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A psychiatry residency at the University of Rochester combines clinical and didactic experiences, providing depth and breadth of knowledge and skills. Our core didactics are consolidated into one afternoon per week for PGY-1 through PGY-3 residents. Residents are expected to attend regularly and this aspect of our value system is clearly communicated to their 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 classes.

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 Service
    • Rochester Psychiatric Center (Forensic Unit)
    • Comprehensive Psychiatric Emergency Program (CPEP)
  • Four months of Internal Medicine
    • SMH Internal Medicine
    • Emergency Medicine
    • Behavioral Medical-Surgical Unit (BMSU)
  • Two months of Neurology

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

  • Development and Child Psychopathology
  • Forensic Psychiatry
  • Geriatric Psychiatry Seminar Series
  • Introduction to Family Therapy
  • Psychological Testing
  • Working with the Deaf Population

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
  • Office-based Practice: 2 hours/week for 5 months

Didactic experiences are consolidated into one half-day per week, and the Resident Organized Seminar Series (ROSS) and combined seminars continue in the PGY-2 year.  A small sample of seminar topics includes:

  • Bereavement
  • Cognitive Behavioral Therapy (CBT)
  • Fundamentals of Psychopharmacology
  • Introduction to Psychotherapy
  • Introduction to Group Therapy
  • Orientation to the Ambulatory Clinic
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

  • Adult Ambulatory Office-based Practice (3 half-days/week)
  • Long-Term Care Clinic and Seminar (Strong Ties) (3 half-days/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/week)
  • Elective Clinic (1/2 day/week) Examples: 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 small sample of seminar topics includes:

  • Advanced Cognitive Behavioral Therapy
  • Advanced Psychopharmacology
  • Dialectical Behavioral Therapy
  • 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 Ambulatory practice (Office Based Practice 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)

Didactics are limited to:

  • Departmental Grand Rounds
  • Resident Organized Seminar Series (ROSS)
  • Numerous elective seminars and workshops
2 CPEP shifts per month