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Psychiatry Residency

Clinical Experience

PGY-1
The first year of training is designed to give the resident a sense of medical identity.  It has elements of a rotating or flexible internship.  The year begins for all new residents with at least one month on Psychiatry. This affords them an introduction to the service and to their psychiatric colleagues, and it also serves as a period of learning skills basic to psychiatry.  The inpatient psychiatry experience is on a geriatric psychiatry unit at MMC with a significant population of med-psych patients.

  • 1 month of Emergency Psychiatry
  • 1 month of Evening Float
  • 2 months of Child and Adolescent Psychiatry
  • 3 three months of Inpatient Psychiatry
  • 1 month of Emergency Medicine
  • 4 months of Internal Medicine, Pediatrics, or Family Practice

PGY-II through PGY-IV
Second-year residents have a geriatric psychiatry experience  at MMC and round out their inpatient experience at Spring Harbor Hospital, our 90-bed affiliate in Westbrook. There they work with general psychiatry patients, as well as spending a month on the Developmental Disorders Unit. The patients are extremely diverse in psychopathology and socioeconomic class. Residents learn to work as members of the treatment team, utilizing the principles of focal therapy. Each resident carries approximately six patients with on-site supervision from inpatient staff psychiatrists. The second year also includes two months of neurology and one month of addiction psychiatry, and two months of Consultation-Liaison Psychiatry.

Toward the middle of the second postgraduate year residents may elect to acquire a small outpatient case load, moving toward a major outpatient focus in the third year. In the third year, brief and extended outpatient treatment becomes the focus of training. The third year resident also has further training in outpatient child psychiatry and begins the supervised long term follow-up of at least two children and their families.

During the third and fourth years of training, the resident is exposed to a broad array of special treatments including:

  • Cognitive-behavioral therapy
  • Group therapy
  • Couples therapy
  • Family therapy (both structural and systemic approaches)
  • Assertive community treatment (ACT)
  • Family psychoeducation
  • Dialectical behavioral therapy (the Linehan approach to treating personality disorders)

Traditional insight-oriented psychodynamic approaches continue to be valued and taught.

Third year residents also spend 1/2 day per week seeing patients in Portland's community based outpatient VA Clinic

In the fourth postgraduate year, there is a required rotation on the consultation service. The consultation team is active on all clinical services within the hospital, and residents are assigned consultations under the supervision of a consultation psychiatry attending.

The fourth-year resident continues with supervised treatment of long term outpatients. Other options open to the fourth year for more extensive exploration are as follows:

  • Cognitive-behavioral therapy
  • Group therapy
  • Couples therapy
  • Family therapy (both structural and systemic approaches)
  • Supervised experience doing outpatient consultations to primary care physicians and hospital clinics
  • Electives, either on or off campus
  • Supervised experience in administrative psychiatry/organizational dynamics

 

 

Program Links

Director's Statement

Didactic and Seminar Curriculum

Supervision

Clinical Experience

Rotation Schedule

Student Electives

Training Objectives

Psychiatry Faculty and Staff

Our Residents

Benefits and Stipends

How to Apply

Resident Contract

Contact Us

General MMC Links


Learn more about Spring Harbor Hospital

 

 

Residencies and Fellowships

 

22 Bramhall Street | Portland, Maine 04102-3175 | (207) 662-0111