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Psychiatry

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Overview

General Psychiatry Residency

The physician who chooses to specialize in psychiatry will enter an exciting and dynamic field in which advances in neurobiology and psychotherapy are continuously increasing our understanding of brain and behavior. Psychiatry has undergone rapid and dramatic shifts in the past few decades, with clinical research contributing to evidence-based practice and new pathways and targets being identified using the tools of contemporary biomedical science that will allow development of novel treatments for mental disorders. Residents training at Jackson Memorial Hospital (JMH) will receive the benefit of interacting with members of the hospital’s excellent clinical attending staff, almost all of whom are also faculty at the University of Miami Miller School of Medicine and active in teaching, research and clinical practice.

Working in a community hospital setting at JMH provides access to a wide range of patients from various socioeconomic backgrounds and cultures. Exposure to the spectrum of psychiatric disorders in a diverse patient population provides an outstanding clinical experience. The Residency Training Program is committed to ensuring competency in all areas, through clinical rotations, on call experience, didactic training and research. Residents will have clinical experience in adult inpatient and outpatient psychiatry, child and adolescent psychiatry, consultation/liaison psychiatry and emergency psychiatry at JMH and at the affiliated Miami Veterans Administration Medical Center.

Recognizing the fundamental need for psychotherapy when treating human beings with complex needs, imaginations, and development, the Residency Training Program is fully committed to psychotherapy training for all residents, particularly in the core competencies of psychodynamic psychotherapy, cognitive-behavioral therapy, supportive therapy and combined psychotherapy with psychopharmacology. An active weekly Grand Rounds series with national and international speakers broadens the residents’ exposure to the latest areas of psychiatric research. All residents in the Residency Training Program are required to participate in a scholarly project, and seminars in research methodology and ethics are part of the didactic experience. In collaboration with the Department of Neurology, a combined Residency in Psychiatry and Neurology is also available. By the end of his/her training period, the resident will have developed the competencies necessary for the general practice of psychiatry and sufficient knowledge to become board certified through the American Board of Psychiatry and Neurology, as well as the beginning expertise to pursue psychiatric fellowships in geriatrics, child/adolescent, substance abuse, or forensics if desired.

The specialty Psychotherapy Track has been developed for interested residents who wish to increase their training in the area of psychotherapy. A chosen focus in Psychodynamic, Cognitive Behavioral or Interpersonal Psychotherapy with additional cases and supervision will be the focus of elective time in the residency.

Residency Training Program in Child & Adolescent Psychiatry

The Child & Adolescent Psychiatry Residency Program at the University of Miami/Jackson Memorial Medical Center is an accredited two-year program that offers trainees the opportunity to participate in assessment and treatment of children and adolescents with a wide range of psychiatric disorders. The diverse ethnic population and multicultural atmosphere makes Miami an exciting and vibrant community which offers unique collegial and clinical experiences for fellows and residents. The learning experience in the Child & Adolescent Psychiatry Training Program is divided into three essential elements: (1) Didactic Activities, (2) Clinical Experience, and (3) Research Experience under the overall leadership of Jon Shaw, M.D., Professor of Psychiatry & Behavioral Sciences, University of Miami Miller School of Medicine. For additional information please review the Residency Training in Child and Adolescent Psychiatry Manual.

Application Information

Applications for PGY-1 positions are accepted only through the Electronic Residency Application System (ERAS). Fourth year medical students in the United States should contact their Dean's Office for information on ERAS and should be enrolled in the National Resident Matching Program (NRMP). Others qualified and interested in the PGY-1 program in psychiatry should enroll in the NRMP, One American Plaza, Suite 807, Evanston, IL 60201 and can apply through ERAS either through their medical school Dean's Office or, for International graduates, through the Educational Commission for Foreign Medical Graduates (ECFMG).

