Post Graduate Year 3
Longitudinal Outpatient Rotations
- Community Psychiatry (1 day/week)
- Psychopharmacology Clinic (0.5 days/week, either DHMC or VA)
- Psychotherapy Patients (psychodynamic psychotherapy and cognitive behavioral therapy at either DHMC or VA)
- Child and Adolescent Psychiatry Clinics and Seminars (1 day/week at DHMC)
- Geriatric Psychiatry Clinic (0.5 days/week at DHMC)
- Refractory Mood Disorders Clinic (0.5 days/week at DHMC)
- Optional Research Elective (0.5 days/week at DHMC or VA). As noted in Post-Graduate Year 2, the 1-block Research requirement is filled in either PGY 2 or PGY 4.
Goals and Objectives for the PGY 3 Year
Goals: To develop psychiatrist able to provide outstanding clinical care to outpatients with psychiatric disorders. This should extend to the ability to treat patients in a variety of settings with skill and competence.
- Residents will demonstrate the ability to provide evidence based treatment to outpatients which is consistent with their values and desires for treatment.
- Residents will display specific ability in supportive psychotherapy, psychodynamic psychotherapy, cognitive behavioral psychotherapy, family therapy, couples therapy, group therapy, and other evidenced based individual psychotherapy. This shall be evidenced by:
- Supportive Psychotherapy: Residents must see no less than 30 patients for supportive therapy including 15 that are seen for no less than 52 weeks.
- Psychodynamic Psychotherapy: Residents must see no less than three patients for psychodynamic psychotherapy including one long term case (at least 40 sessions and at least 40 weeks) and at least one brief case (less than 20 sessions).
- Cognitive Behavioral Psychotherapy: Residents should see no fewer than three patients using CBT techniques. Each patient should be seen for at least five sessions. At minimum two different disorders should be treated.
- Family Therapy: Residents should observe and or perform with supervision at least five sessions of family therapy.
- Couples Therapy: Residents should observe or perform at least 3 sessions of couple’s therapy.
- Group Therapy: Residents be involved in either the supervised experiential group therapy experience, lead a group, or co-lead a group. Which ever option is chosen should include not less than 8 sessions.
- Other evidenced based psychotherapy: Residents should treat at least one patient with an individual psychotherapy not listed above. This could include exposure therapy, EMDR, or interpersonal psychotherapy.
- Community Psychiatry: Residents will treat patients in a community psychiatry setting including being a member of a multidisplinary team.
- Child Psychiatry: Residents will perform evaluations and ongoing treatment of children and adolescents with psychiatric disorders.
- Residents shall acquire specific knowledge regarding the evidence of effectiveness for various psychotherapies.
- Residents will understand the rational and theoretical underpinnings for the various psychotherapies.
- Residents will demonstrate knowledge of the theoretical basis and practical skills of community psychiatry.
- Residents will display an understanding of the diagnosis and treatment of children and adolescents with psychiatric disorders.
Practice Based Knowledge and Improvement:
- Residents will be expected to obtain, evaluate, and utilize evidence from the scientific literature to inform their patient care.
- Residents will demonstrate the ability to use manual based psychotherapies.
- Residents will utilize evidence based approaches to community treatment.
Interpersonal and Communication Skills:
- Residents will demonstrate an ability to communicate their treatment plans to patients and their families in an understandable way.
- Residents will demonstrate effective communication as part of psychotherapy.
- Residents will display the ability to work on a multidisplinary outpatient team.
- Residents will demonstrate professionalism at all times on this rotation including professional dress, professional attitude toward other staff, ethical behavior, and general standards of physician behavior.
- Residents shall be aware of, attended to, and adhere to the special issues involving patient boundaries in psychotherapy.