Clinical Curriculum

Our five-year integrated curriculum consists of 24 months of Pediatrics and 18 months each of General Adult Psychiatry and Child and Adolescent Psychiatry. The program is structured with pediatrics in the first and third years. Inpatient psychiatry, with six months of adult and six months of child and adolescent training, occupies the second year. The final two years of the program are in outpatient psychiatry, with adult principally in the fourth year and child and adolescent in the fifth. As a Triple Board trainee, you attend Pediatric Continuity Clinic throughout the five years and see ongoing psychiatric outpatients from both the adult and child populations from years two through five.

We strive to create an atmosphere in which you can draw upon your clinical experiences in multiple settings in a seamless and cohesive fashion. Through integrated interdisciplinary experiences, you are well prepared for careers and practices in such diverse settings as academic, community, private, and research-based institutions.

Intern Year

The intern year of the Triple Board curriculum is Pediatrics-centric. You are fully integrated with your categorical pediatric peers, participating in the categorical residents' orientation, and benefit from the full pediatric educational curriculum.

Second Year

In the second year, you are integrated directly into both the categorical psychiatry residency and the child psychiatry fellowship, each for six-month intervals.

In adult psychiatry, you have six four-week blocks with two weeks of vacation. During the half year, you have one block in the psychiatry emergency room, one block on the inpatient geriatric psychiatry unit, and four blocks on the general psychiatric in-patient units.

The child psychiatry component is comprised of three months on the child and adolescent inpatient unit and three months in a day-treatment program setting. Residents get 10 total vacation days to take during those six months as they see fit. Residents attend full day didactics in child psycho-pharmacology, group therapy, and developmental theory classes, among other things. Monthly journal clubs and frequently scheduled guest lecturers complement the curriculum. If the child didactic schedule allows, you are encouraged to attend the adult psychiatry lectures as well.

Throughout the second year, you take on a minimum of one child outpatient psycho-dynamic case and are assigned a supervisor with whom you discuss work and examine evidence-based treatment options. This is the beginning of a unique longitudinal experience for you, during which you are able to work with a patient dynamically for four years and witness development in vivo.

As in the first year, residents continue to participate in pediatric continuity clinic, attending clinic one half day a week during the entirety of the second year.

Third Year

The third year is a return to the pediatric experience. You are reintegrated into the pediatric third year class, the same class with which you entered into residency.

The year is broken into thirteen four-week blocks as was the case in intern year. One of these blocks is reserved for your vacation, again split into two two-week blocks. During the year, you complete two blocks of general in-patient pediatrics, one block of emergency medicine, two blocks of pediatric intensive care, one block of neonatal intensive care, one block of out-patient ambulatory care, one block of pediatric neurology, and three blocks of electives.

The didactic curriculum is similar to the PGY-1 year, with inpatient, rounds, morning report, noon conferences, grand rounds, and pre-continuity clinic talks. You are encouraged to take a more active role in the teaching process, including leading discussions during morning report or rounds.

You continue pediatric continuity clinic as in the previous two years. In addition, you continue their out-patient psycho-dynamic child psychiatry case with supervision as in the second year of the program.

Fourth Year

Your fourth year is devoted to outpatient adult psychiatry, integrating with the PGY-3 categorical psychiatry class. You spend the year managing medication and conducting psychotherapy in the outpatient setting. A varied case load, from medication management to a variety of psycho-therapeutic modalities, will allow you to gain clinical exposure and experience while honing skills in all aspects of outpatient adult psychiatry. In addition, you expand your child and adolescent psychiatry caseload to gain a broader experience in managing children. You are also on the neurology consult service, supplementing knowledge of psychiatry and preparing for board examinations.

The didactic experience includes a full day of classes lead by leaders in their fields. You are exposed to more thorough examinations and practical applications of various psychotherapies and pharmacological managements. You benefit from a close partnership with the New York Psychoanalytic Institute, allowing for intimate exposure to the leading minds in psychoanalysis. You also continue Process group during this year and pediatric continuity clinic every other week, alternating with the child and adolescent psychiatric outpatient clinic co-located within pediatrics.

Fifth Year

The final year of the program offers the chance to consolidate knowledge bases while immersing yourself back into child psychiatry. The core of your fifth year is the outpatient child and adolescent therapy cases. You join the consultation/liaison service for six months during the year, seeing acute cases in the emergency room and working with peers in pediatrics to manage complex cases. You spend one half-day per week involved with school-based health programs and two half-days per week in a behavioral health home setting. Residents are also immersed in Mount Sinai Health System’s various Centers of Excellence.

The didactic curriculum parallels the second year child psychiatry fellowship curriculum, and you have a class day per week to continue to improve your knowledge base and clinical skills.

In the fifth year of training, you spend two afternoons a week in the co-located outpatient child and adolescent psychiatry clinic within Pediatrics.

Upon completion of the PGY-4 year, you become eligible to take the pediatric board examination and often sit for the exam in the fall of this fifth year.

Salary and Benefits

The salary is competitive with that of other programs in the New York City area, and is determined according to training level. The Mount Sinai Health System does not utilize state funding to supplement hospital lines, but "moonlighting" to supplement salaries is permitted at the discretion of the training director. Salary levels as of January 1, 2016 were as follows:

  • PGY-1: $60,422
  • PGY-2: $63,698
  • PGY-3: $67,210
  • PGY-4: $69,798
  • PGY-5: $72,479

We provide health coverage, optional dental, disability, life, accident, malpractice insurance, discounted housing, and more. The Mount Sinai Health System makes every effort to provide adequate housing for house staff, and all PGY-1s are guaranteed a housing offer. Resident staff accommodations are available in a number of modern apartment buildings within walking distance of your rotations. Amenities include 24-hour door attendant and intercom security systems, laundry rooms, and sundecks. Larger apartments are available to residents with families.

Please review this sample of a Mount Sinai Hospital resident contract