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GWU Psychiatry Residency Brochure
Psychiatrists face dual challenges during the coming decade. Neuroscientists progressively elucidate neurobiological processes that underlie each psychiatric disorder. These discoveries press a psychiatrist to understand brain mechanisms of illness. On the other hand, psychiatric disorders have proven to be brain disorders that are exquisitely sensitive to the emotional and communicational environments in which patients live. The emotional stressors, shifting relationships, and cultural diversity of patients' lives press a psychiatrist to become ever more facile in using dialogue and relationships therapeutically. The GWU psychiatry curriculum trains residents to meet both of these challenges capably.
The GWU psychiatry residency program prepares psychiatry residents to practice in the urban and international environments that characterize the Washington metropolitan area. GWU psychiatry residents learn clinical approaches that embrace the complexity of patients' lives in their family, community, and cultural contexts. They learn biological and psychosocial therapies within a broad and balanced biopsychosocial curriculum. They draw from multiple clinical perspectives and therapeutic traditions to tailor treatments that address creatively each patient's concerns.
The GWU psychiatry curriculum emphasizes seven domains of excellence:
• Consultation-Liaison Psychiatry and Psychosomatic Medicine
• Cross-Cultural and International Psychiatry
• Child, Adolescent, and Family Psychiatry
• Mental Health Advocacy and Public Policy
• Community and Primary Care Psychiatry
• Broad Training in the Psychotherapies
• Integration of Pharmacological and Psychosocial Therapies
Consultation-Liaison Psychiatry and Psychosomatic Medicine
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GWU residents are pictured with Dr. Jay Scully,
Medical Director of the APA.
Click here for the full article.
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Consultation-liaison psychiatry at GW joins broad residency training in the inpatient and outpatient care of medically-ill patients with one of the nation’s oldest and most highly-regarded fellowships in Psychosomatic Medicine.
Consultation-liaison training for GW residents has a uniquely broad scope in its therapeutics for patients and families who bear medical illnesses over a span of time, from acute medical hospitalizations to outpatient clinics and home-based care. Residents are trained rigorously in psychiatric assessment and acute treatment of hospitalized patients on medical and surgical services. However, they also learn skills for care beyond the emergency treatment and crisis management during acute hospitalizations. Residents learn skills for helping medically-ill outpatients and their families to manage the human devastation that often accompanies illness, involving demoralization, grief, marginalization and loss of status, strained relationships, and burdens upon caregivers. They learn family interventions and train in collaborative family-centered care that mobilizes family strengths and competencies to build resilience. They learn how to incorporate patients’ religious and spiritual resources in clinical treatment. Lorenzo Norris, M.D., Director of the GWU Hospital Psychiatric Consultation-Liaison Service, and four full-time faculty who are ABPN board-certified in Psychosomatic Medicine teach and supervise residents.
- Initial training in consultation-liaison psychiatry begins in the PGY-I year at Inova-Fairfax Hospital, where residents attend the Consultation-Liaison Psychiatry Service weekly clinical conference during inpatient rotations. In the PGY-II year, residents at Inova-Fairfax learn the role of psychiatric consultant on a geriatric medicine consultation team during their Geriatric Psychiatry rotation.
- Core training in hospital-based consultation-liaison psychiatry occurs on the PGY-II Consultation-Liaison Psychiatry rotation at George Washington University Hospital. Residents conduct psychiatric consultations on medical and surgical services under supervision of faculty attendings. Readings in the psychosomatic medicine research literature and written examinations of clinical knowledgebase provide residents with a strong foundation in the psychiatric care of medically-ill patients. Residents’ diagnostic interviews are directly observed in formal evaluations by supervisors who mentor development of interview skills.
- Advanced training occurs in the PGY-III year with psychiatric consultations to outpatient medical clinics and bedside psychotherapy with patients hospitalized for extended periods of time. PGY-III residents are assigned as year-long liaison psychiatrists to the Breast Cancer, Amyotropic Lateral Sclerosis, and Stroke Clinics where they provide outpatient psychiatric consultations and treatment. In the Epilepsy Program, they conduct psychiatric evaluations for presentation at the interdisciplinary Epilepsy Clinic. As a component of brief psychotherapy training, residents are supervised in bedside psychotherapy with hospitalized medical patients who are demoralized, grieving, or struggling to cope with the adversities of illness.
