Clinical Program - PGY-II
The goal of the PGY-II year is to increase clinical knowledge and skill in evaluation, as well as treatment, of the seriously mentally ill patient.
Inpatient-Partial Care Experience
The second year experience occurs primarily at UBHC. The resident spends four months assigned to both the inpatient and partial services unit. The inpatient unit is a 24-bed unit with an average length of stay of five to seven days. The partial care service has a maximum census of thirty.
At UBHC, the resident’s caseload reflects a diverse mix of schizophrenic, unipolar, bipolar and substance dependent patients. Since the unit is a teaching unit, the resident is given primary responsibility for evaluating and treating patients. Focus is on interviewing techniques, the therapeutic relationship and the biopsychosocial formulation of the patient’s illness. Supportive, behavioral and psychopharmacological treatments are used. The units are staffed by multidisciplinary teams.
During the second year, residents spend two months rotating through the VA New Jersey Health Care System in Lyons, NJ. This time is spent assessing and treating patients with post traumatic stress disorders (PTSD) and substance-abuse. Residents get an intensive experience in the VA's specialized PTSD program.
PGY II residents spend two months working on an acute inpatient service at both, Capital Health System at Fuld in Trenton, NJ, and Jersey Shore University Medical Center in Neptune, NJ. The patient mix offers our residents the opportunity to work in a community setting, caring for both voluntary and involuntary patients.
Child/Adolescent Inpatient Experience
Residents participate in an experience in child/adolescent psychiatry via a two-month rotation on the Adolescent Inpatient Service of the Rutgers University Behavioral HealthCare Center (UBHC). This 32-bed inpatient service allows the resident to enter into a very active therapeutic milieu and obtain experience with all modalities of treatment of adolescent patients. During this rotation, the resident assumes the various roles of individual therapist, co-therapist in the intensive group treatment program and family therapist and consultant to non-psychiatric clinicians on the Unit in completing psychiatric evaluations and managing pharmacologic interventions. In collaboration with the treatment team, but also in the role of primary therapist, the resident becomes responsible for generating an integrated treatment plan which includes careful attention to post-discharge planning.
During their first and second years, the residents rotate call in our Acute Psychiatric Service. This is a central emergency/walk-in clinic providing 24-hour/day service. The resident is responsible for evaluation, treatment and disposition of acute and emergency patients. Principles of emergency psychiatry and crisis intervention are stressed.
Residents take call on the service on nights and weekends. The PGY II resident is on call on average every sixth or seventh night. When on call, the residents are responsible for coverage on the Adult and Adolescent Inpatient Services, in addition to their walk-in/emergency calls. The resident is assisted by the multidisciplinary staff on site and has chief resident/faculty coverage as necessary.
The General Psychiatric Residency Program stresses continuity in the care of patients. During their second year residents may follow several of their inpatients through the outpatient program and work with them for a two to three year period. In addition, during the second year of training each resident begins a long-term experience in analytically oriented psychotherapy that may continue to the end of the fourth training year. This long-term experience is an important foundation for other outpatient skills that are developed in the PGY III year.