Psychiatry Training Overview

University of Maryland/Sheppard Pratt psychiatry residents at a research conference

The University of Maryland Medical Center's psychiatry residency is structured to prepare you to succeed in your career. Learn more about what to expect in each year of the residency, and also take a look at a sample rotation schedule.

Six months "On Service"

Four and a half months of adult inpatient psychiatry.

  • Six weeks at Springfield Hospital Center, one of the Maryland state hospitals.
  • One month at Sheppard Pratt on the psychotic disorders or dual diagnosis unit.
  • One month on the Treatment Resistant Unit (TRU) at the Maryland Psychiatric Research Center (MPRC):
    • Tour of MPRC Research Facility
    • 2 days on Programs of Assertive Community Treatment (PACT) team
  • One month of addiction psychiatry at Sheppard Pratt or downtown between UMMC and VAMC.
    • Interns attend weekly case conferences and didactic sessions to supplement the experience.
  • Six weeks of Emergency Psychiatry in the Psychiatric Emergency Services (PES) at UMMC.
    • First-year residents work 12 hour shifts, most of which are during the day, and there is no additional call.

Residents typically carry no more than six inpatients at a time and receive regular attending supervision from the unit attending as well as an outside supervisor.

Inpatient, outpatient, substance abuse and rehabilitation services in these facilities are closely coordinated so residents experience the full range of patient care.

Short-call is on average every sixth night at Sheppard Pratt during non-PES psychiatric rotations. Short-call begins at 5 PM and ends between 10 PM and midnight. During this shift, the resident works up two admissions under the supervision of a senior resident.

Interns take about three additional short calls during their six months on psychiatry at UMMC on Fridays supervised by the PGY-2 and senior (PGY-3/4) residents. This was added in 2014 in response to residents’ requests to get experience at UMMC before second year.

There are weekly didactics during the “on service” months with lunch provided by the training office. There is a monthly PGY-1 class meeting with the Training Director which gives the residents an opportunity to discuss the training experience thus far.

PGY-1 Didactic Topics

  • Child development
  • Child psychopharmacology
  • Community psychiatry
  • Cultural psychiatry
  • Emergency psychiatry
  • Internal Medicine / Neurology
  • Introduction to psychotherapy
  • Mood and anxiety disorders
  • Psychiatric interviewing
  • Psychopathology
  • Psychopharmacology
  • Substance abuse

Six months "Off Service"

Internal Medicine

Three months of internal medicine at Mercy Medical Center, a private hospital located downtown, about 10 minutes from campus.

Our PGY-1s work alongside interns in Mercy's Preliminary Internal Medicine Program. Half of the internal medicine rotation is spent on the wards, during which time there is no call.

Mercy is closely affiliated with the UMMC IM Residency Program, and UMMC senior residents provide supervision on the ward teams. Other members of the team include an attending, third-year medical students from the University of Maryland, and often a PA and/or a sub-intern from the University of.

The rest of the rotation is spent covering admissions in shifts from 7a-7p, 12p-10p, or 3p-MN. Admissions are capped at five per day for interns.

Adult or Pediatric Emergency Medicine

One month of adult or pediatric emergency medicine at UMMC. Residents work 12 hour shifts, and there is no call.

Neurology

Two months of neurology on two of the three following services:

  • General inpatient neurology at UMMC
  • Stroke service at UMMC
  • Outpatient and consult neurology at VAMC
  • Both months of Neurology include Monday afternoons at Neuropsychiatry Clinic at SEPH

There is no call during these months, but interns work every other weekend. There are no overnight calls during the first year of residency.

During the intern year, you are allotted 20 vacation days, which are distributed according to rotation.

