A required, full-time, three-month rotation. This rotation provides the
beginning resident their core educational experience on a short-term acute care
unit, providing a high quality of patient care. Treatment consists of short-term
individual and couples/family interventions and pharmacologic management. An
average caseload consists of four patients.
A required, full-time, two-month rotation. This specialized inpatient
training experience gives beginning residents ample time to work with
their patients under the supervision of very experienced inpatient
clinicians. Residents gather an extensive psychiatric history, produce a weekly biopsychosocial formulation, participate in group psychotherapy and study
the inpatient milieu. The caseload consists of two patients. Residents meet
with their patients daily for one hour or more.
Addiction Rotation
— The Institute of Living (Inpatient Service, Professional Dual Diagnosis
Day Treatment Program,
Assessment Center)
A required, full-time, one-month rotation. This rotation offers residents the
opportunity to learn about addiction psychiatry across the continuum of
care. Trainees will manage detoxifications, participate in and observe inpatient
and outpatient addictions groups, and conduct treatment entry assessments. Residents treat four patients in the inpatient
setting. Inpatient attending supervision and case-based teaching is provided by
board-certified addiction psychiatrists.
Neurology — Hartford Hospital
A required, full-time two-month rotation, with additional elective time
possible in the PG-4 year. Residents have the opportunity to see patients
with a variety of interesting neurologic problems. This consultation
experience includes daily case discussions, attending teaching
rounds, and weekly neuro-radiology, EEG and grand rounds conferences.
Residents follow an average of two to three cases and see at least one new
case in consultation daily.
Primary Care Medicine — Hartford Hospital/CCMC
A required, full-time, four-month clinical rotation. This is an excellent
opportunity to learn internal medicine and/or pediatrics in a supportive, multidisciplinary setting.
Interns are supervised by advanced residents daily and by
the attending physician in regularly scheduled teaching rounds. The average caseload
consists of eight to 12 patients.
A required, four-month, full-time rotation scheduled in two, two-month blocks.
This rotation provides an excellent educational experience on a short-term
acute care unit providing a very high quality of patient care. Treatment
consists of short-term individual psychotherapy, pharmacologic management
and couples/family intervention. The caseload consists of a maximum of five
patients.
A required, full-time, two-month rotation. This service provides an
excellent educational experience on one of the nation’s busiest
consultation/liaison services. Residents learn both emergency and short-term
evaluation and management of physically ill patients in a full-service,
tertiary-care teaching hospital. Residents see an average of two new
consultations each day and carry, on average, a service of eight to 10 patients.
A required, two-month, full-time rotation. Residents evaluate children
and adolescents in a variety of settings. They participate in the assessment
and treatment of general outpatients and also provide consultation services
to inpatients and outpatients in the CCMC emergency room through the pediatric emergency psychiatry service.
Residents also see patients individually and with their families for crisis
intervention and brief treatment.
A required, full-time, two-month rotation. Residents treat patients
across the continuum of geriatric care on a busy geriatric service. In the
Geriatric Day Treatment Program, residents see patients individually for
therapy, psychopharmacology and initial evaluations. In the Outpatient
Geriatric Practice, they provide evaluations and consultations. The average
caseload is eight to 10 patients per week, with approximately five
additional initial evaluations and consultations. Additionally, residents
provide care to patients on home visits and in nursing homes.
Emergency Psychiatry/Crisis Intervention Service — Hartford Hospital and
The Institute of Living
A required, full-time, one-month rotation. In the Psychiatric Emergency
Department, residents perform histories and develop diagnostic impressions, initiate
emergency treatment regimens and carry out disposition planning. On the
Crisis Intervention service, residents treat patients in brief (one to six
sessions) crisis intervention and stabilization treatment. Crisis
intervention and consultation are also provided to the HIV/AIDS Clinic and
the medical clinics.
Adult Outpatient Psychiatry — The Institute of Living
Continuity of Care Experience A required, 10- to 12-month experience. This highly successful learning
experience enables residents to follow patients seen initially on the inpatient,
geriatric, consultation/liaison, and crisis services for a protracted period.
It permits multidisciplinary work with members of the day treatment and
community integration staffs, the Visiting Nurse Association, the emergency
department, and the assessment center. The average caseload consists of two
continuity patients treated through the PG3/4 year.
Long-term Psychotherapy Experience
A required ten-month experience. Residents begin their exposure to
long-term psychotherapy with this experience in psychodynamic psychotherapy.
Residents carry two outpatients and receive weekly individual psychotherapy
supervision.
