4 Months

2 Months

7 Months

Primary Care

Neurology

Inpatient Psychiatry

Internal Medicine

Family Medicine or Pediatric Emergency Room/Clinic

Inpatient at Wade Park VA, Consult/Liaison at UH

General Psychiatry Rotation (UH, Wade Park, and Brecksville VA)

ON-CALL
PGY-1s rotating on Psychiatry take in-house call at University Hospitals 5 or 6 times a month.

SUPERVISION
Inpatient attendings provide regular supervision and daily work rounds. Adjunctive supervision is performed by clinical faculty.

CURRICULUM
PGY-1s attend didactics 3hours per week. In the first 6 months, the curriculum emphasizes fundamental clinical concepts including clinical interviewing, psychiatric assessment, introductory psychopharmacology and management of psychiatric emergencies. The second 6 months is dedicated to a comprehensive review of Neurology and is taught by the Neurology Residency Program Director and a case-based topic seminar led by Addictions, Geriatric, Inpatient, and Psychosomatic faculty. A year-long support group complements the didactic program..

3 Months

4 Months

2 Months

1 Month

1 Month

1 Month

1 Month

Inpatient Adult Psychiatry

Psychosomatic Medicine and Emergency Psychiatry

Elective Time

Forensic Psychiatry

Addiction Psychiatry

ECT

Child/Adolescent Psychiatry

Additional General and Geriatric Psychiatry

ON-CALL
PGY-2s take night call at the Wade Park VA approximately 4 or 5 times per month.

SUPERVISION
Inpatient supervision is as described in the PGY-1 year. Psychosomatic Medicine rounds and supervision occur daily and are supplemented by weekly CL teaching conferences. PGY-2s begin Long-Term Psychodynamic Psychotherapy, beginning with one weekly psychotherapy patient. One hour of weekly psychotherapy supervision is provided by an analyst.

CURRICULUM
PGY-2 didactics are one half-day weekly. The curriculum includes introductory neurosciences, series on psychosomatic medicine, geriatric psychiatry, addiction psychiatry, advanced psychopharmacology, research and statistical methods, introduction to psychotherapy and modules covering epidemiology, etiology and treatment of the major psychiatric disorders.

PGY-2s begin Long-Term Psychodynamic Psychotherapy. They see one patient for a 50-minute session once per week, which is followed by one hour of supervision with an analyst. The PGY-2s continue their group therapy experience throughout the year.

PGY-3

12 Months

Outpatient Adult Psychiatry
(Half time VA and UH)

Community Psychiatry
(1 day a week)

Child & Adolescent Psychiatry
(1/2 day a week)

ON-CALL
PGY-3s take short-call as as back-up for the PGY-1s and then call from home for the rest of the shift. They have a half-day "comp time" on the post-call day.

SUPERVISION
Residents are assigned two supervisors (psychotherapy and pharmacology) for their UH outpatient experience. On-site supervision is provided for the VA, community, and child & adolescent rotations.

CURRICULUM
PGY-3s have didactics two 1/2 days per week. Seminars in community, child & adolescent, cultural and forensic psychiatry are supplemented by continuing case conferences and coursework in family, marital, individual and group therapies. Cognitive and dialectical behavioral, interpersonal, gestalt and psychodynamic psychotherapies are included.

12 Months

General Adult Psychiatry

ON-CALL
PGY-4s do not take call.

SUPERVISION
Supervision follows the description for PGY-3s. The elective time in the fourth year allows residents opportunities with any of our 200+ clinical faculty. Off-site electives and supplemental supervision may also be arranged.

CURRICULUM
PGY-4s have didactics 1 half-day per week and cover such topics as advanced clinical management, regulation and finance, career and practice management, integrating psychoanalytic concepts, transference and counter transference, the "expert witness" seminar and others. Residents participate in a self-directed "Board Review" and advanced clinical interviewing (ABPN Part II) practicum.