The PGY 3 year 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. There are two major components of the third year: evaluating and treating outpatients in the clinics and evaluating and treating children and adolescents through Columbia's Child Psychiatry Department.
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, psychodynamic, group and family. Residents also have access to supervisors who specialize in transference-focused, dialectal-behavioral, and schema-based therapies.
PGY 3 residents return to the CPEP where they share overnight and weekend call.
We take pride in the quality and amount of supervision provided to PGY 3 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, substance abuse and family therapy. In addition to supervision, residents have daily didactic sessions building on themes first explored in PGY 2 year. 20% of the year is available for elective opportunities, including research.
Education and training in child and adolescent psychiatry is incorporated throughout residency. PGY 2 residents learn child and adolescent development in a 3 month course, and, with faculty supervision, may treat minors on the inpatient units. The PGY 2 year begins with a course on interviewing children and adolescents in which the application of a developmental perspective is emphasized. It is followed by a two-month course on psychopathology in children and adolescents. These courses draw upon the expertise of the large faculty in the division of child and adolescent psychiatry. PGY 3 residents apply and consolidate their skills in child and adolescent psychiatry during a 2 month rotation in the department of child and adolescent psychiatry, with experiences on the child consult liaison service and the child CPEP. PGY 4 residents interested in additional training with children and adolescents may continue with their outpatient treatment cases and can choose from a number of electives, including the Child & Adolescent Psychiatric Evaluation Service at NYSPI and the School-Based Mental Health Program at NYPH.