| Residency and Internship Programs | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| St.
Luke's-Roosevelt Hospital Center We are pleased that you are considering St. Luke’s and Roosevelt Hospitals for your residency training in psychiatry. Our program offers a comprehensive approach to learning psychiatry in a setting that is both challenging and supportive. Our goal is to provide an excellent academic and clinical program that prepares you for a personally and professionally satisfying career in psychiatry. St. Luke’s and Roosevelt Hospitals have a long and distinguished history in training psychiatrists in New York City. Our group of 36 residents is large enough to create a major presence in the hospital, yet small enough to encourage a friendly and personal atmosphere. Outstanding supervision and frequent contact with attendings, instructors, and researchers are major features of our program. In addition to clinical training, we have an extensive curriculum composed of lectures and seminars during all four years of training. This breadth and depth of these didactics ensure that our residents are presented with the most current psychological, sociocultural, and neurobiological theories in the field. Our proximity and close affiliation with Columbia University College of Physicians and Surgeons and the New York State Psychiatric Institute also allow for many shared research and educational opportunities for our residents. Our hospitals serve the Lincoln Center, Upper West Side, and Morningside Heights areas of Manhattan – all vibrant neighborhoods just west of Central Park that have recently undergone a renaissance. The population in these neighborhoods is culturally, ethnically, and socioeconomically diverse, providing residents with opportunity to treat a broad range of patients. I hope you will find this booklet to be a helpful introduction to our department and program. Please feel free to contact us if you have would like to know more about our program. Prameet Singh, MD CONTINUUM HEALTH PARTNERS, INC. Continuum Health Partners, Inc. was formed in January, 1997, as a partnership of two venerable hospitals: Beth Israel Medical Center and St. Luke’s and Roosevelt Hospitals. Building upon the strengths of both institutions, the partners soon established a broad-based, integrated health services network extending throughout the New York metropolitan region. In May, 1998, the partnership was joined by a third distinguished institution, Long Island College Hospital, located in the Cobble Hill/Brooklyn Heights section of Brooklyn. Continuum continues to grow with the addition, in August, 1999, of New York Eye and Ear Infirmary – an outstanding specialty care institution. Continuum Health Partners,
Inc. delivers inpatient care through nearly 3,100 beds located in seven
major hospital facilities in Manhattan and in Brooklyn. Continuum providers
also see patients in group and private practice settings and ambulatory
centers in the five boroughs of New York and in Westchester County. All
four Continuum hospitals were established more than a century ago by civic-minded
individuals with a shared commitment to improving health, and health care,
in their communities. Today, participation in the Continuum partnership
enables each member institution to better fulfill its traditional mission
by making available an impressive array of resources for the provision
of state-of-the-art and compassionate care. Together, they are superbly
equipped to identify and respond to the health-related needs of their
populations in a patient- and physician-friendly environment. ST. LUKE’S and ROOSEVELT HOSPITALS St. Luke’s and Roosevelt Hospitals, University Hospital of Columbia University College of Physicians and Surgeons, is a 1,076-bed, full-service community and tertiary care hospital. St. Luke’s-Roosevelt was formed in 1979 by a merger of St. Luke’s Hospital, adjacent to the campus of Columbia University, and the Roosevelt Hospital, located a few blocks south of Lincoln Center at Tenth Avenue and 58th Street. Residents train in recently constructed state-of-the-art facilities: a 10-story building at the St. Luke’s Division and a 13-story building at the Roosevelt Division. St. Luke’s-Roosevelt provides a sophisticated clinical and academic environment in which physicians can practice superior medicine, train more than 480 residents and fellows in 40 clinical specialties and carry out innovative research. The Hospital Center is widely respected for high quality clinical care and its contribution to research in cardiology, gastroenterology, metabolic disorders, psychiatry and many other areas. Through out its history, St. Luke’s-Roosevelt also has placed strong emphasis on responding with compassion and sensitivity to he unique needs of the communities it serves, including areas whose residents have multiple social and economic challenges. It provides much of the inpatient, outpatient and emergency medical care for more that half a million residents of the West Side of Manhattan, as well as for patients throughout the New York Metropolitan region. The Hospital Center admits approximately 40,000 patients, serves more that 300,000 outpatients, and proves emergency care for over 100,000 patients every year. You can visit St. Luke’s and Roosevelt Hospitals and Continuum
