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overview of resident supervision
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Supervision is the cornerstone of Practice Based Learning, one of six ACGME competencies. Our training program provides regular supervision to residents at all levels of training as described below:

PGY-1 and PGY-2

All residents begin their training on the inpatient adult psychiatry service with direct supervision, as mandated by the ACGME . During Direct Supervision the supervising physician is physically present in the room with the resident during history collection and patient care.

As residents achieve specific clinical milestones during the PGY1 year they progress to a mixture of Direct and Indirect Supervision. They will see some patients with their attending psychiatrist present and other patients on their own. In both scenarios, regular in-depth teaching discussions of the clinical cases will occur with their supervising psychiatrist.

By the end of the PGY2 year residents will generally be seeing the majority of their patients independently, with supervision time continuing to occur on a regular basis with the supervising psychiatrist.

Urgent supervision is available at all times to all residents by all inpatient faculty.

PGY-3

During the PGY3 year residents transition to the outpatient clinic. Supervision is structured through several regularly scheduled formats each week:

  • In-Room Supervision is schedule for one hour each week, and consists of a new patient evaluation performed with an attending supervisor in the room. Discussion of the case occurs immediately after the patient interview is completed.
  • Case Review Supervision occurs for one hour twice weekly and consists of a discussion of cases seen and treated since the previous case review session. Both pharmacological and psychotherapeutic aspects of patient care are covered.
  • Psychotherapy Supervision occurs for one hour weekly and is divided into either Psychodynamic or Cognitive Behavioral Therapy care. Residents select a small number of cases representing psychotherapy patients they see frequently (weekly or every other week) to discuss in depth with their Psychodynamic or CBT supervisor.
  • Urgent supervision is available at all times to all residents by all outpatient faculty.

PGY-4

During the PGY4 year residents receive the following regularly scheduled supervision:

  • Case Review Supervision occurs for one hour weekly and consists of a discussion of cases seen and treated since the previous case review session. Both pharmacological and psychotherapeutic aspects of patient care are covered.
  • Psychotherapy Supervision occurs for one hour weekly and is divided into either Psychodynamic or Cognitive Behavioral Therapy care. Residents select a small number of cases representing patients they see frequently (weekly or every other week) to discuss in depth with their Psychodynamic or CBT supervisor.
  • Urgent supervision is available at all times to all residents by all outpatient faculty. 

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