Introduction to Inpatient Psychiatry
New interns receive instruction on managing patients in the inpatient setting. Sessions are conducted on the inpatient unit, allowing them to practice their skills on a patient. Senior residents also lead didactic sessions for interns.
PGY1 and PGY2 residents have a weekly course devoted to general psychopathology. The course provides a broad overview of general diagnoses and important topics in psychiatry. The course covers mood disorders, anxiety disorders, schizophrenia and psychosis, dementia, and other diagnoses.
Residents receive didactic instruction in the major classes of psychotropic drugs, including efficacy and management of side effects. The course covers pharmacokinetic and pharmacodynamic properties of antidepressants, antipsychotics, anxiolytics, and mood stabilizers.
Residents receive formal instruction in the history of psychotherapy and personality theory. The course covers the theoretical basis of various types of psychotherapy. PGY3 and PGY4 residents receive instruction in cognitive behavioral therapy, psychodynamic psychotherapy, interpersonal therapy, brief psychotherapy, and dialectical behavioral therapy. PGY2 residents begin an introductory course at the end of the academic year as they prepare to transition to the outpatient clinic.
History and Systems of Psychiatry
This survey course outlines the historical basis of psychiatry and provides a foundation for training. The course covers the major theories of psychotherapy and personality ranging from Freudian psychology to more modern theorists.
PGY3 and PGY4 residents are taught basic principles of evidence-based medicine and information mastery. Residents have an opportunity to explore search strategies for identifying relevant literature as well as explore evidence-based mental health interventions.
Residents present and critically evaluate scholarly papers from scholarly journals. Active participation and discussion is encouraged. Papers range from seminal comparative effectiveness studies (CATIE, STAR-D) to small trials of novel drugs or psychotherapy modalities.
PRITE review is conducted in an interactive Jeopardy format in the summer and early fall to engage residents in a manner that is consistent with principles of adult learning.
Outside speakers are regularly invited from hospitals in the Boston area and beyond to present a seminar on their area of expertise. Many of the speakers come from Harvard affiliate hospitals. Residents are encouraged to recommend topics of interest for the series.
A resident presents a case history and the patient is subsequently interviewed by an attending physician in a group setting. The session concludes with a discussion of the case and how to most effectively treat the patient. Residents learn different interviewing techniques by watching faculty members demonstrate their unique styles of interviewing patients.
Morbidity and Mortality (M&M)
Residents select a case that can be used as a learning experience for improving patient care in the future. The case is discussed confidentially among residents and attendings.
Other Didactic Sessions
Residents receive didactic training in neuropsychological testing, substance abuse, forensic psychiatry, child and adolescent development, geriatric psychiatry, and other topics. Classes are taught by core faculty members or outside lecturers.
Online Learning Modules
Residents complete online modules on quality improvement, professionalism, residents as teachers, and other topics that are relevant to the ACGME core competencies. The institution subscribes to the programs designed by Tufts Healthcare Institute (THCI) and the Institute for Healthcare Improvement (IHI). Completion of the IHI basic certificate is now a graduation requirement.