The Third Year (PGY-3)

• Outpatient psychiatry at the Upstate Clinic (private office with computer and webcam for recording therapy sessions)
• 1/2 day/week VA Psychopharmacology Clinic which includes 1/2 day/week Telepsychiatry at VAMC
• Child & Adolescent Psychiatry
• 1/2 day a week elective time
  

Residents move into their computer-equipped offices in the Outpatient Clinic for their third and fourth years. Their major task is to see outpatients while developing their skills in brief and long-term dynamically oriented psychotherapy, psychopharmacotherapy, and psychoanalytic theory, with additional experience in therapy with couples, families, and groups. Intensive short-term dynamic therapy, cognitive therapy,behavior therapy, interpersonal therapy and motivational interviewing may also be used. Each week, residents see 10 to 15 carefully selected patients, spend one day in the VA Psychopharmacology Clinic, and receive four hours of individual supervision per week in the following modalities - general (psychopharmacology), psychodynamic therapy, cognitive behavioral therapy and child and adolescent psychiatry.

Seven hours per week are spent in Child and Adolescent seminars and exercises during which residents pick up child and adolescent patients and their families whom they will continue to follow for the rest of their residency.

Corresponding didactic courses emphasize the sophisticated treatment of the entire range of outpatients, both children and adults, utilizing a variety of specific therapeutic modalities. At the end of the third year residents are knowledgeable and experienced in all the basics of psychiatry. In addition, residents begin to learn and apply more sophisticated involvement in psychopharmacology treatment, the two primary modalities of psychotherapy - psychodynamic and CBT, consultation and teaching, and a deeper familiarity with neurobiology.