Didactic Curriculum

GENERAL PSYCHIATRY RESIDENCY PROGRAM

Grand Rounds | Journal Club | Services Rounds | Resident Seminars | Psychotherapy Conference | Research Conference | PGY-II Intro Psychotherapy Seminar | PGY-III Outpatient Clinic Seminar | PGY-III Hospital Psychiatry Seminar | Admin Lunch with Chairman | Residents' Lunch | Subspecialty Clinical Case Conference

Click here for PDF file of Didactic Curriculum

In concert with extensive clinical experiences, the Johns Hopkins residency program provides a comprehensive didactic curriculum for its housestaff. During the PGY-I year, interns are included in the seminars and conferences offered by the Johns Hopkins Bayview programs in internal medicine, neurology, and psychiatry. During subsequent years, residents are offered a multitude of didactic learning opportunities made up of the three traditional teaching methods: lecture/demonstrations, tutorial/seminars, and recitations. Summarized in the calendar below are the weekly departmental didactic activities offered at The Johns Hopkins Hospital. Residents at every level of training are encouraged to attend any of these activities, and are required to attend those which are highlighted. 

GRAND ROUNDS

A patient from one of the clinical services is presented, interviewed by Dr. DePaulo, and then a faculty member from the presenting service gives a lecture related to the case under consideration.  Dr. DePaulo leads the discussion, which is open to all members of the department. The presenting faculty member prepares minutes of the round with suitable references.

Click here for current Grand Rounds Topics

JOURNAL CLUB

In this seminar, led by Dr. Constantine Lyketsos, Dr. Margaret Chisolm, and Dr. Benjamin Ho-Chang Lee, residents critically review papers from the psychiatric literature. The aim of the seminar is to examine the author’s methods, the strengths and weaknesses of his/her work, and the relevance of this work to clinical psychiatry.  Residents become familiar with clinical research and statistical methods.  Both current and classic psychiatric papers are presented.

SERVICE ROUNDS

In this two hour weekly didactic session, one resident presents a case to the department chairman, Dr. J. Raymond DePaulo, Jr., who examines the patient and then leads a discussion in which each resident is asked to comment on some aspect of the case. Though others may attend the rounds, participation is limited to the assembled house officers. During Service Rounds, the Chief Residents also give a brief presentation focused on psychiatric symptoms, their variety, and the best methods to approach them in the mental status examination.  Unlike other conferences, which meet during the academic year, Service Rounds meets throughout the calendar year.  During the internship year there is a weekly service rounds led by Dr. Constantine Lyketsos.

RESIDENT SEMINARS

The resident seminar series is a coherent overview of the field of psychiatry presented by faculty who are experts on each of the topics presented. During the PGY-I year, interns on their psychiatry rotation meet two hours a week; one hour in psychiatric diagnosis seminar and one hour in psychiatric treatment seminar. During the subsequent years of residency, one hour per week is reserved for the PGY-II through PGY-IV seminars listed below.

PGY-II Seminar:  INTRODUCTORY SUMMER SESSION

Introduction to The Perspectives of Psychiatry  (8 weeks) - Paul R. McHugh, M.D.
Emergency Treatments in Psychiatry (3 weeks) - Patrick T. Triplett, M.D.
Mental Status Examination (2 weeks) - John R. Lipsey, M.D., Karen L. Swartz, M.D.
Taking a Psychiatric History - John R. Lipsey, M.D., Karen L. Swartz, M.D.
Basic Psychopathology - J. Raymond DePaulo, Jr., M.D.
Introduction to Pharmacotherapy (2 weeks) - Thomas W. Koenig, M.D.
Electroconvulsive Therapy (3 weeks) - Irving Reti, M.D.
Medical Student Education (2 weeks) - Susan W. Lehmann, M.D.
Introduction to Forensic Psychiatry - Jeffrey Janofsky, M.D.
On-Line Resources for Psychopharmacology - Mireille Meyerhoefer, M.D., Ph.D.    
Approaching the Psychiatric Literature - Karen L. Swartz, M.D.
Duty Hours and Sleep Deprivation - John R. Lipsey, M.D., Karen L. Swartz, M.D.

