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NJMS - General Psychiatry Residency Program. Presented by The Chief Residents. Program - Overview. New Jersey Medical School Department of Psychiatry offers a fully accredited four year Residency Training Program in General Adult Psychiatry.
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NJMS - General Psychiatry Residency Program Presented by The Chief Residents
Program - Overview • New Jersey Medical School Department of Psychiatry offers a fully accredited four year Residency Training Program in General Adult Psychiatry. • The Program is committed to providing a comprehensive education in all the important treatment modalities including psychopharmacology, the psychotherapies, ECT and TMS. • Philosophically, the Residency is founded upon the Bio-Psycho-Social model, which is reflected in the didactic and supervisory experience.
Program - Overview • The clinical rotations are located at several primary clinical sites: • University Hospital (New Jersey Medical School) • East Orange Veterans Administration (VA) Medical Center • Hackensack University Medical Center (HUMC) • Greystone Park Psychiatric Hospital • Residents rotate through all of these sites during the course of training. • Additional satellite locations include: • Lyons Veterans Administration Medical Center
PGY 1 • Includes 4 months of Internal Medicine and 2 months of Neurology. • Internal Medicine (~Q4 calls) and Neurology rotations take place in University Hospital and East Orange VA Hospital. • Both Internal Medicine and Neurology have night float systems which do not include PGY 1 residents. • Includes six months of Inpatient Psychiatry (~Q4 calls); two months each at University Hospital, East Orange VA Hospital and Hackensack University Medical Center. • On each psychiatry rotation, residents receive substantial one-on-one supervision by attending psychiatrists, who guide them through these early, crucial experiences in psychiatry. • Guaranteed time-protected classes are held weekly every Wednesday and on some Fridays (while on Psychiatry) or on Tuesday afternoons (while on Medicine & Neurology).
PGY 2 • The PGY 2 year offers a rich and diverse exposure to psychiatric illness and treatment through rotations in inpatient, emergency and consultation - liaison psychiatry. • This leads up to outpatient experiences later in the year. • PGY 2 residents spend two months in our dedicated Psychiatric ER working as part of a team evaluating and treating patients in a busy urban psychiatric emergency department. • The PGY 2 year includes extensive time-protected classes every Wednesday and Friday (8am – 1pm), 52 weeks a year. • In addition to class lectures and building upon the PGY 1 year, residents on each clinical rotation receive substantial faculty supervision in patient interviewing, psychopharmacology and other clinical skills and topics.
PGY 3 • The PGY 3 year marks a transition from working primarily in inpatient settings to extensive outpatient training experiences across a wide range of clinical settings. • Each resident receives his/her own private office for study, supervision, outpatient treatment and psychotherapy. Training experiences include the resident teaching clinic, the suburban clinics of HUMC, and the VA outpatient clinics which include PTSD and addiction. • Residents are trained in many forms of outpatient treatment during the third year, including advanced somatic treatment (psychopharmacology, ECT and TMS) and multiple psychotherapeutic modalities (CBT, interpersonal, psychodynamic, supportive, shared/split treatment and brief psychotherapies). • Psychotherapy training includes video-taping rooms, one-way mirror observation rooms, and weekly one-to-one supervision by both an MD Case Manager and a separate Psychotherapy Supervisor (MD or PhD).
PGY 4 • The PGY 4 year is designed to foster independent practice skills after graduation and to enhance professionalism and life long learning through advanced rotations and teaching opportunities. • During this year, residents continue to see outpatients and to receive advanced psychotherapy and psychopharmacology supervision, helping them to consolidate their learning in these areas. • Special classes and experiences focus on career choices, contract negotiations, financial planning and practice management procedures. • This year solidifies the residents' psychiatric knowledge and skill sets and prepares them for their future psychiatric careers, including ABPN Board-Certification, fellowship and sub-specialization training and/or job placement and private practice.
Research & Scholarly Activity • The Department has recently reorganized the research & scholarly activity component of the program. • Formal instruction in research methodology continues under the guidance of experienced researchers. • A monthly Journal Club with faculty and residents provides a forum to critically evaluate publications; residents help to lead these popular conferences. • By the end of the PGY-2 year, each resident is assigned an individual research mentor who helps the resident prepare a project suitable for consideration for publication.
