Program Approach and Content

The Psychiatry Residency+PhD Program (PR+PhD) will participate as the "Residency+PhD Track" in the offerings of the Icahn School of Medicine at Mount Sinai (ISMMS) Psychiatry Residency Training Program, so that applicants may enter the program via the National Residency Matching Plan.

The program consists of 5 components.

  1. Completion of all clinical rotations and experiences required by the American Board of Psychiatry and Neurology for Board Certification. Also, attendance at core didactics of the Residency Program
  2. Completion of all coursework, examinations, research activities and thesis requirements of the Graduate School of Biomedical Sciences at the Icahn School of Medicine at Mount Sinai for the PhD degree in either Neuroscience or Biomedical Sciences (Genetics and Genomics)
  3. Research done with close mentorship and involvement of both a MD/PhD advisor and the Program Director
  4. Training in the writing of research publications and grant applications, necessary skills for academic careers
  5. Other scientific career-building activities, including connection with other scientists, those in the residency’s Physician-Scientist Track, the many outstanding neuroscientists at Mount Sinai, and neuroscientific professional organizations

Resident Clinical Activities

The plan for the PR+PhD program is to front-load the clinical experiences, but to have them continue throughout the 7 years. Specifically, the first year will be a full “residency year” devoted to meeting requirements in Primary Care, Neurology and Inpatient Psychiatry. For each of the 6 following years, only 50 percent will be “residency time” and there will be an additional 50 percent of NIMH-supported time. During years 2, ,3 and 4 the NIMH time will be used for PhD didactics plus research, and for years 5-7 this time will be for research only (See Table below).

Core Residency Didactics: The residents in the PR+PhD program will have the same didactics in Years 1, 2, and 3 as their classmates, 2 hrs/week in Year 1 and 4 hrs/week in years 2 and 3 as part of “residency time.” They will not attend in year 4 and beyond, unless they wish to do so.

Clinical and Elective Research Assignments
During Residency Time

Year 1: (12 months of residency training)
  4 month of primary care
  2 month of neurology
  6 months of inpatient psychiatry, with 1 month geriatric, 1 month addiction, and 1 month child
Year 2: (counting for 6 months of residency training)
  6 months of adult outpatient psychiatry, (done as 50 percent time over 12 months) with some supervised ER experiences evenings, nights, and weekends
Year 3: (counting for 6 months of residency training)
  6 months of outpatient psychiatry, (done as 50 percent time over 12 months) with 10 percent (0.6 months) child and adolescent psychiatry
Year 4: (counting for 6 months of residency training)
  1.8 months of outpatient psychiatry (done as 10 percent time with adults, and 5 percent time with children and adolescents, over 12 months
  4.2 months of research time
Year 5: (counting for 6 months of residency training)
  1 month of consultation-liaison psychiatry (done as a block rotation)
  5 months of research time
Year 6: (counting for 6 months of residency training)
  1 month of consultation-liaison psychiatry (done as a block rotation)
  5 months of research time
Year 7: (counting for 6 months of residency training)
  1.2 months of community, emergency and forensic psychiatry (done as 10 percent time over 12 months)
  4.8 months of research time

Clinical, Research and Didactic Activities Over 7 Years

Training Year Residency Time* Residency Activities NIMH Time NIMH-Supported Activities Effective Research Time**
1 100% Internship, including 6 months Inpatient Psychiatry 0 0 0
2 50% Outpatient Psych 50% PhD Didactics (20%) and Research (30%) 30%
3 50% Outpatient Psych 50% PhD Didactics (20%) and Research (30%) 30%
4 50% Clinical (15%)*** and Research Elective (35%) 50% PhD Didactics (5%) and Research (45%) 80%
5 50% Clinical (8%)***and Research Elective (42%) 50% Research 92%
6 50% Clinical (8%)*** and Research Elective (42%) 50% Research 92%
7 50% Clinical (10%)*** and Research Elective (40%) 50% Research 90%
Totals 48 months supported by Mount Sinai Hospital 36 months supported by NIMH 55 months
* Residency Time is time spent on clinical rotations, residency didactics and research electives, spread over 7 years, all paid by the hospital as with any other psychiatry resident
** Effective Research Time combines the research elective time under Residency Time with the research time provided by NIMH support
*** The clinical experiences are in Consultation-Liaison, Child and Adolescent, Outpatient, Community, Emergency, and Forensic Psychiatry (see text)

The elective research time coming from residency assignments adds to 19 months. The total amount of research–related time adds the 36 months of NIMH-supported time (6 months x 6 years) to the 19, and arrives at 55 months, 4.6 years. In this way, the NIMH support and the elective residency research leverage each other to provide the time that would be considered appropriate for completing a PhD.

