{"id":2366,"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-4\/"},"modified":"2024-07-29T16:20:01","modified_gmt":"2024-07-29T20:20:01","slug":"pgy-4","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/psych\/education\/residency\/program-curriculum\/pgy-4\/","title":{"rendered":"PGY-4"},"content":{"rendered":"

It’s important to define your priorities for PGY-4 to stay balanced and efficient. But also be sure to appreciate the flexibility!\"-Class of 2020 member<\/em><\/p><\/div>\n

The final year of residency (PGY-4) concludes training in the General Psychiatry Residency Program and allows the resident to hone skills and pursue further educational endeavors.<\/p>\n

Rotations<\/h2>\n

Outpatient Clinic, Clinic Selectives<\/span><\/h3>\n

This year includes an ongoing commitment to outpatient work with psychotherapy and psychopharmacology patients. Residents will continue to follow continuity patients for medication management and psychotherapy in the outpatient clinic. Additionally they will have outpatient psychiatry rotation opportunities with Substance Treatment and Recovery (STAR) clinic, Psychiatry Consultation Clinic (PCC), and the Taking Care of Our Own (TCOOO) Program. In STAR clinic they will manage substance abuse patients and perform new patient evaluations. In PCC, they will see patients referred by providers from family medicine and internal medicine for targeted assessments and recommendations. In TCOOO, they will have the opportunity to provide psychiatric care for other providers at UNC. <\/span><\/p>\n

AHEC<\/h3>\n

An average of one day per week is dedicated to an elective choice of an advanced community psychiatry assignment through the\u00a0North Carolina Area Health Education Center<\/a> (AHEC) program.\u00a0This may include clinical work with special populations (substance abuse, adolescents, criminal justice, rural services, mobile crisis, assertive community treatment teams, etc.) or it may focus on administrative issues within the community or research interests.<\/p>\n

Collaborative Care<\/h3>\n

Residents have opportunities\u00a0in\u00a0both\u00a0integrated\u00a0care and collaborative care\u00a0models\u00a0in\u00a0a\u00a0variety of primary care and specialty care settings.\u00a0 In collaborative care, residents\u00a0provide\u00a0consultation\u00a0services\u00a0through weekly case review with the care manager, as well as support to providers and\u00a0make treatment recommendations when questions arise. Overall, the rotation will provide experience in consultation\u00a0and case review with a care manager, development of liaison skills through provider consultation, working within a population health framework, and opportunities to be involved with quality improvement\u00a0and\/or\u00a0educational\u00a0projects\u00a0in the\u00a0primary\u00a0care\u00a0setting.<\/p>\n

Acting Attending<\/h3>\n

As a senior resident in the training program, the PGY-4 will also spend two blocks as an Acting Attending. During these segments, the resident will act as the attending physician for the:<\/p>\n