Clinical Track

Our residency program allows all residents the flexibility to explore specific aspects of psychiatry and develop individual areas of specialization. At The Mount Sinai Hospital and the Icahn School of Medicine, we have expertise across the broad landscape of modern psychiatry, and we have designed our residency to help you take advantage of our specialty resources while developing necessary skills for clinical, academic, and administrative excellence. Below are some examples of concentrations undertaken by our residents, as each develops an individualized niche in the field.

This individualized clinical path with substantial elective time incorporates numerous possible subspecialty “majors” to afford residents tailored experiences for in-depth training with clinical and research groups while receiving high-level mentoring. In this concentration you acquire the skills to become an excellent clinical psychiatrist, an expert in clinical subspecialties, and an effective educator.  Examples of subspecialty clinical areas you might focus on include the following:

  1. Therapeutic Modality: psychopharmacology; psychotherapy (psychodynamic, cognitive, behavioral, dialectical behavioral, family, group, interpersonal, motivational, schema, etc.); procedural/interventional treatments
  2. Population/Setting: Child and Adolescent; Geriatric; Substance Use; Medically Ill; Forensic; Public/Community/Primary Care; Women; Veterans; LGBT; Emergency; Inpatient; Outpatient; International
  3. Diagnosis/Dimension: Psychosis and Schizophrenia Spectrum; Mood and Anxiety; Personality Disorders; Neurocognitive Disorders; Traumatic Stress Disorders; Addiction; Attentional Disorders; Autism Spectrum; OCD, Tics, and related disorders; Eating Disorders; other niche specialties

Within a subspecialty, you develop expert diagnostic skills and learn how to characterize phenomenology of symptom domains in a sophisticated manner. You gain knowledge of cutting-edge therapeutics, including evidence-based psychotherapies, psychopharmacology, and interventional somatic treatments. The close collaboration between clinical research teams and trainees provides a rare opportunity for you to develop a truly translational conceptualization of psychiatric illness, in which research informs clinical care and clinical insights further research.

You have a substantial role in supervising and mentoring medical students and junior residents, and you learn how to employ interactive teaching methods enabling you to present your work and ideas on a larger scale. Learning to communicate and disseminate knowledge through excellent teaching is an essential skill set for clinician leaders in their careers and is a focus of our training.    

This clinically-oriented path is undertaken by residents who want to become psychiatric executives and lead the changing terrain of medical and psychiatric services. Working directly with and apprenticing under senior departmental and hospital leaders, you have the chance to work in and learn about the management and structure of mental health care in a variety of settings and systems: patient-centered medical homes within a larger health care system; not-for-profit hospitals; single-payer systems (James J Peters VA Medical Center); integrated care clinics; federally-funded non-VA specialty care clinics; foundation-funded specialty care clinics (e.g., Human Rights Clinic); specialized faculty practices; academic department based care (inpatient, outpatient); community-based care (e.g., Visiting Doctors); partial hospital programs; others.

In these multiple health care delivery models, your administrative skills are enriched by the vast resources of the Mount Sinai Health System—one of the largest nonprofit systems in the country with seven hospital campuses and one renowned medical school. Individually tailored experiences are developed with each resident, including the ability to pursue an MBA or MPH during residency training.

Designed to foster early immersion into child and adolescent psychiatry, this path allows residents abundant flexibility to pursue areas of interest during adult residency training without having to pre-match into a fellowship. We offer opportunities in child and adolescent psychiatry substantially beyond those required for graduation, including the following: three-months of pediatrics in PGY-1; additional months on child/adolescent inpatient service; additional child/adolescent outpatient psychopharmacology and psychotherapy; child/adolescent consultation-liaison; adolescent day program; child trauma training; therapeutic nursery; immersion into clinical and research Centers of Excellence; others. 

The Arnhold Global Health Institute supports this interdepartmental, longitudinal, two-year track combining a didactic series on global health with international field work. Residents learn to advance global mental health through experiences in underserved areas, both locally and internationally. 

In keeping with our focus on residents determining an area of concentration and developing subspecialty proficiency, we support residents seeking additional extracurricular advanced training opportunities during their substantial elective time. Residents are eligible for programs administered through the Graduate School of Biomedical Sciences of the Icahn School of Medicine and for those directed by affiliated or non-affiliated organizations.

 Many of Mount Sinai’s numerous Master’s Degree programs are available to residents while in training. Additionally, residents can opt for more modest extracurricular studies, such as Mount Sinai’s 1-year Clinical Research Training Program, which includes the same classes as the Master’s version but without the thesis requirement and 2nd-year research seminars. 

A partial list of other opportunities undertaken by residents includes advanced training in psychodynamic and psychoanalytic psychotherapy at The New York Psychoanalytic Society & Institute, group psychotherapy training through the Eastern Group Psychotherapy Society, and obtaining MBA degrees through the wide variety of programs available in the New York City area.