Psychiatry Residency Postgraduate Year 3
Postgraduate year 3 (PGY-3) of the Psychiatry Residency centers solely on outpatient psychiatry. During your third year of training, clinical and supervisory experiences include psychotherapy with individual adults, children and adolescents, families, and couples. You also gain exposure to a rigorous psychopharmacology curriculum and outpatient psychopharmacology practice.
Outpatient Psychiatry Clinical Training for Residents
Our varied clinical training sites provide you with a rich opportunity to treat a diverse outpatient population that includes patients of all ages and from a broad spectrum of socioeconomic and cultural backgrounds.
Bellevue Outpatient Psychiatry Clinic
The outpatient psychiatry clinic at NYC Health + Hospitals/Bellevue is one of the main training sites for residents in ambulatory psychiatry. Under close supervision, you treat a broad spectrum of patients, from those who have severe and persistent mental illness to those who are high functioning. The clinic provides state-of-the-art psychopharmacology, incorporating the most recent treatment developments. You receive training in a variety of psychotherapeutic modalities, including psychodynamic, cognitive, supportive, brief, and dialectical behavioral therapies.
NYU Langone faculty members staff the clinic and provide direct supervision to all trainees. In addition, you gain family or couples therapy experience.
NYU Langone’s Behavioral Health Program
NYU Langone’s Behavioral Health Program provides you with an opportunity to learn about the clinical, administrative, and fiscal issues facing private practice psychiatrists. From initiating telephone contact with and triaging patients, to determining the most appropriate treatment and providing wide-ranging therapies, you are exposed to a diversity of assessment and treatment options in a private practice model.
About 65 percent of patients on this rotation have mood or anxiety disorders, sometimes comorbid with personality disorders. The rest have other psychotic disorders, obsessive–compulsive disorder (OCD), attention deficit hyperactivity disorder (ADHD), post-traumatic stress disorder (PTSD), and adjustment disorders. Most of your time is devoted to providing weekly psychotherapy, including psychodynamic, cognitive and behavioral, and supportive treatments, either with or without pharmacotherapy.
During your third year, you spend one day per week for six months at Counseling and Wellness Services at NYU, whose hotline serves NYU undergraduate and graduate students 24 hours a day, 7 days a week. You work with a multidisciplinary staff of college counselors and psychiatric clinicians to provide psychological and psychiatric assessments, crisis intervention, short-term dynamic and cognitive behavioral treatments, and ongoing psychopharmacological treatment.
During this rotation, you integrate developmental aspects of young adults into in their psychotherapeutic and pharmacological treatment. You also become proficient in conducting brief psychotherapy with college students.
VA NY Harbor Healthcare System Outpatient Mental Health Clinic
As a third-year resident, you spend one day per week for six months in the VA NY Harbor Healthcare System outpatient mental health clinic following a small group of patients. You learn about the full range of issues confronting military veterans of all eras, with a focus on combat veterans.
As part of an interdisciplinary clinical team, you develop familiarity with VA mental health services, including medication management, substance abuse treatment, military sexual trauma counseling, readjustment programs for veterans who have served in Afghanistan and Iraq, and an array of group and individual therapy options. You also follow individual patients for assessment and medication management and become proficient in managing a busy clinic schedule in a comprehensive, multidimensional public healthcare system.
The rotation emphasizes the VA NY Harbor Healthcare System’s use of evidence-based psychotherapies, including dialectical behavior therapy, skills training in affect regulation therapy, cognitive processing therapy, and exposure therapies for PTSD.
Bellevue Child and Adolescent Interim Crisis Clinic
The Children’s Comprehensive Psychiatric Emergency Program (C-CPEP) at Bellevue is the country’s only specialized psychiatric emergency room for children and adolescents.
During your rotation, you primarily see outpatient cases in a crisis clinic, but are also exposed to patients in an emergency evaluation service and a short-stay inpatient crisis unit. You typically see a broad range of pediatric psychopathologies, ranging from children as young as 3 or 4 with autism spectrum disorders or ADHD, to adolescents who are suicidal or experiencing a first psychotic break. Interventions may include medication management, brief psychoeducation, cognitive behavioral treatments, family therapy, and crisis management.
You develop your diagnostic and risk assessment skills, gain exposure to child development and child and family psychopathology, learn about school and child welfare systems, and practice outpatient and crisis inpatient care for children and adolescents, all under the direct supervision of the C-CPEP attendings.
You receive weekly supervision in general psychiatry (psychopharmacology, supportive psychotherapy, and substance abuse treatment), psychodynamic psychotherapy, cognitive behavioral therapy, child and adolescent psychiatry, and family therapy. In addition, supervisors are available for expert consultation in complex psychopharmacology and advanced substance abuse treatment.
Teaching Opportunities for Residents
In either your third or fourth year, you lead a six-week, small-group seminar with preclinical NYU Grossman School of Medicine medical students, introducing them to their first patient-interviewing experience.
Residency Didactic Training
Classes in the core didactic curriculum are held on Thursday afternoons following Psychiatry Grand Rounds and weekly all residents meetings. They focus on outpatient evaluation and a variety of treatment modalities, including psychopharmacology, cognitive behavioral therapy, dynamic and interpersonal psychotherapies, group therapy, family therapy, sex therapy, and therapies for severe personality disorders.
Other classes explore lesbian, gay, bisexual, and transgender issues in psychiatry, women’s mental health, outpatient substance abuse, forensics, and neuropsychiatry. A biweekly teaching conference gives you the opportunity to present an ongoing case and observe a faculty expert interview the patient in front of class. Additionally, residents participate in seminars that focus on psychiatry in the media as well as lead discussions based on modules from the National Neuroscience Curriculum Initiative (NNCI), which aim to teach neuroscience in an interactive and modern manner.
On-Call Shifts for Residents
During your third year, you take call in a one-week evening float system at NYU Langone’s Tisch Hospital. You cover three to four weeks of evening float duties throughout the year and take weekend call.