Clinical Curriculum

In addition to providing opportunities to manage patients in different clinical settings, the clinical curriculum is designed to ensure that you will rotate through many different systems of care. These systems include a free standing psychiatric hospital (Yale-New Haven Psychiatric Hospital), a community hospital (Yale-New Haven Hospital), a federal hospital (VA Connecticut Health Care Center) and a state hospital (Connecticut Mental Health Center). We believe that exposure to different systems of care is critical to developing the ability to lead a system of care later in your career.

The core psychiatry program is designed to provide the clinical experiences essential for the development of basic knowledge and skills needed to practice in all sectors of contemporary psychiatry.

PGY-I

The PGY-I year is designed to solidify your identity as a physician. You will complete 13, 4-week long blocks consisting of:

Medicine with both inpatient and ambulatory experiences5 blocks
Neurology on wards and consults2 blocks
Psychiatry
  • 3 blocks of adult inpatient psychiatry at the West Haven VA
  • 1 block of adolescent psychiatry at Yale-New Haven Hospital (YNHH)
  • 1 block of child inpatient psychiatry at YNHH's St. Raphael's campus
5 blocks
PREP rotation*1 block

*PREP is a unique new rotation that provides trainees exposure to systems of care that are outside the traditional specialty setting (day hospitals, community treatment teams, forensic settings, and integrated primary care settings) and also allows for time to develop projects that will be the focus of CASE rotations in the PGY-II year.

Call Responsibilities for PGY-Is

During PGY-I, residents provide coverage during their 5 blocks of medicine as outlined by the service on which they are rotating. During the 2 blocks of neurology, residents are call-free. During the 5 blocks of psychiatry, residents provide coverage for the Psychiatric Emergency Room at YNHH on weeknights from 6pm to 10pm and for Yale-New Haven Psychiatric Hospital on weekends from 8am to 5pm, with call averaging to about one shift every seven days. During the 1 block of PREP, residents are call-free during the week and cover Yale-New Haven Psychiatric Hospital on weekends from 8am to 5pm, with call evenly distributed amongst residents on the rotation.

PGY-II

The PGY-II year consists of one three-month adult psychiatry inpatient rotation, a three-month CASE rotation where you can work on an academic project or work with specialized populations of patients, two months of substance abuse training, a two-month consultation/liaison rotation, a one-month geriatrics rotation, and a one-month emergency psychiatry rotation. Work with long-term psychotherapy patients also begins in PGY-II and continues throughout the residency.

General Inpatient3 Months
GERI YPH/SA YPH/SADP VA3 Months
CASE (Clinical and Academic Skills Enhancement)3 Months
Consult/Liaison2 Months
ER1 Month

Transferring PGY-IIs

PGY-IIs transferring from other programs have this schedule:

General Inpatient3 Months
Geriatrics VA/Substance Abuse VA3 Months
General Inpatient3 Months
Consult/Liaison2 Months
ER1 Month

All PGY-IIs

1/2 day per week outpatient Yale Long Term Care Clinic (YLTCC)

Call Responsibilities for PGY-IIs

During PGY-II residents provide coverage approximately every 10th night. This call is either at the Connecticut Mental Health Center or at the Yale-New Haven Psychiatric Hospital.

Clinical and Academic Skills Enhancement (CASE)

Much of residency training requires learning a little about a lot of topics. We believe that the capacity to deepen understanding of a more focused area – or to engage in scholarship – is also important. CASE is a unique rotation that demonstrates our commitment to making scholarship a part of your professional identity.

The 3-month CASE rotation in the PGY 2 year allows you to continue previous work or develop new expertise. We encourage you to think broadly when you think of scholarship. This could consist of work related to understanding a basic disease process, a practical clinical question, synthesizing a body of work, or thinking of ways to better teach or communicate knowledge. Mentoring from a faculty scholar is a key component of this experience.

PGY-III

The PGY-III year consists of 12 months of outpatient psychiatry and usually includes supervised clinical experience in addiction psychiatry, child psychiatry, and continuation of YLTCC. 20% of time during the PGY-III year is reserved to allow you to continue your academic project or to work with a specialized patient population.

Call Responsibilities for PGY-IIIs

During PGY-III residents are on-call in the Crisis Intervention Unit of the Yale-New Haven Hospital Emergency Room. Each resident completes his/her on-call responsibilities in a single six month block and covers approximately 26 on-call shifts. There are no other on-call responsibilities in the PGY-III year.

PGY-IV

The PGY-IV year is free of required experiences. You will have the opportunity to develop an individualized program that allows you to pursue a career interest, an academic project, or work with a specialized group of patients. Your PGY-IV education plans facilitate your entry into the next stage of your career.

Call Responsibilities for PGY-IVs

There is no required on-call during the PGY-IV year. Opportunities for paid on-call are available in several of the department's affiliated institutions. These moonlighting opportunities are completely separate from the training experience or requirements.