PhD Didactics and Thesis

The Graduate School of Biomedical Sciences at the Icahn School of Medicine at Mount Sinai has 9 defined Multidisciplinary Training Areas (MTAs), each with its own curriculum and leaders. One is Neuroscience, with 53 current PhD students, and another is Genetic and Genomic Sciences, with18 current PhD students.

The PhD didactics will begin in Year 2 of the program, and continue in Years 3 and 4, on a part-time basis, along with the half-time residency activities described above. The PhD course work required in this program will be the same as that required of current MD/PhD candidates at Mount Sinai. 72 credits are needed, but 20 -28 credits may be awarded for Medical School coursework and research. Also, 6 credits are awarded for each semester of independent research while pursuing the PhD.

 

Three “Core Courses” are taken sequentially in year 2. Each Core Course has Journal Clubs embedded in them in addition to weekly didactic lectures. Course Credits are in parentheses.
   
Neuroscience Core Courses:  
Systems Neuroscience (4)  
Cellular and Molecular Neuroscience (4)  
Neural Basis of Behavioral Plasticity and Cognitive Processes (4)  
   
Genetics/Genomic Core Courses:  
Biomedical Sciences 1 (6)  
Biomedical Sciences 2 (6)  
   
Seminars and Journal Clubs. Year 3 and year 4 students choose from many departmental seminars and journal clubs
   
Neuroscience Advanced Courses  
Cognitive Neuroscience Advanced Topics(1) Neuroanatomy (3)
Brain Imaging: In Vivo Methods (1) Advanced Topics in Synapses (1)
Neuropharmacology (1) Molecular Pathways of Metabolic Disease(2)
Neurodegeneration (2) Topics in Clinical Neuroscience (1)
Molecular Pathogenesis of Neurological & Psychiatric Disorders (3) Neurobiology of Aging & Adult Development (3)
   
Genetics and Genomics Advanced Courses  
Translational Genomics (2) Psychiatric Genomics (2)
Statistical Genetics (2) Advanced Topics in Human Genetics (3)
Intro to Human Genome Sequencing (2) A Systems Approach to the Genetic Basis of Disease (3)
   
Other required courses:  
Responsible Conduct of Research,
year 2 or 3 (1)
Biostatistics, year 2 or 3 (3)

Additionally, students receive instruction in scientific writing and attend grant proposal writing workshops. For example, there is a “Specific Aims” workshop two months before the thesis proposal time period so that the students learn how to write and critique in preparation of their thesis proposals. There is also an oral presentation skills workshop on how to effectively present a PowerPoint presentation.

The Program has given much thought to the PhD thesis. In obtaining research funding, journal publications are given substantial weight. The Mount Sinai Graduate Program allows trainees to combine 3 publications into a thesis, with the addition of an introduction chapter and a discussion chapter. It is this plan which we consider most appropriate for trainees in this Program, and thus trainees will be encouraged to publish their research results early in the training schedule.

Current Trainee Stipends and Hospital Support

All trainees will be registered as psychiatry residents, and will be paid in accordance with the Mount Sinai Hospital (MSH) House Staff Salaries for each of their 7 years in the program. Since after Year One the trainees are only half-time residents, they will increase their PGY level each two years. The current MSH salaries are listed. The NIMH funds bring the salary to that of a full-time resident. If MSH stipends for residents increase, as has happened each year, the trainees’ salaries in this program will increase as well.

 

Training Year Paid As Hospital Payment* NIMH Component Total, Equal to MSH Salary Scale
1 PGY 1 $57,511 0 $57,511
2 PGY 2 $30,315 $30,315 $60,630
3 PGY 2 $30,315 $30,315 $60,630
4 PGY 3 $31,929 $31,929 $63,858
5 PGY 3 $31,929 $31,929 $63,858
6 PGY 4 $33,218 $33,218 $66,436
7 PGY 4 $33,218 $33,218 $66,436

* Plus health insurance benefits

Contact Us

Tel: 212-659-8734

Icahn School of Medicine
Department of Psychiatry
Box 1230
One Gustave L. Levy Place
New York, NY 10029