The third-year clinical program includes a broad range of outpatient work with adults and children at the Payne Whitney Manhattan site.
All PGY-III residents treat a continuous group of outpatients in multiple different modalities, including long-term intensive psychodynamic psychotherapy, supportive psychotherapy, time-limited psychotherapy (including CBT, DBT and IPT), group psychotherapy, couples and family psychotherapy, and psychopharmacologic treatment. The Central Evaluation Service rotation provides intensive experience in outpatient evaluation and crisis intervention. Each PGY-III resident rotates for two months through the Geriatric Evaluation Service where he/she gains experience in the evaluation of seriously ill older psychiatric patients with a range of diagnoses. Each PGY-III also rotates in the Women's Clinic for two months, where they gain experience in reproductive psychiatry and women's mental health. Finally, during the PGY-III year, every resident spends 8-10 hours/week on the Child and Adolescent Psychiatric Service learning how to assess and treat children and their families.
- 48 weeks: Outpatient Psychiatry – NewYork-Presbyterian Hospital/Payne Whitney Manhattan
PGY-III on-call coverage is via a night float system in which residents cover the psychiatric Emergency Department, deepening their experience in the management of psychiatric emergencies.
Didactics and Supervision
Individual supervision is a highlight of the PGY-III year. A team of supervisors with expertise in psychopharmacology and in each of the modalities of psychotherapy supervises all outpatient clinical work. Supervision in specific areas of expertise such as eating disorders, transference-focused psychotherapy and reproductive/women’s psychiatry are available as well.
PGY-III Supervision Modalities:
CBT, DBT, Long-Term Psychodynamic Psychotherapy, Supportive Psychotherapy, Psychopharmacology, Child and Adolescent Psychiatry, Geriatric Psychiatry, Reproductive/Women’s Psychiatry, Evaluation supervision, Group Psychotherapy, Couple’s and Family Psychotherapy, selected specialty supervision, “meta” supervision, scholarship supervision
In addition to supervision, the PGY-III educational program includes a series of weekly case conferences (supportive psychotherapy, psychopharmacology cases, child psychiatry, long-term psychodynamic psychotherapy, and psychotherapy supervision with Otto F. Kernberg). Psychotherapy roundtables are a highlight of the year, in which complicated cases are discussed from different clinical perspectives. PGY-III residents attend Grand Rounds on both campuses, as well as Morbidity and Mortality conferences and Disorder of the Quarter sessions. Transitioning to senior residents, PGY-III residents teach PGY-I and II residents, medical students and sub-interns rotating through psychiatry services, and attend didactics related to their development as teachers.
All PGY-III residents attend an intensive 3-hour/week didactic seminar program scheduled during protected time. All PGY-III residents continue their participation in the weekly e-group experience. Finally, all PGY-III residents have time in their schedules to continue independent scholarship and research, with ongoing mentorship and supervision by their scholarship supervisors. By the end of the year, each PGY-III resident is prepared to submit a plan for the PGY-IV elective year, including a proposal for research/scholarship activities.
PGY-III’s lead the Resident’s Council, plan the acclaimed Friday lunch series, and are the class responsible for the coordination and execution of the amazing Departmental holiday show. They are leaders in community-building in our residency, providing an opportunities for trainees across all years to share experiences and develop group cohesion, and along with the PGY-IV’s, are active as upperclass “buddies.”
Vacation: 4 weeks
PGY-III residents may engage in moonlighting activities in any of several New York City Hospitals. Moonlighting provides an opportunity to do independent clinical work in a variety of settings and to supplement income. Moonlighting must be approved by the Residency Training Director.