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This year includes following Clinical rotations.

Inpatient Psychiatry servicesPrimary CarePsychiatric Emergency RoomVacation
6 Months4 Months1 Month1 Month

1. Inpatient psychiatry services: During the PGY I year, all the residents rotate through the in-patient service for six months. The resident is exposed to a wide variety of patient’s presentations and diagnosis. The resident has the opportunity to serve as the primary psychiatrist, and yet be closely supervised He or she becomes, comfortable with the process of providing evidence-based treatments to many patients with refractory psychiatric illnesses. Great emphasis is placed on neuro-psychiatric and psychosocial understanding of patients as well as on the diagnostic interview. Residents meet once a week with the training director for interviewing technique class. During the inpatient rotation they learn `how to conduct in-patient individual psychotherapy, pharmacotherapy, group therapy, and family evaluations. . They experience working in multidisciplinary team while developing the skills of a leader. During the first year residents are introduced to Motivational Interviewing a philosophy which is non confrontational, based on empathy and has been very successful in the treatment of substance abuse disorders.
During the inpatient rotation, their chief resident and attending physician supervises residents. He or she will participate in multidisciplinary team meetings three times a week. They learn from other disciplines about patient’s assessments and the inpatient milieu treatment.

Case Conferences: Every Wednesday we have our weekly inpatient case conference. The resident presents a case to an attending psychiatrist. The case is presented from a Bio-Psycho-Social approach and other disciplines participate in the discussion.
Forensic Experience/Court Hearing: Residents have the opportunity to attend court hearings to determine involuntary retention, Assisted Outpatient Treatment, and medication over objection. This is an interesting, learning experience to understand the relationship that exists between the court system and mental illness. The resident observes how patients are presented and what is relevant information.
2. Medical Services: This 4-month rotation in medicine is a requirement for board eligibility. These months are spent in an inpatient internal medicine unit, family medicine or pediatrics. The resident functions as a first year resident on the relevant service. He or she is supervised by senior residents and attending. This is an exciting rotation because residents learn a great deal about medical management directly useful to caring for acute psychiatric patients. The Resident attends didactic activities with the internal medicine resident.
3. Emergency psychiatry: Rotation through our Comprehensive Psychiatric Emergency Program (CPEP) service gives residents the opportunity to learn how to triage and do comprehensive evaluation in limited time. We also have a 4 bed extended observation unit and crisis management. This setting allows residents to learn how to do rapid stabilization and the determination of the need for hospitalization. The residents learn how to do crisis intervention and make the appropriate decisions. All this is done under the supervision of on-site attending physician. Our CPEP is an excellent place for learning, is very busy as many of our patients have diagnosis of schizophrenia, mood disorder, and other psychiatric and substance abuse co-morbidities.

On call: During the rotation the resident provides on-call in the inpatient psychiatric unit. During the 4 months of medicine rotation, two months are spent doing on-call in medicine, supervised by senior medical residents. While two months doing on- call for psychiatry inpatient units supervised by the psychiatric attending.

Vacation: The residents are entitled to four weeks vacation during their PGY-1 year. All four weeks must be taken in one block from the month of September to May, with very limited availability at the end of December.

Didactics: Our program offers protected time during the didactic activities time on Tuesday and Thursday from 12:30 pm to 5:00pm. The classes are held at the Fulton division of Bronx Lebanon Hospital Center.