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 Adult Evaluation Service rotation provides intensive experience in outpatient evaluation and crisis intervention. Each PGY-III resident also 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.
The PGY-III year marks a major transition, with the resident moving to the outpatient setting and carrying a diverse caseload of patients who are across the life-span and sociocultural spectrum with complex psychopharmacologic and psychotherapeutic needs.
Intensive didactic time is dedicated to psychotherapy. Cognitive-behavioral models, from foundational Beckian cognitive therapy to dialectical-behavioral models and third-wave modalities are introduced by psychology faculty from our Cognitive Therapy Clinic. Interpersonal psychotherapy, models of group process, and an in-depth lecture series on transference-focused psychotherapy by faculty from our Borderline Personality Disorders Institute are highlights.
Multiple case conferences are led by junior and senior psychoanalytic faculty, with each resident in turn presenting long-term psychodynamic psychotherapy process work in group format. A case conference with Dr. Otto Kernberg meets weekly, focusing on his unique modern object-relations approach and intervention style.
A group case conference on advanced psychopharmacology is led by Dr. Richard Friedman. Residents take turns presenting cases and related literature reviews on a variety of topics of their choosing. Recent topics have included sleep-wake disorders in psychiatric patients, management of treatment-emergent metabolic syndrome, and algorithms for treatment-resistant populations.
Finally, the Clinical Scholars Institute organized a monthly scholarly writing seminar that serves as a forum for residents to present scholarly projects to peers and senior faculty for review and feedback. This seminar has led to multiple resident-led publications, including papers in psychiatric journals, book chapters, conference presentations, and articles for the lay press.
All PGY-III residents attend an intensive 4-hour/week didactic seminar program scheduled during protected time. All PGY-III residents continue their participation in the weekly e-group experience during the fourth didactic hour. Finally, all PGY-III residents have time in their schedules to continue independent scholarship and research, with ongoing mentorship and supervision. 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.
Individual supervision is the 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, with every resident experiencing multiple hours of supervision weekly, some individually, and some with small groups of peers. Supervision in specific areas of expertise such as eating disorders, transference-focused psychotherapy and reproductive/women’s psychiatry are also available and utilized.
PGY-III Supervision Modalities include: 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 and selected supervision in just about any subspecialty.
PGY-III’s lead the Residency Council, plan the Friday lunch series, and are the class traditionally responsible for the leadership of the amazing holiday show. They are leaders in community-building, providing an opportunities for trainees across all years to share experiences and develop group cohesion. Along with the PGY-IV’s, PGYIII’s are active as upperclass “buddies.”
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.