The PGY1 year serves to ground the developing psychiatrist as a physician. The MGH/McLean PGY1 year provides a strong foundation in internal medicine based at both Massachusetts General Hospital and Newton-Wellesley Hospital, a rich neurology experience, and early exposure to clinical inpatient psychiatry. Massachusetts General Hospital is a tertiary/quaternary medical care center with a world-class internal medicine residency training program. Newton-Wellesley Hospital is a community hospital that is an affiliated teaching site of the MGH internal medicine residency.
The MGH/McLean residency offers a combined program in adult, child and adolescent psychiatry. This unique program begins with a pediatrics internship at MGH which includes rotations in adult and child neurology and early exposure to adult inpatient psychiatry. Following internship, residents spend either two or three years (depending on resident preference) in the MGH/McLean Adult Psychiatry Residency, followed by two years in the MGH/McLean Child and Adolescent Fellowship
This unit is located in the heart of MGH’s Medical/Surgical inpatient facility. A wide variety of psychiatric problems in patients with concurrent medical illness are treated. Residents will treat patients with a variety of acute and severe mental illness, including bipolar disorder, depression, obsessive-compulsive disorder, eating disorders, personality disorders, and substance use disorders. Residents become well-versed in the use of pharmacotherapies, management of side effects, and the use of electroconvulsive therapy. There are no call or weekend shifts during these months.
The Clinical Evaluation Center (CEC) functions as an urgent assessment and admission unit at McLean Hospital. While working on this unit, residents develop skills in psychiatric evaluation, diagnosis, triage, and treatment initiation. Patients are referred to the CEC from a variety of sources. These include area emergency rooms, crisis teams, other McLean Hospital programs, outpatient psychiatric clinicians, primary care physicians, family members or friends, or via self-referral. There are no call or weekend shifts during this month.
All interns do 2 months of neurology and can choose from 4 selective experiences. They can complete an adult neurology consultation service or a pediatric neurology consultation service at MGH. Another option is an outpatient neurology service at MGH focused on neuropsychiatry. Finally, interns can take advantage of a unique behavioral neurology service at McLean, providing consultation to psychiatric inpatients. There is no call or weekend shifts during these months.
All interns have the opportunity to pursue 4 weeks of elective time. They can choose an elective related to medicine, pediatrics, neurology, or psychiatry. Research electives are also popular, as are medical education electives. Depending on the service, some interns will have their elective as a single 4-week block, while others will have 2 separate 2-week electives. There are no calls or weekend shifts during this month.
Six months of medicine at either MGH or Newton Wellesley Hospital, which includes a combination of inpatient ward medicine, emergency department, ICU, and elective.
Pediatrics (6 months)
Six months of pediatrics at the MGH Hospital for Children (MGHfC). Following the internship year, residents spend either two or three years in the adult psychiatry program (at resident’s discretion) and finally, two years in the child/adolescent psychiatry fellowship.
2 Months | 1 Month | 3 Months | 3 Months | 3 Months |
Internal Medicine or Pediatrics (MGH) | Elective | Inpatient Psychiatry Neurology Inpatient Psychiatry | Internal Medicine or Pediatrics (MGH) | Neurology Inpatient Psychiatry Inpatient Psychiatry |
Psychiatry Core Didactics | Psychiatry Core Didactics |
