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Curriculum

The Residency curriculum combines clinical and didactic experiences to provide depth and breadth of knowledge and skills. Our core didactics are largely consolidated into one afternoon per week for PGY-1 through PGY-3 residents. Residents are expected to attend regularly.  This is valued time, which is communicated to residents’ supervisory attendings - for example, even while on Medicine rotations, PGY-1 residents are relieved of clinical responsibilities on Tuesday afternoons, enabling them to return to the Department of Psychiatry for didactics.

PGY-1 Year

The focus of this first year is to establish core skills as a physician and psychiatrist in training.

Clinical Rotations Didactic Experiences Call Requirement
  • Six months of Inpatient Psychiatry
    • Strong Memorial Hospital (SMH) General Adult Acute Inpatient Psychiatry Service
    • Rochester Psychiatric Center (Forensic Unit)
    • Comprehensive Psychiatric Emergency Program (CPEP)
  • Four months of Internal Medicine
    • SMH Internal Medicine (IM)
    • Emergency Medicine
    • Inpatient Medicine in Psychiatry Unit (iMIP)
  • Two months of Neurology

PGY-1 residents attend Tuesday afternoon seminars, which can sometimes be a combined seminar with upper level psychiatry residents, and is sometimes a Resident Organized Seminar Series (ROSS).
A sample of seminar topics:

  • Case Reasoning
  • Cultural Formulations
  • Talking with Patients/Interviewing
  • Foundations of Therapy
  • Psychopharmacology
  • Development and Child Psychopathology
  • Forensic Psychiatry
  • Geriatric Psychiatry Seminar Series
  • Introduction to Family Therapy
  • Psychological Testing
  • ECT

Two Saturdays/month when on SMH Inpatient Psychiatry Service; when on IM and Neuro, on-call is per those services

PGY-2 Year

The second year is a time to begin consolidating one’s identity as a psychiatrist.  An important clinical focus is to ensure that residents gain confidence in the care of acute psychiatric patients. It includes exposure to a wide range of psychopathology in settings that teach focused, acute interventions.

Clinical Rotations Didactic Experiences Call Requirement
  • Two months Senior Resident on General Adult Acute Service
  • Two months Rochester Psychiatric Center (Schwarzkopf Clinic)
  • Two months Inpatient Psychiatry on Child and Adolescent Unit
  • One month Inpatient Psychiatry on Geriatric Psychiatry Service
  • Two months Psychiatry Consultation Liaison Service
  • One month Addiction Psychiatry (Strong Recovery)
  • Three weeks (part-time) Eating Disorders Clinic
  • Three weeks (part-time) ECT
  • Resident Psychotherapy Clinic: One half-day per week across the year

PGY-2 residents attend Tuesday afternoon seminars, which can sometimes be a combined seminar with upper level psychiatry residents, and is sometimes a Resident Organized Seminar Series (ROSS).
In addition, there is a once-monthly Multi-Cultural Seminar series held through the year on a Tuesday morning - residents are excused from other clinical duties to attend.
A sample of seminar topics:

  • Introduction to Psychotherapy
  • Freud
  • Kohut
  • The Life Cycle
  • Schizophrenia
  • Introduction to Family and Group Therapy
  • Interviewing
  • Motivational Interviewing
  • Rating Scales

4 CPEP shifts per month

PGY-3 Year

This year is designed to significantly broaden and deepen one’s psychiatric abilities.  The year consists predominantly of ambulatory psychiatric experiences in a variety of general and specialty settings.  Priorities in this year include adding to and honing skills in pharmacotherapies, and short-and long-term psychotherapy.  Residents have a psychotherapy supervisor to aid in developing psychotherapy competencies.

Clinical Rotations Didactic Experiences Call Requirement

For twelve months

  • Resident Psychotherapy Clinic: 1 day a week
  • Strong Ties / Schwarzkopf - Clinics for the seriously and persistently mentally ill: 3 half-days a week
  • University Counseling Center (1 half-day/week)
  • Consultation Clinic: Perinatal Clinic (1 half day/month)

For six months

  • Socio-Legal Practicum and Seminar: 1/2 day a week
  • Older Adults Clinic: 1/2 day a week
  • Highland Family Medicine Clinic: 1/2 day a week  
  • Elective Clinic: 1/2 day a week Examples: Lazos Fuertes, PTSD Clinic at the VA, Deaf Wellness Clinic, Child Outpatient Clinic, University Counseling Center

The Resident Organized Seminar Series (ROSS) and combined seminars continue in the PGY-3 year. A sample of seminar topics:

  • Cognitive Behavioral Therapy
  • Advanced Psychopharmacology
  • Dialectical Behavioral Therapy
  • Interpersonal Therapy
  • Working with people from different cultures:
    • African America/Black
    • Refugees
    • Middle Eastern descent
    • Sexually and Gender diverse
  • Neuropsych Testing
  • Introduction to Perinatal Psychiatry
  • Scholarly Projects

3 CPEP shifts per month

PGY-4 Year

This is a year for consolidation, mastery, leadership and exploration as the resident approaches graduation and prepares for the transition to practice or fellowship training.

Clinical Rotations Didactic Experiences Call Requirements
  • Minimum 2 half-days per week of outpatient practice (Therapy Clinic or Strong Ties)
  • Junior Attending experience:
    • Required CPEP shifts
    • At least two months as Junior Attending on another hospital based service (e.g., Inpatient or Consultation Liaison)

The Resident Organized Seminar Series (ROSS) continue in the PGY-4 year. In addition:

  • 4’s attend the CL Psychiatry Fellowship seminar series
  • Consolidating teaching and supervising skills
  • Numerous elective seminars and workshops

2 CPEP shifts per month