Health Partners, Inc. on the web at www.slrhc.org. The department of psychiatry at St. Luke’s and Roosevelt Hospitals is a major provider of psychiatric care for the diverse communities of the New York Metropolitan area. Last year, our clinical divisions provided over 2000 inpatient admissions, 20,000 outpatient visits, and 70,000 substance abuse treatment visits. The faculty consists of over 35 full-time or half-time psychiatrists, 25 psychologists, and many esteemed voluntary faculty, all with academic appointments at both St. Luke’s-Roosevelt Hospital and Columbia University College of Physicians and Surgeons. The faculty in all five division of the department actively participates in the supervision and teaching of residents. Adult Inpatient and Emergency Service St. Luke’s-Roosevelt Inpatient Service provides adult short-term acute psychiatric treatment on four units to over 2000 patients a year. These units offer comprehensive assessment, treatment, and discharge planning services and utilize a multidisciplinary staff for the treatment of a broad range of psychiatric disorders. Psychiatry residents rotate on three inpatient floors at the St. Luke’s Site. Clark 8, a 32-bed designated general psychiatry teaching unit, is the core of residents training. Here, residents work alongside psychology interns, Columbia medical students and more senior residents to learn the assessment and management of acute psychiatric conditions. Clark 6 is a floor specializing in detoxification and motivational interviewing where residents learn the assessment and treatment of substance dependence for two months. Clark 9 is a floor specializing in Geripsychiatry where residents rotate for one month to learn diagnostic and treatment issues of the elderly patient with psychiatric conditions. 7G is a general psychiatry unit at the Roosevelt site providing care for a range of patients with different illness. PGY4 residents complete a Junior Attending rotation here for three months where they fine tune their autonomy, team leadership, and decision making skills. Psychiatric Emergency Services are provided at both hospitals within Comprehensive Psychiatric Emergency Program (CPEP). These units serve over 6000 patients a year. The CPEP model of care allows residents a comprehensive approach to managing psychiatric emergencies with well-coordinated components including extended observation beds, a mobile crisis team, and crisis residence beds. Residents spend three months in the CPEP during their PGY1 and PGY2 years learning comprehensive evaluation and treatment under close attending supervision. The Adult Consultation/Liaison
Service interacts with the rest of the Hospital Center by responding
to the diverse and complex psychosocial needs of medical, surgical and
other inpatients. Residents work closely with attendings during their
PGY 2 and PGY4 years providing assessments, crisis management and treatment
recommendations. Adult Acute Outpatient Services The Adult Outpatient Clinic, located at the Roosevelt site, provides short and long term treatment for the full range of adult psychiatric disorders. The staff in this clinic sees over 20,000 visits a year with a multidisciplinary team delivering both traditional and specialized treatments. Residents spend a significant portion of their PGY3 and PGY4 years in this clinic, learning outpatient diagnostic assessments, psychopharmacology, individual, group and family therapies, and specialized treatment including cognitive-behavioral and dialectic-behavioral therapies. The Clinic experience requires residents to become competent in the major types of therapies, including long-term psychodynamically-oriented therapy, both individual and group CBT, supportive psychotherapy, and pharmacological treatments. Residents receive five hours of direct supervision per week on these types of therapies by skilled specialists. Integrated Psychiatric Services is designed to provide care to the seriously and persistently mentally ill adults by providing psychiatric treatment with case management using rehabilitation models. Other components include a large Dual Diagnosis (substance abuse and mental illness) Clinic, and a Residential Community Service which provides coordinated outreach to housing programs for the