- Residents with potential career interests in consultation-liaison psychiatry are encouraged to initiate clinical research projects that are mentored by consultation-liaison psychiatry faculty.
The GWU Department of Neurology has a close affiliation with the Department of Psychiatry. PGY-III Psychiatry residents attend the weekly Epilepsy Conference, where patients are presented multidimensionally from neurological, neurosurgical, psychiatric, neuropsychological, and neuroradiological perspectives. Neuropsychiatry and clinical neurosciences are taught in both PGY-II and PGY-III residency seminars.
The Psychosomatic Medicine Fellowship at Inova-Fairfax Hospital/George Washington University has long stood as one of the nation’s major Psychosomatic Medicine psychiatry fellowships under the leadership of program director, Catherine Crone, M.D. and Inova-Fairfax psychiatry chairman, Thomas Wise, M.D. Over the past three decades, the fellowship has trained over 80 consultation-liaison psychiatrists while providing national leadership in development of psychosomatic medicine as a psychiatric subspecialty within the American Board of Medical Specialties. Over 300 research articles, clinical reports, and other scholarly works have been published by Inova-Fairfax/GWU fellows during training. Drs. Wise and Crone have served on the Council of the Academy of Psychosomatic Medicine and the American Board of Psychiatry and Neurology’s Psychosomatic Medicine examination committee. Dr. Wise has served as Editor-in-Chief of the journal Psychosomatics and is past president for both the Academy of Psychosomatic Medicine and the American Psychosomatic Society.
Cross-Cultural and International Psychiatry
The Washington metropolitan area is one of the nation's most multi-ethnic regions, with as many as 180 countries and 100 languages represented in suburban Northern Virginia and Maryland and District of Columbia public schools. Complementing its diverse patient populations, the clinical and full-time faculty of the Department of Psychiatry include over a dozen teachers, scholars, and clinicians who are internationally recognized for their expertise in cross-cultural psychiatry.
The GWU Department of Psychiatry provides the psychiatric component of mental health services at Northern Virginia Family Services, whose multilingual psychosocial programs include the Program for Survivors of Torture and Severe Trauma. GWU psychiatry residents study cross-cultural psychiatry during PGY-II and PGY-III seminars, learn therapies for posttraumatic disorders, treat patients in clinics for immigrants and refugees, and conduct asylum evaluations for political refugees in the GWU Human Rights Clinic. GWU psychiatry residents work in a community mental health center at Gallaudet University with patients in the deaf and hard of hearing community. Residents and faculty gather periodically for an evening Cross-Cultural Psychiatry and International Mental Health Interest Group.
GWU psychiatry residents have unique opportunities to participate in clinical research on the role of spirituality in mental health and recovery from medical and psychiatric illnesses. GWU psychiatry faculty have collaborated regularly with the George Washington University Institute on Spirituality and Health (GWISH) in educational programs that assist physicians seeking to respond to spiritual needs of patients in their provision of health care. The GWU psychiatry residency was a recipient of a 2002 Spirituality and Medicine Award and a 2006 Psychiatry Residency Curricular Award from the John Templeton Foundation.
Child, Adolescent, and Family Psychiatry
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Drs. James Griffith (left) and Jeffrey Akman (center) meet with current and former GW psychiatry residents (L to R) Drs. Lydia Sit, Jacqueline Henschke, Sarah Birmingham and Lisa Catapano at the 2007 APA Annual Meeting in San Diego.
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Since its inception, the GWU Department of Psychiatry has been nationally recognized for its focus upon children and families. All child psychiatry faculty at the nationally renowned Children's National Medical Center also hold joint faculty appointments in our GWU department.
GWU psychiatry residents have more child and adolescent training than most residents in American programs, up to four months. This child psychiatry experience occurs early in residency during the PGY-II year, presenting residents a realistic picture of career possibilities in child and adolescent psychiatry before making a decision in the PGY-III year to apply for fellowship training. From a third to a half of GWU psychiatry residents go on to complete child and adolescent psychiatry fellowships.
