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PGY2    Throughout a six-month rotation in year two, residents participate in a program of unparalleled excellence and unavailable in training programs elsewhere in the country: the opportunity
to work with inpatients on a long-term treatment unit. Here, residents learn how individual, family, milieu, and pharmacological approaches are applied to caring for patients whose average length of stay is four to six months.

The remaining six months of the PGY2 experience are structured into two eight-week-block and two four-week-block programs. Two months on the psychosomatic medicine service provide rich experiences in psychiatric assessment and follow up of medical, surgical, and pediatric patients in our large, university training hospital. The eight weeks dedicated to child and adolescent psychiatry include exposure to inpatient treatment at the Bronx Children's Psychiatric Center and outpatient work at MMC. Finally, one month each of addiction and geriatric psychiatry enrich the experience of residents through intensive exposure to these special patient populations.

PGY3    Year three is primarily devoted to outpatient work with a diverse population. During this year, residents learn brief- and long-term individual psychotherapy, and family, group, pharmacological, and cognitive-behavioral outpatient therapy. They also develop the diagnostic and therapeutic skills necessary to care for a wide spectrum of outpatients, including the assessment and treatment of children and adolescents. Resident intakes receive live supervision from attending psychiatrists.

A wide variety of clinicians provide direction, and residents are assigned psychoanalytic, psychopharmacologic, and generalist supervisors. There is also regular guidance by cognitive, behavioral, family, group, and other specialty supervisors. Elective time in PGY3 year allows residents the opportunity to explore diverse areas of clinical interest, research, and/or social and community projects.

PGY4    The final year of the program is designed for the pursuit of special interests. Residents take advantage of this unique year of training that is essentially composed of electives to prepare for the transition to practice, postgraduate fellowships, or academia. In addition to continuing long-term outpatient work, we encourage residents to focus on either a clinical or research project. The chief residency experience promotes further development of clinical, teaching, administrative, and leadership skills, and chief residency options include service on inpatient, outpatient, emergency, or psychosomatic medicine units.