A Resident’s Guide to Psychiatric Education


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Current Research

With a year under one's belt, both residents are excused from pediatric and psychiatry clinical duties to attend the adult psychiatry overnight retreat with their original psychiatry class. We feel it is important for residents to maintain a connection with their psychiatry class since the following year they will be senior adult psychiatry residents alongside their classmates. Each year the Triple Board Program holds a fall and spring retreat.

The fall retreat is an overnight retreat held at a resort outside of Park City. At the retreat, along with plenty of time for catching up with each other and enjoying the outdoors, we have the opportunity to meet with program directors of both adult psychiatry and pediatrics, as well as work together on a project for the program.

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Psychiatry Residents

The spring retreat is an all day retreat that is a great opportunity to reflect on successes of the past year and make sure that any challenges have been addressed for the upcoming residents. Each month all the residents meet together for lunch with the training directors and program coordinator. We update ourselves on upcoming events, address any concerns or questions regarding specific rotations or schedules and have a chance to catch up with each other. Although the chief residents pride themselves on keeping their pulse on the program and are well aware of upcoming transitions, residents also reach out to the classes that follow them.

Whether it is over beers, pizza or on Facebook, residents share with each other pointers for their upcoming rotations. And although we expect our senior residents to take an active role with the junior residents, often times we find that the co-residents in a given year are invaluable support to each other, especially since we switch departments on average every six months the first years of our residency. Doug Gray, our training director, and Dr.

Kristi Kleinschmit, our assistant training director, make it clear from day one that their doors are always open. But just in case no problems arise, we have two individual meetings a year. This is a great opportunity for residents to talk about their rotations and to brainstorm about planning for future rotations and creating additional opportunities in specific areas of interest. Most of our residents have traveled a long way to train in Utah and therefore are not always able to make it home for birthdays, holidays or an occasional movie night.

Medical Resident vs Psychiatry

Chief residents, with the support of the training directors, are given the task of maintaining open communication with both the adult psychiatry and pediatric programs. We have residents on the education committees for all three fields and are constantly integrating changes by both pediatrics and psychiatry into our own structure so that we are sure that whether our residents on the pediatric wards or outpatient forensic psychiatry, they always have the highest quality experiences and meet the requirements necessary for graduation.

These rotations include managing psychiatric pathology on inpatient units, consulting on medical and surgical inpatients, assessing and treating patients in our Comprehensive Psychiatric Emergency Program and pediatric emergency department, developing independence while on call overnight, and learning advanced psychotherapy techniques in twice weekly sessions with our individual, long-term therapy patients.

I'm currently rotating on the inpatient unit in Milstein Hospital, 9 Garden North.


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My day typically begins around 6am when I wake up and head to the gym in my building. After a quick work-out I come home to shower and get ready for work. The rest of the morning is filled with seeing patients either independently or with attendings.

Psychiatry Residency Program

At noon, I get to meet with my co-residents to engage in daily didactics that span the breadth of psychiatry. I am usually done with my work by pm. While not at work, I enjoy cooking and exploring NYC with my family and friends. I appreciate the balance of having a supportive training environment while getting to explore everything that NYC has to offer! It is our first clinical exposure to the longitudinal course of psychiatric issues and is structured to help us develop the sense of autonomy and confidence we will need to function as independent physicians.

A typical day for me begins around AM. I live close to the hospital and usually enjoy a cup of coffee and something to eat while reviewing my schedule. Washington Heights is a beautiful neighborhood, and sometimes I take a walk along the Hudson River to stretch my legs before heading to my office. The rest of my day is filled with more patient appointments, and sometimes a research meeting. I'm so happy to have the opportunity to both live and work here.

I hope I see you around next year!

A Day in the Life of a Resident | Columbia University Department of Psychiatry

My name is Rachel Fremont and I am a fourth-year resident. Being one of the Leon Levy Fellows, my focus is on research. This year I will be continuing my research while honing my clinical skills as I prepare for a career as a physician-scientist. For me, this means some days have more clinical care and others are almost completely focused on my research projects.

I can use this last Tuesday as a sample day. Most days I am in charge of taking my 2-year-old daughter to baby school and I usually wake up around 7 AM when she does.

Quick Launch

We have a whirlwind of brushing teeth, eating breakfast, and maybe watching some Peppa Pig. I try to be out the door before 8 AM. I live on the Upper East Side, which I love because of easy access to great museums, restaurants, and Central Park, which I walk across every day to take my daughter to baby school.

From there, I take the C train uptown, sometimes with a fellow resident if I get lucky! In the morning on Tuesdays, I see therapy and medication management patients and meet with one of my supervisors. Then I have classes and Resident Meeting.

A Resident’s Guide to Psychiatric Education A Resident’s Guide to Psychiatric Education
A Resident’s Guide to Psychiatric Education A Resident’s Guide to Psychiatric Education
A Resident’s Guide to Psychiatric Education A Resident’s Guide to Psychiatric Education
A Resident’s Guide to Psychiatric Education A Resident’s Guide to Psychiatric Education
A Resident’s Guide to Psychiatric Education A Resident’s Guide to Psychiatric Education

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