CLINICAL

PGY 2

In an era during which acute and chronically ill patients spend less time on inpatient units and more time in partial hospitals, day hospitals, continuing care programs, and crisis intervention programs, the Longwood Program provides in-depth exposure to the range of services available to seriously ill psychiatric patients. During the PGY II year, residents spend seven months on rotations on two inpatient sites, one at BIDMC and one at Faulkner Hospital. These are locked general hospital units, and the goal of the training experience is to immerse the resident in the diagnosis and treatment of the most seriously ill psychiatric patients. In addition, residents spend three months on a partial hospital program at Massachusetts Mental Health Center. Finally, residents spend two months on a child psychiatry rotation at Children's Hospital.

At Children's Hospital, residents are part of a multidisciplinary team on the consultation service and work in the outpatient department.

From the outset of the PGY II year, residents will be encouraged to develop a varied caseload of outpatients. Some of these are former inpatients, while others are direct referrals from the outpatient clinics. Each resident will develop an outpatient panel of patients at one of the program's two outpatient psychiatry sites (BIDMC and BWH) and will continue to see outpatients at this site throughout the course of his or her residency. In this way, the resident has the experience of following patients over a relatively long period of time with the opportunity to learn long-term treatments where appropriate and to observe the course of the spectrum of psychiatric disorders. During the PGY II year, residents spend five hours each week at their outpatient sites.