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Curriculum

  • Psychiatry - Curriculum

    Rotations | Fellowship | Research | Subspecialties

    The program covers all of the major theoretical approaches and treatment modalities including psychodynamic individual adult, child and adolescent therapy, as well as group, family, behavioral, psychopharmacological and hospital consultation-liaison psychiatry. We provide a supportive atmosphere for residents, encouraging the development of psychotherapy skills and their practical applications. We also prepare residents for the practice of psychiatry in a managed care environment. Our focus on practical applications of psychotherapy principles includes an extensive discussion of dynamic psychotherapy during the last two years of training.

    Our program is dynamic and we welcome suggestions from residents towards improvement in the curriculum, while always adhering to updated ACGME guidelines. 

    Individual clinical supervision remains the cornerstone of the educational program.  Clinical faculty work closely with residents on the inpatient units.  Interns also have the provision of a PGY2 resident as mentor to help them transition smoothly through the intern year and deal with problems they face during their first year.

     During the outpatient rotations, each residents has two individual supervisors and four or more sessions of group supervision each week.  Additional guidance for special projects is arranged as needed.

    Rotations

     Intern Year2nd Year3rd Year4th Year
    Month 1Medicine: 
    1 month ER
    2 months IM
    1 month Geriatric Medicine 
    or
    Pediatrics:
    1 month inpatient
    St. Chrisopher's
    1 month developmental clinic
    1 month adolescent clinic
    1 month child clinic

    Adult Inpatient
    Geriatric
    Psychiatry
    Addiction
    Psychiatry
    Child and Adolescent
    Psychiatry Consultation
    and Liaison Psychiatry Eating Disorders
    Crisis Response Center (CRC) Child CRC

    Night Floats

    2 months Neurology

    Outpatient Clinic
    (Adults, Adolescents, Children,
    Families,  D&A IOP and other Groups)












    Outpatient Clinic
    Administration & Teaching
    Junior Attending
    rotation
    Advance Consultation
    and Liaison

    Electives:
    HIV Clinic
    ECT
    Grand Rounds
    Board Preparation
    Cancer Center
    Long Term Structured
    Residence
    Month 2
    Month 3
    Month 4
    Month 5Adult Inpatient
    Geriatric Psychiatry
    Addiction
    Psychiatry
    Child & Adolescent
    Psychiatry
    Consultation & Liaison Psychiatry
    Eating Disorders
    Crisis Response
    Center (CRC)
    Month 6
    Month 7
    Month 8
    Month 9
    Month 10
    Month 11
    Month 12

     

    During the first two years residents rotate through inpatient units at EMC main campus, Belmont Behavior Health, and Crisis Response Center. During this period they also fulfill their primary care requirements and an additional 2 months of Neurology.

    In intern year, residents have onsite supervision available at all times, including while on call.  Independence is gradually increased in such a way that residents develop autonomy but have help available at all times.  This lays a strong foundation for their next years. There is also weekly group supervision during PGY 1 and 2.

    In the PGY 2 year residents complete additional inpatient rotations.  They also do nightfloat rotations and take turns working on weekends.  During nightfloat and weekends resident confidence increases dramatically as residents make decisions without an attending on site.  This gradual increase in responsibility prepares residents for the third year.

    PGY3 is primarily an outpatient experience at one of the two campuses.  Residents are exposed to work with children, adolescents and adults.  They learn to use the major types of individual psychotherapy.  They also learn to work as part of a team, sharing patients with other mental health professionals. PGY 3 residents undergo rapid growth in their therapeutic abilities and are often amazed, looking back, at how much they have developed. 

    PGY4 carry part of their caseload of outpatients into the fourth year, giving them two years of treatment with some patients.  The year also includes electives presenting grand rounds, preparation for boards, and exploring career opportunities.

     

    Rotations | Fellowship | Research | Subspecialties|Top

    Geriatric Fellowship

    The one-year ACGME accredited Geriatric Fellowship endeavors to create an educational environment to train competent and caring practitioners of geriatric psychiatry, and to promote mental health care in Philadelphia by way of improved practitioners, care systems, and systems interactions. The fellowship rotations include Inpatient Geriatric Psychiatry, Nursing Home Consultation, General Hospital Consultation, Group Therapy, Research, and the Long Term Structured Residence, a unit that cares for patients who are chronically and persistently mentally ill. Fellows gain experience in diagnosis, medication use, and behavioral techniques that address the needs of the geriatric population.

    Rotations | Fellowship | Research | Subspecialties|Top

    Research Curriculum

    The critical reading of scientific articles, research methodologies and statistical techniques are presented in a series of seminars throughout training. Residents have journal Club monthly.

    Residents are encouraged to participate in the hospital's highly active research poster competition and frequently present their work at the Philadelphia Colloquium of Scholars and at national psychiatric meetings. Residents are encouraged and supported in preparing posters for regional and national presentations, and a number of residents have been awarded prizes for their work. Residents are also encouraged to work with attending psychiatrists in diverse research proposals and clinical trials.  A statistician is available on site to assist with research design and analysis of data. 

    Rotations | Fellowship | Research | Subspecialties|Top

    Subspecialty Curriculum 

    Advanced residents participate in subspecialty rotations and seminars in psychodynamic psychotherapy, forensic psychiatry, cultural issues in psychiatry and research.

    Electives offered at Einstein Medical Center and Belmont Center for Comprehensive Treatment campuses include advanced administration of electroconvulsive therapy, advanced consultation and liaison service, advanced eating disorder, and advanced child and adolescent psychiatry. In addition, electives at the HIV clinic, cancer center and Long Term Structured Residence can be requested. A variety of off-campus electives are also available.