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Program
Goal
The Department of Psychiatry and Psychology serves as a state-of-the-art
teaching and clinical experience for the residents in the adult
psychiatry-training program. Our faculty is committed to residency
education and serve in various national organizations, enriching
the residents experience. Outstanding lectures, excellent supervision
and an extensive array of clinical rotations have provided the
solid building blocks upon which the program has thrived. The
strength of its research and other academic opportunities provide
an important framework for the up-and-coming physician.
Program
Structure
GL-1
The GL-1 resident spends four months in a primary care setting and
experiences both inpatient and outpatient rotations plus two months
of neurology rotations, one each of outpatient and inpatient care.
The additional six months of the first year, the resident functions
as a primary physician for those patients on psychiatric inpatient
units. An orientation course for GL-1 is given during the initial
summer months to facilitate the transition into the first year of
service.
GL-2
The GL-2 resident begins longitudinal care for outpatients and
rotates on more specialized inpatient and outpatient services
attached to specific units. The resident will continue to perfect
interviewing and diagnostic skills on the adult inpatient units
via direct supervision of the senior resident and staff attending.
On the child and adolescent inpatient unit, the resident learns
about specialized evaluation of a child patient under the guidance
of a child and adolescent fellow and a Faculty attending. The
resident is an integral part of the treatment team and receives
thorough exposure to multidisciplinary treatment of adult and
child psychopathologies. During the second year in training, the
resident also spends two months on the Alcohol and Drug Recovery
Center Unit and two months on the Pain Management Unit. Both inpatient
and outpatient experience is gained. Although not every training
program offers such in-depth experience in these two particular
areas, graduates report that this experience has been exceedingly
helpful in broadening their clinical skills and qualifying them
for various occupational opportunities. A significant portion
of the GL-2 year is spent on Consultation-Liaison Psychiatry where
residents interface with the departments of medicine, surgery
and psychiatry. Residents will round off their experience with
rotation in state of the art geropsychiatry facility.
GL-3
The third year of residency focuses on outpatient care. Psychopharmacology,
psychotherapy (both long- and short-term), including cognitive
behavioral family therapy, group therapy and couples counseling
round out some of the opportunities available. Cross-cultural,
community mental health and forensic experiences are also provided.
GL-4
During the fourth year, the resident serves as senior supervisor
on the inpatient adult unit and has teaching responsibilities
for the junior residents and medical students as well as administrative
experience. GL-4 residents are able to participate in a variety
of electives to help with particular career goals, research projects
and other areas of interest. Each rotation provides a Journal
Club and case conference as well as supervision of the residents
rotation on that service.
On
Call Schedule
The current on call schedule requires GL-1 residents to take approximately
every fifth night on call and GL-2 residents every seventh night
on call. GL-3 and GL-4 residents and fellows are exempt from night
call. A buddy system for incoming residents is used during the
first three months of call.
Teaching
Conferences
Teaching conferences take place Mondays, Tuesdays, and Wednesdays
for one hour, 11:45 am to 12:45pm. Grand Rounds are held on Thursdays
and case conferences with faculty are held on Fridays at noon.
Lunch is provided to the residents five days a week. All faculty
members in the Department of Psychiatry and Psychology actively
participate in residency didactics. A core curriculum in block
format is given to both GL-1 and GL-2 residents as well as to
GL-3 and GL- 4 residents. Frequent multidisciplinary as well as
outside speakers are incorporated into the didactic seminars.
Presentations are coordinated to ensure comprehensive review.
In addition, each individual rotation offers case conferences
and journal club discussion. In addition, GL-2 residents attend
psychoanalytic seminars held at the Cleveland Psychoanalytic Institute.
Research
Opportunities
Research opportunities abound throughout the department. Each
resident is required to have an academic project, consisting of
an oral presentation, poster presentation, or journal submission.
A large portion of the trainees choose a research project which
they design or which is selected as part of a larger, ongoing
study at the Cleveland Clinic. Current and recent trainees have
participated in projects on chronic pain, suicide, delirium, pseudo-seizures,
ovarian cancer, women's health, sleep disorders, depression post
myocardial infarction, and interferon - induced depression, Every
year, numerous residents present at local and national meetings,
as well as publish case reports, review articles, and original
clinical research.
Unique
Program Aspects
The Cleveland Clinic is fortunate to be in an extremely vibrant
position with academic ties as well as a solid clinical base.
It enjoys the strong support of an enviable Graduate Medical Education
department. Patient diversity provides challenge and in-depth
clinical experience to allow steady progression in the residents’
increased levels of responsibility throughout their training.
Psychiatry residents become adept at working with all socio-economic
levels, individuals from a broad variety of ethnic and cultural
backgrounds, covering all ages. Connections with health maintenance
organizations such as Kaiser Permanente provide additional experiences
for the psychiatry resident. In general, residents carry more
patients as they progress through their residency and gain expertise
in managing various kinds of diagnoses.. On particular services,
such as consult-liaison, there is a cap to prevent resident overload.
The faculty is proud to be very approachable in providing comprehensive
supervision. Residents meet with their medication management and
psychotherapy supervisors weekly, as well as with their academic
supervisor. The resident individually meets with the program director
twice a year to discuss and review their progress and career goals.
Medical
Student Teaching
Medical students from The Ohio State University come to the Cleveland
Clinic for their psychiatry rotations, and residents are involved
in their supervision. Fourth year students from various medical
schools throughout the country also rotate through the department
doing fourth year electives. These students have been very pleased
with the resident teaching on their clinical rotations as well
as the one-to-one supervision and tutorials on the basic psychiatry
curriculum.
Fellowships
Offered
Currently, there are three fellowships associated with the department:
- The
child and adolescent fellowship can accommodate two fellows
in each of the two years
- The
one year consult-liaison fellowship
- A
one-year fellowship in chemical dependency.
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