The third year of psychiatric residency represents an exciting transition from inpatient to outpatient-centered experiences. The core competency skills acquired within the PGY-1 and PGY-2 years are the foundation upon which the third-year is based. During this year, residents have the opportunity to learn the fundamental principles of outpatient management and to develop further autonomy with clinical care. Various psychotherapy modalities are densely incorporated throughout the upper levels of post-graduate training; however, it is during the third year that residents routinely utilize these concepts. Outpatient psychopharmacology, in combination with psychotherapy, becomes a mainstay for the third-year resident.
There are various clinical sites at which residents work and learn, including the outpatient clinic on-site. The year includes exposure to the community outpatient psychiatry initiative. This consists of multiple local sites at which residents are assigned to depending upon their professional interests. Residents also have the opportunity to work in a nearby geriatric facility and a veterans’ affairs clinic. Rural practice settings are available to those interested.
OSU Faculty is present at all clinical sites and closely supervises residents during the third year. In addition, residents are assigned to an additional independent faculty member who serves as a mentor for psychodynamic therapy cases. A cognitive behavioral therapy supervisor also is appointed to work with each resident. Instruction occurs through formalized teaching, patient interactions, and individual sessions with supervisors. Goals for the third year of residency include the following: