Psychiatry Residency Postgraduate Year 4
Postgraduate year 4 (PGY-4) of the Psychiatry Residency centers around consolidating knowledge, enhancing leadership skills, pursuing areas of interest, and returning to the consult service as a senior resident.
The year also prepares you to pursue a career in academic psychiatry and research, clinical practice, teaching, or administration. Our mentors help you solidify both fellowship and career plans.
Consultation–Liaison Psychiatry Training for Residents
As a fourth-year resident, you spend one month as a psychiatry consultant to other medical disciplines at NYC Health + Hospitals/Bellevue, NYU Langone’s Tisch Hospital, or the VA NY Harbor Healthcare System. You also teach and supervise junior residents.
Residency Senior Selective
During your fourth year, you gain leadership experience as a senior resident on an inpatient unit, in the Bellevue Comprehensive Psychiatric Emergency Program (CPEP), and at the 125th Street Clinic of the Manhattan Psychiatric Center (MPC). With the guidance of the respective site unit chief, you assume the role of a junior attending, supervise junior residents and medical students, lead journal clubs, and teach on the units.
Outpatient Psychiatry Training for Residents
As part of your PGY-4 experience, you continue to treat a core group of patients in the Bellevue outpatient psychiatry clinic and Counseling and Wellness Services at NYU under the supervision of senior faculty. Treatment includes psychotherapeutics and psychopharmacologics.
The rest of your time is dedicated to electives, which enable you to create a fourth-year experience tailored to your interests. Elective choices are wide and make use of the incredible network in our department. Our senior residents spend time receiving advanced training in cognitive behavioral therapy, dialectical behavioral therapy, psychodynamic psychotherapy, LGBTQ+ mental health, trauma-focused psychotherapy, the psychodynamics of leadership, medical student education, reproductive psychiatry, and the treatment of eating disorders. Senior residents also work on specialized inpatient services on assertive community treatment teams, and on mobile crisis teams.
Residency Scholarly Project
At the end of your fourth year, you give a presentation to your colleagues and faculty about the research, case report, literature review, or any scholarly project you have been involved in during your training.
In the last year of residency, four chief residents are chosen. Chief residents focus on general administrative and leadership matters in one of the postgraduate classes. In addition, chief residents can pursue a range of elective opportunities and receive additional supervision and leadership training.
Didactic Training for Residents
Core didactic seminars occur on Thursday mornings before Psychiatry Grand Rounds and all residents meeting throughout the year. These two hours of dedicated time include seminars on consultation–liaison psychiatry, clinical neurology, evidence-based medicine, and eating disorders, along with advanced seminars in psychopharmacology, dynamic therapy, substance use disorders, and forensics. In addition, you attend classes covering career choices, leadership skills, and administrative psychiatry. Residents also receive a lecture series on various applications of integrated care models, including collaborative care, psycho-oncology, HIV psychiatry, and palliative care and pain management.
On-Call Shifts for Residents
There is no required on-call shift in the PGY-4 year.