PGY III Year Overview
PGY III residents may choose whether to base the third year at
Payne Whitney Manhattan or Payne Whitney Westchester. The third
year clinical program includes a broad range of outpatient work
with adults and children. Night float coverage of the Emergency
Room provides further experience in the management of psychiatric
emergencies. The Central Evaluation Service rotation provides intensive
experience in outpatient evaluation and crisis intervention. Residents
continue the treatment of the outpatients begun during the PGY
II year and pick up a new cohort of patients for treatment in psychopharmacology
as well as in long-term intensive psychotherapy, supportive psychotherapy,
brief psychotherapy (including CBT and IPT ), group psychotherapy
and family psychotherapy. Each PGY III resident rotates for one
month through the Partial Hospital program where he/she gains experience
in the outpatient management of seriously ill psychiatric patients
with a range of diagnoses in a protected setting. Finally, during
the PGY III year, every resident spends 8-10 hours/week on the
Child and Adolescent Psychiatric Service learning how to assess
and treat children and their families. Again, PGY III residents
are active in the teaching of junior residents and medical students
rotating through the Emergency Room and the outpatient department.
All outpatient clinical work is supervised by a team of supervisors
with expertise in psychopharmacology and in each of the modalities
of psychotherapy. Each resident is also assigned a “meta-supervisor” who
serves as an overall advisor for clinical training during the PGY
III and IV year. Residents receive an average of 6-7 hours of supervision/week.
In addition to supervision, the educational program includes a
series of weekly case conferences ( general outpatient psychiatry,
child psychiatry, long-term
psychodynamic psychotherapy, and psychotherapy supervision with Otto F. Kernberg)
and a 3 hour/week didactic seminar program scheduled during “protected” time.
The PGY III didactic curriculum includes: advanced topics in psychopharmacology
and psychopathology, fundamentals of cognitive neuroscience, long-term psychotherapy
(including supportive, psychodynamic, group and family), brief psychotherapy
(including CBT and IPT),psychotherapy outcome, understanding severe personality
disorders, child psychiatry, sexuality, human development, and research design.
Finally, all PGY III residents continue their participation in the e-group experience.
In addition to clinical activities, supervision and the didactic program, all
PGY III residents have substantial time in their schedules to continue independent
scholarship and research. Mentorship and supervision is provided for these activities.
By the end of the year, each PGY III resident is required to submit a plan for
the PGY IV year which includes a proposal for research and/or scholarship.
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