handbook 2004 - Wake Forest Baptist Health

TABLE OF CONTENTS Section One: Introductory Materials The Community, Location, Local Attractions 4
Wake Forest University 5
Wake Forest University School of Medicine 5
North Carolina Baptist Hospital 5
Coy C. Carpenter Library 6
Standards 6
History Line 7
Full-time Faculty 8
Clinical Associate Faculty 10
Loretta Y. Silvia Teaching Award 13
Residents 14
Overview of the Psychiatric Residency Program 15
Director of Resident Education 16
Associate Director Residency Education 17
Chief Resident 18
Chief Resident Election Protocol 18 Section Two: Scheduling and Rotations Clinical Rotations and Outline of Requirements 21
WFUBMC Psychiatric Adult Inpatient Rotation 23
General Medicine Rotation 24
General Pediatric clinic Rotation 25
Neurology Rotation 28
ECT and Brain Stimulation Rotation 29
Adult Outpatient Clinical Rotation 30
Teaching Clinic Guidelines 31
Consultation-Liaison Rotation 36
Emergency Psychiatry Rotation 38
Community Health Settings in Psychiatry 42
Homeless Opportunities and Treatment Project Clinical Rotation 43
Child and Adolescent Psychiatry Rotation 44
Advanced Inpatient Experience 45
Sticht Center Rotation for Upper Levels 46
Elective Rotations 47
Electives for VAMC 48
Clinical Supervision 51
Mutual Evaluation of Resident Performance and Teaching Quality 52 Section Three: Seminars and Conferences
Teaching Objectives 56
Seminars 58
First Year Resident Seminar in General Psychiatry 60
Second-Third Year Resident Seminar in Biological Psychiatry 61
Second-Third Year Resident Seminars in Psychotherapy 63
Morbidity and Mortality Conference 65
Psychopharmacology Seminar 66 TABLE OF CONTENTS
Section Four: Patient Care Medical Records Requirements 68
Guidelines for Writing Psychiatry Notes 69
Discharge Summary Format 71
Admission Procedures for Psychiatric Patients 72
WFUBMC No Smoking Policy 72
Voluntary Admission 72
Involuntary Commitment Procedures 72
Medico-Legal Information 74
Risk Management 74 Section Five: Miscellaneous
Faculty Advisor Program 76
Resident Mentorship Program 77
Night Call Coverage, Duty Hour Requirements and Beepers 78
Post Call Policy 79
Leave Policies 80
Book Fund/Travel Fund 80
Dress Recommendations 81
Medical Student Teaching 81
Telecommunication 81 SECTION SIX: RESIDENCY POLICY MANUAL EXERPTS Dismissal or Discipline of Resident and Appeal Process 84
Sexual Involvement or Harassment 85
On-Call Coverage 86
Duty Hours 88
Resident Leave Policy 90
Departmental Leave Allowances 90
Administrative/Educational Leave 91
Sick and Emergency Leave Policy 92
System for Tracking Resident Case Loads 94
Moonlighting 95
Dress Code 97
Grievance Policy 98
Trainee Disciplinary Policy 99 SECTION SEVEN: IMPORTANT PHONE NUMBERS 108 SECTION EIGHT: READING LIST AND REFERENCE GUIDELINES FOR PSYCHIATRIC
RESIDENTS 122
SECTION ONE: INTRODUCTORY MATERIALS
THE COMMUNITY
BEGINNINGS OF WINSTON-SALEM The Moravians, a Protestant communal sect, settled the town of Salem
(meaning "peace") in 1766. Their disciplined and pacifist lifestyle was
fostered by a work ethic and an appreciation for music and the arts. In
addition to cotton and wool manufacturing, they relied on trades and crafts
to support their community. The Moravians established Salem College, one of
the nation's first colleges for women. The county of Forsyth and the city of Winston, founded in 1849, were more
industrially oriented and developed around the manufacture of textiles,
furniture, and tobacco products. In 1913 the two cities of Winston and
Salem were joined. This merging of economies, talents, and values reflected
a cooperative spirit between the two original settlements that has remained
until the present.
LOCATION In the Piedmont region of north central North Carolina, Winston-Salem is
equidistant from Washington, D.C., and Atlanta, Georgia. Winston-Salem
joins with Greensboro and High Point to form the Triad region of North
Carolina. Residents enjoy proximity to the beautiful Blue Ridge Mountains
to the west and relaxing beaches of the Atlantic to the east. The region is
served by the Piedmont Triad International Airport, only 20 minutes away.
