Andy Melaragno discusses a patient he recently evaluated in the Clinical Evaluation Center with his attending, Susan Szulewski.

Andy Melaragno discusses a patient he recently evaluated in the Clinical Evaluation Center with his attending, Susan Szulewski.




PGY1: Becoming a Physician

The PGY1 year serves to ground the developing psychiatrist as a physician. The MGH/McLean PGY1 yearprovides a strong foundation in internal medicine based at both Massachusetts General Hospital and Newton-Wellesley Hospital, a rich neurology experience, and early exposure to clinical inpatient psychiatry. Massachusetts General Hospital is a tertiary/quaternary medical care center with a world-class internal medicine residency training program. Newton-Wellesley Hospital is a community hospital that is an affiliated teaching site of the MGH internal medicine residency.

The MGH/McLean residency offers a combined program in adult, child and adolescent psychiatry. This unique program begins with a pediatrics internship at MGH which includes rotations in adult and child neurology and early exposure to adult inpatient psychiatry. Following internship, residents spend either two or three years (depending on resident preference) in the MGH/McLean Adult Psychiatry Residency, followed by two years in the MGH/McLean Child and Adolescent Fellowship

  • MGH Blake 11 Inpatient Psychiatry (3 months)

    This unit is located in the heart of MGH’s Medical/Surgical inpatient facility. A wide variety of psychiatric problems in patients with concurrent medical illness are treated. Residents will treat patients with a variety of acute and severe mental illness, including bipolar disorder, depression, obsessive-compulsive disorder, eating disorders, personality disorders, and substance use disorders. Residents become well-versed in the use of pharmacotherapies, management of side effects, and the use of electroconvulsive therapy. There are no call or weekend shifts during this block.


  • McLean Clinical Evaluation Center (1 month)

    The Clinical Evaluation Center (CEC) functions as an urgent assessment and admission unit at McLean Hospital. While working on this unit, residents develop skills in psychiatric evaluation, diagnosis, triage, and treatment initiation. Patients are referred to the CEC from a variety of sources. These include area emergency rooms, crisis teams, other McLean Hospital programs, outpatient psychiatric clinicians, primary care physicians, family members or friends, or via self-referral. There are no call or weekend shifts during this block.


  • Neurology (2 months)

    Two month of neurology, including one month of inpatient neurology at MGH, and 1 month selected between Behavioral Neurology Consults at McLean, and Pediatric Neurology at MGH. There are no call or weekend shifts on McLean Neurology or Pediatric Neurology. Residents take some overnight calls and 2 weekend day shifts during the month on MGH Neurology.


  • Internal medicine (6 months)

    Six months of medicine at either MGH or Newton Wellesley Hospital, which includes a combination of inpatient ward medicine, emergency department, ICU, and elective.


  • Or, for residents in the Combined Adult-Child/Adolescent Program:

        Pediatrics (6 months)
        Six months of pediatrics at the MGH Hospital for Children (MGHfC). Following the
        internship year, residents spend either two or three years in the adult psychiatry program
        (at resident’s discretion) and finally, two years in the child/adolescent psychiatry fellowship.



PGY-1 Rotations

3 Months 3 Months 3 Months 3 Months
Internal Medicine
(NWH or MGH)

or

Pediatrics (MGH)
Inpatient Psychiatry
(MGH Blake 11)


Internal Medicine
(NWH or MGH)

or

Pediatrics (MGH)
2 mos: Neurology
(MGH and McLean)

&

1 mo: Clinical
Evaluation Center

(Mclean)
Psychiatry Core Didactics
(1/2 day per week)
Psychiatry Core Didactics
(1/2 day per week)
I have found everyone I have met to be incredibly friendly, compassionate, and supportive, both of patients and of staff. I feel particularly lucky to have received excellent teaching in medicine from our MGH senior residents and NWH attendings, and have learned a remarkable amount during just three months Allison Brandt, Class of 2020

One of the many perks of this program is the ease at which trainees can connect with renowned leaders in their fields. I have mentors who encourage me to reflect on my identity as a psychiatrist and a female physician and teach me to shape my personal qualities into professional strengths. Cordelia Ross, Class of 2020