Case-Based Team Learning (90 minutes, 50 weeks)

Essential topics in psychiatry, including neurobiology, diagnosis, phenomenology and psychopathology, epidemiology, psychiatric diagnosis, psychopharmacology and therapeutics of major psychiatric disorders. In Team Learning, unlike PBL, each team member is expected to learn the basic content from assigned readings prior to class and come prepared for application of that knowledge in the group exercise. The PGY-1s and 2s are divided into three year-long teams that tackle the group exercise and then receive feedback on their solutions from the module's expert faculty discussant who leads the large group discussion. Accountability for learning is provided by frequent testing and peer expectations for all to arrive prepared and participate actively. This learning format is designed to eliminate passive learning, increase effective team problem-solving skills, and promote habitual study during residency.

Introduction to Psychotherapy (75 minutes, 34 weeks)

Intensive introductory training in reflective listening skills, creating a working alliance, managing boundaries, recognizing dysfunctional patterns, selecting change strategies and managing resistance to change, and understanding transference and countertransference. The seminar format is highly interactive, using standardized patients, role-plays, vignettes, transcripts, videotaped therapy sessions and movies to illustrate and practice therapy skills. This class is co-led by a cognitive-behavioral therapist and an experiential family therapist for a balanced, broad perspective on integrative therapy skills.

Evidence-Based Medicine Start-Up Course (90 minutes, 8 weeks)

Introduction and hands-on practice in forming an answerable clinical question, using information technology to find the best evidence, critically appraising the evidence, and applying it to patient care.

Evidence-Based Medicine Review Course (90 minutes, 14 weeks)

Hands-on review and skills practice in evidence-based medicine, using the Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice as the main text. Small groups tackle worksheets on specific EBM skills (e.g. confidence intervals, survival curves, NNT, publication bias, Forest plots, etc…) followed by large group discussion. Topics are linked to articles related to the weekly Grand Rounds subject whenever possible.

Diagnostic Interviewing (90 minutes, 10 weeks)

Introduction to history-taking and the mental status exam, the use of structured clinical interviewing and rating scales to obtain valid patient data for both Axis I and Axis II disorders.

Psychiatry Case Conferences (60 minutes, 50 weeks)

Weekly case presentations with patient interviews by faculty, focused on interviewing skills, diagnosis and treatment.

Chairman's Rounds (60 minutes, 50 weeks)