The PGY-1 clinical year is divided between four months of medical rotations (which can include inpatient Medicine, medical Emergency Room, Pediatrics or Primary Care medicine), two months of Neurology, followed by Inpatient psychiatry, Night Float, and Psychiatry Emergency Room. The psychiatry rotation is spent in the inpatient units of the department, including the Community Mentail Health Center (CMHC) and the Jane B. Aron Psychiatric Pavilion. On both the medicine and neurology rotations, the resident functions as a house officer. Seminars during this year include professional development; short introductions to anxiety, mood, personality and psychotic disorders; psychiatry interviewing; inpatient management; journal club; and psychopharmacology.
One of the best things about the program is the amazing supportive atmosphere. We work together and have fun together.
The PGY-2 continues to build experience with patients. Residents spend time in each of following: the Child & Adolescent Service, Consultation-Liaison Service, Night Float, Addiction Service at Bellevue Hospital, the Psychiatry Emergency Department, as well as the Inpatient Units. Seminars during this year include psychotherapeutic theory and technique, diagnosis and phenomenology to ongoing course work in interviewing, psychopharmacology, addictive disorders, consult liaison, child psychiatry, research didactics and online study, cognitive behavioral therapy, group psychotherapy and psycho-dynamics.
The PGY-3 year is an intensive outpatient experience in the Adult Outpatient Service. During this year, residents also gain experience in developmental disorders in the Developmental Center. Exposure to the geriatric population is comprised of ongoing treatment throughout the year in the adult clinic. Residents acquire knowledge and skills in the pharmacotherapeutic management of patients and crisis intervention, as well as in the use of short- and long-term individual psychotherapy modalities. Opportunities to engage as a co-therapist in group therapy are offered. There is intensive supervision of the residents' case loads. With this in mind, each resident is assigned three to five supervisors (or more, if deemed necessary), in addition to supervision provided in team meetings and case seminars. Seminars consist of a year-long symposium on ethics and psychodynamic techniques and classes in CBT, sexuality, forensic psychiatry, addictions, split treatment, college mental health, personality disorders, public psychiatry, outpatient case conferences and journal club.
The PGY-4 experience includes a teaching and supervisory senior level responsibility in acute care services, as well as "at-home" selectives and "away" electives, and the ongoing care of their psychotherapy and medication patients. During this year, the resident is expected to complete a research project to be presented at Grand Rounds. In addition, residents are offered assistance in submitting papers for publication or for presentation at professional meetings. Residents interested in undertaking research are supported and encouraged to do so by the department throughout the four years of their residency. Two to three of the senior residents are selected annually as chief residents and are given major administrative and teaching responsibilities in the program. Each year, the new chiefs attend a national conference on the leadership role of the psychiatric chief resident. Representative seminars include career planning, psychodynamic case study, eating disorders, senior seminar on suicide, consult liaison psychiatry, integration of psychopharmacology and psychotherapy, and community psychiatry.
Representative Psychiatry Rotation Schedule
Medicine, Medical ER, Primary Care or Pediatrics (4 months), Neurology (2 months), Inpatient Psychiatry, Psychiatry ED, and Night Float.
Child & Adolescent, Consultation-Liaison, Inpatient MICA Psychiatry at Bellevue, Psychiatry ED, Inpatient Psychiatry, and Night Float.
Outpatient Services including Adult, Children, Developmentally Disabled, Geriatrics, Rapid Access Clinic, and Continuity Patients.
Senior Resident teaching & supervising on Consultation-Liaison, Psychiatry ER, and Inpatient Psychiatry; Community Psychiatry, A Selection of Electives, and Continuity Patients.
Residents are required to take on-call in the hospital. On-call and other duty hours are scheduled to comply with ACGME and New York State 405 regulations restricting the number of consecutive hours worked. Starting with the 2012-2013 academic year, no call shift is scheduled for longer than 12 hours. The chief residents arrange the call schedule after the residents submit requests on a six-month basis. The frequency of calls decreases each year, and fourth-year residents have the opportunity to do supervisory calls. Call responsibilities include covering admissions in the ER, medical and psychiatric emergencies on the inpatient units, and psychiatric emergencies on the medical floor. An attending psychiatrist is available in-house 24 hours per day, seven days per week.
All residents are involved in research activities which might include conducting an original research project on a subject of their choice, or scholarly review projects under the supervision of a faculty member. Please refer to the Resident Research section for ongoing projects.