Mental Health Advocacy and Public Policy
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Michael Barnett, MD (right), his wife Laura Otolski, and Rep. Patrick Kennedy (D-R.I.) are shown with a copy of the National Resilience Development Act of 2003, a bill aimed at building psychological resilience in response to terrorism. A member of the full-time GW psychiatry faculty, During his PGY-IV residency year, Dr. Barnett helped write the bill as an American Psychiatry Association Freedman fellow on Rep. Kennedy's staff. |
Located a few blocks from the White House and State Department, the physical proximity of GWU to the national government, public policy institutes, and headquarters of national professional and non-governmental organizations provides unique opportunities to develop a career at the interface of psychiatry and public policy. GWU psychiatry residents can pursue a joint Psychiatry Residency/MPH Degree in Mental Health Policy. The GWU School of Public Health and Health Services (SPHHS) is the sole school of public health based in the nation's capital. Department of Psychiatry faculty collaborate with members of the nationally recognized Center for Health Services Research and Policy in the SPHHS in multiple areas.
All PGY-III psychiatry residents complete a three-week intensive Health Policy rotation that combines morning lectures on health policy topics with afternoon field trips to Washington sites where policies are made, ranging from Capitol Hill to the Institute of Medicine. Residents with serious interests in mental health policy and advocacy can matriculate into the joint psychiatry residency/M.P.H. program. Two GW psychiatry residents in recent years have been selected by the American Psychiatric Association as Jeanne Spurlock, M.D. Congressional Fellow on the legislative staff of a United States Congressman.
Jerrold Post, M.D., Professor of Psychiatry and Political Psychology, offers interested psychiatry residents an opportunity to complete a Master's Degree in Political Psychology in the GWU Elliott School of International Affairs under his mentorship.
The Jerry W. Wiener, M.D. Fund in Psychiatry supports an annual lectureship in mental health advocacy and public policy, as well as attendance at national conferences for PGY-IV residents pursuing scholarly projects in mental health policy and advocacy.
Community and Primary Care Psychiatry
GWU psychiatry residents learn how to conduct psychiatric treatment on community-based interdisciplinary teams. These include both primary care community health centers and comprehensive community mental health programs for the chronically mentally-ill.
Unity Health Care, Inc. is the major provider of primary care medical services for working poor, immigrants, and homeless patients in Washington, DC. In 2007, Unity clinicians provided medical care for 82,000 patients through 433,000 patient visits. In addition to its eleven community health centers, Unity medical sites include Women’s’, Infants, and Children (WIC) Centers, specialty medical clinics, mobile outreach vans for homeless and substance abusing patients, medical services for the city jail, and medical and dental services for homeless shelters. It provides medical and dental services for the 1,350 bed Community for Creative Non-Violence Shelter, the nation’s largest sheltered living program for homeless people. PGY-III and PGY-IV psychiatry residents work on interdisciplinary treatment teams alongside internists, pediatricians, family physicians, obstetricians, and other medical specialists treating psychiatric problems in Unity’s primary care settings.
The McClendon Center is a District of Columbia Core Service Agency that serves the needs of approximately 500 adults diagnosed with serious and persistent mental illness. Its individualized, multidisciplinary programs seek rehabilitation of patients as persons, by fostering creativity, friendship, stability, independence, emotional growth, and greater participation in the community. The Center provides day programming, case management, psychiatric care, and counseling at two sites. McClendon Center is the only Washington, DC community mental health agency with accreditation from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). PGY-III and PGY-IV residents learn community psychiatry and mental health services delivery through their work on McClendon Center interdisciplinary treatment teams.
Green Door, Inc. is a District of Columbia Core Service Agency that provides community psychiatric treatment for patients with severe and persistent mental illnesses. Since 1976, Green Door has helped nearly 3,000 District of Columbia residents move from institutions and homeless shelters, to lead fulfilling, independent lives. Green Door has been recognized nationally for the success of its program, which in 2007 achieved a remarkably low re-hospitalization rate of only 7% among its patients. PGY-III and PGY-IV residents learn community psychiatry and mental health services delivery through their work on interdisciplinary treatment teams at Green Door.
Woodburn and Mt. Vernon Mental Health Centers provide the core mental health services for the Fairfax County Community Services Board in Northern Virginia. PGY-IV residents acquire advanced levels of expertise as community psychiatrists through the Woodburn and Mt. Vernon programs.
