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Residency Rotation in Psychiatry at Lenox Hill Hospital

The residency program in Psychiatry is part of the integrated four-year New York University Medical Center Psychiatry Residency Program. Successful completion of the program will qualify the candidate for eligibility for the certifying examinations of the American Board of Psychiatry and Neurology.

Lenox Hill Hospital is one of the major teaching sites of the integrated program, with PGY-1 through PGY-4 residents receiving a significant portion of their training at Lenox Hill Hospital. The assignment of residents to each site in the integrated program sponsored by NYU is dictated by the educational needs of the residents in each year, and the diversity of clinical and research experience available at each institution.

Lenox Hill Hospital has been a highly evaluated partner in this program since 1993. Many members of the Lenox Hill Hospital psychiatry faculty provide didactic instruction as part of the overall curriculum at the New York University Medical Center.

Lenox Hill Hospital’s goal within the integrated program is to provide psychiatry residents with state-of-the-art training in an academically oriented community hospital setting. Residents gain experience by providing direct care to patients with a variety of Axis I and Axis II psychiatric disorders. Supervision and teaching is provided both by full-time attending staff, as well as very experienced voluntary faculty who practice at the hospital and in the community, exposing residents to a rich diversity of treatment approaches.

PGY-1 and PGY-2 residents rotate through Lenox Hill Hospital’s 27-bed inpatient psychiatric unit, typically for a three-month rotation. Residents work closely with a multidisciplinary professional mental health team, based upon a biopsychosocial model of illness and therapeutics. The residents provide intensive inpatient management for acutely ill psychiatric patients. They gain unique experience working with psychology interns and nurse practitioners in Psychiatry on the inpatient service.

PGY-3 residents rotate through Lenox Hill Hospital’s active psychiatric consultation/liaison service. This is typically a three-month rotation where residents evaluate and treat psychiatric problems in medically ill and post-surgical patients. Residents learn to use a broad range of treatments in this setting, including pharmacotherapy, short-term psychotherapy, cognitive/behavioral therapy, hypnotherapy, and substance abuse interventions. Emphasis is placed on working closely with medical house staff and nursing staff. The attending faculty on this service have specialty certification in Addictions and Geriatric Psychiatry which enhances the supervision provided to the PGY-3 residents rotating to Lenox Hill Hospital for their Consultation-Liaison experience.

PGY-3 residents also rotate part-time to Lenox Hill Hospital’s Outpatient Center for Mental Health (OCMH). This yearlong rotation provides residents with the opportunity to treat a wide variety of outpatients under close supervision. Residents gain experience treating patients with short and long-term psychotherapy, including cognitive and behavioral treatments. They also participate in specialty services offered at the Center, including the Clozapine Program, which is the largest in the New York City area. They attend weekly seminars led by two senior faculty.

PGY-4 residents rotate to the Lenox Hill Hospital inpatient service/8 Uris for their Senior Elective. The senior resident has an active clinical, teaching and administrative role, thereby gaining leadership experience prior to graduating from the residency. He or she oversees educational programs, supervises junior house staff and medical students, and provides clinical care to inpatients. The senior resident receives regular supervision from the Chairman of the Department of Psychiatry.

Fourth-year clinical and research electives, including advanced psychopharmacology electives, are available. All services provide extensive individual supervision, journal clubs, and case conferences. Residents from the NYU-sponsored Child Psychiatry Fellowship Program also rotate to the Lenox Hill Hospital Outpatient Center for Mental Health in the first year of their training program. Residents evaluate children and adolescents for psychotherapy, pharmacotherapy and child group psychotherapy. Residents have a chance to work as a team member within the Lenox Hill Hospital Center for Attention and Learning Disorders Program (CALD), where they gain extensive experience treating children with attention and learning disorders.

Most formal didactic teaching is provided at the New York University Medical Center campus. All applications are made to the NYU Medical Center Residency Training Program in Psychiatry and are processed through the National Resident Matching Program through the Electronic Residency Application System (ERAS).

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