mentally ill in the City. Residents begin to see outpatients during their PGY2 year and then rotate through the IPS for one day a week during their PGY3 year learning sophisticated psychopharmacology and management of the severely mentally ill. Residents may also spend time in IPS during their PGY4elective block. The Addiction Institute of New York The Addictions Institute at St Luke’s-Roosevelt is a nationally respected comprehensive alcohol and drug dependency treatment service. The breadth of services includes an evaluation service, inpatient and outpatient detoxification, residential rehabilitation, and extensive clinical services. This division is also active in nationally recognized research into treatment of alcohol and substance abuse. Residents spend two months during the PGY2 year on this service learning evaluation, detoxification, and treatment of alcohol and drug dependency in individual and group therapies. Residents often return to this division for a range of electives during their PGY4 year. The Child and Adolescent Service provides a broad range of general and specialized services for children and adolescents. Services include an evaluation and outpatient clinic, a crisis service, therapeutic day hospital for emotionally disturbed and truant adolescents, an adolescent and pre-adolescent after school program, a language and learning disabilities unit, and an Early Childhood Center. Residents rotate within this division one afternoon a week for their entire PGY3 year evaluating and treating children and their families. Residents receive individual supervision from Child and Adolescent attendings who also serve as mentors for those interested in pursuing further training in child psychiatry. This division also offers eight full-time post-residency fellowships each year leading to Board Certification in Adult and Child and Adolescent Psychiatry. Sleep Disorders
Institute The Women’s
Health Project Treatment and Research Center Crime Victims
Treatment Center The Neurobiological
Disorders Service St. Luke's
Hospital Behavioral Science Research Unit THE PSYCHIATIC RESIDENCY TRAINING PROGRAM The St. Luke’s-Roosevelt Psychiatric Residency is a four-year training program with a total of 36 residents. The program is approved by the American Board of Psychiatry and Neurology and fully accredited by the Accreditation Council on Graduate Medical Education. The philosophy of the program is to provide exceptional clinical opportunities combined with a didactic curriculum designed to build the skills and knowledge base our residents need to remain current in the field long after graduation from training. As a result, residents graduate with a solid grasp of basic clinical skills, a substantial understanding of current research, and a mastery of diagnostic and therapeutic techniques enabling them to pursue any career direction they choose. Rotations and Didactics PGY1 Year The Emergency Psychiatry experience begins with a one-month rotation during the PGY1 year during which residents are supervised by attending-level physicians at all times. In this way, the beginning trainee learns acute care psychiatry working side-by-side with an experienced clinician until he or she feels secure in assessing patients independently. The six months rotation in Internal Medicine and Neurology takes place within the St. Luke’s-Roosevelt Hospital. Close coordination between our department and the departments of neurology and medicine ensure a comprehensive exposure to diagnosis and treatment of major medical conditions and a full immersion into the intern experience. During the PGY1 year,
residents have in house call every fourth day until 10:30PM at night during
medicine rotations, at which time a night-float resident takes over care
of patients. This ensures that residents work no longer than 14 hour shifts
with the night off to return home and sleep. There is no 24 hour call
for residents. During their psychiatry rotations, PGY1 residents do three
weeks of night float in psychiatry. The first several calls are taken
with senior residents who help to teach and support early trainees. During
calls throughout the residency, there is an in-house attending available
