Psychiatry Residency at Mount Sinai Beth Israel

The Residency Training Program in Psychiatry at Mount Sinai Beth Israel provides outstanding clinical training in a stimulating, scientifically sophisticated environment with a staff dedicated to teaching, research and patient care. Located in the dynamic urban setting of lower Manhattan, the department is able to expose residents to patients from a wide variety of cultural and socioeconomic backgrounds.

As a part of the Mount Sinai Health System, the Department of Psychiatry is linked to the academic and research resources of the Icahn School of Medicine at Mount Sinai.  Additional affiliations with the graduate programs in Psychology at the New School for Social Research add to the stimulating academic atmosphere in the Department.

Comprehensive Behavioral Health Institute at Mount Sinai Beth Israel

The Mount Sinai Health System is creating a Comprehensive Behavioral Health Institute at Mount Sinai Beth Israel, as a part of the transformation of the services offered in lower Manhattan through Mount Sinai Downtown. This transformation will add to the existing training opportunities for Residents in Psychiatry at Mount Sinai Beth Israel.  The Institute will be housed in the Bernstein Pavilion on the Mount Sinai Beth Israel Campus. The Bernstein Pavilion is undergoing a major renovation and, when completed, will house over 150 inpatient beds in Psychiatry and Addiction including a new state-of-the-art unit for adult and geriatric psychiatry. The institute will add a Partial Hospital Program to our existing continuum of outpatient services and the Electro-Convulsive Therapy program will expand significantly. A centralized Intake Unit is being created to provide rapid evaluations and facilitate access to all outpatient services. With these enhancements, Mount Sinai Beth Israel will expand its role as prominent provider of behavioral health services within the Mount Sinai Health Care System to better serve the needs of the local community and the tri-state area.

Education: Overview

The Residency Training Program in Psychiatry is a four-year program, or a three-year program following a transitional internship year, approved by the American Board of Psychiatry and Neurology and accredited by the Accreditation Council on Graduate Medical Education.

The Psychiatry Residency Training Program is designed to develop Psychiatric clinicians who have a broad base of clinical and theoretical knowledge. The Department of Psychiatry and Behavioral Science’s clinical philosophy blends the most current thinking from the biological, psychodynamic and sociological perspectives. The Psychiatry Resident is expected to become proficient in applying these perspectives to the treatment and understanding of their patients and to understand current research and developments in the field. Under close supervision, the clinical and academic assignments are designed to gradually help the Residents integrate their knowledge and experience. The educational process is enriched by an extensive range of clinical and research activities, didactic seminars, grand rounds, clinical conferences and journal clubs. While providing a rigorous academic and clinical program, the department fosters a warm sense of community. Residents quickly sense the ease with which they can approach staff for advice and support. Their involvement in the Department is encouraged and enhanced by weekly Resident lunches and Resident-organized social events. Residents receive one month of vacation a year.

PGY-1
Courses (3 hour Wednesday afternoon block)

  • Introduction to Psychiatry Residency ("Nuts and Bolts", taught by Chief Residents)
  • Introduction to Psychiatry: Basic Diagnosis and Psychopharmacology
  • Journal Club
  • Interviewing Class
  • Psychopharmacology Supervision
  • Differential Therapeutics Seminar
  • Narrative Medicine Seminar
  • Biological Psychiatry Research Seminar

PGY-2
Courses (4 hour Wednesday afternoon block)

  • Summer Research Seminar
  • Motivational Interviewing (Summer)
  • Family Approach (Summer)
  • Management of Borderline Personality Disorder (Summer)
  • Advanced Diagnosis and Psychopharmacology (Summer and Fall)
  • Psychosomatic Medicine (Summer and Fall)
  • Principles of Psychodynamic/Cognitive Therapy (Fall, Winter, Spring)
  • Psychopathology Class (Fall/Winter)
  • Normal Child Development (Winter)
  • Substance Abuse (Winter)
  • Psychiatric Knowledge Review (Spring)
  • Psychiatry and the Law (Forensics) (Spring)
  • Neurobehavior (*during 2mo neurology rotation)
  • Geriatric Psychiatry (Spring)
  • Community and Administrative Psychiatry (Spring)
  • Addiction Psychiatry EBM Seminars (while on rotation)
  • Addiction Psychiatry Motivational Interviewing Seminars (while on rotation)
  • Process Group

 
PGY-3 (2 hour Thursday afternoon block)

