The Psychiatry Resident Handbook
How to Thrive in Training
Seamlessly combining the wisdom of seasoned leaders in psychiatry residency and fellowship training with the perspective of current residents-in-training, The Psychiatry Resident Handbook offers insights and guidance readers will not easily find in any other resource.
An opening description of the state of mental health care in the United States serves as a foundation from which the guide proceeds to address topics in five key areas:
- Identity, including trainees' gender and sexual identities, as well as the experience of individuals from underrepresented communities in medicine and international medical graduates
- Clinical practice, from working with historically oppressed patient populations to telehealth and legal and ethical issues
- Skill-building, including working with technology and social media, developing as a leader, publishing research, and engaging in advocacy
- Career development, with discussions of mentorship and sponsorship, finding a first job, and board certification
- Managing both a career and personal life, including recognizing and mitigating burnout, addressing mistreatment and discrimination, and navigating personal finances
Chapters feature key points that preview the content; specific challenges and strategies in which content is applied to real-life scenarios; self-directed questions that spur reflection and professional identity development; and recommended resources that include psychiatric, medical, business, and other literature, as well as relevant websites and online materials.
For guidance on how to successfully navigate training and pursue a fulfilling personal life, medical students, psychiatry residents, fellows and psychiatry educators will not find a more comprehensive resource than The Psychiatry Resident Handbook.
- I. Understanding Residency
- Chapter 1. Framing the Residency Experience
- Chapter 2. The U.S. Mental Health Care Landscape
- II. Centering Our Identities
- Chapter 3. Centering Our Identities
- Chapter 4. The Underrepresented in Medicine Experience
- Chapter 5. Gender and Sexual Identity
- Chapter 6. Professional and Personal Life: The International Medical Graduate Experience
- III. Approaching Clinical Work
- Chapter 7. Learning to Develop a Case Formulation
- Chapter 8. Working with Historically Oppressed Patient Populations
- Chapter 9. The Psychiatric Emergency
- Chapter 10. On-Call and Night Float
- Chapter 11. Non-Psychiatry Services
- Chapter 12. Inpatient Services
- Chapter 13. The Psychiatric Consult
- Chapter 14. Working in a Multi-Disciplinary Team
- Chapter 15. Outpatient Services
- Chapter 16. Best Practices in Prescribing Medications
- Chapter 17. Best Practices in Providing Psychotherapy
- Chapter 18. Telehealth Services
- Chapter 19. Legal Issues
- Chapter 20. Managing Patient Suicide
- Chapter 21. Public Mental Health
- Chapter 22. Supervision
- IV. Building Skills
- Chapter 23. Blue Ink and Blind Spots: Working Toward Accurate Self-Knowledge Through Self-Awareness
- Chapter 24. Communication Skills and Managing Conflict
- Chapter 25. Embracing Uncertainty: A Prescription Toward Clinical Expertise
- Chapter 26. The Resident as Teacher
- Chapter 27. Navigating Technology in Residency
- Chapter 28. Navigating Use of Social Media
- Chapter 29. Leadership
- Chapter 30. Scholarship
- Chapter 31. Publishing
- Chapter 32. Advocacy
- V. Developing a Career
- Chapter 33. Mentorship and Sponsorship
- Chapter 34. Preparing for Your Career
- Chapter 35. Steps to Securing Your First Job
- Chapter 36. Beyond Training: Board Certification and Continuing Medical Education
- VI. Maintaining a Professional and Personal Life
- Chapter 37. Work-Life Integration: Accomplishing Your Professional and Personal Goals
- Chapter 38. Wellness: Am I Well or am I Burned Out?
- Chapter 39. Handling Mistreatment and Discrimination
- Chapter 40. Physician Impairment
- Chapter 41. Practical Finances: Creating a Budget and Beginning Investing
- VII. Self-Directed Learning
- Rashi Aggarwal, M.D.
Neal D. Amin, M.D., Ph.D.
Nientara Anderson, M.D., M.H.S.
Timothy Ando, M.D.
Melissa R. Arbuckle, M.D., Ph.D.
Cybele Arsan, M.D.
Janet Baek, M.D.
Clayton A. Barnes, M.D., M.P.H.
Sara Baumann, M.D.
Antoine Beayno, M.D.
Iverson Bell, M.D., DLFAPA
Jeana Benton, M.D.
Laurel J. Bessey, M.D.
Seamus Bhatt-Mackin, M.D., FAPA, CGP, AGPA-F
Adam Brenner, M.D.
Deborah L. Cabaniss, M.D.
Jorien Campbell, M.D.
Enrico G. Castillo, M.D., M.S.H.P.M.
Metin Cayirolgu, M.D.
Joanna Chambers, M.D.
Sarah C. Collica, M.D.
Rachel Conrad, M.D.
Takesha Cooper, M.D., M.S.
Ann Crawford-Roberts, M.D., M.P.H.
Erin M. Crocker, M.D.
E. Ann Cunningham, D.O.
Sallie G. De Golia, M.D., M.P.H.
Michael DeGroot, M.D.
Vanessa de la Cruz, M.D.
Matthew L. Edwards, M.D.
Laura Erickson-Schroth, M.D.
Carrie Ernst, M.D.
Ambarin Faizi, D.O.
Aaron Feiger, M.D.
Christine T. Finn, M.D.
Laura Flores, Ph.D. M.D.-Ph.D.
Allison Ford, M.D.
Amy Gallop, M.D.
Daniel E. Gih, M.D.