Adult Outpatient Psychiatry — The Institute of Living, Psychiatric
Outpatient Services
A required, 12-month rotation. Residents gain significant experience in
long-term treatment. A very eclectic faculty provides supervision of
pharmacologic, psychodynamic, cognitive-behavioral, couples/family, and group
therapies. Both the clinic and faculty provide broad cross-cultural
experience. The rotation also offers an excellent opportunity for
multidisciplinary treatment.
Community Mental Health Clinic — Capitol Region Mental Health Center
A required, part-time (20 percent), 12-month rotation. Residents gain
experience working with patients who are typically residents of an
inner-city area characterized by crime, poverty, and cultural barriers. Caseloads are designed to
give each resident the intended range of clinical experience, including
forensic. Residents see both "medication clinic" patients and
psychotherapy patients.
Inpatient Psychiatry, Service Chief — The Institute of Living
A required, full-time (90 percent), six-month rotation. The inpatient
chief serves as a junior attending, performing the customary clinical,
educational, and administrative tasks of the service attending under the attending’s direct observation and supervision.
Adult Outpatient Psychiatry, Service Chief — The Institute of
Living, Adult Psychiatric Outpatient Service
An elective, full-time, six- to 12-month rotation.
This is an outstanding opportunity for advanced residents to learn
administrative and supervisory skills in an ambulatory setting. It also
provides in-depth, broad exposure to a diverse patient population. The chief
resident is responsible for the coordination and administration of all
clinical activities in the Outpatient Department for PG-2 through PG-4
residents. The chief resident continues to carry at least five hours of
outpatients, including two long-term psychodynamic psychotherapy patients.
Consultation/Liaison Psychiatry, Service Chief — Hartford Hospital
An elective, full-time (90 percent), six- to 12-month rotation. This
offers residents the opportunity to provide consultation/liaison services in
Connecticut’s largest tertiary referral center. Residents refine their
individual skills and develop their liaison, supervisory, educational, and
administrative skills. Residents function as junior attendings, attached to
their liaison attending as mentor and supervisor. Residents see up to four
new consultations per day, both individually and as supervisors. Each
resident carries an individual service of about three patients and
supervises the care of 10 to 20 patients.
An elective, full-time (90 percent), three- to six-month rotation.
Residents have the opportunity to provide Consultation/Liaison services in
Connecticut’s largest tertiary referral center. Residents develop their
liaison skills and define a specialized area of medico-psychiatric expertise. The resident
averages three new cases per week as an individual; two per day as
supervisor.
Palliative Care and Psycho-Oncology Rotation — Hartford Hospital
An elective, full-time (90 percent), four- to six-month rotation.
Residents work with patients confronting terminal illness and perform
comprehensive evaluations that address the physical, social, psychological,
and spiritual aspects of subjective suffering. Residents will work in the
context of an interdisciplinary team and learn how psychiatrists can provide
a vital service to terminally ill patients.
An elective, full-time (90 percent), four- to six-month rotation. This
provides an excellent opportunity to treat patients across the continuum of
geriatric care on a busy geriatric service. Residents can tailor the
setting(s) of their experience and become qualified in electroconvulsive
therapy. An average caseload consists of 10 to 12 patients per week, with
involvement in evaluations and consultations for an additional five to six
patients a week.
An elective, full-time (90 percent), six-month rotation. Residents spend
part of their time in one of the Clinical Geriatric psychiatry settings,
including the geriatric inpatient unit, geriatric day treatment program and
outpatient geriatric psychiatry practice. Another portion of time is spent
participating in geriatric research at
The Braceland Center for Mental
Health and Aging. An average caseload consists of six to eight patients per
week, plus additional consultations and off-site evaluations.
An elective, full-time (90 percent), six-month rotation. This is an
excellent opportunity to learn psychiatric care of the usually
high-functioning individual in a multidisciplinary setting. Residents learn
about and treat individuals with character disorders, as well as
perpetrators and victims of trauma.
Crisis Intervention — Hartford Hospital and The Institute of
Living
An elective, full-time (90 percent), one- or two-month rotation.
Residents participate in educating their PG-1 and PG-2 peers by co-leading
seminars in emergency psychiatry and crisis intervention. Residents treat
patients in brief (one- to eight-session) crisis intervention and
stabilization treatment. An average caseload consists of eight to 10
patients.
Research — The Institute of Living and Hartford Hospital
An elective, full-time/part-time (50 to
90%), three- to six-month rotation.
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