neurology:<\/strong>\u00a0Short 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).<\/p>\n<p><strong>UNC Emergency Department (Medicine, Pediatrics):<\/strong>\u00a0There are no responsibilities beyond the scheduled shifts.<\/p>\n<p><strong>UNC Internal Medicine: <\/strong>There are no responsibilities beyond the Monday-Friday work week.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>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. Rotation Blocks Psychiatry 8 \u00a0 UNC inpatient units (Adolescent, Psychotic,\u00a0 \u00a0Crisis) 3 \u00a0 UNC Emergency Department (Psychiatric) 1 \u00a0 &hellip; <a href=\"https:\/\/www.med.unc.edu\/psych\/education\/residency\/program-curriculum\/pgy-1\/\" aria-label=\"Read more about PGY-1\">Read more<\/a><\/p>\n","protected":false},"author":33636,"featured_media":0,"parent":2258,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-2363","page","type-page","status-publish","hentry","odd"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>PGY-1 | Department of Psychiatry<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/psych\/education\/residency\/program-curriculum\/pgy-1\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"PGY-1 | Department of Psychiatry\" \/>\n<meta property=\"og:description\" content=\"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. 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