EDUCATIONAL GOALS AND OBJECTIVES

The PGY-III year is focused on refining the resident's diagnostic and therapeutic skills and deepening her/his experience in a variety of outpatient treatment settings. In addition to treating individuals with severe and chronic mental illnesses, the PGY-III resident gains experience in treating individuals who are in life situation crises or have personality styles that cause them to function ineffectively in pursuing their life goals.

• PGY-III resident makes the transition to the much more independent role of outpatient psychiatrist, working under attending supervision but with much less moment-to-moment supervision than during inpatient duties in the first two years.
• S/he begins to develop a longer-term perspective on psychiatric disorders and their treatment, learning that accurate biopsychosocial assessment sometimes develops over time, and that the time-horizon for treatment response in chronic illnesses in the outpatient setting can be weeks to months as opposed to days in the inpatient setting.
• S/he focuses more intently on improvements in social function and quality of life over time, rather than solely acute symptom reduction, as the goals of mental health treatment.

• S/he becomes develops greater competence in psychotherapy, particularly state-of-the-art evidence-based, manual-guided psychotherapies (see Project IMPART Initiative on Manual-Guided Psychotherapies to Augment Residency Training).

• S/he becomes familiar with the similarities and differences that arise in community vs. hospital-based settings.
• S/he has the opportunity to take on a more extensive teaching role with medical students and more junior residents.
• For residents enrolled in the Resident Pathways to Research, research project development begins.

 

ROTATION MAP

 

12 Months

Mental Health Clinic VABHS Boston, Brockton Campus Approximately 2.5 days/week

Post-Traumatic Stress Disorders Clinic VABHS Boston, Brockton Campus Approximately 0.5 days/week

Substance Abuse Clinic VABHS Boston, Brockton Campus with 2 months of Residential Substance Rehabilitation Program for Homeless Veterans VABHS Boston, Brockton Campus Approximately 0.5 days/week

Community Psychiatry Brockton Multi-Service Center or Corrigan Mental Health Center

Continuity Clinic: 4 hours per week VA Boston, Brockton Campus

 

DIDACTICS

 

Major Courses:
• Summer Course: Introduction to Outpatient Psychiatry
• Cognitive - Behaviorial Therapy: Introduction, Training, & Supervision
• Psychodynamic Psychotherapy: Introduction, Training, & Supervision
• Cognitive Processing Therapy: Introduction, Training, & Supervision
• Motivational Interviewing: Introduction, Training, & Supervision
• Neuroscience
• Continuity Clinic Case Conference



 

 

All PGY Conferences:

Weekly:

• Morning Report
Monthly:


• Grand Rounds
• Psychodynamic Psychotherapy Rounds
Annually:
• Harvard Research Day
• Visiting Professor Day (co-sponsored with Brigham & Woman's/Faulkner)
• Harvard Residents Day
• Mysell Lecture and Research Day