The PGY-3 year is dedicated to outpatient care, consisting of several six-to-eight week rotation blocks:
Mood and anxiety disorders intake clinic at Tufts Medical Center with Dr. David Adler. This clinic serves adults with major depression, bipolar disorder, chronic refractory mood disorders, panic disorder, PTSD, anxiety disorders, and phobias. The clinic also serves as a referral for medical and surgical patients within the institution who require evaluation and treatment for psychiatric disorders that coexist with, or are associated with, medical illness.
General intake clinic at Tufts Medical Center with Dr. Paul Plasky. PGY-3 residents see patients together with Paul Plasky, MD, PhD, and perform comprehensive biopsychosocial psychiatric assessments. This is a weekly clinic for initial assessment of patients referred from within Tufts Medical Center or from outside sources. After assessment, patients are referred to individual care by a PGY-3 resident.
Mood Disorders Consultation Clinic at Tufts Medical Center with Dr. Nassir Ghaemi. PGY-3 residents work with an internationally recognized expert in psychotherapy to perform comprehensive evaluations and consultations for complex psychiatric patients referred by other psychiatrists, non-psychiatric physicians, and mental health professionals.
The forensic psychiatry rotation with Dr. Ingrid Li at the Dr. Solomon Carter Fuller Mental Health Center inpatient unit. The hospital is in Boston’s South End, about one mile from Tufts Medical Center. Residents will gain experience in forensic psychiatry topics such as competency to stand trial, evaluation of criminal responsibility, assessment of persons on probation, risk assessment, and Massachusetts and federal mental health laws. There is an optional opportunity to observe an audit of a segregated unit in a state correctional institution and court testimony. Residents will observe forensic evaluations and have the opportunity to write a forensic report.
Community Psychiatry with Dr. Robert Diener. Residents gain valuable public psychiatry experience through work with Dr. Diener in outpatient and residential settings. PGY-3 residents also rotate with PACT (program for assertive community treatment) teams, providing outreach and support to patients with severe and long term mental disorders in a multidisciplinary treatment team setting.
Eating Disorders Program with Dr. James Greenblatt. PGY-3 residents rotate at an Inpatient facility in Dedham, MA associated with Walden Behavioral Care. This program is part of the Walden Behavioral Care organization, which offers outpatient, intensive outpatient, and inpatient treatment for eating disorders to patients of all ages at 13 clinical locations. Our residents participate in treatment of patients with eating disorders through initial evaluations, pharmacotherapy, and multidisciplinary group treatments.
ADHD clinic with Dr. Judith Robinson (child and adolescent trained psychiatrist) and Dr. Hope Schreiber (PhD psychologist) provides exposure to ADHD diagnosis, pharmacologic treatment, and behavioral techniques for those with ADHD. Dr. Robinson is an expert in childhood and adult ADHD, particularly ADHD over the lifetime, and Dr. Schreiber is an expert in ADHD as well, including neuropsychiatric testing.
Child and adolescent family therapy clinic with Dr. John Sargent and Ted Green, PhD. This clinic allows residents to see child and adolescent patients with their caretakers in an interdisciplinary team environment including a Child and Adolescent Psychiatry attending and psychologist with expertise in family therapy, Child and Adolescent Psychiatry fellows, social work and psychology interns, and medical students. This clinic covers various family therapy topics and techniques with a mix of discussion-based didactic sessions and clinical experience.
Child anxiety disorders clinic with Dr. Sandra Lucio. This clinic serves both children and adolescents with a broad spectrum of mood and anxiety disorders, including depression, bipolar disorder, obsessive-compulsive disorder, general anxiety, social anxiety, separation anxiety and panic attacks. This clinic is also attended by medical students and social worker interns as it is focused on teaching and interdisciplinary care.
Trauma clinic with Dr. Krinsky and Alice Connors-Kellgren, PhD. This clinic provides consultations for child and adolescent patients with various forms of developmental trauma. Residents receive exposure to the complexities of developmental trauma and its sequelae through discussion-based didactics and direct patient evaluation and management in a consultation setting. This clinic has an interdisciplinary team with robust experience and expertise in these topics.
PGY-3 residents attend full-day didactics each Wednesday.
Overnight call during the PGY-3 year averages to about one to two calls per month with a total of 17 weekday calls and 5 weekend calls per year.