Today is Monday, Aug. 3, 2020

Department of

Department of Psychiatry and Behavioral Neuroscience

Residency Program

Curriculum and Didactics

The five-year rotation schedule aims to integrate rotations in each specialty during each year, alternating between psychiatry and family medicine approximately every four to six months for the first three years and the last year. The fourth year is one full year of outpatient psychiatry.

Schedule revisions and informal curriculum evaluations take place at the monthly program meetings. Additionally, residents are provided four weeks of vacation each year, divided proportionately between their assignments in each program.

The Family Medicine Continuity Clinic is a weekly experience (at least one half-day per week in Years 1-4 and three half-days in Year 5) at the Christ Hospital Family Medicine Center in the Medical Office Building adjoining The Christ Hospital. An additional half-day per week of family medicine outpatient experience with a homeless patient population is provided in the McMicken Integrated Care Clinic during the fourth year and during select months during the fifth year. Supervision is provided by a family medicine preceptor during this time with on-site behavioral health training by Drs. Wulsin and White.

Below is a general outline of each year of the FMP program, but individual schedules are subject to changes.

R1 (Vacation 3 weeks FM/1 week PSYCH)
Vacation Rotation Length
Adult Inpatient Medicine: TCH 2 months
Behavioral Medicine/Procedures 2 weeks
November Selective (Family Medicine) 1 week 2 weeks
Emergency Medicine:UCMC 1 week 1 month
ICU:TCH 1 month
Introduction to Family Medicine: TCH 1 week 1 month
Pediatric Inpatient:CCHMC 1 month
Global and Underserved Health 1 month
Inpatient Psychiatry:UCMC-R 1 week 2 months
ConsultPsychiatry: UCMC 1 month
Substance Abuse and Detox: VAMC 1 month
R2 (Vacation 2 weeks FM/ 2 weeks PSYCH)
Vacation Rotation Length
Adult Inpatient Medicine:TCH 2 month
Newborn: UCMC 1 month
Outpatient Pediatrics: CCHMC 1 week 1 month
Outpatient Family Medicine andQI: TCH 1 week 1 month
Maternity Care:TCH 1 month
Psychiatry Inpatient: UCMC-R 1 week 1 month
Neurology: UCMC & VAMC 2 months
Inpatient Child Psychiatry: CCHMC 1 week 1 month
Psychiatry Emergency Services: UCMC-R 1 month
Child Psychiatry Consults: CCHMC 1 month
R3 (Vacation 2 weeks FM/2 weeks PSYCH)
Vacation Rotation Length
Adult Inpatient Medicine: TCH 1 month
Elective (Family Medicine) up to 1 week 1 month
Maternity Care: TCH 1 month
Cardiology: TCH up to 1 week 1 month
Orthopedics/Sports Medicine up to 1 week 1 month
Global and Underserved Health 1 month
Pediatric ER: CCHMC 1 month
Outpatient Surgery: TCH 1 month
Psychiatry Inpatient: VAMC or LCOH or UCMC-R 2 weeks 2 months
Psychiatric Emergency Services: UCMC-R 1 month
Geriatric Psychiatry: UCMC-R 1 month
R-4 (Vacation 4 weeks PSYCH)
Vacation Rotation Length
Psychiatry Outpatient: Central Clinic 4 weeks 12 months
R-5 (Vacation 3 weeks FM/1 week PSYCH)
Vacation Rotation Length
Adult Inpatient Medicine: TCH 1 month
Elective (Family Medicine) up to 3 weeks 1 month
ENT/Ophthalmology up to 1 week 1 month
Gynecology 1 month
Orthopedics/Sports Medicine 1 month
Outpatient Pediatrics: Crossroads FQHC 1 month
Dermatology: VAMC 1 month
Global and Underserved Care 1 month
Psychiatry Consult Service: UCMC 1 month
Psychiatry Elective 1 week 2 months
Psychiatry Inpatient: UCMC-R or LCOH or VAMC 1 month

Legend: TCH=The Christ Hospital; UCMC= University of Cincinnati Medical Center; CCHMC= Cincinnati Children's Hospital Medical Center; VAMC=Veterans Affairs Medical Center; UCMC-R= University of Cincinnati Psychiatry at Ridgeway; LCOH=Lindner Center of Hope

Didactic Curriculum

The curriculum emphasizes a) the essential knowledge and skills of family medicine and psychiatry, and b) the skills necessary to integrate clinical practice in family medicine and psychiatric settings.

The goal is to train primary care clinicians with expertise in the management of mental disorders in primary care settings and to train psychiatrists who can manage the primary care needs of their patients. Residents follow the didactic curricula of the rotations to which they are assigned, e.g., psychiatry while on psychiatry rotations and family medicine while on family medicine rotations.

Family Medicine Didactics

Didactics occur for three Thursday afternoons each month.The second Thursday is each month is dedicated to continuity Geriatric experience (which occurs during the 4th and 5th years for FMP residents) at the Center for Community Living at the VA Medical Center, where residents follow two veterans residing in a long-term nursing facility monthly for two years, supervised by attending geriatricians.

In addition, while residents are on their inpatient Family Medicine months, they participate in daily noontime lectures on topics related to inpatient, outpatient, and OB. During off-service inpatient months the residents participate in the didactics of their specific rotation. For example, while on pediatric rotations at Cincinnati Children's Hospital Medical Center the residents participate in morning report, noon conferences and Grand Rounds with the pediatric residents.

Family Medicine Grand Rounds occur once a month at The Christ Hospital and are well-attended by residents, faculty, and community family physicians. Journal Club, Patient Safety Conference, Maternity Care M+M, and R3 Selective Lectures are featured regularly throughout the year.

Psychiatry Didactics

PGY 1 residents have lectures for five months in the first year, while PGY2 and PGY3 residents have didactic lectures throughout the year. Lectures typically take place on Tuesday or Thursday mornings depending on the month and year of training.Grand Rounds occur weekly on Wednesdays between September and June, followed by an informal question-and-answer session with the presenter for the residents. The remaining didactics occur on a longitudinal basis according to year of training and are aimed at introducing residents to psychopharmacology, psychotherapy and other topics relevant to the practice of psychiatry. Journal Club and Evidence-Based Medicine Topics are presented by residents and attended by residents and both clinical and research faculty.

In addition, a yearly research curriculum has been integrated into the program to expose residents to the basics of experimental design, which can be very useful in the creation of resident's required scholarly project - which may consist of a Grand Rounds or formal publication. See the Research Opportunities section for additional information.

Instructor lectures in class

More Information

Training Director
Family Medicine and Psychiatry Program

Hilja Ruegg, MD

Inquiries about the resident training program should be directed to:

Kristin Holhubner
Phone: 513-558-5190