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Clinical Accumen

Brigham Psychiatry Residents train to become exceptional psychiatrists who are prepared to work in a variety of settings, whether pursuing fellowship or beginning a first job.  Our psychiatrists are "physicians first" who strive to understand the connections between body, brain and mind.

"I am so happy to be training at Brigham and Women's Hospital. I am always pleasantly surprised by the amount of support provided by our leadership, faculty, and chief residents. Even more so, I have thoroughly enjoyed the focus on training academically minded psychiatrists who are thoughtful in treating all patients holistically and with compassion. I couldn't ask for more!"

-Marie Desir, MD, PGY3

Clinical Rotations


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PGY1 residents complete their medicine and neurology rotations in one six-month block, either at the beginning or end of the year.  Residents spend four months on the medicine service, typically on the inpatient oncology, cardiology and general medicine services at  Brigham and Women’s Hospital (BWH) and Brigham and Women’s Faulkner Hospital (BWFH). Residents also rotate in ambulatory primary care and in the BWH Emergency Department. Residents on the Child Track typically spend 3 of the four months on inpatient pediatrics and pediatric emergency department at Boston  Children's Hospital (BCH).  PGY1s spend two months  in Neurology at BWH, one on the inpatient service and the other on neurology consults. Child Track residents spend one month of neurology at BCH in pediatric neurology. 


During the other six months of the first year PGY1s rotated through various psychiatry units including four weeks of Addiction Psychiatry split between the addiction consult service at BWH and inpatient detox at BWFH, two weeks of Geriatric Psychiatry at McLean Hospital, two weeks of Electroconvulsive Therapy/TMS, one month of Emergency Psychiatry at the BWFH, three months of Inpatient Psychiatry at the BWFH and 2 weeks of Elective time.

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 the Inpatient Psychiatry service to consolidate what they learned from earlier experiences.  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.


Clinical Sites

Brigham and Women's

Brigham and Women’s Hospital sits adjacent to the Harvard Medical School campus in the Longwood Medical Area. The hospital was established in 1980 as a merger between three of the Harvard-affiliated hospitals: Peter Bent Brigham Hospital (est.1913), Robert Breck Brigham hospital (est. 1914), and Boston Hospital for Women (formerly Boston Lying-In Hospital, est. 1832 and Free Hospital for Women, est. 1875).

As a major teaching hospital of Harvard Medical School, with 793-beds, Brigham and Women's Hospital has a legacy of clinical excellence. The Brigham is an internationally-known referral center for the most complex cases in nearly all areas of medicine. The Brigham serves patients from New England, across the United States and from 120 countries around the world. It is home to multiple Centers of Excellence specializing in Neurosciences, Cancer, Heart & Vascular, Lung, Primary Care and Women's Health.

Brigham Main pic higher res.png

Brigham and Women's
Faulkner Hospital

Brigham and Women’s Faulkner (BWFH) is a 162-bed, non-profit community teaching hospital located in Boston, Massachusetts. Founded in 1900, it is located in the neighborhood of Jamaica Plain across the street from the Arnold Arboretum and just 3.4 miles (5.5 km) from Longwood Medical and Academic Area.

Faulkner Hospital joined with Brigham and Women’s Hospital in 1998 to form a common parent company, Brigham and Women’s/Faulkner Hospitals, a member of Partners HealthCare. The resulting partnership offers Brigham and Women’s Faulkner Hospital patients access to many of the same physicians and services as Brigham and Women’s Hospital.

“The Faulkner” (as it is popularly known) offers comprehensive medical, surgical and psychiatric care as well as complete emergency, outpatient and diagnostic services. The hospital’s largest inpatient services are internal medicine, cardiology, psychiatry, orthopedics, gastroenterology and general/GI surgery. Effective October 1, 2012, Faulkner Hospital was renamed to Brigham and Women’s Faulkner Hospital (BWFH).

McLean Hospital

McLean Hospital’s main campus is located in Belmont MA.  Just 8 miles from downtown Boston, McLean is an international center for psychiatric treatment, education, and research.  Founded in 1811, it continues to be one of the highest-ranked freestanding psychiatric hospitals in the country.  It is noted for its clinical staff expertise and ground-breaking neuroscience research.

McLean maintains the world’s largest neuroscientific and psychiatric research program in a private hospital. It is the largest psychiatric facility of Harvard Medical School and is part of Partners HealthCare (to which the Brigham and Women’s Hospital also belongs).  Modes of treatment span the full continuum, including inpatient, residential care, partial hospitalization, outpatient services, and therapeutic and specialized schools.


Boston Children’s Hospital is a 395-licensed-bed comprehensive center for pediatric health care, located in the Longwood Medical and Academic Area of Boston, Massachusetts. At 300 Longwood Avenue, Children’s is adjacent both to its teaching affiliate, Harvard Medical School and to Dana-Farber Cancer Institute. Children’s has been consistently ranked as one of the nation’s top pediatric hospitals.

As one of the largest pediatric centers in the country, Children’s offers a complete range of clinical services.  It is also home to the largest research center based at a pediatric hospital, with more than 1,100 scientists comprising their research community.

Boston Children's Hospital

The Massachusetts Mental Health Center (MMHC) was a historic psychiatric hospital complex at 74 Fenwood Road in the Longwood medical area of Boston, Massachusetts.

The center was founded in 1912 as the Boston Psychopathic Hospital. Its original main building and power plant were built that year, with additions in later decades including a therapeutic wing (1954) and research building (1957). The entire property was surrounded by an iron picket fence. It was listed on the National Register of Historic Places in 1994, representing one of the nation’s oldest psychiatric hospitals. In 2009 the center’s historic campus was acquired by Partners HealthCare and demolished the following year. The center continues to operate in modern facilities at 75 Fenwood Road.

In its new state of the art facility, MMHC offers a vast range of community mental health services and remains one of the most successful and academic community mental health programs in the country.

Mental Health Center



The Dana-Farber is a clinical partner of the Brigham and Women’s hospital for adult cancer care and Boston Children’s Hospital for pediatric cancer and blood disorders care.  They are a leader in the development of national cancer treatment guidelines and improving the quality and effectiveness of cancer care.  It is one of the world’s leading cancer centers and consistently ranks as the top cancer hospital in New England.  Many of the Brigham and Women’s psychiatry department faculty are jointly appointed at the Dana Farber, given our expertise in the area of Psychosocial Oncology and Palliative Care.

Dana Farber Cancer Institute

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