Clinical curriculum

PGY-1

Two 4-week blocks

Internal Medicine

Two 4-week blocks

Family Medicine
And/or Pediatrics
And/or Emergency Medicine

Two 4-week block

Neurology

One 4-week block

Emergency Psychiatry

One 4-week block

Addictions

Four 4-week blocks

Inpatient Psychiatry

One 4-week block

Geriatric Psychiatry


PGY-2

Five 4-week blocks

Inpatient Psychiatry

Five 4-week blocks

Consultation Liaison Psychiatry

Three 4-week blocks

Child & Adolescent
Psychiatry
+ Adult ECT


PGY-3

12 months

Outpatient Psychiatry

Includes part-time experiences with:

  • Community Mental Health Center (4 months)
  • Sleep Disorders Center (1 month)
  • PHP Group Therapy (1 month)
  • Buprenorphine Clinic (1 month)
  • Quality Improvement Project

PGY-4

12 months

Outpatient
Psychiatry

Includes part-time experiences with:

  • Senior Teaching Resident (4 months)
  • Electives (4 months)
  • Consultation Liaison Psychiatry (4 months)

PGY-1 Year

The PGY-1 year is divided between primary care, neurology, addictions, adult inpatient psychiatry, geriatric psychiatry and emergency psychiatry. The primary goal of the first year is to develop and solidify the learner’s identity as a physician with direct responsibility for patient care. During primary care rotations in internal medicine, family medicine, pediatrics and/or emergency medicine, residents learn about the assessment and management of conditions commonly seen in an inpatient hospital setting

During neurology residents refine their skills in neurological evaluation and examination and develop familiarity with a range of clinical presentations, as a broad understanding of neurological disease is invaluable for the general psychiatrist. In adult inpatient psychiatry our residents begin to integrate their professional identity into the practice of psychiatry in a hospital setting. Each resident also develops the knowledge and skills for performing thorough and accurate psychiatric assessment, diagnosis, and treatment. Call frequency is 4-5/month.

PGY-2 Year

The PGY-2 year is devoted to inpatient psychiatry in a variety of settings. Residents develop expertise in the treatment of patients of all ages presenting with a full spectrum of psychiatric disorders which require hospitalization. Among the skills learned are differential diagnosis, thorough and efficient psychiatric evaluation, inpatient psychotherapies, and collaborative management within a multidisciplinary team.

Knowledge acquired includes the phenomenology and diagnostic criteria of major psychiatric disorders, principles and practice of psychopharmacology, and theory and practice of psychotherapy. Call frequency is 2 - 3/month.

PGY-3 Year

The PGY-3 year is anchored in the outpatient psychiatry setting. Residents experience providing long term care, which promotes the development of more varied and nuanced skills in a range of psychotherapy techniques, as well as continued growth in assessment and psychopharmacological treatment. Direct supervision occurs at the end of each appointment, and opportunity to discuss cases with faculty is scheduled at the end of each clinic day.

A separate hour for psychotherapy supervision is scheduled each week, and residents have the opportunity to work with four separate psychotherapy supervisors during the year. Call frequency is 1/month.

PGY-4 Year

The PGY-4 year emphasizes advanced preparation for entry into psychiatric practice or subspecialty fellowship training. The senior resident is encouraged and expected to function with a greater degree of independence and responsibility. Rotations emphasize cooperative interaction with other members of the medical and allied health professions, the development of teaching habits, and the provision of ongoing patient care in the context of the therapeutic relationship.

Residents pursue elective opportunities for much of the year, and also create an educational experience of their choosing for our medical students. There is no call during the 4th year