PGY-1 PROGRAM AND ROTATIONS

The PGY-1 year is a predominantly off-service year with the goal of preparing residents to be well-rounded psychiatrists. This is a rotating internship year with 7 months rotating through specialty areas outside of Psychiatry.

Given the advent of Competence by Design (CBD), all PGY-1 Psychiatry residents will begin their first two months of the year on-service as part of the Transition to Discipline stage, which emphasizes the orientation and assessment of new trainees. These two months are divided into four two-week mini-blocks spanning the following Psychiatry services:

Psychiatry service	Description	Psychiatry service
Adult inpatient psychiatry	Adult inpatient wards at FMC, PLC, RGH or SHC for adults presenting with severe mental illness (e.g., mood disorders, psychotic disorders) requiring long-stay admission.	Adult inpatient psychiatry
Psychiatry Emergency Services (PES)	Emergency Psychiatry at FMC, PLC, RGH or SHC with exposure to patients presenting to the ED with undifferentiated acute psychiatric illness.	Psychiatry Emergency Services (PES)

Other rotations are described in the chart below:

Specialty	Duration	Location	Description
Internal Medicine	2 blocks	RGH	Team-based MTU rotation. ~7 calls per block. Request vacation early.
Neurology	2 blocks	FMC and/or SHC	6 weeks of inpatient general neurology and 2 weeks of varied clinics. Vacation typically granted but not always on your preferred dates. One week of clinic typically used for vacation.
Alex Youth	1 block	The Alex Community Health Centre	Covers Pediatrics and Family Medicine objectives. No call. Vacation typically granted.
Emergency Medicine	1 block	RGH	16 shifts per block. 12 shifts if 1 week of vacation. Varied days and nights and varied preceptors.
Medicine Specialty	1 block	Dependent on specialty	Assigned placements in one of: Poison and Drug Information Service (PADIS), geriatric medicine or palliative medicine.
Inpatient Psychiatry	2 blocks	FMC, RGH, PLC or SHC	Consecutive blocks occurring after block 7. General adult inpatient psychiatry. Request for site and preceptor available. Adult inpatient blocks in PGY-2 (two 3-month blocks) must be at a different site.
Emergency Psychiatry	1 block	FMC, RGH, PLC or SHC	Exposure to undifferentiated acute psychiatric illness in the emergency setting.
Medical Psychiatry	1 block	PLC	Assessment and management of patients with concurrent medical and psychiatric illness with dual services (Psychiatry and Internal Medicine/Hospitalist) involved. Focus is on management of psychiatric issues with second-hand learning of medical issues.