Gallaudet University Community Mental Health Center provides student mental health services for the nation’s only university committed to education of deaf and hard of hearing students. Deaf and hard of hearing adults in the Washington metropolitan area make up approximately a third of Gallaudet Mental Health Center’s patients. A PGY-III resident serves as psychiatric consultant on Gallaudet MHC’s interdisciplinary treatment teams via sign interpreters.
Broad Training in the Psychotherapies
Residents commonly choose our program for its commitment to psychotherapy training. While training in psychodynamic psychotherapy has been central to the identity of the GWU residency, GWU faculty have also made important contributions to teaching and research in couple and family therapy, group therapy, and brief individual psychotherapies. Outpatient psychiatry training coordinates didactic seminars, weekly supervisions, clinical case conferences, and monitored case loads representing multiple approaches to psychotherapy, including long-term psychodynamic psychotherapy, five models of individual brief psychotherapies (cognitive-behavior, interpersonal, solution-focused, motivational enhancement, somatic trauma therapies), group therapy, and couple and family therapy. Our residents become skilled clinicians who employ a breadth of approaches through which language and relationship serve as tools of healing.
The educational and research partnership between the Washington Psychoanalytic Institute and the GWU Department of Psychiatry provides residents with didactic teaching and psychotherapy supervision by one of the nation's major psychoanalytic faculties. Approximately a third of the membership of the Washington Psychoanalytic Institute actively teaches or supervises GWU residents and medical students. Faculty from the Washington School of Psychiatry and the Baltimore-Washington Psychoanalytic Institute also contribute seminar teaching and clinical supervision. Selected residents can pursue psychoanalytic training concurrently with psychiatry residency.
The Daniel S. Prager, M.D. Lectureship in Psychoanalytic Psychiatry has brought to our department such distinguished leaders in psychoanalytic thinking as Drs. Hilda Bruch, Otto Kernberg, and Glen Gabbard. Each year one or more PGY-IV residents who show special aptitudes for psychodynamic psychotherapy are selected as Prager Fellows, which provides funded support for advanced studies or research in psychoanalytic psychotherapy.
Integration of Pharmacological and Psychosocial Therapies
The GWU psychiatry curriculum teaches residents how to integrate psychoeducation, psychosocial therapies, resilience-building interventions, and psychopharmacology into multi-modality programs that target specific psychiatric disorders. A balanced emphasis is placed upon treatment of psychiatric disorders and interventions that can relieve suffering from such normal syndromes of distress as grief, demoralization, spiritual crises, and humiliation from stigmatization or social injustice. An emphasis is placed upon the practical use of psychotherapy skills during brief clinical encounters with medically-ill patients on the psychiatric consultation-liaison service and with pharmacologically-treated patients in community mental health centers, supporting a humanistic focus upon each patient’s well-being as a person.
Didactic seminars and clinical supervisions across each year of residency teach principles of clinical psychopharmacology and multi-modality treatment. Residents are expected to learn how to use medications not only for symptom reduction in a narrow sense, but also to open new possibilities for patients to communicate effectively, to engage more fully in personal and work relationships, and to sustain a robust sense of self. This teaching is modeled in a monthly psychopharmacology case conference conducted by Dr. Fred Goodwin, former director of the National Institute of Mental Health. Dr. Goodwin interviews a resident and his or her patient about ongoing treatment, then directs a balanced discussion of psychopharmacological, psychotherapeutic, and lifestyle-modifying strategies to control symptoms and prevent relapse.
PGY-I Year
The primary objective for the PGY-I year is the acquisition of knowledge, skills, and professionalism necessary to practice as a physician. This is a year in which a resident's professional identity shifts from student to physician, and navigating this transition successfully is the primary concern. The PGY-I year curriculum provides a foundation of knowledge and skills in internal medicine and neurology, as well a basic introduction to psychiatry. PGY-I residents are taught a broad introduction to clinical psychiatry in 8 – 12 hours per week in didactic seminars and clinical conferences during their four-month Inpatient Psychiatry rotation at Inova-Fairfax Hospital, in addition to clinical supervision.