PGY-II Seminar:  ACADEMIC YEAR

The Psychiatric Formulation - J. Raymond DePaulo, Jr., M.D.
Major Depression - Karen L. Swartz, M.D.
Bipolar Disorders - Jennifer Payne, M.D.
Other Affective Disorders  - Francis Mondimore, M.D.
Antidepressants (2 weeks)  - Karen L. Swartz, M.D.
Lithium - Dean MacKinnon, M.D.
Mood Stabilizers and AED’s - James B. Potash, M.D., M.P.H.
Psychological Testing (3 weeks) - David Edwin, Ph.D.
Schizophrenia (2 weeks) - Nicola Cascella, M.D.
Neuroscience of Schizophrenia - Sarah Reading, M.D.
Neuroleptics and Anticholinergics (2 weeks) - Sarah Reading, M.D.
Geriatric Psychiatry (2 weeks) - Susan Lehmann, M.D., David Blass, M.D.
Dementias (2 weeks) - Constantine Lyketsos, M.D., Adam Rosenblatt, M.D.
Treatment of Dementias - Martin Steinberg, M.D.
Substance Abuse (2 weeks) - Eric Strain, M.D
Alcohol/Benzodiazepine Detoxification - Alan Romanoski, M.D.
Pharmacotherapy of Substance Abuse - Alan Romanoski, M.D.
Eating Disorders (2 weeks) - Angela Guarda, M.D., Graham W. Redgrave, M.D.
Somatoform Disorders (2 weeks) - Thomas Koenig, M.D., Michael Clark, M.D.
Anxiety Disorders - Una McCann, M.D.
Treatment of Anxiety Disorders - Una McCann, M.D.
Obsessive-Compulsive Disorder (2 weeks) - Gerald Nestadt, M.B.B.S.  
AIDS Psychiatry - Glenn Treisman, M.D., Ph.D.
Introduction to Child Psychiatry (2 weeks) - Emily Frosch, M.D.         
Affective Disorders in Children - Elizabeth A. Kastelic, M.D.
Anxiety/Tics/OCD in Children  - John Walkup, M.D.         
Psychiatric Emergency Care (2 weeks) - Patrick T. Triplett, M.D.

PGY-III Seminar   

Personality Assessment (3 weeks) - Paul Costa Jr., Ph.D.
Dimensional Disorders (3 weeks) - David Edwin, Ph.D.
Personality Theory: Erikson, Jung, and Bowlby (4 weeks) - James Harris, M.D.
Religion and Spirituality in Psychiatry (3 weeks) - William Breakey, M.B.B.Ch.
Psychotherapy with Pharmacotherapy: Major Depression (2 weeks) - John R. Lipsey, M.D.
Psychotherapy with Pharmacotherapy: Bipolar Disorder - Karen L. Swartz, M.D.
Psychotherapy with Pharmacotherapy: Schizophrenia - Michael J. Kaminsky, M.D.
Psychotherapy with Pharmacotherapy: Women’s Issues - Karen L. Swartz, M.D.
Psychotherapy with Pharmacotherapy: Anxiety Disorders - Una McCann, M.D.
Psychotherapy with Pharmacotherapy: The Meaning of Medication - Everett Siegel, M.D.                           
Forensic Psychiatry (8 weeks) - Jeffrey Janofsky, M.D.
Cross-Cultural Psychiatry (2 weeks) - Thomas Koenig, M.D., Geetha Jayaram, M.D.      
Community Psychiatry (4 weeks) - Bernadette Cullen, M.D., Faculty
Cultural Competence in Mental Health Care -Cynthia Major, M.D.
Age and Cultural Issues in Existential Psychotherapy - Peter Rabins, M.D.
Ethics in Psychiatry (7 weeks) - Jeffrey Janofsky, M.D.
Medical Student Education - Susan Lehmann, M.D.

PGY-IV Seminar

Administrative Topics in Psychiatry:  

Administrative Careers - Thomas Koenig, M.D.       
Community Psychiatry - Susan Bailey, M.D.
Medical Student Education - Susan Lehmann, M.D.

Life After Residency: Karen L. Swartz, M.D.

Research Careers in Academic Medicine - James B. Potash, M.D.
Clinician/Educator Careers in Academic Medicine - Karen L. Swartz, M.D.                            
NIMH Fellowships - Jennifer L. Payne, M.D.
Hospital-based Practice  - Jason Addison, M.D.
Private Practice  I  - Evan Jacobson,, M.D.
Forensics and State Hospitals - Saadia Alizai-Cowan, M.D.
Private Practice II - Emile Bendit, M.D.
Group Practice in Psychiatry - James Gallagher, M.D.
Community Psychiatry - Susan Bailey, M.D.
Community and Private Practice - Cynthia Major, M.D.
Combining Academics and Private Practice - Todd S. Cox, M.D.
Non-clinical careers: the FDA - Michelle Chuen, M.D.

