In an era during which acute and chronically ill patients spend less time on inpatient units and more time in partial hospitals, day hospitals, continuing care programs, and crisis intervention programs, the Longwood Program provides in-depth exposure to the range of services available to seriously ill psychiatric patients. During the PGY II year, residents spend four months on rotations on two inpatient sites, two months at BIDMC and two months at Brigham and Women's Faulkner Hospital. These are locked general hospital units, and the goal of the training experience is to immerse the resident in the diagnosis and treatment of the most seriously ill psychiatric patients.One month of the PGY II year is spent in a nightfloat rotation at Brigham and Women's Faulkner Hospital, one month is spent in a nightfloat rotation at BIDMC, and one month is spent in a self-designed elective. In addition, residents spend three months on a partial hospital program at Massachusetts Mental Health Center. Finally, residents spend two months on a child psychiatry rotation at Children's Hospital and have one month of elective. At Children's Hospital, residents rotate on the Bader Five Inpatient Psychiatry Unit.
In addition to the ongoing didactic program, two other longitudinal experiences begin in the PGY II year—outpatient psychotherapy and the scholarly project. Residents begin to see long-term psychotherapy patients and participate in both individual and peer-group supervision and training in psychotherapy. Each resident will develop an outpatient panel of patients at one of the program's two outpatient psychiatry sites (BIDMC and BWH) and will continue to see outpatients at this site throughout the course of his or her residency. In this way, the resident has the experience of following patients over a relatively long period of time with the opportunity to learn long-term treatments where appropriate and to observe the course of the spectrum of psychiatric disorders. During the PGY II year, residents spend three to five hours each week at their outpatient sites.
The scholarly project program is a half-day per week during the PGY II through PGY IV year that is protected for the resident to begin to develop individual scholarship and clinical expertise in an area of interest of the resident’s choice.