LOCAL ATTRACTIONS The Piedmont Triad contains numerous institutions of higher learning
including Wake Forest University, Winston-Salem State University, Salem
College, Forsyth Technical Community College, High Point College, The
University of North Carolina in Greensboro, and the North Carolina School
of the Arts. The arts are well represented by the Winston-Salem Symphony
and Symphony Chorale, Wachovia Little Symphony, Piedmont Chamber Singers,
Piedmont Opera, Southeastern Center for Contemporary Art (SECCA), Museum of
Early Southern Decorative Arts (MESDA), Reynolda House Museum of Fine
American Art, The Little Theater, The Stevens Center, Films on Fourth, and
The Arts Council. Winston-Salem is the home of African-American history programming
celebrating Black History Month during February and The National Black
Theatre Festival during August of every other year. It is also the new home
of the River Run International Film Festival which takes place annually in
April. Local attractions include the beautiful Reynolda Gardens of Wake Forest
University, Tanglewood Park, Old Salem and Historic Bethabara. The city is transitioning from an industrial to a research and technology
center. Recent and planned developments include a $20 million downtown
research park, several retail projects in the financial section of the
inner city, and a baseball stadium for the single-A Winston-Salem Dash, an
affiliate of the Chicago White Sox.
WAKE FOREST UNIVERSITY Wake Forest University was founded in 1834 by the Baptist State Convention
of North Carolina. The school was opened as Wake Forest Institute, with
Samuel Wait as principal. It was located in the Forest of Wake County, on
the plantation of Dr. Calvin Jones, near which the village of Wake Forest
later developed. Re-chartered in 1838 as Wake Forest College, it is one of the oldest
institutions of higher learning in the state. It was exclusively a men's
college of liberal arts until 1894 when the School of Law was established.
The School of Medicine, established in 1902, offered a two-year program. In 1946 the trustees of Wake Forest College and the Baptist State
Convention of North Carolina accepted a proposal by the Z. Smith Reynolds
Foundation to relocate the college to Winston-Salem, where the medical
school had moved five years earlier. In 1967 Wake Forest College was granted full university status by the
Southern Association of Schools and Colleges. Today the University has an
undergraduate College of Arts and Sciences, School of Law, the Calloway
School of Business and Accountancy, the Babcock Graduate School of
Management, the Divinity School, and the Graduate School of Arts and
Sciences. The total enrollment is approximately 6,500 students with over
850 full-time faculty. The university receives national recognition for its
successful integration of computer and information technologies into all of
its educational programs. Two nationally televised presidential debates
have been hosted on the campus. Dr. Nathan O. Hatch was inaugurated as
Wake Forest University's thirteenth president on October 20, 2005.
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE The School of Medicine of Wake Forest College, founded in 1902, was renamed
the School of Medical Sciences in 1937 and operated as a two-year medical
school until 1941. It was in 1941 that the School of Medical Sciences was moved from its
original college home in Wake Forest, North Carolina (near Raleigh) to
Winston-Salem. Wake Forest College remained in the town of Wake Forest
until 1956, when moved to Winston-Salem. The 1941 move resulted in an expansion to four-year medical school status,
the opening of the School of Medicine's Department of Clinics [(DOC),
renamed Wake Forest University Physicians in 1991] and renaming of the
school to Bowman Gray School of Medicine in recognition of the benefactor
who made the expansion possible. In October of 1997, the Medical School
was renamed the Wake Forest University School of Medicine at the Bowman
Gray campus. The four-year medical school opened with a faculty of 23 and a student body
of 73. The Bowman Gray School of Medicine joined forces with North Carolina
Baptist Hospital in forming an academic medical center, one of only 127
such centers nationwide today. Today the school consists of over 100 students per class and has been a
national leader in innovative medical education with its problem-based case
study curriculum, "Prescription for Excellence: A Physician's Pathway to
Lifelong Learning."
NORTH CAROLINA BAPTIST HOSPITAL The hospital opened in 1923 by the Baptist State Convention of North
Carolina as one of its missionary enterprises and originally was an 88-bed
facility. Though it did serve some patients from across the state, North
Carolina Baptist Hospital generally cared for patients from the immediate
area