Acute Inpatient Psychiatry

Five months of advanced training in acute inpatient psychiatry at UMMC

  • Two-and-a-half to four months on general adult units at the Institute of Psychiatry and Human Behavior (IPHB).
  • Four to six weeks on the geriatric unit at IPHB.
  • Two to four weeks of night float
    • Sunday through Thursday from 8PM to 8AM.
  • ECT training
  • Call is approximately every sixth night
    • Monday through Thursday: Short call is until 8PM
    • Friday and Saturday: Overnight 24 hour call
    • Sunday: Call is 8AM to 8PM

Emergency Psychiatry

One month of emergency psychiatry in the Psychiatric Emergency Services (PES) at UMMC

Second year residents work 12 hour shifts, most of which are overnight, and there is no additional call.

Consultation/Liaison Psychiatry

Three months of consultation/liaison psychiatry at the VAMC and UMMC

Services served include the Shock Trauma Center (Level 1 Trauma Center), four additional critical care units, a variety of organ transplant teams, the cancer service, two infectious disease services, obstetrics and gynecology, neurology, and general medicine.

Newly implemented program, Integrated Care Initiative (ICI), where a resident and psychiatry social worker work with the internal medicine teams to identify potential psychiatry consults in a proactive fashion.

There are two calls during the entire three months from 8AM to 8AM at SEPH on a Saturday, which allows second year residents rotating at SEPH to take longer vacations and less call.

Acute Inpatient Psychiatry

Three months of acute inpatient psychiatry at SEPH

  • Four weeks on the Psychotic Disorders Unit.
  • Eight weeks of selective rotations, broken into two four week rotations, including the option of one of several child & adolescent units.
  • Opportunity to follow patients in the Day Hospital and at the outpatient Bridge Clinic
  • Residents carry no more than eight patients at one time.
  • ECT training
  • Overnight call is every fourth night
  • One week of night float

Other Information

Optional four hours per week of outpatient long-term psychotherapy.

Residents who begin the program as a PGY-2 may have their curriculum adjusted to meet requirements for Board eligibility.

PGY-2 Didactic Topics

  • Basic psychodynamics
  • Child development
  • Cognitive therapy
  • Community psychiatry
  • Consult/Liaison Psychiatry
  • Cultural psychiatry
  • Dialectical behavior therapy
  • Eating disorders
  • Emergency psychiatry
  • Ethics
  • Family psycho-education
  • Geriatric psychiatry
  • Group therapy
  • Intellectual disability
  • Neuroscience/Neuropsychiatry
  • Personality disorders
  • Psychopathology
  • Psychopharmacology
  • Psychological testing
  • Research in schizophrenia
  • Substance abuse

Adult and Child Ambulatory Psychiatry

Twelve months of adult and child ambulatory psychiatry

Residents work at one of the following training sites, each of which offers a core experience of long-term and short-term outpatient psychiatric treatment:

  • 701 Clinic
  • Fayette Clinic
  • Carruthers Clinic
  • VAMC Clinic
  • SEPH Resident Outpatient Clinic
  • Split SEPH Resident Outpatient Clinic/Carruthers Clinic

A variety of patients gives the resident the opportunity to practice a number of different therapy methods including:

  • Cognitive-Behavioral Therapy (CBT)
  • Psychodynamic psychotherapy
  • Supportive therapy
  • Brief therapy
  • Family therapy
  • Group therapy
  • Combined psychotherapy and psychopharmacology

All clinical experiences throughout the year will be accompanied by specific supervisors for each category.

Residents see a mixture of adult and child and adolescent patients, and participate in a therapeutic group for six to 12 months.

Call consists of senior supervision on-site (at IPHB or SEPH), approximately two to three times per month.

A year-long research seminar

ACGME requires psychiatric residents to demonstrate competency in evaluating the scientific literature for evidence-based practice. Our residents participate in a class guiding them through the conduction of a systematic review/meta-analysis.

  • Residents work in groups of two to three to analyze the literature on a topic of their choosing.
  • They then prepare a manuscript and poster which is presented at the University of Maryland, Department of Psychiatry Annual Research Day.

