Ronald O. Rieder, MD
As in the other years of training, PGY-4 residents have an uninterrupted and protected block of classes, for seven hours on Tuesdays, inclusive of Grand Rounds and Process Group. This fourth year curriculum focuses on advanced topics in psychiatry, assuming a previously well-integrated background of knowledge learned in the first 3 years. In our residency's focus on "picking a major" (i.e., specialization) and development of expertise, we have allowed for 8 months of true elective time in the fourth year. In this vein, we've extended this thinking to our didactic curriculum, allowing each upcoming PGY-4 group of residents to have a significant say in their class schedules. As such, these advanced courses are often tweaked and geared to the needs and interests of each year's group of PGY-4 residents, though the presence of a core set of classes provides information suitable to (and generally required for) all clinical interests.
The fourth year curriculum is split into four categories, each with distinct modules: psychopharmacology, psychotherapy, and clinical topics in psychiatry. A selection of these is as follows:
- Psychopharmacology Advanced topics
- Treatment Resistance
- Psychotherapy and Psychopharmacology
- Clinical cases from the perspectives of psychopharmacologists in private practice
- Current Controversies in Psychoanalysis
- Continuous Case Conference (Adolescent)
- Continuous Case Conference (Adult)
- Mentalization and Mindfulness
- Interpersonal Psychotherapy
- Clinical Topics in Psychiatry
- Women's Mental Health
- Men and Women
- Sexuality and Sexual Histories
- Sexuality and Treatment of Sexual Dysfunctions
- Post-Graduate Practice and Career Choice
- Risk Management
- Psychiatry Review for American Board of Psychiatry and Neurology (ABPN) Exam
Philip Luloff, MD
For more than 30 years, Mount Sinai's psychiatry residency Process Group program has offered PGY 2, 3, and 4 residents a unique training experience. Building on the Group Dynamics class in the PGY-1, Process Group is a more unstructured experience in which residents come to learn, first-hand, about themselves, their peers, and to process and examine their experiences in real time. Process Group is an in vivo training in how groups function and the effects of an individual within and upon the group. Residents are invited to share anything about their thoughts, feelings, work, patients, etc. and simultaneously observe the influence and power of a group experience in fostering growth and development.
While not explicitly "therapy," Process Group also fosters self-reflection, cohesion among residents, and an opportunity to discuss, in a confidential and supportive environment, the pressing emotional, social, and interpersonal issues involved in being a resident in psychiatry. The process which unfolds from week to week often helps with the pressures and stresses of residency. A fundamental agreement between members of the group and the leader(s) is that all said within the group is confidential.
Each PGY class has its own weekly group, with leaders who remain the same through all three years. The leaders are chosen from experienced members of the voluntary faculty who have no supervisory or evaluative functions in the residency. These leaders—by the way they comment and behave—offer a real-time example of group observation, facilitation, and interpretation.
Icahn School of Medicine
Department of Psychiatry
One Gustave L. Levy Place
New York, NY 10029