Psychiatry Residency Program - R-1 Curriculum
Departmental Grand Rounds:
Invited speakers through North Shore-LIJ; chaired by J. Kane, M.D.
Formal presentations of recent research, or scholarly reviews of important
issues affecting clinical practice and/or our understanding of the nature
of mind and brain in health and illness. Most speakers are nationally
and internationally recognized experts in their field of study. Grand
Rounds are viewed through teleconferencing capability and occur at the
hospital's North campus, which will also be the location for residents'
educational activities on Wednesdays.
Weekly, each Wednesday, except summer and holidays
Weekly review and critical discussion of journal articles of note. Articles
will be disseminated in advance of the meeting, and faculty and residents
will be assigned to lead the discussion. Articles will most often be from
the current literature, though articles of historical interest may be
included as well. Emphasis will be placed on importance and relevance
of content; teaching skills necessary for critical reading, such as assessment
of methodology, statistical analysis, and strength of findings; and questions
or future directions suggested by the article's content. Residents
will be required to fill out a form in advance of the meeting, in which
they convey their assessment of the article with respect to these several
measures. Their assessments will be reviewed with the faculty at the Journal
Club and used to assist the residents in developing lifelong learning skills.
Weekly, on Tuesdays
Weekly seminar with Dr Russell Joffe, Chair of the Department of Psychiatry
and Behavioral Sciences, which will begin each academic year with an introduction
for residents. Attendance in the R-1 and R-2 years is encouraged, though
no formal expectation of research practice is required until the R-3 year.
The seminar will set forth the expectations for research to be conducted
in the R-3 and R-4 year - though research can be initiated at an earlier
point in the residency. Dr Joffe, an internationally recognized and accomplished
researcher, will guide residents in choosing topics with which they can
work effectively, with the goal of producing a publishable article or
study by the end of their residency. Residents will be made aware of research
in progress or planned at SIUH, as well as at North Shore-LIJ, including
research activities at Zucker Hillside Hospital and the Feinstein Institute
for Medical Research, which are part of the North Shore-LIJ Health System.
Residents will also present their research projects as they are in development,
and through each stage of the research activity. In addition, residents
will be assigned a mentor for their research project, who will assist
them individually, and who will attend the research seminar when indicated.
Weekly, Friday mornings
Literature, Narrative, and the Self:
Following the format and general outline of Robert Coles' successful
seminar series at Harvard Medical School - described in his book,
Handing One Another Along - we will read narratives, both literary and autobiographical, in order
to explore the varieties of human experience, including but not limited to the
experience of mental and physical illness. A selection of other readings,
in psychology, the natural sciences and philosophy, and related fields,
will also be provided. The goals of the course will be to understand the
importance of narrative and its utility in the practice of psychiatry,
as well as medicine, generally; to increase empathy; and to generate discussion
of cultural, psychological and ontological issues that may arise in the
course of our practice as physicians. A selection of films will also be
assigned for viewing at home, and then be discussed in class. A summer
reading and viewing list and writing project will be assigned and presented
in the seminar in the autumn when classes resume.
Residents on rotations at off-sites will be able to participate in discussions
1 night, Monday, Monthly
Residency Administrative Meeting:
Informal discussion group and seminar that will provide residents with
an opportunity to discuss/review their current learning, to receive additional
assistance or instruction where necessary; to direct residents to current,
important literature or news affecting the field; to review performance
on exams (PRITE, etc.); to provide feedback on their individual and group
educational experience and identify gaps, or areas that require attention
within the curriculum and/or supervision schedules; and to practice and
review Board Exam-type questions and clinical vignettes. Residents will
periodically be provided with exam or assignment materials that they will
be expected to prepare before the course, so that answers may be reviewed
there, and learning opportunities maximized.
Bi-weekly, on Thursdays, over lunch
Crash Course in Psychopharmacology:
Structured using the outline of the ASCP (American Society of Clinical
Psychopharmacology) Model Psychopharmacology Curriculum (6th Edition),
and utilizing educational materials provided by ASCP, which have been
updated and supplemented where necessary. PGY-1 residents will be provided
with a basic knowledge of psychopharmacology to guide them as they begin
their clinical work.
Weekly, 8 sessions
Orientation to Neurobiology:
Introduction to critical concepts in Neurobiology: interaction between
the brain and other body systems, including the gut and the immune system;
homeostatic mechanisms in the brain and their relation to illness states;
introduction to cellular physiology, neurotransmitter and receptor interactions;
gene regulation; oxidative metabolism and its relationship to illness
states. The course will make liberal use of audiovisual materials to augment
learning. Presented by Dr Russell Joffe.
Weekly during Psychiatry Rotation in R-1 year
Anthropology, Philosophy and Sociology in Psychiatry:
Introduction to the importance of understanding other perspectives on symptoms,
illness, and healing, informed by other disciplines. Topics will include
the influence of race, ethnicity, and cultural background on illness presentation
and treatment; philosophical views on the nature of the illness experience,
communication, and subjectivity; and the complex way in which language
influences the process of assessment and treatment.
Weekly during Psychiatry Rotation in R-1 year
The Clinical Interview:
Intensive training in conducting an effective psychiatric interview. The
course will necessarily encompass an introduction to Nosology, but also
address: the relationship of diagnostic assessment to the clinical interview
and mental status exam; how to establish a treatment alliance; ethics,
boundaries and cultural sensitivities of which to be mindful in the conduct
of an interview. As we examine the structure of the clinical interview
over the course of treatment, we will discuss integrating clinical scales
and measures such as sleep diaries and activity schedules; assessing progress
in treatment; and examining different session structures tailored to the
task, and the treatment contract/understanding.