PGY 3 Curriculum

 

Substance Abuse FIT (Focus Integrated Training) Modules
Using multimedia interactive web based learning tools through the Columbia University Center for Practice Innovations (CPI), residents will learn about the importance of integrated treatment for patients with comorbid substance abuse and mental illness.  The common features of chemical dependency are described including the development of chemical dependency, its diagnosis and treatment. Assessment tools and strategies are discussed. Specific issues for the treatment of alcohol, cocaine, opiate and other drug abuse and dependence are discussed. Motivational enhancement skills are taught and reviewed. Residents will receive a certificate of completion of each of the FIT modules.

 

Child Psychopathology and Clinical Case Presentations
This is a review of the major emotional, behavioral, and developmental disturbances of childhood and adolescence, including mood and anxiety disorders, attention deficit disorder and conduct disorder. In addition, PGY 3 residents will present their year-long cases to highlight and discuss key aspects of child psychopathology and treatment.
This course will also include sessions on family therapy.

 

Clinical Evidence Based Medicine (EBM) Workshop
This is an interactive course that offers senior residents skills for critical reading of scientific articles and reviewing the potential application to their own clinical work.

 

Clinic Administrative Rounds
These quarterly meetings will address outpatient psychiatry clinical and administrative issues. Topics may include clinical-administrative topics involving clinic policies, documentation, coverage, and supervision. This course will also highlight clinic quality improvement projects and discuss strategies for effectively working in multidisciplinary teams.

 

Cognitive Neuroscience
This course will provide an overview of basics of cognitive neuroscience, introduce experimental concepts and provide overview of the various imaging modalities in the research field.

 

Consultation-Liaison
(NYSPI) This course will focus on the senior resident assessment of medically ill patients on the consultation-liaison service. It will focus on capacity and somatic symptom disorder.

 

Dialectical Behavior Therapy
This seminar provides clinical therapeutic and management techniques for treating the difficult-to-manage patient and reducing self-injurious behavior.

 

Eating Disorders
(NYSPI) This course covers the phenomenology, epidemiology, neurobiology and treatment of eating disorders.

 

Ethics in Psychiatry Research
(NYSPI) This course deals with the ethics of conducting psychiatric research including issues related to consent, confidentiality and justice.

 

Forensic Psychiatry Neuropsychological Assessment
This session will focus on the evaluation of a court involved individual from a neuropsychological perspective.

 

Geriatrics 
This course covers the pathophysiology, phenomenology, and treatment of late life neuropsychiatric disorders. The course focuses on common issues such as the diagnosis and management of memory disorders and late life depression. PGY 3 residents will present their cases from the Geriatrics rotation to highlight key aspects of psychopathology and treatment in this population.

 

Measurement Based Care
This course introduces residents to the use of standardized assessment tools that can aid in the diagnosis and treatment of psychiatric disorders.

 

Neuropsychological and Achievement Testing
Aspects of assessment of intelligence and cognitive functioning are discussed with attention paid to profiles of neuropsychological functioning in various psychiatric disorders. Residents will learn basics tools used in assessment and will learn how to read and interpret neuropsychological and achievement testing reports.

 

Outpatient Educational Conference- Case Presentations
In the adult outpatient clinic, weekly case conferences are held, at times with a faculty/guest consultant. Residents write up and present cases of ongoing treatments to the clinic’s multidisciplinary team. The goal is to enhance critical thinking, presentation, diagnosis and multifaceted treatment.

 

Outpatient Journal Club
Residents will learn to critically review the literature and how to identify studies that relate to their patients.


 
Psychotherapy Seminar
This year long course will include the following sections:

Developmental Theory
Beginning Psychotherapy: Indications for Psychotherapy, Therapeutic Frame & Supportive Techniques
Overview of Psychodynamic Theories/Models of the Mind
The Psychodynamic Structural Interview & Assessment
Treatment of Patients with Traumatic Stress
Family Therapy
Mindfulness Based Techniques
Transference Focused Psychotherapy (NYSPI)
Introduction to Psychodynamics (NYSPI)
Manualized Group Psychotherapy
Psychotherapy Documentation Class
Case Formulation
Understanding Non-Traditional Coping Mechanisms in Clinical Settings
Cognitive Behavioral Therapy (CBT) for Anxiety and Mood Disorders
Long Term Psychodynamic Case Presentation Course

 

Selected descriptions:
Overview of Psychodynamic Theories/Models of the Mind
This section introduces three basic psychodynamic models – ego psychology, object relations theory and self-psychology and reviews indications for psychodynamic psychotherapy.

