PGY 4

General Information

Senior residents have the opportunity to design their own program within the parameters of the available sites.  Each resident arranges with faculty members the areas on which he or she wants to focus and the amount of time spent in each area.  In addition, each resident spends one-half day per week in psychotherapy and one hour per week in psychotherapy supervision.

Clinical Rotations

The entire year, other than one half day a week of ongoing psychotherapy, is elective. The rotations are highly variable.  Many of the fourth year residents enjoy rotating through Interventional Psychiatry, advanced psychotherapy training (including dialectical behavioral therapy) or women’s mental health. Opportunities exist for acting attending electives on any of our rotations and/or  various experiences through any of our Fellowships. Other options for fourth year include the child diagnostic unit and student mental health. The above rotations are just a few of the many electives available.

Didactics

On Thursday afternoons, senior residents have two hours dedicated for board review time. Additional lectures on transitioning from a resident to an attending, financial management, billing and coding, and private practice psychiatry will occur throughout the year in lieu of board review.

Call

Fourth year residents are currently responsible for approximately 4 long calls and 9 short calls per year with no holidays or overnight calls.

Scholarly Project

Every resident is required to complete an academic project or scholarly work prior to graduating. This may be a clinical or educational study, review paper, quality improvement (QI) project, or academic presentation, workshop, or poster. The purpose of this requirement is for residents to demonstrate proficiency in research methodology, critical review of scientific literature, and writing/presentation skills. It is hoped these products will lead to national publications and presentations to help build their experience and CVs. Products which may meet this requirement are academic products that have some degree of peer or expert review, and contribute to the community beyond the level of the department.