Hennepin-Regions Psychiatry Training Program Details

Post Graduate Year Two
The second year introduces the resident to consultation liaison psychiatry, as well as being senior resident on an inpatient team, with primary patient responsibilities as well as additional supervisory roles. One month of either addictions or geriatric psychiatry is also included in the first 6 months of the PGY-2 year. In addition, the resident begins an adult outpatient psychiatry clinic rotation. The resident shares a call responsibility approximately once weekly during the first six months and provides back-up call to PGY-1 residents for the remaining six months.

The second half of the PGY-2 year emphasizes ambulatory psychiatry in various settings. The resident's time is spent in adult and child outpatient clinics learning psychiatric interviewing and practicing psychotherapy and medication management. Residents interview patients in the psychiatric emergency room working with multidisciplinary teams and see patients at the community mental health center.

The second year didactic seminars include broad concepts in community psychiatry, emergency treatment, psychopathology and its treatment, growth and development, marital and family therapy, human sexuality, outpatient psychiatry, outpatient case conferences, child & adolescent therapy, child and adolescent psychiatry case conferences, psychological assessment, psychotherapy, and psychotherapy case conferences.

* Due to new ACGME work guidelines it is possible that the Call Schedule will deviate from the above-mentioned schedule.

Post Graduate Year Three
The third year continues the advancement of training with additional psychotherapeutic techniques in the outpatient clinic. In the first 6 months of the year, this clinic is for 1/2 of a day. The experience allows for long-term therapy patients as well as ongoing medication management. The first 6 months of the PGY-3 continues the resident's training in consultation liaison psychiatry (2 months), as well as senior resident on an inpatient team
(3 months) with primary patient responsibilities as well as additional supervisory roles. One month of either addictions or geriatric psychiatry, whichever was not done in the 2nd year, is also included in the first 6 months of the PGY-3 year.

The last 6 months of the third year focuses on the outpatient clinic, ambulatory psychiatric experience in various settings. The resident's time is spent in adult and child outpatient clinics learning psychiatric interviewing and practicing psychotherapy and medication management. Residents interview patients in the psychiatric emergency room working (Crisis Intervention Center at HCMC) with multidisciplinary teams and see patients at the Community Mental Health Center.

The third year didactic seminars include psychodynamic psychotherapy, behavioral and cognitive-behavioral therapy, somatic therapies and alternative treatments, group psychotherapy, psychoanalytic case conferences, how to give psychiatric presentations, and addiction, forensic, and consultation psychiatry. Inpatient case conferences and rounds are also included in the third year didactic curriculum. In addition, the residents are assigned as lecturers for medical student who are doing their psychiatry rotations at HCMC.

Post Graduate Year Four
The fourth year offers the resident the opportunity to select from a variety of clinical options for special emphasis and development of areas of specific interest. These include experiences and seminars in addictive disorders, child and adolescent psychiatry, consultative-liaison psychiatry, emergency psychiatry, forensic psychiatry, geriatric psychiatry, psychotherapy and sleep disorders. Each resident will maintain an outpatient clinic one-half day weekly for continuity of care with long-term patients.

The fourth year didactic schedule includes topics on administration, psychoanalysis, history of psychiatry, clinical research, teaching, and preparation for the American Board of Psychiatry and Neurology examinations.

Didactic Schedule

Classroom time is built into every rotation schedule. Residents are not expected to be on any other service during their didactic time, and attendance is mandatory.

G1- ½ day of classes one-day a week for the second half of the year. The first half-year is spent doing non-psychiatry rotations.

G4- G4 ½ day of classes one day a week for the entire year.

Full Didactic Schedule for Residents 2003/04

We have teleconference rooms at both HCMC and Regions Hospitals, allowing our residents to attend classes at either location. Lectures are given by faculty from both hospitals as well as guest lecturers from the community.

In addition, we have several seminars for all psychiatry residents throughout the year on topics ranging from spirituality in psychiatry to psychopharmacology, as well as resident participation in the National Anxiety Screening Disorder Day and National Depression Screening Day. Day-long retreats for all Psychiatry residents occur twice a year and have included such areas of interest as corporate communications, therapeutic massage and yoga, and personal goal setting.

Special Topics Seminars/Grand Rounds Presentations are given weekly for all psychiatry staff at both hospitals.

Resident Teaching Opportunities
Beginning their G2 year, psychiatry residents are lecturers to the medical students on psychiatry rotations at HCMC. During their G3 and G4 year, each psychiatry resident will do one Special Topics Seminar/Grand Rounds presentation at both Regions Hospital and Hennepin County Medical Center per year.