The Cambridge Hospital:
The Cambridge Hospital (TCH) is the home base for psychiatric training at Cambridge Health Alliance (CHA). Residents spend most of their time in this hospital. Most of the rotations in the first year are at TCH. These include Inpatient Medicine months, Intensive Care Unit/Pediatrics, Neurology, Inpatient Child/Adolescent psychiatry, and Psychiatric Emergency Services (PES) within the Community & Acute Psychiatry. Residents also spend 3 months of Inpatient Adult Psychiatry, 6 weeks of PES, and 6 weeks of Inpatient Consult Liaison (CL) in the PGY2 year at TCH. In the PGY3 year, residents spend one morning a week for six months in the Psychiatry Transition Service at TCH. Residents completing their Outpatient CL rotation at the Zinberg HIV Clinic will also spend that time at TCH. PGY4 residents’ location depends on each resident’s schedule. Didactics on Wednesdays are located at TCH Academic Learning Center and the adjacent Macht Building.
Residents rotate through the Lewis 2 Unit at The Whidden Hospital during their Inpatient Geriatric Psychiatry rotation in the PGY1 year. Residents return to WH for 3 months (of a total 6 months) of Inpatient Adult Psychiatry in the PGY2 year.
Outpatient (PFP) therapy cases in the PGY2 year and all patients in the PGY4 year are seen at the Macht Building, which is located on the campus of The Cambridge Hospital. Grand Rounds and various didactic seminars occur in the Macht Building. The Outpatient Child & Adolescent Psychiatry experience is also at Macht.
Central Street Clinic:
The Central Street Health Center, [simply called “Central Street”], is where CHA residents spend the rest of their outpatient psychiatry time. PGY1 residents spend part of their Community and Acute Psychiatry month in the ACS Team, serving patients with severe mental illness at Central Street. All of the Outpatient Psychiatry experience in the PGY3 year occurs at Central Street. Here, residents work in multi-disciplinary teams along with Attending psychiatrists, psychologists, nurse practitioners, social workers, and trainees of other mental health disciplines. The nationally acclaimed Victims of Violence (VOV) program, which serves patients who have experienced abuse and other forms of trauma, and the Political Asylum Conferences are also located at Central Street. Residents can elect to work with attendings from Primary Care Medicine and Psychiatry to perform clinical evaluations for presentation at asylum hearings.
In their PGY3 year, residents have the option to complete their 6-month Outpatient CL rotation at the Dana Farber Cancer Institute, another affiliate of Harvard Medical School, located in the Longwood Medical Area. Here, residents have the opportunity to work with oncology patients who also have psychiatric needs, incorporating psychopharmacological and psychotherapeutic modalities.
Zinberg HIV Clinic:
PGY3 residents may also elect to complete their Outpatient CL rotation at the Zinberg HIV Clinic, one of the first of its kind in the nation to combine primary care with outpatient psychiatric services in a “Medical Home” model. Here, residents work intimately with primary care physicians, nurse practitioners, social workers and nurses in a multi-disciplinary team to provide comprehensive medical and psychiatric care to patients living with HIV/AIDS and those at high risk of infection.
Massachusetts Mental Health Center:
PGY-2 residents spend 3 months at the Massachusetts Mental Health Center, a Department of Mental Health facility associated with the Department of Psychiatry at the Beth Israel Deaconess Medical Center. Working along PGY-2 residents from the Longwood Psychiatry Residency Program, residents rotate on either a DBT focused or CBT focused partial hospitalization program with severely and persistently mental ill patients.