The amount and type of supervision for each resident depends on the clinical rotation, the level of experience and competence of the resident, his/her number of psychotherapy and medication management patients, as well as unique resident needs and interests. The aim is to provide each resident with appropriate supervision for each clinical experience, with the general goal of providing increasing levels of responsibility and autonomy as residents progress through training.
Each clinical site is committed to providing the time necessary to supervise and mentor psychiatry residents on rotation which includes at a minimum 1 hour of individual or group supervision per week in addition to “at the bedside” supervision while rounding in the inpatient setting and 1 hour of face to face individual or group supervision for every 5 hours of patient care in the outpatient setting. Inpatient clinical sites are committed to at least 0.5 FTE of inpatient attending time to provide direct supervision to residents on inpatient clinical rotations. Outpatient clinical sites are committed to at least 1 hour of protected supervisor time per day for face to face supervision of PGY2,3,4 residents.
Supervision will emphasize clinical decision making, patient-provider interactions, and documentation and administrative skills.
Outpatient psychotherapy supervisors may be regular attending staff or faculty in practice in the broader community. This variety provides multiple perspectives in supervising the resident’s psychotherapy cases. Residents are required to videotape or audiotape some sessions to sample their work and facilitate in-depth discussion of various treatment approaches.