The Post Graduate IV year year is designed to consolidate the resident s capacities to evaluate, diagnose and treat patients, to develop new skills in areas of Consultation-Liaison and Emergency Psychiatry, and to provide elective time for the resident to pursue research or acquire administrative and teaching experience as a Chief Resident. Each resident spends three months on the Emergency Service, three months on the Consultation-Liaison Service, and six months in a personally tailored elective program. Residents continue to provide ongoing care for 5 to 10 hours of outpatients under the supervision of two faculty members, one of whom has expertise in psychodynamic psychotherapy. The Emergency Room at NEMC serves as the psychiatric evaluation center for the Metro Boston Area. Evaluations are performed by residents with the assistance of staff social workers and rotating third year medical students.
Patients comprise all diagnostic categories.
In the past year about 2340 patients were seen by the NEMC Emergency Psychiatry Service. On the Consultation-Liaison Service at NEMC, residents focus on the psychiatric problems of medical and surgical inpatients. Didactic seminars, daily rounds and individual and group supervision emphasize concepts of psychosomatic illness and the application of the biopsychosocial model to clinical problems facing psychiatrists in the general hospital. Residents see consultation requests from the medical, surgical, and neurological services in rotation. Emphasis is placed on liaison work in addition to consultation.