PGY II Year Overview
Clinical work during the PGY II year focuses on evaluation, diagnosis
and treatment of psychiatric patients in acute settings. Residents
rotate through the Personality Disorders Inpatient Service at Payne
Whitney -Westchester and the Inpatient Service at Payne Whitney -Manhattan
11S (Dual Diagnosis and Affective Disorders inpatient services).
Residents may also elect to follow adolescent patients on the Payne
Whitney- Manhattan Adolescent Inpatient Service. During inpatient
rotations, residents will be trained in the administration of ECT.
They will also deepen their understanding of hospital psychiatry
including the multi-disciplinary approach to patient care, management
of the milieu, psychopharmacology, and individual, family and group
psychotherapy. While working on the Personality Disorders Inpatient
Service, residents will spend one afternoon/week seeing patients
under supervision at a community service site.
PGY II residents also rotate through the New York Presbyterian Hospital
Psychiatric Emergency Service and the New York Presbyterian Hospital
Consultation/Liaison Psychiatry Service. In the Emergency Room, residents
work with patients requiring acute medical and psychiatric evaluation
and treatment. On the Consultation-Liaison Service, residents learn
evaluation and management of psychiatric aspects of medical illness
while providing liaison and consultation to medical services in the
hospital. PGY II residents work nights on a rotating basis covering
emergencies in the Payne Whitney Clinic inpatients services. These
on-call duties are supervised by the PGY III, PGY IV and the attending
on call. As in the PGY I year, PGY II residents on all clinical services
are supervised by the attending faculty and senior residents on these
services as well as by specially selected PGY II supervisors. PGY
II residents are, in turn, active in teaching PGY I residents, medical
students clerks and sub-interns.
Toward the second half of the PGY II year, each resident will begin
to pick up outpatients whom he/she will follow throughout the residency.
Most often these patients will be selected to be suitable for long-term
psychodynamic psychotherapy for which supervision will be provided.
In addition to the site-based curriculum on each clinical service,
the PGY II year includes an intensive 3-hour/week didactic seminar
program scheduled during “protected” time. PGY II summer
curriculum includes: management of medical and psychiatric emergencies
including suicide, violence and acute psychosis and the fundamentals
of C/L psychiatry. The PGY II curriculum for the remainder of the
year includes: the fundamentals of biological psychiatry and psychopharmacology,
the fundamentals of neuropsychiatry, psychopathology, introduction
to psychotherapy, the psychoanalytic model of the mind, psychiatric
and psychological case formulation, cross-cultural psychiatry, and
research literacy. Every PGY II resident is assigned a research/scholarship
mentor for help getting started in independent scholarly investigation.
All PGY II residents participate in a weekly e-group which provides
an opportunity to learn about group process and to discuss the process
of learning to be a psychiatrist.
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