Residency Policies & Procedures
V. Educational Goals by Year
Educational Goals for the PGY-3 Year
The Psychiatry Residency PGY-3 year is an outpatient year
and consists of one day a week of Child and Adolescent Psychiatry, one
day a week of continuity clinic, and the remainder of the time in adult
outpatient psychiatry rotations, including geriatric and addiction psychiatry
rotations. The general goals of the PGY-3 year are to provide residents
with supervised experience (a) in the assessment and treatment of adult
outpatients with a wide range of psychiatric diagnoses, using a variety
of treatment modalities, including pharmacotherapy, short- and long-term
individual psychotherapies, and couples, family, and group therapies;
(b) in the assessment and treatment of children and adolescents with a
wide range of psychiatric and behavioral conditions; (c) evaluating and
formulating initial treatment plans for elderly patients presenting with
psychiatric disorders or symptoms, assessing their functional abilities,
and working with their families and caregivers; (d) assessing and treating
patients with substance use disorders, including learning motivational
interviewing and gaining experience with group therapy; and (e) further
developing skills and knowledge in psychodynamic and cognitive-behavioral
Specific goals for the PGY-3 year include the goals listed for the PGY-1
and PGY-2 years, in addition to the resident's being able to:
- Effectively evaluate, diagnose, and formulate treatment plans for
children, adolescents, adults, and elderly individuals in outpatient
psychiatric settings, including patients with substance use disorders.
- Work effectively with a multidisciplinary outpatient team and with
the patient's family, caregivers, and other care providers.
- Engage the patient and, as appropriate, the family and/or caregivers,
in treatment; sustain a therapeutic alliance; and guide the patient
through the process to termination.
- Effectively use psychopharmacological and psychotherapeutic approaches,
alone and in combination.
- Display awareness of his or her own responses to patients (countertransference)
and use these responses productively in treatment.
- Relate to patients and their families, as well as other members of
the health care team with compassion, respect, and professional integrity,
and display sensitivity to the sociocultural context of patients' illnesses.
- Display a commitment to excellent patient care, teaching medical students
and junior residents, and developing his or her own knowledge and skills
through active participation in supervision and didactic sessions, as
well as through critical appraisal and assimilation of scientific literature.
Satisfactory completion of the PGY-3 year requires:
- Satisfactory completion of an additional 12 months of training, consisting
of 2-3 months FTE Child and Adolescent Psychiatry and 9-10 months FTE
Adult Outpatient Psychiatry, including one day a week of long-term continuity
clinic and 1-2 months FTE each of Addiction and Geriatric Psychiatry.
- Ratings of "proficient" or better in all categories of the Outpatient
Psychiatry, Child and Adolescent Psychiatry, Addiction Psychiatry, and
Geriatric Psychiatry evaluation forms.
- Ratings of "emerging" or better in all categories of the evaluation
form for Continuity Clinic.
- Satisfactory completion of both the Basic Analytic Psychotherapy (BAP)
and Cognitive-Behavioral Therapy (CBT) seminars.
- Satisfactory progress towards fulfilling the ACGME psychotherapy competencies.
- Attendance at 70% of scheduled didactics sessions OR 85% or more of
didactic sessions for which the resident is not excused (e.g. for vacation,
illness, post-call, on call).
- Satisfactory completion of at least 3 Clinical Skills Assessments,
completion of a "mock Board" examination, and completion of the PRITE
- Evidence of compassionate, respectful, professional, and ethical behavior
as well as openness to feedback and supervision.