Shorter’s A History of Psychiatry (3 weeks) - Karen L. Swartz, M.D.
Termination Issues & Transition of Patient Care - John R. Lipsey, M.D., Karen L. Swartz, M.D.
Gender and Marriage Issues in Practice - Melinda Fitting, Ph.D., Karen L. Swartz, M.D.
Gender and Sexual Orientation Issues in Psychotherapy - Melinda Fitting, Ph.D., Karen L. Swartz, M.D.
Giving Effective Presentations - Karen L. Swartz, M.D.
Disaster Psychiatry:  Overview of Disasters - George Everly, M.D.
Early Intervention/Psychological First Aid - George Everly, M.D.
Post-traumatic Stress Disorder - Michael J. Kaminsky, M.D.
Treatment of Post-Traumatic Stress Disorder - O. Joseph Bienvenu, M.D.
Yalom’s Existential Psychotherapy (4 weeks) - Peter Rabins, M.D.
Transition of Patient Care - John R. Lipsey, M.D., Karen L. Swartz, M.D.
PGY-IV Resident Presentations (13 weeks)
Oral Board Exam Preparation with Practice  - John R. Lipsey, M.D.,
Examinations (8 weeks) - Karen L. Swartz, M.D.

PSYCHODYNAMIC PSYCHOTHERAPY CONFERENCE: THEORY-BASED PRACTICE

This seminar is led by Everett Siegel, M.D. and Allan Gold, M.D.  Audiotapes, videotapes, and written transcriptions of cases in treatment by experts are used to model the practice of psychodynamic psychotherapy and to demonstrate theory in action.  Discussion by residents and faculty focuses on correlates of clinical practice and psychodynamic theory.  This conference is attended full time by the PGY-III residents on rotation in the Outpatient Department.  Residents from all other years are invited to attend.

RESEARCH CONFERENCE

This lunchtime conference occurs on a weekly basis throughout the academic year. Investigators from within and outside the department present their latest research. Faculty, residents, and research fellows participate in this conference. Residents are invited to lunch with guest speakers following the conference.

Click here for current Research Conference Topics.

PGY-II INTRODUCTORY PSYCHOTHERAPY SEMINAR

This yearlong introductory seminar for all PGY-II residents covers establishing an outpatient practice as well as cognitive-behavioral, supportive, psychodynamic, and brief psychotherapy treatments. PGY-II residents meet with Dr. Francis Mondimore or Dr. Everett Siegel during lunchtime every Thursday. 

Introduction to Ambulatory Practice and Supportive Psychotherapy

This introductory seminar covers establishing an outpatient practice, the nature of the therapeutic relationship, and elements of supportive psychotherapy. Case-based discussions of psychotherapeutic opportunities and dilemmas are central to the seminar. 

Topics covered in semester led by Dr. Francis Mondimore

Why Outpatient Psychiatry is the Most Important:  An Introduction
The Economics of Outpatient Psychiatry
What is Psychotherapy?
Psychotherapy: the Transformation of Meanings
Origins of Psychotherapy: Ritual and Faith Healing
Mind and Body
The Therapeutic Relationship
First Contact with Patients
Introduction to Supportive Therapy
Anxiety and Adaptation
Specific Supportive Techniques
The Expressive Component
The Therapeutic Relationship and Practical Issues
First Contact with Patients
First Moments
Therapeutic Alliance and Safety
Eliciting History
Formulating a Treatment Plan
The Frame
Fees and Billing Issues
Phone Calls
No-shows, Late Arrivals, and Early Departures
Confidentiality
The Impact of Substance Abuse
Integrating Psychopharmacology and Psychotherapy
Impasses and Empathic Lapses
Transference and Countertransference
Termination
Introduction to Cognitive-Behavioral Therapy (4 sessions)

Introduction to Psychodynamic Psychotherapy

This seminar, led by a psychoanalyst, covers the basic principles of dynamic psychiatry and practical issues in psychodynamic psychotherapy for beginners. The elements of supportive psychotherapy that are part of psychodynamic psychotherapy are also discussed.

Topics covered in semester led by Dr. Everett Siegel

Basic Principles and Key Terms of Psychodynamic Psychotherapy
Patient Suitability Assessment for Psychodynamic Psychotherapy
Theoretical and Practical Basis of Dynamic Psychiatry       
Purposes and Components of the Treatment Frame         
Maintaining the Integrity of Treatment
Empathy
Doing Psychotherapy
Clinical Examples

PGY-III OUTPATIENT SUBSPECIALITY CLINIC SEMINAR SERIES

The following seminar series correspond to the subspecialty outpatient clinical experience which occurs during the eight month Outpatient Department rotation of the PGY-III year. Each of these seminars meets weekly.

Psychodynamic and Brief Psychotherapy Seminar

This seminar led by Dr. Everett Siegel builds upon the Introductory Psychotherapy Seminar of the PGY-II year.

