Residents rotate through many of the clinical sites that comprise the Cambridge Health Alliance.
The Cambridge Hospital campus is the home base for psychiatric training. PGY-1 residents spend most of their time in this hospital. Most of the rotations in the first year are at the Cambridge site: Inpatient Medicine months, Intensive Care Unit/Pediatrics, Neurology, Inpatient Child/Adolescent psychiatry, and psychiatric emergency services within the Community & Acute Psychiatry. In the PGY-2 year, residents also spend three months of Inpatient Adult Psychiatry, six weeks of Emergency Psychiatry, and six weeks of Inpatient Consult-Liaison (CL) at the Cambridge Hospital Site. . In the PGY-3 year, residents spend one morning a week for six months in the Psychiatry Transition Service. PGY-4 residents’ location depends on each resident’s schedule. Electives are also available at the Zinberg HIV Clinic and Women’s Health Clinic.
PGY-1 residents rotate through the Lewis 2 Unit at The Whidden Memorial Hospital during their Inpatient Geriatric Psychiatry rotation. PGY-2 residents return to the Whidden Memorial Hospital for three months of Inpatient Psychiatry.
Outpatient therapy cases in the PGY-2 year and all patients in the PGY-4 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 Central Street Health Center, [simply called “Central Street”], is where CHA residents spend the rest of their outpatient psychiatry time. PGY-1 residents spend part of their Community and Acute Psychiatry month in the Health Integration Program (HIP) team, serving patients with severe mental illness at Central Street. Almost all of the Outpatient Psychiatry experience in the PGY-3 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.
PYG-3 and PGY-4 residents may elect to work at Windsor Street Health Center, which houses primary care, dental and psychiatry clinics. Residents become active members of specialty linguistic teams (e.g., Latino and Asian Mental Health clinics).
In their PGY-4 year, residents have the option to do a six-month elective 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.
PGY-4 residents also have the option of a six-month elective rotation at the Zinberg HIV Clinic. The clinic is 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.
PGY-2 residents spend three 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 with PGY-2 residents from the Harvard Longwood Psychiatry Residency Program, residents rotate on either a DBT focused or CBT focused partial hospitalization program with severely and persistently mental ill patients.