500 Boylston Street, Boston, MA 02116 617-419-4700
PGY1 and PGY2 residents have a weekly course devoted to general psychopathology. The course provides a broad overview of general diagnoses in the DSM-IV. 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 antidepressants, antipsychotics, anxiolytics, and mood stabilizers. Other relevant topics including pharmacokinetics and ECT are also included in the course.
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.
PGY3 and PGY4 residents present a case and then locate a relevant review, meta-analysis, or primary data paper to present the following week. The group formulates a question to explore that would help in understanding the case and guiding treatment. Residents have an opportunity to explore search strategies for identifying relevant literature.
Residents interview patients in a group setting and have an opportunity to pass the Clinical Skills Assessments required by the American Board of Psychiatry and Neurology. PGY1 and PGY2 residents meet as a group to cover basic interviewing skills. PGY3 and PGY4 residents cover more advanced aspects of patient interviews and observe an attending physician treating a single patient weekly.
PGY3 and PGY4 residents learn the basic principles of research design and research ethics. As part of the course, they are carrying out a small research study in the outpatient clinic. The current topic is early maltreatment and adult psychopathology.
Under the guidance of the course leader, residents research PRITE questions and present their findings to their peers. This active learning approach allows residents to engage rather than passively read textbooks as they prepare for the PRITE exam.
Outside speakers are invited from hospitals in the Boston area and beyond to present a seminar on their area of expertise. Recent topics have included treatment-resistant depression, women’s mental health, and addiction.
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.
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. M&M sessions are held each month to ensure ongoing improvement in quality of care.
Other Didactic Sessions
Residents receive didactic training in neuropsychological testing, substance abuse, forensic psychiatry, child and adolescent development, geriatric psychiatry, and other topics. Courses are taught by core faculty 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 program designed by Tufts Healthcare Institute.
Residents are encouraged to pursue scholarly activities including chart reviews, case reports, surveys, and poster presentations. Residents also participate in quality improvement projects to ensure that they provide optimal care. PGY3 and PGY4 residents are participating in a scholarly project as part of their research design course.
Residents have an opportunity to teach medical students and physician assistant students. Tufts 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 are also involved in a medical interviewing program for first year medical students from Tufts. Residents are actively involved in supervising students on the inpatient and consult services. Senior residents also lead didactic sessions on core topics in psychiatry for interns and students.
Residents have an opportunity to attend conferences including the American Psychiatric Association annual meeting. Residents are allowed to use educational days to attend one conference of their choice.
Two residents are on call together each night. PGY1 and PGY2 residents are assigned to night float for periods of one week at a time during the inpatient and consult rotations. PGY3 residents typically cover one 24 hour weekend shift and 2 weeknights each month. PGY2 residents cover one 24 hour weekend shift and 4 weeknights each month when they are not assigned to night float. PGY1 residents who are not assigned to night float cover 12 hour weekend shifts (Saturday or Sunday day or Saturday night) 2 to 4 times per month. Residents assigned to night float work 6 pm until 8 am from Sunday through Thursday and get Friday off. They cover one or two additional call shifts during the month. PGY4 residents take call only 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.