Weill Cornell Medicine's Residency training program provides outstanding training in the development of clinical skills and opportunities to participate in empirical investigation. Our residents are encouraged to translate clinical experience and observation into research questions and receive training in the development of research methodology. Our residents evaluate and contribute to the academic literature to prepare for lifelong engagement in scholarship. We recognize that no single frame of reference is adequate for understanding human behavior and psychopathology. Throughout our intensive clinical, didactic and research program, residents are taught a sophisticated approach to patient care and intellectual inquiry based on the integration of phenomenological, biological, psychodynamic and socio-cultural viewpoints. An additional priority for all residents is the development of the self-awareness, personal growth and enthusiasm for learning necessary for excellence in psychiatry.
Post-graduate year one (PGY-I), the internship year of the program, is evenly divided between medicine/neurology and psychiatry.
Each PGY-I resident spends 6 months on a selection of clinical services in medicine and neurology at NewYork-Presbyterian Hospital and Memorial Sloan-Kettering Cancer Center. While on these rotations, residents work side-by-side with residents from the departments of Internal Medicine and Neurology and participate in all of the clinical, supervisory and educational activities of those departments. In each clinical setting, residents treat severely ill patients and work with patients and their families during times of crisis. By the end of the PGY-I year, the resident will be familiar with the assessment, diagnosis, and management of basic medical and neurological conditions. He/she will also be proficient in ACLS and BLS, and comfortable with management of medical and neurological emergencies at a basic level of care.
Each PGY-I resident spends the other six months of the year working on clinical services in psychiatry. A majority of clinical rotations in the PGY-I year occur at Weill Cornell’s Westchester Division, the second-oldest free-standing psychiatric hospital in the country. Situated on 200 acres in bucolic Westchester county, the Westchester Division houses over 250 inpatient psychiatric beds for children, adolescents, adults, and the elderly. Our PGY-I residents rotate through Westchester Division services including Geriatric Psychiatry, Inpatient Psychotic Disorders, and are supervised by nationally- and internationally-renowned faculty. PGY-I residents have a selective rotation for which they may choose among Inpatient Child Psychiatry, Inpatient Adolescent Psychiatry and Inpatient Eating Disorders. During the inpatient geriatric psychiatry rotation, residents receive hands-on training in the administration of ECT. Finally, each PGY-I resident rotates through the Psychiatric Emergency Department at the Manhattan campus. PGY-I on-call responsibilities cover the inpatient services at NewYork-Presbyterian Hospital or at the Westchester Division.
Supervision during the intern year is from faculty and senior residents on the clinical services, complemented by weekly supervision from specially selected PGY-I supervisors. In addition to supervision, every service includes its own site-based curriculum consisting of academic and clinical rounds, team meetings, case conferences, and specialty rounds. PGY-I residents attend Grand Rounds on both campuses, as well as Morbidity and Mortality conferences and Disorder of the Quarter sessions. PGY-I residents participate in the teaching of medical students rotating through psychiatry, medicine and neurology.
Although they are dispersed throughout our hospital, we make sure to keep in contact with our PGY-I’s through weekly Friday lunches, and regular, casual PGY-I dinners with the educational leadership. These meetings foster community in our residency, providing an opportunity for trainees to share experiences and develop group cohesion. All PGY-I’s are connected with an upper-class “buddy” to help with their orientation and connection.
Vacation: 4 weeks
Clinical work during the PGY-II year focuses on evaluation, diagnosis and treatment of psychiatric patients in acute care settings.
PGY-II residents rotate through the Personality Disorders Inpatient Service at the NewYork-Presbyterian Westchester Behavioral Health Center, the General Psychiatry Inpatient Service Greenberg 11N, and the Partial Hospital Program at NYP/Weill Cornell in Manhattan. In both of these sites, their learning is experiential, as they care for patients during high acuity illness episodes, supervised by expert faculty. The experiential learning is supplemented by case conferences and site-based didactics. During these rotations, residents deepen their understanding of hospital psychiatry including the multi-disciplinary approach to patient care, management of the milieu, psychopharmacology, and individual, family and group psychotherapy. While working on the Personality Disorders Unit, residents spend one afternoon per week working with community psychiatrists. Residents gain expertise in Addiction Psychiatry during the Consultation-Liason rotation, with additional didactics regarding substance abuse."
PGY-II residents also rotate through the New York-Presbyterian Hospital Psychiatric Emergency Service and the New York-Presbyterian Hospital Consultation/Liaison Psychiatry Service. In the Emergency Department, residents work with patients requiring acute medical and psychiatric evaluation and treatment. On the Consultation-Liaison Service, residents learn evaluation and management of psychiatric aspects of medical illness while providing liaison and consultation to medical services in the hospital. A portion of the Consultation-Liaison time is spent at Memorial Sloan-Kettering Cancer Center with a dedicated focus in psycho-oncology.