Six residents enter the program each year as PGY-I residents. They train in internal medicine (three months), emergency medicine (one month), neurology (two months), inpatient psychiatry at Inova Fairfax Hospital (four months) and inpatient/emergency psychiatry at GWU Hospital (two months). During six months of PGY-I psychiatric training, residents learn to diagnose and treat the major psychiatric disorders. They gain competence in managing crises and treating acute episodes of illnesses with a range of psychotropic medications. They learn how to conduct inpatient family meetings that engage families in preventing relapse and countering stigma. They learn how intervene in psychiatric emergencies, such as threats of suicide or assault upon others or refusals to accept needed medical treatment.
Inova Fairfax Hospital, located in Falls Church, VA, is a 950-bed regional medical center whose Department of Psychiatry is nationally renowned for its leadership in consultation-liaison psychiatry and psychosomatic medicine. The 30-bed psychiatry inpatient service provides acute psychiatric patient treatment for a patient population with high medical co-morbidity that reflects the enormous ethnic diversity of Fairfax County and Northern Virginia. PGY-I residents train 4 months in the Inova Fairfax inpatient psychiatric services.
The GWU Inpatient Psychiatry Unit is an 18-bed acute treatment unit in the 380-bed GWU Hospital, Washington's newest and most technologically-advanced hospital. The illness acuity, high medical co-morbidity, and dual diagnoses that characterize its patients reflect its downtown Washington setting. A two month PGY-I rotation integrates training in Emergency and Acute Inpatient Psychiatry in the GWU Emergency Medicine Department and 6-South Inpatient Psychiatry Unit.
PGY-II Year
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Seymour Perlin, MD, former director of Residency and Training and Emeritus Professor of Psychiatry and Behavioral Sciences with James L. Griffith, MD, Director of Psychiatry Residency Training. |
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The PGY-II residency class is expanded to eight residents each year through admission of an additional resident who has completed a PGY-I year in primary care medicine or a different psychiatry residency. PGY-II residents each week attend a half-day of didactic seminars and conduct outpatient psychotherapy under supervision. Residents learn about group processes experientially through a year-long weekly T-Group.
During the PGY-II year, residents treat children and adolescents at Children's National Medical Center for two to four months. At Inova Fairfax Hospital, they train one or two months in addiction psychiatry, including both inpatient and outpatient treatment programs. A one or two month rotation in Geriatric Psychiatry at Inova Fairfax Hospital involves both geriatric team consultations for hospitalized patients and community nursing home consultations with a geriatric psychiatrist. The Inova Fairfax Partial Hospitalization/Bridge Program rotation provides one or two months training in partial hospitalization and acute aftercare treatment of psychiatric patients recently discharged from the hospital. An inpatient rotation at Northern Virginia Mental Health Institute focuses upon treatment of severely-ill psychiatric patients with psychotic, mood, and personality disorders requiring 30 to 90 days hospitalization.
Residents completing the PGY-II year acquire an extensive knowledge of psychiatric disorders that includes all major DSM-IV diagnostic categories for children, adolescents, and adults. They gain competence in treating with medications through an intensive year-long weekly seminar in clinical neurosciences and psychopharmacology. They learn how to conduct family meetings for hospitalized patients that emphasize psychoeducation, relapse prevention, and the countering of stigma against psychiatric illness. They learn
skills for supportive group therapy with inpatients. They complete the first level of training in long-term psychodynamic psychotherapy through seminars, weekly
supervision, and psychotherapy cases.
Children's National Medical Center provides training in inpatient treatment, with resident rotations on both the child and adolescent units. Residents work on interdisciplinary inpatient teams where they conduct family evaluations and family therapy.
Northern Virginia Mental Health Institute (NVMHI) is the public psychiatric hospital serving the suburban counties of Virginia. Residents at NVMHI learn to work on
interdisciplinary treatment teams in the emergency assessment, acute intervention, and stabilization of acute psychoses, severe mood disorders, dissociative disorders, and other
severe and chronic mental illnesses in a broadly multi-ethnic patient population.