Teddy G. Goetz, M.D., M.S.
Nichole Goodsmith, M.D., Ph.D.
Tracey M. Guthrie, M.D.
Nekisa Haghighat, M.D., M.P.H.
Elizabeth E. Hathaway, M.D.
Indiana Paul Hill, M.D.
Erick Hung, M.D.
Jeffrey Hunt, M.D.
Jessica Isom, M.D., M.P.H.
Oluwole Jegede, M.D., M.P.H.
James Kahn, M.D.
Michael Kelly, M.D.
Anna Kerlek, M.D.
Clarice Kestenbaum, M.D.
Manal Khan, M.D.
Murad M. Khan, M.D.
You Na P. Kheir, M.D.
Kristen Kim, M.D.
Grace Lee, M.D.
Zachary Lenane, M.D., M.P.H.
Melissa M. Ley-Thomson, M.D.
New Hampshire Karen Li, M.D.
Csilla N. Lippert, M.D., Ph.D.
Juan David Lopez, M.D.
Vishal Madaan, M.D.
Aekta Malhotra, M.D., M.S.
Jennifer E. Manegold, M.D., M.S.
Tessa L. Manning, M.D.
Natalie Maples, Dr.P.H.
Melissa Martinez, M.D. Professor, UT Health San Antonio, San Antonio, Texas
Phelan E. Maruca-Sullivan, M.D.
Alka Mathur, M.D.
Jessica L. W. Mayer, M.D.
Patrick McGuire, D.O.
Michael O. Mensah, M.D., M.P.H.
Isabella Morton, M.D., M.P.H.
Katharine J. Nelson, M.D.
William Newman, M.D.
Tram Nguyen, M.D.
Aaron Owen, M.D.
Daniella Palermo, M.D.
Amit Parikh, M.D.
Michael Polignano, M.D.
Zheala Qayyum, M.D., M.M.Sc.
Harika Reddy, M.D.
Rebecca Rendleman, M.D.
James I. Rim, J.D., M.D.
Robert Rohrbaugh, M.D.
Anne E. Ruble, M.D., M.P.H.
Mohona Sadhu, M.D.
Lane Scott, M.D.
Sourav Sengupta, M.D., M.P.H.
Jon Sole, M.D.
Gillian L. Sowden, M.D.
Vinod H. Srihari, M.D.
Kristoffer Strauss, M.D., M.B.A.
Oliver M. Stroeh, M.D.
Rajesh R. Tampi, M.D., M.S., DFAPA, DFAAGP
Lia Thomas, M.D.
Jonathan Tsang, M.D.
Sanya Virani, M.D., M.P.H.
Phuong Vo, M.D., M.S.
Ashley E. Walker, M.D.
Raziya S. Wang, M.D.
Diana Willard, M.D.
J. Corey Williams, M.D., M.A.
Matthew G. Yung, M.D
About the Authors
Sallie G. De Golia, M.D., M.P.H., is a Clinical Professor, Associate Chair of Clinician Educator Professional Development, and Co-Residency Director in the Department of Psychiatry and Behavioral Sciences at Stanford University School of Medicine in Stanford, California.
Raziya S. Wang, M.D., is the former Designated Institutional Official and Program Director of Psychiatry Residency Training Program at San Mateo County in San Mateo, California. She is currently a Clinical Assistant Professor, in the Department of Psychiatry and Behavioral Sciences at Stanford University School of Medicine in Stanford, California.
It is rare to find such a pragmatic, readable and critical resource for psychiatric residents, and for their educators and mentors. This beautifully crafted guide helps residents at all phases of their training face uncertainty, develop a professional identity, build resilience, navigate the complexities of the ever-changing healthcare system, and prevent burnout. It provides guidance on seeking mentorship when needed, appreciating one's strengths and weaknesses, and may be instrumental in seeking a path for additional training and a specialty career choice. In short, Drs. De Golia and Wang, provide their seasoned wisdom, and enlist the finest experts to help make this guide invaluable. It is a must read for our residents, faculty, and administrators.—Eugene Beresin, M.D., M.A., Professor of Psychiatry, Harvard Medical School, Executive Director, the Clay Center for Young Healthy Minds at the Massachusetts General Hospital, Past-president, American Association of Directors of Psychiatric Education, President, The American College of Psychiatrists
In this unique, timely, and comprehensive handbook, Drs. DeGolia, Wang, and their diverse group of knowledgeable collaborators offer an up-to-date survival guide for all who are contemplating or currently experiencing residency training in psychiatry, and for those charged with their education. Readers will enjoy clearly written, highly instructive chapters that offer insights and approaches for mastering all aspects of psychiatric education and training. Among many others, topics addressed include the landscape of contemporary psychiatric training, numerous areas covering the core knowledge and skills required for clinical mastery, emotionally difficult clinical scenarios residents will face, tele-health, dealing with technology, use of social medica, self-care, work-life balance, personal finances, and transitions to post-residency careers. Chapters are enhanced with succinct summaries of key points, specific challenges and strategies, self-reflective questions, and resources and reading lists. In all, this cornucopia of useful and practical guidance should benefit a wide psychiatric audience.—Joel Yager M.D., Professor Emeritus, Department of Psychiatry, University of Colorado School of Medicine, Professor Emeritus, Department of Psychiatry and Biobehavioral Sciences, University of California at Los Angeles, Professor Emeritus, Department of Psychiatry and Behavioral Science, University of New Mexico School of Medicine
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