  • Psychotherapy Case Seminar
  • Advanced Psychodynamic Theory
  • Psychopharmacology Small Group Seminar
  • Cognitive Behavior Seminar
  • Family Seminar
  • Child Seminar
  • Geropsychiatry Journal Clubs (while on rotation)
  • Child Journal Club (while on rotation)

 
PGY-4

  • Psychotherapy Evaluation Seminar
  • Senior Psychopharmacology Journal Club
  • Psychosexual Medicine (followed by clinical elective)
  • Reproductive Medicine (followed by clinical elective)
  • Brief Psychotherapy Seminars (CBT and Relational Therapy)
  • Family/Child Seminars
  • Neuroscience
  • Advanced Psychopharmacology Tutorial (Elective)
  • Advanced Seminar in Interpersonal-Relational Psychoanalytic Psychotherapy (Elective)

PGY-1 (13 four week blocks)

  • 4 Blocks of Primary Care with 1 week vacation
  • 7 Blocks of General Adult Inpatient Psychiatry with 1 week vacation
  • 1 Block of Night float (2wks) / Vacation (2wks)
  • 1 Block of Night float (2wks) / Comprehensive Psychiatry Emergency Service (2wks)


PGY-2
 (13 four week blocks)

  • 2 Blocks of Neurology (including Neurobehavior)
  • 1-2 Blocks of Inpatient Geriatric Psychiatry (including ECT)
  • 3 Blocks of Inpatient Addiction Psychiatry
  • 1 Block of Integrated Outpatient Psychiatry
  • 2 Blocks of Psychosomatic Medicine (Consultation-Liaison)
  • 1 Block of Comprehensive Psychiatric Emergency Program (including child assessments) with Assertive Community Treatment (ACT)
  • 2 Blocks of Night float (2wks) / Vacation (2 wks)
  • 1 Block of Electives (examples: Opiate Treatment, HIV, Bipolar Family Center, Adolescent Day Treatment Program, Clinical Research, Integrated Care with Family Medicine)


PGY-3

  • 12 Months of Outpatient Psychiatry including Child and Adolescent, Addiction, and Geriatric Psychiatry


PGY-4

  • 6 Months (half time) as Senior Resident (inpatient unit, outpatient clinic, CPEP, or C-L service)
  • Continuing Outpatient Psychiatry including Child Psychiatry
  • 1 Month of CPEP (12 hours per week)
  • Pediatric Consultations
  • Selectives and Electives: (University Counseling, Assertive Community Treatment, Project for the Homeless, Mobile Crisis Unit, Pain and Palliative Care, Psychosexual Medicine, Reproductive Health, Movement Disorder Neurology, ECT, Bipolar Family Treatment, Forensic Psychiatry Practicum, Integrated Care with Family Medicine). A wide range of additional electives are available at Mount Sinai Hospital and St. Luke's and Roosevelt Hospital.
  • Protected Research Time

PGY-1

  • Medicine: 
    • Every fourth day
    • Weekday calls are short calls until 8-9 pm
    • Weekend/Holiday calls are from 7am-8pm (two per month)
    • No overnight call
  • Psychiatry: 
    • Cover inpatient psychiatric units and CPEP
    • Approximately every seventh day.
    • Weekday calls are short calls until 10pm.
    • Friday calls for PGY-1 residents. One resident covers from 5 PM until 10 PM.  A second resident is given time off from noon until 10 PM on Friday. That resident than covers from 10 PM until 8 AM on Saturday.  This system means that PGY-1 residents do not have 24 hour shifts with no impact on the call schedule of more senior residents. 
    • Weekend/Holiday calls are 8am-8pm.
    • PGY-1's participate in 2-weeks of night-float per semester, Sat-Thurs (off on Friday). One night float rotation is paired with two weeks of vacation and the other with two weeks of CPEP
    • PGY-1 residents on-call always have direct supervision available from an on-site senior resident and an on-site attending psychiatrist.

PGY-2

  • Cover adult and child emergency department and consults on medicine/surgery.
  • Approximately every tenth day.
  • Weekday calls are short calls until 10pm.
  • Friday call is overnight (maximum of 2 per year)
  • Weekend/Holiday calls are 8am-8pm.
  • PGY-2's participate in 2-weeks of night-float per semester, Sat-Thurs (off on Friday). Each night float rotation is paired with two weeks of vacation.

PGY-3

  • Cover CPEP and consults on medicine/surgery.
  • Two options:
  • Total of approximately six-eight calls for the entire year for each PGY3
    • Eight residents do one week of night-float plus one additional Friday overnight call 
    • Remaining residents cover all other Friday overnight calls 

PGY-4

None