Resident Rotational Tracks and Career Development
During the fourth postgraduate training year, residents have opportunities to select educational pathways specific to their career interests. The goals and objectives of these rotations are commensurate with the resident’s level of training and experience. There are a host of elective rotations available, in addition to the identified pathways discussed below. Residents are encouraged to discuss their interests with the program director to develop educational plans and may consider completing more than one track, based on interests.
Advanced Clinical Psychiatry
This pathway is intended for residents interested in gaining additional expertise in clinical psychiatry. Residents may select various assignments, including consultation, emergency, geriatric, and inpatient psychiatry rotations, designed to foster clinical expertise and administrative, teaching, and team leadership skills. Residents may choose to pursue training in advanced psychopharmacology and work with subspecialty trained psychiatrists in geriatric psychiatry and/or psychosomatic medicine.
Residents interested in receiving advanced training in electroconvulsive therapy may also elect to participate in this experience. Residents participating in the advanced clinical psychiatry rotation and electroconvulsive therapy assignment receive funds to defray expenses related to attending the Association for Convulsive Therapy Annual Meeting and completing the related electronconvulsive therapy certificate course.
Child & Adolescent Psychiatry
Nationwide Childrens Hospital, in affiliation with OSU Department of Psychiatry, offers an accredited two-year fellowship in child & adolescent psychiatry. Residents complete their first three years of postgraduate training at OSU and during this time may participate in clinical rotations designed to complement their interests, such as pediatric medicine and pediatric neurology. Interested residents are encouraged to speak with the program director and fellowship director to facilitate planning for this career pathway and to apply for selection to the fellowship through the National Resident Matching Program (NRMP) and Common Child and Adolescent Psychiatry application during general residency.
College Mental Health
OSU Counseling and Consultation Services is the organization that provides mental health treatment for many college students and their spouses. Residents may elect to rotate at this site longitudinally to develop diagnostic and therapeutic skills in treating this population. A non-accredited fifth-year fellowship is offered in college mental health by OSU Counseling and Consultation Services. Residents considering this fellowship or interested in this unique patient population are encouraged to consider participating in this elective assignment.
Public and Community Psychiatry
To maintain and further nurture skills and interests in community and public psychiatry, residents may consider participating in this pathway. Residents treat patients with severe and persistent mental illnesses in the public sector. Residents also develop further understanding of cross cultural psychiatry and public mental health administration and policy. There are a host of rotational sites and outpatient experiences available, including exposure to Assertive Community Treatment (ACT) teams, mobile van services, correctional settings, etc.
The resident interested in forensic psychiatry may pursue advanced rotations under the direction of faculty with subspecialty expertise in forensics. A faculty mentor will assist the resident in developing rotations and experiences aligning with the resident’s interests. The clinical site for this track is the affiliated site, Twin Valley Behavioral Health; experiences may occur at other sites as well.
Leadership, Administration, and Education
Residents interested developing further expertise in psychiatric leadership and administration may elect to participate in this pathway. Experiences are individualized, based on resident interests, and can include exposure to leaders at mental health organizations like Ohio Department of Mental Health, Alcohol Drug Addiction Mental Health Board of Franklin County, and Twin Valley Behavioral Health. Residents may also work closely with Department of Psychiatry administrators such as the Chairman, Program Director, and Director of Clinical Services and participate in select committees, like those related to quality assurance, clinical operations, etc. This rotation may include significant oversight and participation in educational administrative activities and teaching.
This tract is intended for residents with interest in neurobehavioral aspects of psychiatry and medicine. Residents will work with faculty from the disciplines of psychiatry, neurology, and medicine as well as allied health and neurobehavioral psychology specialists. The resident will gain clinical knowledge of this diverse patient population and work in various clinical sites.
Residents may elect to gain further expertise in selected psychotherapies. Longitudinal psychotherapy experiences are available in cognitive-behavioral therapy, psychodynamic psychotherapy, group psychotherapy, family and couples therapy, and other specific therapy domains or combinations of therapeutic modalities. Residents may also choose to participate in an alternative medicine rotation or dialectical behavioral therapy (DBT) as part of this track. Residents pursuing this track identify and work closely with a psychotherapy mentor.
Research and/or Academic Psychiatry
Residents interested in research may elect to participate in departmental or interdisciplinary clinical or neurosciences research. Residents identify and are supervised by a research mentor. Individuals interested in pursuing an academic psychiatry career are encouraged to consider this track. Residents receive departmental or university support for their scholarly endeavors, such as technical assistance, statistical assistance, and funds to defray costs of travel related to presentations or attendance at relevant academic meetings.
Residents interested in learning more about the subspecialty of sleep medicine or considering pursuit of a fellowship in this field are encouraged to complete this rotation. Based on resident’s individual considerations, this rotation can be utilized as preparation for a sleep medicine fellowship and include rotations on pulmonary, neurology, and sleep medicine services. It is completed under the direction of the sleep medicine fellowship director and psychiatry program director.
Women’s Mental Health
Residents expressing interest in women’s mental health issues are encouraged to complete rotations within this area. The program is designed to address the individual learning interests of residents and may include focus on mental health issues across the lifespan and reproductive cycle or in conjunction with various disease mechanisms, such as patients with endocrine or cardiac concerns. Residents may identify specialty populations, such as post-partum or geriatric patients, for further emphasis as well.