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

Journal Club:

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

Research Seminar:

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 through teleconferencing.

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.

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