The Psychiatry Residency Program provides comprehensive clinical rotations structured to meet the program’s goal of training competent, well-rounded general psychiatrists and subspecialists.

PGY-1 Year

All PGY-1 level residents participate in a four-month primary care rotation, choosing either medicine or pediatrics. The remainder of the first sixteen months of residency consist of rotations designed to give the resident a solid grounding in diagnosis, psychopharmacology, and multidisciplinary care of the complex patient. Residents rotate through each of the four distinct inpatient units at Einstein Medical Center and Belmont Center for Comprehensive Treatment, including a geropsychiatry unit. During this time they also learn emergency psychiatry while rotating throug the Crisis Reponse Center, which is fully staffed or the treatment of children, adolescents, and adults.

PGY-2 Year

After these basic adult inpatient rotations, PGY-2 residents complete two-month rotations on the neurology service, the adolescent unit, the addictions unit and the consultation and liaison service. The consultation-liaison rotation emphasizes general hospital psychiatry through training in psychiatric consultation to adults, adolescents and children, and through liaison services to all hospital programs.

PGY-3 Year

Advanced residents during the PGY-3 are assigned to the outpatient departments at Einstein Medical Center and Belmont Center for Comprehensive Treatment for the supervised evaluation and treatment of adults, adolescents, children, families and groups. The outpatient rotation is extensive, which allows for long-term psychotherapies with appropriate patients. Having the inpatient and subsequent outpatient treatment of selected patients and families provided by the same resident therapist creates an opportunity for continuity of care.

PGY-4 Year

During the PGY-4, residents continue outpatient work on a half-time basis, while completing a two-month administrative inpatient rotation, a one-month rotation at the long-term structured residence (LTSR), and nine months of electives.

Experience in administrative and organizational psychiatry-focusing on managed care-is included from the first year of training and culminates in this fourth-year administrative inpatient and teaching rotation. During this two-month rotation, residents undertake a supervised experience in the principles and basic skills needed to direct an inpatient psychiatry unit, day hospital or outpatient clinic. This experience includes a focus on the managed care aspects of treatment, and instruction in the teaching of psychiatry. The LTSR rotation provides experience in the care of the chronic mentally ill, many of whom have been discharged from state mental hospitals. The electives are individually selected by the residents, and may include rotations involving study of such topics as sleep disorders, chronic pain and eating disorders.