By the end of the PGY-2 year, residents choose one of two tracks for their PGY-3 year: Community Psychiatry or Multispecialty. Residents remain in the same track during their third and optionally for their fourth year. These tracks are not subspecialty oriented; rather, they reflect different approaches to general psychiatric training and mental health care delivery. Each track has a different emphasis, but our aim is that each track prepares residents to be good general psychiatrists. Continuity of care for the patient is the core principle in designing these tracks. Rather than assignments to inpatient or outpatient settings, the resident will follow the same patient wherever the patient goes. Both tracks at the various sites will provide requisite knowledge and skills for continued development as a psychiatric clinician. All PGY-3 residents attend the same didactics regardless of the track chosen.

In addition to the two clinical tracks, a research program, the Biomedical Neuroscience Training Program, is available for those trainees interested in developing skills in the areas of basic science and clinical research. Under the direction of eminent researchers, trainees are educated in the principles of research design, epidemiology, methodology, and outcome evaluation as related to basic neuroscience research and psychopharmacology.

Clinical work during the Postgraduate Year 3 occurs primarily in an outpatient setting. Depending on the educational track chosen, residents gain experience from seeing patients in our multispecialty clinics, community rotation sites, medication management clinics, and psychotherapy. Supervision is provided by senior clinicians in all areas.

GOALS

• The facilitation of confidence in one's capacity as a psychiatric clinician capable of providing continuity of care across a spectrum of clinical services, using alternative management techniques for inpatient hospitalization, and becoming familiar with the managerial role of the psychiatrist on an interdisciplinary team.
• The acquisition of the requisite skills to perform the various psychotherapies (individual, insight-oriented, group, family, and cognitive behavioral), manage chronically ill patients in an outpatient setting, and implement psychosocial treatments in community settings.