Psychiatry Residency Program - First Year (R-1 Categorical)

This fully accredited program conforms to the requirements of the American Board of Psychiatry and Neurology for board certification in Psychiatry. The achievement of core competencies is stressed. Four residents are enrolled in the Categorical First Year, which includes three months of Internal Medicine, one month of Neurology, one month of Emergency Medicine, one month of Pediatric Medicine, two months of Consultation-Liaison Psychiatry, and four months of Adult Inpatient Psychiatry. All training in the first year takes place at SIUH. R-1 residents in Psychiatry are assigned to one of our Adult Inpatient Treatment Teams where they receive intensive and continuously supervised clinical experience with patients hospitalized for psychiatric evaluation, treatment, and return to their communities and to their daily life.

Each resident is supervised directly by two members of the psychiatric faculty to whom she or he is assigned. During clinical rotations, the resident also comes into contact with other members of the treatment team, including fellow residents, psychiatric nurses, social workers, and other students. Psychiatric evaluations and treatment plans are carefully coordinated at daily clinical rounds and at team meetings.

In addition to this clinical training component, all R-1 residents receive approximately six hours per week of formal instruction, which includes a general orientation to psychiatry; conferences in which psychiatric interviewing and diagnostic skills will be both demonstrated by faculty, with an opportunity for residents to perform interviews and be constructively critiqued; consultation liaison psychiatry conferences; seminars on specific psychiatric subject areas including neuroscience, genomics, psychotherapy, and others; a seminar on the use of narrative in medical practice and in psychiatry in particular; and other educational activities.

The faculty will also be conducting Clinical Skills Verification exams during each rotation a resident completes in a psychiatry department service. Annually, a supervisor will conduct an extended CSV exam, incorporating elements of case formulation and treatment planning. On the basis of this comprehensive exam, the supervisor will complete an attestation form (attached, as provided by the American Board of Psychiatry and Neurology), in which the supervisor documents their direct observation of the resident and assesses the ability of the resident to independently examine and assess patients; make a case formulation; craft a cogent and appropriate treatment plan; demonstrate appropriate understanding of, and use of, psychotropic medications and other treatment modalities. This attestation will be appropriate to the resident's level of training, and will document the resident's ability to assume more responsibility and a greater degree of independence in their following academic year.

Finally, in accordance with AGCME guidelines, R-2 and R-3 residents will be assessed, with regard to their competency to serve as supervisors, by faculty.

Training experiences of comparable quality are provided during Internal Medicine, Pediatrics, Emergency Medicine and Neurology rotations.