Application Information

Thank you for your interest in our Psychiatry Residency Program. Your application should include the ERAS application form, personal statement, valid ECFMG certificate or License (as appropriate), a transcript of Medical School grades as well as an MSPE, or Dean's Letter, and three additional letters of reference from those who are best qualified to document your ability and experiences. Transcripts and references are provided to us through ERAS. All those applying for PGY-1 positions must be in the NRMP match.

They may apply using a Jackson Memorial Hospital Application form, and submit it with all required documents to Graduate Medical Education, 1695 NW 9th Ave, Suite 3100, D-29, Miami, FL 33136.

We will review your application and will contact selected applicants for interviews. Our selection Committee pays close attention to the following:

  • Documentation of excellent academic records and medical school performance.
  • Scores on USMLE step 1 and 2 of over 200 or COMLEX equivalent. Only applicants with 2 or fewer attempts on any one step will be considered.
  • One full year of  clinical experience in a US hospital is strongly recommended for International Medical Graduates.
  • Applicants who demonstrate an interest in the field of Psychiatry through research, publications, volunteer work, Mental Health advocacy, etc.
  • Applicants must not have been dismissed from a previous residency program.

Please feel free to contact us with any questions at asanto@med.miami.edu

For International Medical Graduates

Graduates of medical schools in foreign countries must have a valid ECFMG Certificate. Years since medical school graduation will be closely examined.

Resident Selection Policy

The Department of Psychiatry and Behavioral Sciences Executive Committee will serve as a review panel to examine completed applications and will advise the Residency Training Director in the selection process. The ""Match Selection Meeting", held annually will receive input from faculty and residents and will select from among eligible applicants on the basis of their preparedness, ability aptitude, academic credentials, communication skills and personal qualities, such as motivation and integrity. Selection will not be made with regard to sex, race, age, religion, color, national origin, sexual orientation, marital status, ethnicity, disability or veteran status.

For applicant eligibility and qualifications, please review this document Psychiatry Residency Selection Policy.

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Board Examination

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Program Curriculum

PGY-1
In the first year, six months consist of rotations to Medicine or Pediatrics, Family Medicine and Neurology. The six months remaining include an inpatient-based Psychiatry assignment and community-focused crisis intervention. Several hours each week are set aside for didactic training activities including lectures, seminars, and case conferences. Demonstrations and departmental scientific meetings are also included. Clinical activity on the inpatient service is under direct supervision of an attending assigned to the unit. Training is designed to give the trainee a working knowledge of evaluation, diagnostic, and therapeutic techniques utilized in psychiatry. A high degree of individual supervision, plus the didactic program, forms the nucleus of this rotation, during which emphasis is placed on quality patient care.

PGY-2
In the second year, five hours each week are devoted to protected didactic activities and the rest to clinical experience. Residents continue to have their hospital-based assignments and they also maintain an outpatient clinic one half-day per week. In addition, a two month rotation to Child and Adolescent Psychiatry and a two month rotation to Consult/Liaison Psychiatry are provided during this level of training.  

PGY-3
The resident experience in psychiatry during the third year concentrates on the outpatient experience. The assignment pattern is full time with two days a week in the Mental Health Ambulatory Services Division of Jackson Memorial Hospital and two days at the Veterans Administration Medical Center Mental Hygiene Clinic. An additional half day is available (site optional) for supervision and ongoing psychotherapy patients. The remaining half day is protected for Didactic activities.

PGY-4
The fourth year is devoted to experience advanced treatment and research, as well as a continued outpatient experience. Jackson Memorial Hospital, University of Miami Hospital and Veterans Administration Clinics, account for the resident's weekly clinical schedule alternating over the year. Research time is protected for four months or more during this year. Those who have previously elected the Psychotherapy Track will have time provided for additional instruction and supervision in psychotherapy. Child & Adolescent Psychiatry fellowship can begin in the fourth year.

EDUCATION
Throughout the entire four-year program, considerable time is spent by the resident in organized instruction, including seminars, teaching conferences by the faculty and visiting lecturers, continuous case conferences, journal club and up to two hours per week of individual supervision. Methods of therapy include the various somatic therapies, pharmacotherapies in combination with psychotherapy, dynamically-oriented, as well as brief, cognitive, and supportive individual and group psychotherapy. Appointments to the House Staff are made yearly. Advancement to a higher level depends upon the caliber of work done in the preceding year. Competency evaluation is Web-based and meets all ACGME requirements.