PGY-II residents have 3-4 weeks of elective time during the year when they pursue a clinical or research project of special interest. Many residents have chosen to pursue electives in clinical or research work overseas. Mentorship is provided to help residents use elective time most effectively.
PGY-II on-call coverage is via a night float system in which residents cover emergencies in the Payne Whitney Manhattan inpatient service.
Supervision during the PGY-II year is from faculty and senior residents on the clinical services. As a supplement, each PGY-II is paired with a specially-selected “off-unit” supervisor who oversees their learning of psychiatric interviewing and assessment skills, and a research/scholarship supervisor, who helps with independent scholarly investigation, development of an area of academic focus and career mentorship.
Every rotation in the PGY-II year includes a site-based curriculum, including academic and clinical rounds, resident and medical student teaching rounds in which trainees deliver scholarly presentations on the psychiatric literature, team meetings, and specialty rounds. A highlight of PGY-II site-based didactics is Professor’s Rounds, a weekly case conference seminar by nationally- and internationally-renowned expert psychiatrists. PGY-II residents attend Grand Rounds on both campuses, as well as Morbidity and Mortality conferences and Disorder of the Quarter sessions. PGY-II residents teach PGY-I residents, medical students and sub-interns rotating through psychiatry services, and attend didactics related to their development as teachers.
All PGY-II residents attend an intensive 3-hour/week didactic seminar program scheduled during protected time. Additionally, all PGY-II residents participate in a weekly e-group (experiential group) that provides an opportunity to learn about group process and discuss the task of becoming a psychiatrist.
PGY-II’s are active in the Resident’s Council, and participate in Departmental academic/social activities through our Friday lunch series. These meetings foster community in our residency, providing an opportunity for trainees across all years to share experiences and develop group cohesion. All PGY-II’s are connected with an upper-class “buddy.”
The third-year clinical program includes a broad range of outpatient work with adults and children at the NYP/Weill Cornell site in Manhattan.
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.
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.
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.
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.
The goal of the PGY-IV year is to facilitate the transition to the roles of independent clinician, teacher, administrator and scholar/researcher. By offering a large amount of choice in designing one’s PGY-IV program, we offer the PGY-IV a mentored experience in designing a clinical and academic program, preparing them for the tasks of independent psychiatric practice.
The majority of the PGY-IV year is elective. Each resident creates a unique year based on clinical and research interests. Our Clinical Scholars Institute helps with this process, exposing residents to mentors and didactics aimed at improving scholarship and expertise. Residents elect major and minor areas of study, aimed to continue with development of broad expertise as well as selected areas of concentration.
To supplement their elective program, PGY-IV residents continue their outpatient work with a selected group of long-term adult and child patients, including learning to collaborate with a team to care for outpatients in the hospital’s Continuing Day Treatment Program. PGY-IV’s participate in the teaching of several pre-clinical courses offered to Weill Cornell Medical Students and in a wide variety of committees active in the hospital and the Department of Psychiatry.
All PGY-IV residents write a scholarly paper. Scholarly papers are presented in a Senior Paper Colloquium for residents and faculty. With supervision, they are encouraged to submit this paper for publication in the psychiatric literature. The best of these papers will be presented at Departmental Grand Rounds. Over the years, residents have written papers on a wide variety of topics
As in the PGY-III year, PGY-IV residents may moonlight in any of several New York City Hospitals, including NewYork-Presbyterian Westchester Behavioral Health Center. Moonlighting provides an opportunity to do independent clinical work in a variety of settings and to supplement income.
Supervision during the PGY-IV year is from a group of PGY-IV supervisors selected by the residents to round out their educational experience. All PGY-IV residents continue work with their meta-supervsior and scholarship supervisor, for help with independent scholarly investigation, academic focus, and career mentorship. They may elect for ongoing supervision in all modalities of psychotherapy, and most residents take advantage of this opportunity. PGY-IV residents help to lead some of the site-based didactics for the younger residents, and participate in teaching the younger trainees and medical students in the Department.
All PGY-IV residents attend an intensive 3-hour/week didactic seminar program scheduled during protected time. Additionally, all PGY-IV residents continue their e-group experience.
At the end of the PGY-III year, two residents are selected to serve as chief residents during the PGY-IV year. The chief residents lead the residency group, serving as an important liaison between faculty and the residents. The chief resident role includes a wide variety of intensive administrative, clinical, supervisory and teaching responsibilities. Our chief residents find this year to be fun, educational and exciting, a highlight of the resident experience.
PGY-IV’s continue participation in the Resident’s Council, and Friday lunch series. They are important mentors to younger residents and play a major role in setting the tone for Resident life in our Department.