During their intern year, residents will spend half of their year on “non psychiatry rotations”, including 4 months of primary care (usually Internal Medicine at the Brigham and Women’s Hospital and Brigham and Women’s Faulkner Hospital, although residents on the Child Track may choose to rotate in Pediatrics instead) and 2 months of Neurology at the Brigham and Women’s Hospital. During the rest of this year they will experience an introduction to psychiatry on various rotations, including, 4 weeks of Addiction Psychiatry both at the Brigham and Women’s Hospital (where they will participate in addictions consultations) and Brigham and Women’s Faulkner Hospital (where they will be part of a detox team), 5 weeks of Geriatric Psychiatry at McLean Hospital, 1 month of Emergency Psychiatry at the Brigham and Women’s Faulkner Hospital, ~3 months of Inpatient Psychiatry at the Brigham and Women’s Faulkner Hospital and 2 weeks of Elective time.
This is a busy year in which residents complete many of their core rotations. They will spend approximately 4 1/2 months on Inpatient Psychiatry, rotating on 3 different units (2 at McLean Hospital, 1 at Brigham and Women’s Faulkner Hospital), 3 months of outpatient Community Psychiatry at the Massachusetts Mental Health Center, 1 month of Consultation-Liaison Psychiatry at the Brigham and Women’s Hospital , 2 months of Child Psychiatry at Boston Children’s Hospital, 5 weeks of Night Float and 1 month of Elective Time.
During most of this year residents will train in Outpatient Psychiatry in which they will treat patients with psychotherapy and medication management in the Brigham and Women’s Outpatient Psychiatry program. In addition they will work as a more advanced resident on the Consultation-Liaison Psychiatry (total of 6 weeks, divided across the year). They will also do approximately 5 weeks of Night Float at the Brigham and Women’s Hospital and 6 weeks of Selective/Elective (residents will continue their longitudinal clinical during C-L and Elective for their psychotherapy patients and other patients who require continuity).
The fourth year will primarily be spent as elective time, although some residents may choose to use some of that time in a Clinical or Administrative Chief Resident position. In addition, residents will have a chance to serve as senior residents on clinical rotations to consolidate what they learned from earlier experiences: this will include 6 weeks on both the Consultation-Liaison and Inpatient Psychiatry experiences. It is important to emphasize that these will not be simple repeats of earlier experiences but rather a chance for residents to take on a more advanced role including teaching and supervising junior residents. Residents will also spend a total of one day a week continuing to see their outpatients in the outpatient clinic.
In addition to the regular rotations, residents will spend partial days in the outpatient clinic in order to get a longitudinal clinical experience that cuts across the years.
2nd year: 10% Longitudinal Outpatient Experience
4th year: 10% Longitudinal Outpatient Experience
Similarly, the Forensic psychiatry rotation will occur for 1/2 day a week for 2 months during the 3rd year.
In addition, all residents will have 1/2 day per week devoted to their scholarly pursuits, concentrations or tracks.