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Teaching Hospitals

Jackson Memorial Hospital is a 1,498-bed hospital owned by Miami-Dade County and governed by the Public Health Trust. Jackson is associated with the University of Miami Leonard M. Miller School of Medicine and is the primary teaching hospital for the school. It is one of the largest teaching hospitals in the southeastern United States. The hospital currently has 40 buildings situated on 70 acres of publicly-owned land located just northwest of the center of the City of Miami.

The primary training facility is Jackson Mental Health Hospital, a 239-bed mental health facility, offering a wide range of mental health services for both adults and children. The continuum of adult care includes the following components: Inpatient Care, Partial Hospitalization (PHP), and the Adult Outpatient Clinic. There is a state-of-the-art rapid stabilization unit for psychiatric emergencies, a geriatric medical/psychiatric unit, psychology outpatient services, and services for deaf and hard of hearing patients. The Forensic Psychiatry Service has its own courtroom on site.

The Health & Recovery Center offers Chemical Dependency/Detoxification Program for the safe withdrawal from alcohol or drug addiction. Dual Diagnosis Services are available for adult men and women who have both an acute psychiatric illness and a substance abuse disorder.

The full continuum of care for children includes an Inpatient Child and Adolescent Unit, a program for severely emotionally disturbed (SED) children and an outpatient Child and Adolescent Psychiatric Clinic (CAP).

Residents also rotate through the Veterans Administration Hospital (28 psychiatry beds) which contains many specialty programs, learning settings and research opportunities and University of Miami Hospital, a 560 bed general hospital which provides 104 inpatient psychiatry beds, a number of specialty clinics and and ECT program and many research opportunities for our residents, as well. Further research and learning opportunities for residents may also be available elsewhere on our extensive campus and in the community. 

The University of Miami Miller School of Medicine, the Calder Medical Library, the Anne Bates Leach Eye Hospital, the University of Miami Hospital and Clinics, the Mailman Center for Child Development, the Sylvester Comprehensive Cancer Center, Diabetes Research Institute, Lois Pope LIFE Center and the Ryder Trauma Center are also located on the same property. Due to the variety of medical and ancillary services offered and the large number of training programs, it is possible for the University of Miami/Jackson Memorial Medical Center to offer the broadest spectrum of technical and professional medical services. Many of these, by their very nature, cannot be duplicated by the average community hospital because of the physical facility requirements as well as the need for a very high level of professional staff and appropriate financial resources.

All patients are available for teaching purposes. Approximately 40% of the patients admitted to this hospital are private patients and the remainder are staff patients. All patients are cared for under the supervision of Jackson Memorial Hospital's medical staff, most of whom also hold appointments at the University of Miami Leonard M. Miller School of Medicine. Currently the medical staff consists of over 1,300 physicians, almost half of whom are full-time. The medical staff is appointed by the Public Health Trust. It should be noted that, for the purposes of broadening the range of experiences available to resident physicians, the Chiefs of Service and Division Chiefs with the Veterans Administration Hospital and several private hospitals and clinics hold faculty appointments at the School of Medicine by virtue of our affiliation agreements.

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Contact Us

Psychiatry and Behavioral Sciences Residency Training Program
Director: Radu V. Saveanu, M.D.
Vice Chair for Educational Affairs
Coordinator: Andrea Santo
305-355-8264
asanto@med.miami.edu

Residency Training Program in Child & Adolescent Psychiatry
Director: Ushimbra Buford, M.D.
Assistant Professor of Psychiatry & Behavioral Sciences and Pediatrics
University of Miami Miller School of Medicine
305-355-7103 email: ubuford@med.miami.edu

Coordinator: Michelle Hurtado
305-355-7103
Mhurtado2@med.miami.edu

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