The resident experience in neurology at Delray Medical Center during the residents’ first year includes ten weeks of supervised clinical experience in the diagnosis and treatment of patients with a wide range of neurological conditions.
The resident experience in inpatient psychiatry at Delray Medical Center Fair Oaks Pavilion includes 15 weeks in year one. During this time, residents assume meaningful and increasing responsibility for the assessment, diagnosis, and treatment of a broad range of adult psychiatric patients requiring inpatient care. E ach resident’s geriatric psychiatry experience includes diagnosis and management of mental disorders in geriatric patients with medical comorbidities. The service emphasizes management of the cognitive component of degenerative disorders, basic neuropsychological testing of cognitive functioning in the elderly, and prevention and management of drug-drug interactions.
The resident experience in internal medicine at Delray Medical Center comprises six months in year one. The clinical experience during this time includes assessment, diagnosis, and treatment of a wide array of complex medical illnesses.
The resident experience in inpatient psychiatry at Delray Medical Center Fair Oaks Pavilion comprises six months in year two. During this time, residents assume meaningful and increasing responsibility for the assessment, diagnosis, and treatment of a broad range of adult and geriatric psychiatry patients requiring inpatient care.
The resident experience during year two in addiction psychiatry at Delray Medical Center Fair Oaks Pavilion is integrated into the six-month inpatient psychiatry experience, focusing on the evaluation and clinical management of patients with substance use disorders, including substantial exposure to dual-diagnosis cases. Residents have experiences with treatment modalities that include: detoxification, overdose management, and maintenance pharmacotherapy; the use of therapeutic techniques that address the psychological and social consequences of addiction; and participation in recovery groups.
The resident experience in consultation-liaison psychiatry at Delray Medical Center Fair Oaks Pavilion includes three months during which residents consult, under supervision, on other medical and surgical services. Trainees see a full range of patients of patients, assuming increasing responsibility for the patients and care teams to whom they consult.
The resident experience in emergency psychiatry at Delray Medical Center Fair Oaks Pavilion features three months on a supervised psychiatric emergency service. Resident are trained in and perform crisis evaluation and management as well as triage of psychiatric patients.
During the second half of the PGY-2 year, residents spend a half-day per week at South County Mental Health Center (SCMHC), acquiring initial exposure to outpatient psychiatry and beginning to develop their panel of continuity-clinic patients.
The resident experience in outpatient psychiatry at South County Mental Health Center is full time during year three, with 12 months of organized, continuous, and supervised outpatient experience. Each resident treats outpatients longitudinally, from initial evaluation to ongoing treatment of individual pharmacotherapy and psychotherapy patients, some in weekly visits. Residents employ multiple treatment modalities that emphasize developmental, biological, psychological, and social approaches to outpatient treatment, as well as the application of psychosocial rehabilitation techniques for management of the chronically ill. Residents continue to carry a portion of their outpatient caseload into year four.
Child and Adolescent Psychiatry
Incorporated into the outpatient psychiatry experience, the PGY-3 resident experience in child and adolescent psychiatry includes 12 months of part-time organized clinical experience at South County Mental Health Center . Supervising faculty members have current ABPN certification in child and adolescent psychiatry. Residents participate in assessing, evaluating, and treating a variety of conditions in children and adolescents, using a variety of interventional modalities.
The resident experiences at South County Mental Health Center in forensic psychiatry include evaluation of patients’ suicide and violence risks, appropriateness for involuntary commitment, decision making capacity, disability, and competency.
The resident experience in community psychiatry at SCMHC provide residents with a cohort of persistently and chronically ill patients in the public sector. Residents learn about and marshal community resources and services in planning patient care, as well as consulting and working collaboratively with case managers, crisis teams, and other mental health professionals.
The following electives are available: Senior/Chief Resident Inpatient, Senior/Chief Resident Outpatient, Senior/Chief Resident Consultation-Liaison, Senior/Chief Resident Research/Scholarly Activity, Sleep Medicine, Outpatient Neurology, Movement Disorders, Forensic Psychiatry, Addiction Psychiatry, and Off-Site Elective.