Education & Training
The ACGME requires a minimum two-month consultation-liaison (CL) psychiatry experience during residency training. Most programs fulfill this requirement by having residents rotate on a general inpatient CL service. Due to various factors, including the balance of other rotations, individual program characteristics, staffing needs, and training philosophies, the timing of this rotation varies widely across the country. While the majority of programs place the rotation in the PGY2 year, some programs have interns on the service, some have PGY3 or even PGY4 residents on the service, and some place the rotation across multiple years of training. Depending on the timing of the rotation, the expectations and learning objectives for residents may be quite different. In this workshop, we will present best practices and recommendations for tailoring a CL experience to a particular year of training. We will begin with a series of brief (5-10 minute) talks that outline how the CL educational experience is unique; what competencies and milestones apply most to a CL rotation; how to design a CL rotation for junior residents (PGY1-2’s); and how to design a CL rotation for senior residents (PGY3-4’s). We will highlight the advantages, challenges and unique considerations for each training year. We will then use a case-based, small group discussion model to task attendees with designing a supervisory experience for a resident of a particular training year. The case will be the same for each group, but the participants will need to tailor the teaching to the specific experience of the trainee. We will end with a facilitated audience discussion about experiences at individual institutions and with different models of CL training for residents. This workshop will be intended to be particularly high yield for program directors, CL rotation directors, and residents of all years.
Carrie Ernst, Director of the CL Psychiatry Fellowship at Mount Sinai Hospital, will provide an overview of what makes the CL psychiatry educational experience unique.
Robert Boland, Vice Chair for Education at Brigham and Women’s Hospital, will outline the competencies and milestones that should be learned on a general CL rotation.
Steven Fischel, Program Director of the Baystate Psychiatry Residency Program will outline best practices for tailoring a CL rotation to PGY-1 and PGY-2 residents, including a discussion of having CL training split over multiple years.
Scott Beach, Program Director of the MGH/McLean Adult Psychiatry Residency, will discuss advantages and disadvantages of placing the CL rotation in the PGY-3 year and ways to incorporate CL work into the PGY4 year.
Daniel Shalev, Chief Resident at Columbia University, will provide the trainee perspective on opportunities and challenges faced in completing CL psychiatry rotations in different years of residency training.
Submitted on behalf of the Residency Education Subcommittee