TMS • The New Jersey Medical School’s Department of Psychiatry is part of the nation's largest free-standing public health sciences university. • With a long standing commitment to providing innovative and patient-centered care, we also offer cutting edge treatment for Major Depressive Disorder through the use of repetitive Transcranial Magnetic Stimulation (rTMS or TMS). • The residents have an opportunity to observe the proceedings, participate in patient care and make useful research collaborations.
Child Psychiatry • Residents meet their two-month ACGME requirement* in child and adolescent psychiatry at NJMS - University Hospital. • The most common presenting problems are suicidal thoughts and actions, disruptive behavior disorders, anxiety and depressive disorders, child abuse and neglect, autism spectrum disorders and school problems. • The types of treatment provided include crisis-oriented interventions, psychopharmacological management, supportive therapy, family therapy and referrals for psychosocial support services. All cases are individually discussed and supervised with a Child Psychiatrist. • *Residents who plan to pursue sub-specialization in child and adolescent psychiatry (fellowship) may do so after the PGY 3 or PGY 4 year. When leaving after PGY 3, advance notification is required and such residents must forgo the two month child rotation (per ABPN guidelines) and other experiences in order to maintain Board- eligibility requirements.
Addiction Psychiatry • Residents spend one month working in the Veterans Affairs Hospital in Addiction Psychiatry services. • During this month, residents are trained in the evaluation and treatment of patients whose problems range from substance induced psychosis to family crisis. • Residents are introduced to various substance use disorder treatment modalities and treatment settings.
Emergency Room • Residents gain expertise in diagnostic interviewing and treatment of acute psychiatric emergencies. • The patients are able to stay for up to 72 hours, allowing time for a thorough evaluation and the best treatment and disposition. • An important experience of the PGY 2 year is the 2 months spent working in the ER, where Residents are trained in the evaluation and treatment of patients whose problems range from substance induced psychosis to family crisis. • During this rotation, residents gain expertise in diagnostic interviewing and treatment of acute psychiatric emergencies. • Our psychiatry ER also houses a psychiatric screening center, which staff state employed screeners who will do an independent screening of all intakes for disposition planning and committed admissions.
The Consultation-Liaison Service • Each Resident will do C/L Psychiatry at University Hospital, East Orange VA Hospital, and/or Hackensack University Medical Center, working under the supervision of the attending psychiatrist(s) from that service. • Residents have the opportunity to teach medical students and non-psychiatric residents (Neurology, ER, Podiatry) rotating through the service, who also participate in C/L conferences and case discussions. • C/L is a challenging service requiring enhanced interdisciplinary communication and advocacy throughout the hospital as well as a refined skill set for the interface of general medical and psychiatric conditions. • While it is primarily a clinical rotation, residents have regular opportunities for interesting case studies, reports and scholarly presentations at conferences.
General Policies of Note • Resident Duty hours are applied as per ACGME standards. • No moonlighting is allowed due to concerns over duty hour violation and exhaustion. • USMLE / COMLEX Step 3 results required by the end of PGY II year.
After Graduation • After graduating from our program, our residents have gone on to fellowships at many esteemed institutions including: • Yale University • Columbia University • Tufts University • New York University • University of Illinois at Chicago • Montefiore Medical Center • Long Island Jewish Medical Center • St. Luke’s Hospital
Local Attractions • Newark, the largest city in NJ, offers opportunities to enjoy cultural, recreational and educational pursuits. • Things to do in and around Newark include: • The New Jersey Performing Arts Center (NJPAC) • The Newark Museum • Meadowlands Sports and Entertainment Complex • NJ Beaches – Famous Jersey Shore • Prudential Center • New York City
Transportation • Modes of public transport available in and around Newark include: • Railway System - Newark Penn Station • Shuttle Service – between NJMS & Penn Station • City Subway System • Extensive Bus System • Air Travel - Newark Liberty Airport
