LINCOLN MEDICAL & MENTAL HEALTH CENTER
Introduction
The Residency Training Program in Adult Psychiatry of Lincoln Medical & Mental Health Center offers the resident the ideal learning environment - a combination of a rich clinical service in a busy city hospital and the academic support provided by a multidisciplinary academic faculty. The training program is designed to prepare residents as well-rounded clinicians while presenting them with the opportunity to pursue academic, research and other specialized interests.
PGY I through PGY IV residents are trained in all aspects of the clinical examination, psychiatric diagnosis and treatment in inpatient and outpatient settings. Residents receive comprehensive and integrated training with major theoretical contributions from all models of understanding people, including the psychosocial sciences, neurosciences and systems theory. This conceptual framework is integrated with supervised clinical experience to provide the resident with a broad understanding of human behavior in health and illness. The resident is trained in the use of each of the diverse treatment approaches existing in the field, including exploratory and supportive psychotherapies conducted on an individual and group basis, cognitive and behavioral therapies, family therapy, psychopharmacologic strategies, and techniques in community psychiatry. The resident is exposed to treatment offered in a variety of clinical settings including a psychiatric emergency service, psychiatric inpatient units, adult and child/adolescent outpatient clinics, chemical dependency treatment programs and a consultation/liaison service.
Lincoln Medical & Mental Health Center serves the community of the South Bronx and has one of the busiest Emergency Rooms in the region. The Department of Psychiatry strives to provide culturally relevant and useful services to these patients, many of whom are recent immigrants to New York. This is accomplished via the emergency, inpatient and outpatient services, the consultation service a collaborative care team in primary care as well as a variety of outreach and crisis services. Lincoln’s affiliation with Weill Cornell Medical College allows the addition of broader exposure to addiction psychiatry and geriatric psychiatry via rotations at Cornell’s Westchester campus.
Department faculty on site at Lincoln includes approximately fifteen psychiatrists and other behavioral scientists with expertise and experience in individual psychotherapy, inpatient management and milieu therapy, group therapy, family therapy, consultation/liaison psychiatry, community psychiatry, psychopharmacology and research. The faculty provides depth of experience and a variety of frames of reference. The faculty participates in the didactic program as teachers while also serving as individual supervisors and mentors the Director of Residency Training are responsible for the development of the program and maintaining its high quality as well as for the personal progress of each resident. Throughout the training year they hold individual meetings with residents of each level of training in order to review feedback from supervisors, to obtain residents' impressions, and to hear their suggestions for improvement. There are weekly meetings with all PGY class with the Director, and with the Chief Residents. The senior faculty are committed to the provision of excellent training and are closely involved in the training program.
Didactics
The training program provides a variety of organized educational activities including case conferences, journal clubs, Grand Rounds and resident classes. There are approximately six hours of resident educational activities each week, with a curriculum that advances in complexity through the training years.
PGY I residents receive an orientation to the field and to the job of a resident for the first 2 months of their internship year. The remainder of the academic year the PGY 1s get classes in Psychiatric Diagnostics and Psychiatric interviews, Substance Abuse, Basic Neuroscience and Psychopharmacology, Emergency Room Psychiatry, Child Psychiatry, Consultation/Liaison Psychiatry.
The curriculum offered to PGY II residents includes courses on Normal Development and the Psychopathology and Treatment of Children and Adolescents, Psychiatric Diagnostics, Substance Abuse, Basic Neuroscience and Psychopharmacology, Neurology, Emergency Room Psychiatry, Child Psychiatry, Consultation/Liaison Psychiatry.
The curriculum for advanced residents (PGY III and IV) includes Principles of Psychodynamic Psychotherapy, Cognitive/Behavioral Psychotherapy, Outpatient Psychiatry, Administrative Psychiatry, Research Techniques, Milieu Therapy, Inpatient Group Therapy, Appraisal of the Abstracts, and Forensic Psychiatry. Courses in career preparation and preparation for ABPN examinations are also available to senior residents.
Clinical rotations
PGY I and II
The orientation of the PGY I and II years is to provide the beginning resident with broad-based medical training which will serve as a solid foundation for further specialty training. These years include a three-month rotation to the Department of Internal Medicine (PGY I), that are spent in the primary care clinic. While in the primary care clinic residents learn how to manage syndromes that commonly occur in psychiatric patients such as hypertension, diabetes, and obesity. Resident also get one full day of psychiatry experience working in the emergency room for half a day and doing research for another half a day while rotating on primary care. They also have a two-month rotation to the Department of Neurology. PGY I and II spend time on the Adult Inpatient Psychiatry Service. PGY IIs spend one month on the Geriatric Psychiatry Unit at Cornell, one month in the Dual Diagnosis Unit at Cornell, three months in the Psychiatric Emergency Room, and at least two months on the Consultation Liaison service. Residents are directly supervised by attending psychiatrists and senior residents are present as well during some of these rotations. PGY, II residents spend 4 weeks on the Child or Adolescent Inpatient Service at Elmhurst Hospital Center. In addition, PGY II residents spend 2 weeks in the Consult Addiction Service (Catch). The resident completes these years with hands on experience with a wide variety of patients enabling him or her to understand the relationship of medicine and psychiatry and to possess a working knowledge of general psychiatry. PGY II residents also spend 8 weeks on the Consultation/Liaison Psychiatry service, on this service the PGY II residents will see medical and surgical patients who are experiencing some emotional difficulties. There are daily teaching rounds on this service and residents will become adept at making complete and efficient assessments of patients who may have complicated medical and psychiatric histories.
