PGY III

Psychiatry residents-PGY3, 2018.

The PGY III year is devoted exclusively to outpatient psychiatry. Clinical and supervisory experiences include psychotherapy with individuals, children and adolescents, families and couples as well as a rigorous psychopharmacology curriculum and outpatient psychopharmacology practice. Our varied training sites provide 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. Residents treat patients at NYC Health and Hospital/Bellevue Outpatient Psychiatry Clinic and at the NYU Behavioral Health Program. In addition, residents treat patients at the New York University Counseling Service at Washington Square and at the VA New York Harbor Healthcare System Outpatient Mental Health Clinic.

NYC Health and Hospitals/Bellevue - Outpatient Psychiatry Clinic

The Outpatient Psychiatry Clinic at Bellevue is one of the main training sites for residents in ambulatory psychiatry. Under close supervision, residents treat a broad spectrum of patients in need of outpatient psychiatric care, ranging from the severely and persistently mentally ill to high functioning patients. The clinic provides state-of-the-art psychopharmacology, incorporating the most recent treatment developments in the field. Residents are trained in a variety of psychotherapeutic modalities including psychodynamic, cognitive, supportive, brief, and dialectical behavioral therapies.

The Bellevue Outpatient Psychiatry Clinic is staffed with NYU faculty members, experienced in the different treatment modalities, who provide direct supervision to all trainees.

In addition, PGY III Residents have a family or couples therapy experience based in the Bellevue Outpatient Psychiatry Clinic.

NYU Langone Medical Center - NYU Behavioral Health Program

The NYU Behavioral Health Program provides an opportunity for residents to learn about and gain experience in the clinical, administrative, and fiscal issues facing psychiatrists in a private practice setting. From initial telephone contact and triage with patients, to determinations of the most appropriate treatment and the provision of a wide range of therapies, residents become exposed to a diversity of assessment and treatment options.

Most patients (approximately 65%) have mood or anxiety disorders, sometimes comorbid with personality disorders. The rest have other psychotic disorders, obsessive-compulsive disorder, ADHD, PTSD and adjustment disorders. Most of the patients are employed, full-time students or retirees.  A majority of the residents' time is devoted to weekly psychotherapy including psychodynamic, cognitive/behavioral and supportive treatments, either with or without pharmacotherapy.

NYU Student Health Center “Washington Square” 
Counseling and Wellness Services

During the PGY III year the residents spend one day per week, for six months, at this college mental health clinic, which serves NYU undergraduate and graduate students. The residents work alongside a multidisciplinary staff of college counselors and psychiatric clinicians. We maintain a 24/7 hotline, provide psychological and psychiatric assessments and crisis intervention, offer short-term dynamic and cognitive behavioral treatments, and ongoing psychopharmacological treatment of students. The main learning goal for the residents is to integrate developmental aspects in the psychotherapeutic and pharmacological treatment of young adults, and become proficient in conducting brief psychotherapy with college students.

VA New York Harbor Healthcare System
Outpatient Mental Health Clinic

PGY III residents spend one day per week for six months in the VA Mental Health Clinic following a small panel of outpatients. Residents learn about the full range of issues confronting military veterans of all eras with a particular focus on combat veterans. During the rotation, residents function as a part of an interdisciplinary clinical team and develop familiarity with a variety of mental health services within the VA healthcare system including medication management, substance abuse treatment, military sexual trauma counseling, readjustment programs for veterans returning from Afghanistan and Iraq, and an array of group and individual therapy options. The VA’s use of evidence-based psychotherapies including DBT, STAIR, CPT, and exposure therapies for PTSD is emphasized. Residents follow individual patients for assessment and medication management. By the end of the rotation, residents will gain an enhanced appreciation of the VA as a comprehensive, multidimensional public healthcare system and become proficient in managing a busy clinic schedule.

NYC Health and Hospitals/Bellevue - Child and Adolescent Interim Crisis Clinic

The Children's Comprehensive Psychiatric Emergency Program (CCPEP) at Bellevue is the country's only specialized psychiatric emergency room for children and adolescents. It is made up of three services: the emergency evaluation service, a short-stay inpatient crisis unit, and an outpatient crisis clinic. Residents will primarily see outpatient cases in the crisis clinic, but will also be exposed to patients in the emergency evaluation service and inpatient crisis unit. Residents can expect to see a broad range of childhood psychopathology, ranging from children as young as three or four with autism or ADHD, to adolescents who are suicidal or experiencing a first psychotic break, and a broad range of interventions (medication management, brief psychoeducation and CBT interventions, family therapy, crisis management). Residents will develop their diagnostic and risk assessment skills, gain exposure to child development and child/family psychopathology, understand school and child welfare systems, and practice outpatient and crisis/inpatient care for children and adolescents, all under the direct supervision of the CCPEP attendings.

Supervision

All PGY III residents receive weekly supervision in general psychiatry (psychopharmacology, supportive psychotherapy and substance abuse treatment), dynamic psychotherapy, cognitive behavioral therapy, child and adolescent psychiatry, and family therapy. In addition, there are supervisors available for expert consultation in complex psychopharmacology and advanced substance abuse treatment.

Medical Student Teaching

In either the PGY III or IV year, all residents lead a six week small group seminar with preclinical NYU medical students, introducing them to their first patient-interviewing experience.

On-Call

The on-call obligation in the PGY III year is twice per month overnight in July. From August through June, residents take call in a one week night-float system at NYU Langone Medical Center. Each resident will cover three to four weeks of night float throughout the year. Each resident is on "short-call" one weeknight every three weeks. PGY III residents take weekend call at both NYU Langone Medical Center and at Bellevue.

Vacation

Residents are entitled to four weeks of vacation during their PGY-III year.