for teaching and consultation. PGY2 Year The inpatient and emergency psychiatry experience during the PGY2 year allow residents to gain a solid foundation in the diagnosis and treatment of acute psychiatric problems, managed either in a hospital or with the ready availability of an inpatient unit. Residents also spend 2 months in a substance abuse rotation which allows residents to actively learn how to diagnose and treat drug dependency with sophisticated, proven treatments. Residents learn how to conduct comprehensive psychosocial evaluations, inpatient and outpatient detoxifications, and individual and group treatments incorporating motivational and self-help concepts. The second year also provides an introduction to psychiatric care in the outpatient setting. In the Transitional Day Treatment Program, residents begin under supervision to treat a range of psychiatric illness with several different modalities including individual, group, and specialized treatments (e.g. dialectical behavioral treatment). This program is an intensive outpatient program that serves as an alternative to hospitalization for patients who need significant support, but not 24-hour care. Here, residents learn to achieve rapid stabilization of symptoms, rehabilitation and resocialization for their patients. Residents learn the principals of DBT and co-lead a group with a skilled leader of DBT as well as conduct an individual therapy using DBT techniques. Residents also become skilled in the pharmacological treatment of personality disorders. In addition, PGY2
residents follow some of their discharged patients from the inpatient
unit in the Continuity Clinic. This Clinic allows residents to continue
to treat patients for up to three years, after they first work with them
as an inpatient on Clark 8. This allows for residents to have the experience
of treating severely mentally ill patients over several years to see the
changes which take place only over extended time. PGY3 Year The experience in the Adult Outpatient Clinic and Integrated Psychiatric Services clinic continues from the PGY2 year. Residents continue with their cases from the PGY2 year and take on new cases which offer greater challenges and learning experiences. All PGY3’s also co-lead a CBT group under supervision of an experienced group leader, adapting manualized treatments to a group of patients. A portion of the outpatient experience can also include a year long part time rotation in one of our research clinics. Residents are directly involved in research protocols and subject management, and design and conduct their own project leading to publication. PGY3 residents also receive training in child and adolescent psychiatry by following a group of patients and their families for the course of the year. Residents learn to evaluate, diagnose and treat a wide range of psychiatric ills in youths, and receive weekly supervision from an expert in child/adolescent psychiatry. Residents are highly
supervised in their work during the PGY3 year, and this case load is kept
to a moderate number of patients with a wide range of psychopathology.
Residents receive the following supervision: 2 hours per week for psychodynamic
psychotherapy cases, 1 hour per week for psychopharmacology cases, 1 hour
a week for CBT group, 1 hour per week for individual CBT case work when
a case is in process, 1 hour a week in child/adolescent psychiatry, and
1 hour a week supervision in IPS for chronically mentally ill clients.
Additional supervision in DBT, couples and family is available for interested
residents. The Consultation Liaison experience pairs a resident with an attending at each hospital site. Residents perform consultations on medical and surgical patients and work closely with the doctors, nurses and social workers on the inpatient medical floors to provide treatment and management recommendations. Management of delirium, capacity issues, treatment adherence, drug and alcohol detoxification, preexisting mental illness, and characterological pathology are frequent treatment concern. The clinical C/L experience is supplemented by a comprehensive curriculum and case conferences at which residents present cases and discuss management principles. PGY4 residents complete a Junior Attending rotation on an inpatient psychiatry unit, 7G. Here residents learn to lead teams, decide on patient treatments and disposition with progressively less supervision. They also teach medical students and junior residents in basic psychiatric concepts. The electives during the PGY4 year allow great flexibility. Electives can be research electives with members from our department, the department at Columbia University/New York State Psychiatric Institute, or other New York City institutions. This time may also be used to focus on the development of a particular clinical skill such as performing ECT, treatment of sleep disorders, or treatment in community psychiatry settings. Three residents each year are invited back to Clark 8, an inpatient training unit, to function as Chief Residents. PGY4 residents spend two months at Fordham Student Health, conducting assessment and treatments of college students in this University located across the street from Roosevelt Hospital. All residents also continue with a reduced caseload of patients at the Outpatient Clinic from their PGY3 year including their long-term therapy cases. PGY4 residents also take part in a year-long course on Short Term Dynamic Psychotherapy. Each resident conducts treatment with a patient using this model while he/she receives weekly supervision using videotaped sessions. Fourth year residents also present a clinical case at Departmental Grand Rounds with a guest discussant. General Clinical Rotation Schedule
