Following the mandatory hospital orientation in June, interns participate in a departmental orientation where they meet with nurse managers, social workers, occupational therapists, admissions coordinators, and other members of the interprofessional teams in the department. They also learn from faculty and senior residents about expectations on call and how to survive the intern year.

PGY3 residents have supervision in psychodynamic psychotherapy and cognitive behavioral therapy each week. Most residents are assigned to work with clinical psychologists from outside the hospital who have extensive experience supervising residents and other trainees. PGY4 residents are also assigned a supervisor to review psychotherapy cases. PGY1 and PGY2 residents have supervision in a group format as well as from the attending physician on the service where they are rotating.

Residents have the opportunity to use telepsychiatry to evaluate patients who are admitted to the geriatric psychiatry unit after hours.

Residents are encouraged to pursue scholarly activities including case reports, surveys, and poster presentations. PGY4 residents are required to complete a scholarly project, which may involve original research but can be met in other ways as well. Residents also participate in quality improvement projects to ensure that they provide optimal care.

Residents have an opportunity to teach medical students and physician assistant (PA) students. Tufts University School of Medicine and Boston University School of Medicine medical students complete their third year clerkship and PA students from Northeastern University and Massachusetts College of Pharmacy and Health Sciences complete their psychiatry rotation in the department. Residents may also choose to participate in a medical interviewing course for first year medical students from Tufts as team leaders. Residents are actively involved in supervising students on the inpatient and consult services. In addition, senior residents also have an opportunity to lead didactic sessions on core topics in psychiatry for interns and students. Instruction is provided in how to teach students including how to give feedback.

Training in Psychoanalysis
Although the program does not have a formal affiliation with the Boston Psychoanalytic Society and Institute, many PGY4 residents choose to participate in their One Year Fellowship one evening per week to enhance their skills in psychoanalysis.

Call Schedule
Two residents are on call together at all times to ensure that a single resident is not overwhelmed as well as to ensure the highest level of patient care. PGY1 residents cover 12 hour weekend and holiday shifts (Saturday or Sunday day or Saturday night) an average of 2 to 4 times per month. PGY1 residents also spend two blocks on the night float service. PGY2 residents typically cover one 24 hour weekend shift, one 12 hour weekend shift, and 3 to 4 weeknights each month. PGY3 residents typically cover one 24 hour weekend shift and 2 weeknights each month. PGY4 residents are not scheduled to take call and may be asked to fill in only on rare occasions when additional coverage is needed. During the internal medicine rotation, interns are assigned to medicine call and are not included in the psychiatry call pool.

Residents may take 15 vacation days and 5 additional personal days per academic year (total of 20 working days). Residents are able to request vacation time in increments of no more than two weeks. Vacations are not assigned to allow as much flexibility as possible, within the constraints of coverage needs for the clinical services. Residents may request educational days to attend one conference each year or to take the USMLE examination.

Contact for more information: Tara Lauriat, PhD, program coordinator, 617-789-2404, psychiatry.residency@steward.org

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