Psychiatry Residency Program - R-4 Curriculum

Courses in concert with R-1, R-2 and R-3 residents:

  • Departmental Grand Rounds
  • Journal Club
  • Research Seminar
  • Literature, Narrative and the Self
  • Learning Practice

Other courses:

Training to be a Teacher: 

Residents will be helped to acquire skills and confidence that will allow them to become effective teachers. We will make use of institutional resources designed to help faculty improve their teaching skills. We will also present material related to learning theory, including adult learning styles and needs. Residents will be helped to prepare classes that they will present to different groups in different settings: classes for PGY-1 residents and visiting medical students that are part of the regular curriculum; classes for professional staff at the institution that are part of the Department's ongoing continuing education programs; and classes to consumer and community groups on requested topics. Emphasis will be placed on using different teaching modalities, tailored to the audience and setting. Residents will research topics and prepare lesson plans, and present lessons in class to receive critical feedback from faculty, before the actual class. Residents should expect to teach at least one class monthly.

Scientific Reading Seminar:

Residents will be guided in pursuing advanced independent study of selected topics. Residents will be expected to lead seminar discussions on the works they have read, in which seminar participants will relate the topic of discussion to the works they are reviewing. Emphasis will be placed on works related to translational research (e.g., Translational Neuroscience: Applications in Neurology, Psychiatry and Neurodevelopmental Disorders); studies in the cognitive sciences (e.g., The Invisible Gorilla; Perceptual Control Theory: Science and Applications - A Book of Readings; Consciousness Explained; Mirroring People: The Science of Empathy and How We Connect With Others); the history of psychiatry including critiques and perspectives from within the social sciences (e.g., History of Psychiatry and Medical Psychology: With an Epilogue on Psychiatry and the Mind-Body Relation; Flesh in the Age of Reason: The Modern Foundations of Body and Soul; Madness: A Brief History); related disciplines, such as anthropology, especially those presenting insights gleaned from recent research (e.g., Our Inner Ape: A Leading Primatologist Explains Why We Are Who We Are); and different schools of psychotherapy and psychological theory (e.g., Mindfulness and Acceptance: Expanding the Cognitive-Behavioral Tradition; When Theories Touch: A Historical and Theoretical Integration of Psychoanalytic Thought; Jung contra Freud: The 1912 New York Lectures on the Theory of Psychoanalysis). Residents will also be expected use this seminar to prepare a scholarly discussion paper in publishable form on one of the subject areas they study over the course of the year. 

Advanced Study of Psychotherapy: Theory and Practice

This course will have two components: Residents will study in greater detail the theories underlying the principal modalities of psychotherapy for which there is evidence-based research support, including Cognitive-Behavioral Therapy (CBT); Interpersonal Psychotherapy (IPT); Dialectical Behavior Therapy and Mindfulness-Based Cognitive Therapy (DBT and MBCT); and Mentalization Based Therapy (MBT); as well as Best Practices with respect to Psychodynamic Psychotherapy and Supportive Psychotherapy for which there is less robust scientific support.

In addition, residents will present session records, including their use of clinical scales where relevant, from active psychotherapy cases using one of the modalities noted above. Each resident will have the opportunity to present and receive feedback from faculty and peers for 8-10 weeks over the course of the academic year. Where possible, cases will be followed episodically over several months, though brief therapy cases will also be selected for purposes of supervision.

Psychopharmacology Consult Service - Case Presentation:

Residents will present challenging psychopharmacology cases from the Consultation Service or from the Outpatient Department. Residents will be expected to review the case, perform an independent examination and write up their findings, including a literature review. Cases will be presented to senior consultants and a treatment plan recommended. Follow-up presentations will also be scheduled to  examine the outcomes of recommended interventions.

Neurology Board Review:

Kaufman Review Course: preparation for the Neurology portion of the American Board of Psychiatry and Neurology Examination. SIUH's Residency Program will underwrite attendance for all PGY-4 residents. Attendance includes preparation for the general psychiatric portion of the Board Examination.

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