 

Beginning Psychotherapy – Indications for Psychotherapy, Therapeutic Frame & Supportive Techniques
This course teaches residents an integrated approach to psychodynamic psychotherapy that incorporates both uncovering and supporting techniques. Topics include working with affect, resistance, transference, countertransference, working through and termination.

 

Case Formulation
This course teaches residents how to formulate a case, with attention to temperament, trauma, development of the self, pre-oedipal and oedipal development, as well as issues related to latency and young adulthood. At the end of the course, residents write a psychodynamic formulation.

 

The Psychodynamic Structural Interview & Assessment
This course focuses on the structural assessment, character diagnosis and personality styles.

 

Cognitive Behavioral Therapy (CBT) for Anxiety and Mood Disorders
This course provides a foundation in theoretical principles and clinical skills of cognitive behavioral therapy. The course is supplemented with individual supervision in CBT.

 

Treatment of Patients with Traumatic Stress
The assessment and treatment of patients who have sustained physical/ sexual abuse, the witnessing of violence, and other traumatic events is discussed. The course covers epidemiology, neurobiology, differential diagnosis, treatment techniques, and clinical case examples.

 

Long Term Psychodynamic Case Presentation Course
Trainees will present their long term psychotherapy case write ups describing the treatment and response. Process notes are used to enhance the detail provided in the presentation. At the end of the program year, each psychology extern and senior psychiatry resident is expected to present one of their long term psychotherapy cases. The process of writing and presenting this case will reinforce key psychotherapy concepts taught in didactics.

 

Media Training
This course will introduce residents to communications skills when interacting with the public or the media.

 

Psychiatric Interviewing: Introduction to the SCID –DSM- V
This course will introduce residents to the diagnostic interview using a semi-structured research instrument, the SCID

 

Psychopharmacology Review

Psychopharmacology of Anxiety Disorders
Psychopharmacology of Depression and Bipolar Disorder: Dr. Jonathan Stewart, MD
Pharmacology of Substance Use Disorders: Dr. Ned Nunez, MD
This is a consolidated refresher course to review basic concepts in the practice of psychopharmacology.

 

Quality Improvement (QI) Practicum
Residents learn the foundations of QI and assess their own clinical practices and the culture and practices of the systems in which they work. As a group, residents develop and implement at least one QI project.  Residents review progress in implementation and refine their proposed interventions.

 

Resource Manager
According to the Accreditation Council for Graduate Medical Education (ACGME), residents must “Practice cost-effective health care and resource allocation that does not compromise quality of care.”  This course is aimed to develop the knowledge, skills and attitudes critical to providing high-value, cost-effective care within psychiatry.

 

Sexuality
(NYSPI) This course presents selected topics in human sexuality -- sexuality during the life cycle, the development of gender identity and sexual orientation, sex and the family including incest, pornography and paraphilias, and sexuality in older years and in the presence of physical illness.  The course also covers common female and male sexual dysfunctions and up-to-date treatment modalities for these disorders. It takes an interdisciplinary approach that includes guest lecturers with different perspectives on therapy, i.e., behavioral, psychodynamic, and group therapy. Topics include current areas of particular interest, such as rape, AIDS, and bisexuality.

 

Sleep Physiology and Sleep Disorders
This senior resident course provides an overview of basic sleep physiology including circadian rhythms, stages of sleep and neuroscience of sleep and wakefulness. Diagnosis and treatment of sleep disorders such as insomnia, and narcolepsy discussed in an interactive format. This course also includes extensive discussion of use of CBT and pharmacological agents to treat sleep disorders.

 

Telepsychiatry
Residents will understand the issues involved with providing care via telepsychiatry including the legal and ethical issues involved in its use.

 


Women’s Mental Health
This course provides an introduction to mental health in the context of the female reproductive life cycle, and covers core concepts in the management of antenatal and postpartum depression, bipolar disorder and anxiety disorders, as well as perimenopausal depression, PMDD, and issues related to infertility and pregnancy loss