The third year of training (PGY3) marks a transition for our residents as they shift from working primarily in inpatient settings to primarily outpatient settings and begin to function independently as psychiatrists. Each resident has an office in the NYSPI and is given primary responsibility for patient care with individual supervision from faculty.
Residents are trained in many forms of outpatient treatment during the third year, including advanced psychopharmacology and multiple psychotherapeutic modalities, including cognitive behavioral, interpersonal, dialectical-behavioral, supportive, psychodynamic, and family. Residents also have access to supervisors who specialize in transference-focused, dialectal-behavioral, and schema-based therapies. PGY3 residents return to the CPEP where they share night float and weekend call.
We take pride in the quality and amount of supervision provided to PGY3 residents, who each receive 8 hours per week of supervision by expert faculty. There are 5 hours for individual psychotherapy and brief treatments, 1 hour each for psychopharmacology and evaluation, and 1 hour for rotations in child psychiatry and substance abuse. In addition to supervision, residents have daily didactic sessions building on themes first explored as a PGY2. Twenty percent of the year is set aside as a selective. During this time residents may pursue a specific research interest or receive more intensive training in either psychopharmacology or psychotherapy. In addition to the general resident outpatient clinic, all residents rotate through one of three public psychiatry outpatient treatment settings within NYP and NYSPI. The Washington Heights outpatient clinics of NYSPI work in collaboration with the Washington Heights inpatient unit where residents rotate as PGY2s. This continuity experience allows residents to work with patients within the community across these two treatment settings as PGY2s and PGY3s through an integrated treatment model.