PGY-III Year
The PGY-III year is devoted to outpatient psychiatry. Residents gain competence in long-term psychodynamic psychotherapy through a sequence of seminars, weekly supervisions with two different psychodynamic supervisors, and psychodynamic psychotherapy cases. In addition, they learn how to conduct focal psychotherapies utilizing a range of models for brief psychotherapy, each with seminars, supervisions, and assigned cases:
- Cognitive-Behavioral Psychotherapy, focusing upon treatment of anxiety and mood disorders;
- Brief Psychotherapy, adapting methods from narrative, solution-focused, interpersonal, and
cognitive-behavioral psychotherapies to outpatient psychiatric treatment;
- Motivational Enhancement Therapy for Substance Abuse, an evidence- based brief psychotherapy for
outpatient treatment of alcohol and substance abuse.
- Somatic Trauma Psychotherapy, which emphasizes psychoeducation about post-traumatic symptoms and somatic
cognitive-behavioral methods to reduce severity of post-traumatic and dissociative symptoms.
Family therapy, group therapy, and outpatient psychopharmacology are also taught with seminars, weekly supervisions, and assigned cases. PGY-III family/couple therapy training emphasizes family interventions and family-centered care for patients with chronic medical or psychiatric disorders. Each resident conducts a weekly group therapy with supervision throughout the year. Each resident meets weekly with a clinical psychopharmacologist who supervises medication treatments. Residents learn not only how to implement these outpatient therapies in office settings, but also how to design and implement outpatient psychiatric services that integrate these therapeutic modalities with psychoeducation and resilience-building interventions.
The PGY-II consultation-liaison psychiatry rotation is supplemented by advanced PGY-III training in consultation-liaison psychiatry that focuses upon bedside brief psychotherapy with medically-ill inpatients and outpatient consultation to stroke, amyotropic lateral sclerosis, and breast cancer medical clinics. PGY-III residents rotate monthly journal club presentations for discussions led by Fuad Issa, M.D., Clinical Professor of Psychiatry and Chair of the Virginia Hospital Center Dept. of Psychiatry.
PGY-III residents each complete a three week full-time rotation in health policy in the GWU School of Public Health and Health Services. Mornings are devoted to lectures by national experts who cover a broad scope of topics in healthcare and public policy. Field trips occur in the afternoons to a range of sites where health policy is formulated or implemented, including the Institute of Medicine, the U.S. Capitol Congressional Office Building, National Institutes of Health, Washington “think tanks”, and public systems of healthcare within Washington. Residents conclude the rotation with group presentations of policy analyses on major health policy issues to the Deans of the GWU School of Medicine and the School of Public Health and Health Services and other invited discussants.
The PGY-III year is intensely supervised by a broad range of different supervisors representing each of the outpatient therapies. The Chief Resident monitors resident case loads to ensure that each therapeutic approach is appropriately represented. PGY-III residents typically conduct 2 - 4 hours weekly of long-term psychodynamic psychotherapy, 2 - 4 hours weekly of brief individual psychotherapy, 1.5 - 3 hours weekly of group therapy, 1 - 2 hours weekly of couple and family therapy, and 6 - 8 hours of psychopharmacology integrated with supportive psychotherapy in community clinics. PGY-III year, residents spend approximately 8 hours weekly in didactic seminars and clinical case conferences and 7 to 9 hours weekly with supervisors representing each of the different outpatient therapies.
PGY-IV Year
Residents in the PGY-IV year focus on their special career interests while continuing supervised outpatient therapies. The PGY-IV year is broadly flexible in order to best facilitate each resident's career trajectory. Residents who enter a child and adolescent psychiatry residency or other approved PGY-IV fellowship can do so with all general psychiatry residency requirements completed by the end of the PGY-III year. One PGY-IV resident is selected to serve as Administrative Chief Resident at GWU Medical Center. Other options have included training and research fellowships and advanced clinical training with special patient populations or treatment programs. In addition to primary administrative and clinical assignments, PGY-IV residents select specific focal areas of outpatient psychiatry in which to develop special expertise.
Through an affiliation between the National Institutes of Mental Health (NIMH) and the GWU Department of Psychiatry, selected residents can complete PGY-IV requirements with a year of full-time research at the National Institutes of Mental Health.