Resident’s scientific work is often submitted for publication and frequently presented at national meetings.

  • Resident presentations at national meetings are financially supported by the residency program.

PGY-3 Didactic Topics

  • Brief psychotherapy
  • Community psychiatry
  • Child psychiatry
  • Cultural psychiatry
  • Ethics
  • Family therapy
  • Forensic psychiatry
  • Group therapy
  • Observed dynamic and cognitive behavioral psychotherapy
  • Pharmacotherapy
  • Psychodynamic case conference
  • Psychodynamic formulation
  • Substance abuse
  • Theory and practice of dynamic psychotherapy

Forensic Psychiatry

Three months of full- or part-time forensic psychiatry at one of these locations:

  • Springfield Hospital Center
  • Clifton T. Perkins Hospital
  • Forensic evaluations at the Baltimore City Courthouse

Selectives

Three months of full-time selectives at either:

  • Consult/liaison psychiatry at Mercy Medical Center
  • Eating disorders unit at the Center for Eating Disorders at SEPH

Child Psychiatry

If the resident chose not to do a child or adolescent month during their elective time in their PG2 year, they will do one month on a child or adolescent inpatient or day hospital service during their PG4 year.

Long-Term Psychotherapy

Continued longitudinal experience in long-term psychotherapy and medication management with supervision

Electives

Twelve months of electives chosen from an extensive list, including:

Sheppard Pratt Health System

  • The Retreat
  • The Trauma Disorders Unit
  • Dual Diagnosis Inpatient Unit
  • Several other specialized inpatient units
  • Crisis Walk-in Clinic (CWIC)
  • Sheppard Pratt-Lieber Research Institute (SPL) Resident Research Elective
  • Mental Health Policy elective
  • Neuropsychiatry Outpatient Clinic
  • Electroconvulsive therapy

University of Maryland Medical System

  • Junior attending on the adult or geriatric inpatient units
  • Telepsychiatry to the Eastern Shore of Maryland
  • Geriatric Outpatient Clinic
  • Electroconvulsive therapy
  • Women’s mental health
  • Junior attending on the adult unit at UMMS Midtown campus
  • Assertive Community Treatment Team
  • Maryland Psychiatric Research Center (MPRC)
  • Research in neuroscience, schizophrenia, pharmacology, or services delivery

Baltimore VA Medical Center

  • Post-Traumatic Stress Disorder Assessment and Treatment
  • Substance Abuse treatment program
  • Junior attending on the adult inpatient unit
  • Primary Care Mental Health Integration
  • Geriatric Psychiatry/Cognitive Disorders Assessment and Treatment

The State of Maryland hospital system

  • Springfield Hospital Center
    • Junior attending
    • Recovery Program
    • Deaf Psychiatric Service
  • Spring Grove Hospital Center
    • Junior Attending on the Treatment Resistant Research Unit
  • Correctional Psychiatry at the Maryland Correctional Institution for Women (MCIW)

State-supported community sites

  • Baltimore Crisis Response (BCRI)
  • Health Care for the Homeless

Regulatory Medicine Rotation at the Food and Drug Administration

Student Mental Health

  • University of Maryland Baltimore
  • University of Maryland College Park Health Center

Chief resident positions

International Electives

  • Elective in the United Kingdom at Manchester College’s Centre for the Resolution of Intractable Conflicts
  • Research elective in Vienna

Call consists of senior supervision on-site (at IPHB or SEPH), approximately two to three times per month.

PGY-4 Didactic Topics

  • Advanced cultural psychiatry
  • Advanced psychopharmacology
  • Advances in biological and psychosocial psychiatry
  • Board preparation and review
  • Career options in psychiatry
  • Disaster psychiatry
  • Genetics
  • History of psychiatry
  • Journal Club
  • Observed psychodynamic psychotherapy
  • Psychodynamic formulation and case presentations
  • Resident lectures
  • Substance abuse
  • Supportive therapy