PGY-III Overview
PGY-III residents may choose whether to base the third year at Payne Whitney Manhattan or Payne Whitney Westchester. The third year clinical program includes a broad range of outpatient work with adults and children. Night float coverage of the Emergency Department provides further experience in the management of psychiatric emergencies. The Central Evaluation Service rotation provides intensive experience in outpatient evaluation and crisis intervention. Residents continue the treatment of the outpatients begun during the PGY-II year and pick up a new cohort of patients for treatment in psychopharmacology as well as in long-term intensive psychotherapy, supportive psychotherapy, brief psychotherapy (including CBT and IPT ), group psychotherapy and family psychotherapy. Each PGY-III resident rotates for one month through the Partial Hospital program where he/she gains experience in the outpatient management of seriously ill psychiatric patients with a range of diagnoses in a protected setting. Each resident also rotates through the outpatient Neuropsychiatry Clinic. Opportunity for clinical electives in the Women's Clinic are available for selected residents. Finally, during the PGY-III year, every resident spends 8-10 hours/week on the Child and Adolescent Psychiatric Service learning how to assess and treat children and their families. Again, PGY-III residents are active in the teaching of junior residents and medical students rotating through the Emergency Room and the outpatient department.
All outpatient clinical work is supervised by a team of supervisors with expertise in psychopharmacology and in each of the modalities of psychotherapy. Each resident is also assigned a "meta-supervisor" who serves as an overall advisor for clinical training during the PGY-III and IV year. Residents receive an average of 6-7 hours of supervision/week.
In addition to supervision, the educational program includes a series of weekly case conferences ( supportive psychotherapy, psychopharmacology cases, child psychiatry, long-term psychodynamic psychotherapy, and psychotherapy supervision with Otto F. Kernberg) and a 3 hour/week didactic seminar program scheduled during "protected" time. The PGY-III didactic curriculum includes: advanced topics in psychopharmacology and psychopathology, anxiety disorders, outcome measures and differential therapeutics, long-term psychotherapy (including supportive, psychodynamic, group and family), brief psychotherapy (including CBT and IPT), outpatient substance abuse, cross-cultural psychiatry, understanding severe personality disorders, child psychiatry, sexuality, human development.
Finally, all PGY-III residents continue their participation in the e-group experience.
In addition to clinical activities, supervision and the didactic program, all PGY-III residents have substantial time in their schedules to continue independent scholarship and research. Mentorship and supervision is provided for these activities. By the end of the year, each PGY-III resident is required to submit a plan for the PGY-IV year which includes a proposal for research and/or scholarship.(See Research During Residency)
PGY-III and IV residents may engage in moonlighting activities in any of several New York City Hospitals. Moonlighting provides an opportunity to do independent clinical work in a variety of settings and to supplement income. Moonlighting must be approved by the Residency Training Director.