Family Health Centers at NYU Langone Psychiatry Residency Postgraduate Year 2
In postgraduate year 2 (PGY-2), residents fully enter their psychiatric training, with clinical experiences across a broad range of treatment settings. Residents continue rotations in inpatient psychiatry, including in child and adolescent psychiatry and forensic psychiatry at NYC Health + Hospitals/Bellevue and in general inpatient psychiatry at NYU Langone Hospital—Brooklyn. Consultation–liaison psychiatry is introduced this year, with rotations in both these locations. Finally, PGY-2 residents are exposed to outpatient and community psychiatry through early experiences in the Family Health Centers at NYU Langone network of outpatient behavioral health services.
Clinical Rotations for Residents
Inpatient and consultation–liaison psychiatry rotations take place at NYU Langone Hospital—Brooklyn and at Bellevue. Outpatient and community psychiatry rotations are based in the Family Health Centers at NYU Langone.
The year is divided as follows:
- 12 weeks at the Sunset Terrace Family Health Center at NYU Langone
- 10 weeks of inpatient psychiatry at NYU Langone Hospital—Brooklyn
- 4 weeks of consultation-liaison psychiatry at NYU Langone Hospital—Brooklyn
- 4 weeks of child and adolescent psychiatry at Bellevue
- 4 weeks of forensic psychiatry at Bellevue
- 4 weeks of medical psychiatry at Bellevue, including electroconvulsive therapy service (ECT)
- 4 weeks of dual diagnosis psychiatry at Bellevue
- 4 weeks of consultation-liaison psychiatry evening float at Bellevue
- 2 weeks of electives
- 4 weeks of vacation
Sunset Terrace Family Health Center at NYU Langone Behavioral Health
Sunset Terrace Family Health Center at NYU Langone is the main location for the outpatient Behavioral Health Program—Family Health Centers at NYU Langone. During PGY-2, residents receive robust early exposure to outpatient work and systems of care, with an emphasis on outpatient evaluation and short-term treatment. This rotation may occur in the traditional outpatient setting, collaborative care psychiatry (psychiatric services for primary care), community medicine (psychiatric care for the homeless), or school-based clinics.
Inpatient Psychiatry Clinical Training
PGY-2 residents return to inpatient psychiatry at NYU Langone Hospital—Brooklyn, where they build on their skills in managing general inpatient psychiatric presentations, ranging from severe depression to mania to psychotic illnesses. As more experienced residents, they will operate with greater autonomy and take an active role in education on the unit. As in PGY-1, ample educational opportunities are integrated into the clinical curriculum.
Forensic Psychiatry Clinical Training
During PGY-2, residents have a unique opportunity to train at Bellevue and work with patients committed to psychiatric care under New York criminal law. Residents develop the forensic skills to perform evaluations of these patients for legal purposes. Trainees also learn how to prepare a report for court, addressing commitment, competency, and treatment over objection.
Child and Adolescent Psychiatry Clinical Training
The core inpatient child psychiatric training occurs at Bellevue, which houses a comprehensive program for the care of acute psychiatric illness in children and adolescents. PGY-2 residents rotate on one of three inpatient units.
On the unit for younger children, residents treat patients ages 12 and younger to help them cope with emerging diagnoses such as autism spectrum, psychotic, mood, developmental, and attention deficit hyperactivity disorders. The unit has a therapeutic nursery and school program.
Residents who rotate on the adolescent units work with older children and teenagers and serve as the primary clinician as part of an interdisciplinary treatment team. PGY-2 residents on this rotation co-lead a substance use support group and attend weekly journal club and case conferences. The unit also has a therapeutic school program.
Consultation–Liaison Psychiatry Clinical Training
Consultation–liaison psychiatry is introduced in PGY-2. The core training experience in consultation–liaison psychiatry occurs at NYU Langone Hospital—Brooklyn. During this rotation, residents join an interdisciplinary team offering psychiatric consultations across all inpatient services, including internal medicine, multiple surgical subspecialties, obstetrics and gynecology, and neurology. Residents also have opportunity to consult on addiction cases with this service.
Additional opportunity in consultation–liaison service occurs when residents cover evening float at Bellevue, where they act as the frontline psychiatrist in evaluating patients with psychiatric needs who are in the medical emergency department or admitted to inpatient medical or surgical services.
On-Call Shifts for Residents
PGY-2 residents take call on the Bellevue consultation–liaison service, where they share coverage of weekend shifts of 12 to 24 hours each. In addition, residents are available for backup call to this service.
Postgraduate Year 2 Didactic Education
Didactic education is shared with NYU Grossman School of Medicine’s Psychiatry Residency. PGY-2 residents participate in seminar-style education focused on clinical case material, differential and diagnosis, patient interviewing skills, risk assessment, psychopharmacology, and various subspecialties, such as forensic, child and adolescent, geriatric, addiction, consultation, and community psychiatry. These seminars build on material covered in PGY-1.
Additional courses cover dynamic and supportive psychotherapies as well as psychodynamic models of psychological functioning. PGY-2 residents also meet with faculty researchers to learn about their work and how to become involved in research.