SUPERVISION
Our residents often point to the quality, variety, availability, and amount of clinical supervision when asked their primary reason for selecting our program for training. Our large faculty of clinical supervisors drawn from the talents of the Washington psychiatric community is the most valued resource of our department. Together with our full-time academic faculty, they provide excellent supervision of residents' clinical work with children, individual adults, couples, groups, families, social networks, and people in crisis. Few residency programs can offer a comparable program of psychotherapy supervision that balances training in both the brief focal therapies and long-term psychodynamic psychotherapy.
PGY-I residents are provided each week with clinical supervision by the medical director of the inpatient psychiatric unit, plus a faculty member from the full-time or clinical faculty who focuses on specific skill areas for inpatient psychiatry.
PGY-II residents at Children's National Medical Center, Northern Virginia Mental Health Institute, Inova Fairfax Hospital are supervised by GWU clinical faculty on the staffs of each hospital. In addition, each resident meets each week with a psychodynamic psychotherapy supervisor who supervises their first outpatient psychotherapies.
PGY-III residents typically have six to seven hours weekly of individual and group clinical supervisions, as detailed above. Each resident meets for an hour weekly with each of two long-term psychodynamic supervisors, a group therapy supervisor, a psychopharmacology supervisor, one or two brief individual psychotherapy supervisors, and a new patient assessment supervisor.
PGY-IV residents continue long-term psychodynamic psychotherapies with supervisors selected as appropriate for the number of cases. Other supervisions are organized as are appropriate for the clinical and administrative duties of the resident.
CURRICULUM
A didactic curriculum of seminars and clinical conferences parallels residents' clinical work. Teaching occurs in small groups where intimate dialogues are possible. Seminar leaders come from both the full-time academic faculty and voluntary faculty, many of whom have distinguished national reputations. In general, seminar leaders employ multiple teaching modalities— lectures, live interviews of patients and families, videotaped interviews, and case reviews. Depending on resident feedback and changing trends in psychiatric education, modifications are made each year.
PGY-I
(All weekly, bi-weekly, and monthly PGY-I seminars at Inova-Fairfax Hospital are taught in a repeating cycle during each four-month Inpatient Psychiatry rotation)
The Perspectives of Psychiatry
Tom Wise, M.D.
Emergency Psychiatry
Anjuli Jindal, M.D.
Evidence-Based Psychiatry
Michael Sheridan, ScD
Psychopathology
Alex Isaac, M.D.
Psychodynamic Psychiatry in Clinical Practice
Ross Silverstein, M.D.
Topics in Psychology
Philip Andrews, Ph.D.
College Mental Health
Roy Stefanik, D.O.
Community Mental Health
Anjuli Jindal, M.D.
Family Therapy Conference
Francis Andres, M.D.
Psychiatry Clinical Case Conference
Robert Johnson, M.D.
Psychosomatic Medicine Case Conference
Catherine Crone, M.D. and Thomas Wise, M.D.
Journal Club
Various Faculty
Psychiatry Departmental Lunch
(weekly)
The Psychiatric Diagnostic Interview
Julia Frank, M.D.
(Two sessions in July at GWU Hospital)
PGY-II
Clinical Neurosciences and Psychopharmacology
James Griffith, M.D. with Invited Faculty
Weekly during July - June
Emergency and Consultation-Liaison Psychiatry
Lorenzo Norris, M.D.
Weekly during October - November
Medical Ethics
Richard Blanks, M.D.
Weekly during August - September
Cross-Cultural and International Psychiatry
Amir Afkhami, M.D., Ph.D. and James Griffith, M.D.
Weekly during October - January
Forensic Psychiatry
Richard Ratner, M.D., Glenn Miller, M.D., and Richard Blanks, M.D.
Weekly during July - September
Patient Assessment and Case Formulation, Interviewing Techniques, and Psychodynamic Issues
Steve Rosenblum, M.D. and Cheryl Collins, M.D.
Weekly during July - October
Introduction to Psychodynamic Psychotherapy
John Zinner, M.D.
Weekly during November - April
Common Factors in Psychotherapeutic Change
Julia Frank, M.D.
Weekly during January
Early Childhood Development: Typical and Signs of Atypical Development
Jean Thomas, M.D.
Weekly during January - March
T-Group
Skip Gump, D.Ed.
Weekly (90 minutes) during July - June
Psychiatry Journal Club
Fuad Issa, M.D.
Monthly, July - June
PGY-III
Brief and Supportive Psychotherapy
James Griffith, M.D.