Towards the end of the PGY II year the resident may begin to conduct outpatient treatment of a selection of patients drawn from their inpatient caseloads in order to learn about the chronic course of mental illnesses. This outpatient caseload will be limited to a few patients and extra supervision will be provided.
Because of the number and variety of admissions to the Inpatient Service and the Psychiatric Emergency Room, each resident has the opportunity to diagnose and treat patients with all of the common forms of psychiatric illness and with many of the less common syndromes. All treatment modalities are used including individual and group psychotherapies, psychopharmacology, electroconvulsive therapy (at Cornell) and social and vocational rehabilitation. The resident works closely with a team of psychologists, social workers, nurses, rehabilitation therapists and peers with whom there are regularly scheduled interdisciplinary treatment team meetings.
PGY III
The PGY III year is a full time year in the Ambulatory Behavioral Health Clinic One half day per week for the PGY III year treating children and families in the Child and Adolescent Clinic. During this year, residents will carry a diverse caseload of outpatients with all diagnoses and perform a wide range of treatments. Each resident is supervised individually by a team of supervisors. Each resident gets approximately 4 hours of one on one supervision weekly their PGY 3 year.
PGY IV
Fourth year residents will rotate as a senior resident/” junior attending” in various areas of the Department. These areas include (but are not limited to) Inpatient units, Consultation Liaison service, Outpatient clinic and the Psychiatric Emergency Service. Residents also have the opportunity to serve as teachers and mentors to junior residents and third year medical students completing psychiatry rotations. Residents get to rotate with the Lincoln Mobile Crisis Team to enhance their community psychiatry experience and residents also rotate at a forensic psychiatry court clinic.
A research project is required for graduation. Residents may design their own project, drawing mentors from the Department's senior researchers, or join in ongoing projects. Residents also present findings at Departmental Grand Rounds and at outside conferences and to publish their findings.
During the fourth year, residents also continue treating a selection of outpatients, particularly those undergoing long term therapies. The educational goal of the PGY IV year is to round out the resident's knowledge and clinical experience and to solidify these with a variety of teaching and administrative assignments.
On-call frequency:
PGY- I- As first year you will participate in 5 weeks of Night float and while on Night float you have weekends off. Other times you are assigned weekend day calls (12 hours in the ED) Frequency varies by what rotation you are assigned to. While rotating in Medicine for 4 months you do not participate with calls.
PGY- II- As second year you will participate in 6 weeks of Night float and while covering Night float have weekends off. Other times you are assigned weekend day calls (12 hours in the ED). Frequency varies by what rotation you are assigned to.
PGY- III- As third year you are assigned 2 weeks of Night float, 1wk NF (supervision to PGY1’s).
PGY-IV- No Calls.
Benefits
Residents are offered a competitive salary and a full range of insurance benefits. Residents can obtain insurance benefits for spouses and children for additional cost. There are 20 vacation days per year and five educational leave days and 3 personal days in addition to holidays. Parking is available, for which a fee is charged, however, the hospital is well served by public transportation and this is recommended.
POSITION AVAILABILITY
We have four categorical positions available each year
REQUIREMENTS
Requirements for acceptance include graduation from an approved medical school, ECFMG certification for International Medical Graduates or the Fifth Pathway certificate. Applicants who do not hold U.S. citizenship or permanent resident status can be sponsored for J1 visa (depending on qualifications) for the duration of training. Applications for the PGY I year of training are accepted through ERAS only. The deadline for receipt of a completed application is November 15 of the year, prior to entry. Along with a standard ERAS application form, the following supporting documents need to be supplied through ERAS: a current curriculum vitae showing all activities from the time of graduation from medical school to the present, an essay explaining the applicant's interest in psychiatry training and any special interest in Lincoln Medical & Mental Health Center’s program, medical school transcript, MSPE, ECFMG Status Report, USMLE transcript, three recent letters of recommendation. At the time of acceptance into the program copies of the medical school diploma, copies of certificates of any prior residency training and a copy of the ECFMG certificate will also be required.
Further information can be obtained from:
Ms. Jacquelin Lopez
Residency Training Coordinator
Department of Psychiatry
Lincoln Medical & Mental Health Center
234 East 149 Street, 7B 132-B
Bronx, NY 10451
Telephone (718) 579- 4883
Jacquelin.lopez@nychhc.org
Salary
&
Benefits
Salary and Other Benefits 2020
Salaries generally increase annually.
PGY level Salary
PGY – I $ 66,247
PGY – II $ 68,988
PGY – III $ 74,464
PGY – IV $ 77,049
Chief resident additional differential: ~$4396
House staff benefit plan:
Dental, optical, supplemental medical including prescription drugs ($500 per yr), disability and life insurance.
Professional Education Plan:
Medical books and journals, licensures fees, boards, $650 per year.
Legal Services:
Pre-paid legal services including assistance with immigration issues, landlord-tenant problems, family matters and wills.
Patient Care Trust Fund:
For the purchase of equipment to provide the residents with the ability to enhance care for patients.
Other Benefits: CIR provides: OB/GYN, Newborn, Out-Patient Mental Health,
Childcare Reimbursement, Free Rosetta Stone Language benefit, New York Sports Club discount.
Conference reimbursement:
$1,500 during PGYI, II, or III
$1,500 per PGY-IV