PGY-1 residents spend 4 months rotating in medicine typically between Brigham and Women’s Hospital (BWH) and Brigham and Women’s Faulkner Hospital (BWFH). Residents on the Child Track may choose to rotate in Pediatrics at Boston Children’s Hospital instead. Interns also spend 2 months rotating in Neurology at the Brigham and Women’s Hospital, and 6 months rotating in various psychiatry units including 4 weeks of Addiction Psychiatry split between a consult service at BWH and inpatient detox at BWFH, 5 weeks of Geriatric Psychiatry at McLean Hospital, 1 month of Emergency Psychiatry at the BWFH, ~3 months of Inpatient Psychiatry at the BWFH and 2 weeks of Elective time. PGY-1 residents will have up to 6 evenings of teach-call where they will be paired with a PGY-2 resident to cover the BWFH Emergency Department.
PGY-2 residents will continue to refine their knowledge of psychopharmacology and practice of psychotherapy on core rotations. Approximately 4 1/2 months are spent on Inpatient Psychiatry (eight weeks at McLean Hospital and six weeks 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 and Adolescent Psychiatry at Boston Children’s Hospital, and 1 month of Elective Time. PGY-2 residents will also share night and weekend call responsibilities for the Brigham and Women’s Faulkner Hospital inpatient psychiatry unit and Emergency Department.
PGY-3 residents spend most of their time training in Outpatient Psychiatry during which time they will continue to refine their knowledge of psychopharmacology and their practice of various forms of psychotherapy to treat patients with a wide range of psychopathologies at the Brigham and Women’s Outpatient Psychiatry program. In addition, they will work as a more advanced resident on the Consultation-Liaison Psychiatry service (total of 6 weeks, divided across the year). The forensic psychiatry rotation will occur one half day a week for two months during PGY-3. Residents will have 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). PGY-3 residents will also share night and weekend call responsibilities for the Brigham and Women’s Hospital Emergency Department.
PGY-4 residents will spend a majority of their time on elective rotations although some residents may choose to take on 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 services. PGY-4 residents will have an expanded clinical role on these core rotations including teaching and supervising junior residents. Residents will also spend one day a week in their outpatient clinic and will share back-up call for the PGY-2 and PGY-3 residents.
In addition to the regular rotations, residents will spend partial days in the outpatient clinic in order to get a longitudinal clinical experience.
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.