Didactics -Summary of Scheduled Courses and Conferences PGY1 Emergency
Psychiatry Introduction
to Clinical Psychopharmacology Inpatient
Case Conference Journal
Club Departmental
Grand Rounds PGY2 Neuropsychological
Testing and Clinical Rating Instruments Introduction
to Psychodynamics Child and
Adolescent Psychiatry Major Psychiatric
Syndromes, DSM Diagnoses, and Somatic Treatments Community
Psychiatry Substance
Abuse and Dependence Ethics Forensic Psychiatry Principles
of Group Psychotherapy Trauma: Sexual
Assault, Domestic Violence, Child Abuse and Catastrophe Cultural Issues
in Psychiatry History of
Psychiatry Family Evaluation
and Treatment: Chronically Mental Illness Geriatric
Psychiatry Character
Disorders – Theory. Phenomenology, and Treatment Departmental
Grand Rounds- see description
above PGY3 Consultation-Liaison
Psychiatry Neurobiology
and Psychopharmacology – Part 2 Clinical Psychopharmacology
– Part 2 Practical
Psychopharmacology- Case Presentations Combined Treatments:
Psychotherapy and Pharmacology Classic Papers
in Psychoanalytic Theory Principles
of Supportive Psychotherapy Cognitive-Behavioral
Psychotherapy Hypnosis and
Biofeedback Family and
Couples Treatment Psychiatry
and HIV Models of
the Mind Introduction
to Research and Evidence-Based Psychiatry Suicide and
Self Injury Careers in
Psychiatry Outpatient
Case Conferences Journal Club
PGY4 Administrative
Psychiatry Teaching and
Supervising Termination Office Practice
Course Neurology
for Psychiatrists Journal Club-
monthly journal club as described above for PGY3 residents House
Staff Policies Work Hours Salaries and
Benefits In addition, residents are appointed to the academic position of Visiting Clinical Fellow at Columbia University College of Physicians and Surgeons. A Columbia ID may be obtained free-of-charge which permits access to the university’s outstanding sports facilities which include pools, courts for squash, tennis, and racquetball, an indoor and outdoor track, and weight and exercise rooms. Housing and
Parking Enjoying Life in New York City St. Luke’s and Roosevelt Hospitals is located on Manhattan’s West Side – close to the mix of cultural, educational and recreational opportunities offered by the nation’s largest city. From the dazzle of Broadway and the music, opera and dance of Lincoln Center, to the river views and running paths of Riverside Park and Central Park, the West Side offers endless possibilities for enrichment and enjoyment. For those who enjoy eating out, New York City offers some of the finest dining in the world, with access to small neighborhood eateries, countless ethnic restaurants and more extravagant fare. The Roosevelt Division is located near the center of the city. Broadway theatres, Lincoln Center, the Metropolitan Opera, the New York City Ballet, the American Museum of Natural History, Carnegie Hall and Madison Square Garden are a short distance away. A walk across Central Park leads to some of the country’s leading art museums, including the world-renowned Museum of Modern Art, the Metropolitan Museum of Art and the Guggenheim. Downtown are the clubs, restaurants, theatres, shops and galleries of Greenwich Village, SoHo, and Tribeca, and the old-world atmosphere of Chinatown and Little Italy. The Morningside Heights, where the St. Luke’s Division is located, is also home to Columbia University, Barnard College, the Cathedral of St. John the Divine, Riverside Church, Union Theological Seminary and the Manhattan School of Music. The West Side is close to all of the New York’s major highways, bus and train terminals and airport transportation. Suburban and country environments and short trips away in Westchester County, New Jersey, Connecticut and Long Island. The St. Luke’s-Roosevelt Psychiatric Residency Training Program participates in the National Resident Match Program (#207041) and the Electronic Residency Application Service (ERAS). Applications are accepted from August 15th to December 15th for each academic year beginning on the following July 1st.
Our interview and selection process begins in early October and runs through early February. Because of the large number of applications, we are not able to interview all applicants. After receipt and processing of your completed application, your material will be reviewed by the Admissions Committee. Inquiries
concerning the program are welcome and should be forwarded to: |
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