Monthly, July - June
Somatic Trauma Therapy for Posttraumatic and Dissociative Disorders
James Griffith, M.D.
Weekly during September
Clinical Psychopharmacology
Dan Lieberman, M.D.
Weekly during July - June
Research in Psychiatry
Lisa Catapano, M.D., Ph.D.
Weekly during April - June
Ego Development and Object Relations Theory
Joe Jeral, M.D.
Weekly during April - May
Group Therapy
Jerrold Post, M.D. and Barrie Seidman, L.C.S.W. with Invited Faculty
Weekly during July - September
Cognitive-Behavioral Psychotherapy
Andrew Molchon, M.D.
Weekly during October - December
Interpersonal Psychotherapy
Stuart Sotsky, M.D.
Weekly during April - June
Motivational Enhancement Therapy for Substance Abuse
Daniel Lieberman, M.D.
Weekly during October - November
Consultation-Liaison Psychiatry
Lorenzo Norris, M.D. and Invited Faculty
Weekly during January - May
Reproductive Psychiatry
Lisa Catapano, M.D., Ph.D.
Weekly during March
Psychiatry and Spirituality
Anjali Dsouza, M.D., James Griffith, M.D. and Invited Faculty
Weekly during March - April
Political Leadership and the Psychology of Terrorism
Jerrold Post, M.D.
Weekly during April - May (every other year)
Psychopharmacology Case Conference (monthly)
Frederick Goodwin, M.D.
Monthly, July - June
Psychotherapy Case Conference (7 times per year)
Presented by PGY-III and PGY-IV Residents and Clinical Faculty
January - June
Outpatient Medical Illness Conference
Lorenzo Norris, M.D. and Invited Faculty
Weekly during September - May
Epilepsy Conference
Sam Potolicchio, M.D.
Weekly during July - December
Psychiatry Journal Club
Fuad Issa, M.D.
Monthly, July - June
Health Policy Rotation
Fitzhugh Mullan, M.D. and Invited Faculty from GWU School of Public Health and Health Sciences
Three Weeks Full-Time, October or March (half class per semester)
PGY-IV
Advanced Clinical Psychopharmacology
Daniel Lieberman, M.D.
Weekly during July - June
History of Psychiatry
Amir Afkhami, M.D., Ph.D. and Julia Frank, M.D.
Weekly during August - September
Introduction to Couples Therapy
James Griffith, M.D.
Weekly during September
Emotion-Focused Couples Therapy
James Griffith, M.D.
Weekly during November - December
Human Sexuality
Jeffrey Akman, M.D. and Invited Faculty
Weekly during July - August
Social Psychology and Neuroscience of Stigma
James Griffith, M.D.
Weekly during October
Mock Boards Examinations
Michael Rankin, M.D. with Invited Faculty
April - May (Individually scheduled with residents)
Political Leadership and the Psychology of Terrorism (every other year)
Jerrold Post, M.D.
Weekly during April - May
The Role of Literature in Psychiatric Practice: The Life and Writings of Primo Levi
Sam Goodman, M.D.
Weekly during January - February
Apology, Forgiveness, and Reconciliation in Clinical Psychiatry
Steven Wolin, M.D. and James Griffith, M.D.
Weekly during April - May
Transition to Practice Seminar
Amir Afkhami, MD, PhD, Joe Jeral, MD and Invited Faculty
Weekly during April - May
Psychopharmacology Case Conference (monthly)
Frederick Goodwin, M.D.
Monthly, July - June
Psychotherapy Case Conference (7 times per year)
Presented by PGY-III and PGY-IV Residents and Clinical Faculty
January - June
RESIDENT TEACHING
Medical student teaching is an important component of the GWU psychiatry residency. The GWU School of Medicine provides strong medical student education in the behavioral sciences, and 8% to 10% of the GWU graduating class enter psychiatry residencies each year. During each residency year, our residents provide lectures, clinical supervision, and mentoring for third and fourth year medical students rotating in our clinical services and training sites. Our senior psychiatry residents lead discussion groups with third year medical students following lectures in the medical student curriculum. Psychiatry residents can also pursue elective training with Dr. Julia Frank in advanced educational methods for teaching and supervision.
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