NYMC > Departments > Academic Departments > School of Medicine > Psychiatry and Behavioral Sciences > Residency Programs > Metropolitan Hospital Center > Rotations

Rotations

 

Year 1:             3 Months          Internal Medicine

 1 Month            Medical Emergency Department

 2 Months          Neurology (may be scheduled during the 2nd year)

 4 – 6 Months     Inpatient Psychiatry (including 1 Month of Geriatric Psychiatry)

 4 – 6 Weeks      Night Float – Inpatient (in 2-week blocks)

                        4 Weeks           Psychiatry Emergency Department (in 2-week blocks)

 

Year 2:             2 Months          Neurology (if not completed during the 1st year)

                         2 Months          Child and Adolescent Psychiatry

                         1 – 2 Months     Consultation Liaison Psychiatry

                         1 Month            Substance Abuse

  2 – 4 Months     Inpatient Psychiatry

  4 – 6 Weeks      Psychiatry Emergency Department (in 2-week blocks)

                         8 – 10 Weeks    Night Float – Emergency Department (in 2-week blocks)

 

Year 3:             12 Months        Outpatient Psychiatry – Clinic and Walk In Evaluation Unit

                         0 - 1 Week        Night Float – Some years, depending on scheduling needs

 

Year 4:             5 – 7 Months     Inpatient Psychiatry

 2 – 3 Months     Consultation Liaison Psychiatry

 6 – 8 Weeks      Psychiatry Emergency Department (in 2-week blocks)

 2 Months          Elective

 0 - 2 Weeks       Night Float – Some years, depending on scheduling needs

Completion of requirements that were not met in the first three years.


ADULT INPATIENT PSYCHIATRIC SERVICE

Our adult inpatient service operates three 25-bed units located in the Behavioral Health Pavilion. Admissions to this service may be made through our Psychiatric Emergency Department or from our Psychiatric Consultation Liaison service to the Medicine, Surgery, Rehabilitation, or OB/GYN Inpatient units.

We provide acute care psychiatric inpatient services, consisting of intensive coordinated treatment by a physician-led team of mental health professionals including activity therapists, social workers, rehab and addiction counselors, and 24-hour nursing care. Patients receive comprehensive psychiatric evaluation and treatment in a structured protective environment.  Our goal is to provide early assessment of patient needs and to tailor treatments that help patients effectively manage their illness and return to a normal level of functioning with seamless reintegration into the community.

ADULT MENTAL HEALTH OUTPATIENT SERVICES

The Adult Mental Health Clinic is a multidisciplinary clinic that provides comprehensive assessments and treatment.  Services provided include pharmacotherapy, individual and group therapy, crisis and social work interventions, and case management.

The Walk-In Evaluation Unit provides individuals with mental health assessments to determine which treatment best suits their needs. The unit is open weekdays from 8:00 AM to 5 PM.  Individuals requiring service after 5 PM, on weekends or holidays, can seek assistance at the Psychiatric Emergency Department, located in the Hospital’s Main Building, in Room 1A19.

The Intensive Outpatient Program provides daily groups for patients that benefit from more frequent contact with our clinicians, with specialized areas of treatment, such as substance abuse, anger management, depression and anxiety, and women’s issues.

CHILD/ADOLESCENT MENTAL HEALTH OUTPATIENT SERVICES

The Child/Adolescent Mental Health Clinic provides assessments, evaluations, diagnosis, and treatment to children and adolescents between the ages of 6 and 17 years old.  Modalities offered are verbal therapies including individual, groups, family/parent counseling, and play therapy.  Other services include crisis intervention, case management, and medication therapy.

MEDICATION ASSISTED TREATMENT FOR OPIOID USE DISORDER

The Methadone Treatment program is one of the oldest methadone clinics in the United States.  The program is licensed by OASAS to provide methadone and Suboxone (buprenorphine) treatment for adults 18 years and older who are dependent on opiates.  The clinic provides comprehensive services which include complete physical and mental status examination, bio-psychosocial assessment, methadone treatment, toxicology testing, case management, medical care, individual and group counseling, Behavioral Risk Assessment, referral, discharge planning, and wellness skills. All services are provided in the framework of a multidisciplinary treatment team.

ASSERTIVE COMMUNITY TREATMENT (ACT)

The Metropolitan ACT Program has been in operation since May 1995 and was licensed by NY State Office of Mental Health (NYSOMH) in May 2003.  Metropolitan was the first facility operating a program in New York City and the first licensed by NYSOMH.  The ACT Program (2 teams) supports clients with Severe and Persistent Mental Illness (SPMI) by providing intensive outpatient treatment in their community.  The teams use assertive engagement techniques, and consumers are visited in their home or community.  Admission criteria include non-compliance with traditional clinic services.

PSYCHIATRIC EMERGENCY DEPARTMENT

Located on the first floor of the Hospital’s Main Building, the Psychiatric Emergency Department is a component of the Hospital’s Emergency Services which operates 24 hours daily. All individuals receive an assessment, diagnosis and appropriate treatment and referral as applicable. Immediate crisis intervention is provided by our qualified team of mental health professionals.

CONSULTATION-LIAISON PSYCHIATRIC SERVICE

This service addresses the psychological aspects of medical and surgical illness for inpatients, providing assistance in the diagnosis and treatment of psychiatric problems such as depression, self-destructive behaviors, violence, chronic pain, treatment refusal, and coping with death and dying.

SUBSTANCE ABUSE CONSULTATION SERVICE

Specialists in substance abuse and addiction consult on patients on other services in our hospital, including the Emergency Department, developing recommended treatment plans.  The service also provides treatment to our Mental Health Outpatient Services.