Orientation to Psychodynamic Therapy
Empathy
The Treatment Framework
The Basic Premises of Dynamic Psychiatry
A Primer for Expressive Psychotherapy
Ego Psychology
Ego Psychology in Practice and Unconscious Communication
Introduction to the Practice of Therapy
Object Relations Theory
Object Relations and the Borderline Patient
Self Psychology
The Two Triangles
The Process of Working with Inner Conflict
Developmental Theories
Oedipal Conflicts
Psychodynamic Assessments (2 weeks)
Psychodynamic Interventions and Supportive Therapy
Transference and Countertransference
Resistance
Interpretation
Brief Psychotherapy
Borderline Personality Disorders
Loss and Termination

Outpatient Department Seminar

Introduction to Behavior Analysis and Behavioral Medicine (2 sessions) - H. Richard Waranch, Ph.D.
Group Therapy (3 sessions) - Bernard Liberman, Ph.D.
Overview of Clinical Sleep Disorders - Michael Smith, Ph.D.
CBT for Insomnia - Michael Smith, Ph.D.
Dialectic Behavioral Therapy - Adam Kaplin, M.D., Ph.D.
When the Patient is Famous: Issues and Challenges - Paul R. McHugh, M.D.
Key Issues of Group Practice Affiliation - Lee McCabe, Ph.D.
Transtheoretical Model of Behavior Change - Lee McCabe, Ph.D.
Quality Reform Initiative and Clinical Practice - Lee McCabe, Ph.D.
Motivational Interviewing - Jennifer Haythornthwaite, Ph.D.
Psychotherapy of Personality Disorders - Michael J. Kaminsky, M.D.
Psychotherapy and the Workplace (2 sessions) - Alan Langlieb, M.D.
Brief/Outcome Oriented Psychotherapy (2 sessions) - Daniel Buccino, M.S.W.
Interpersonal Psychotherapy - Daniel Buccino, M.S.W.
Therapy with Couples - Daniel Buccino, M.S.W.
The Psychoanalytic Theory of Jacques Lacan - Daniel Buccino, M.S.W.

Affective Disorders Seminar

led by Drs. J. Raymond DePaulo, Jr., Kay Redfield Jamison, Francis Mondimore, James Potash, and Karen Swartz

Schizoaffective Disorder
Epidemiology
Mania
Mixed States
Stressors
Community Education
Suicidality
Genetic Epidemiology
Linkage Studies
Association Studies
Brain Regions
Hypothalamic-Pituitary-Adrenal Axis
Antidepressants (2 weeks)
Lithium (2 weeks)
Anticonvulsants (2 weeks)
Antipsychotics
Medication Adherence
Electroconvulsive Therapy
Psychotherapy
Primary Care Treatment of Mood Disorders

Anxiety Disorders & Cognitive-Behavioral PsychoTherapy Seminar

led by Drs. Bienvenu, McCann, Hoehn-Saric, Fauerbach, and Nestadt

Diagnostic Classification of Anxiety Disorders
Normal and pathological anxiety: psychological and biological aspects
Epidemiology and burden of anxiety disorders
Genetic epidemiology of anxiety disorders (2 sessions)
Personality traits and anxiety disorders
Treatment of panic disorder and agoraphobia
Cognitive-behavioral therapy of anxiety disorders (5 sessions)
Anxiety management
Exposure therapy and activity scheduling
Treatment of Obsessive Compulsive Disorder
Treatment of Generalized Anxiety Disorder
Neuroimaging and anxiety disorders
Treatment of Post-traumatic Stress Disorder
Treatment of Social Phobia
Anxiety disorders in children and adolescents
Psychophysiology
The biology of anxiety disorders
Classical papers on anxiety disorders
Neural circuitry and anxiety

Sexual Behaviors Consultation Unit Seminar

led by Drs. Peter Fagan, Christopher Kraft, Fred Berlin, Thomas Wise, and Chester Schmidt

Introduction to the Sexual Behaviors Consultation Unit
Overview of the sexual disorders categories
Personality and sexuality
Origins of sexual orientation
Physiological basis of sexual functioning in medical illness
Disorders of orgasm in men
Arousal disorders in men:  recent advances in somatic treatment
Disorders of arousal in men: psychological considerations
The paraphilias: sexual variations or sexual disorders?
Evaluation of sexual offenders: pedophilia, necrophilia, and sexual sadism
Treatment of sexual offenders
Sex and the Internet
Infidelity: conceptual framework and interventional strategies
Integrated sex and couple therapy
Group treatment of paraphilias and non-paraphilic sexual compulsivity
Behavioral interventions: sensate focus and others
Transsexualism
Transvestic Fetishism
Treatment of gender dysphoria in individuals and couples
Disorders of sexual desire, arousal, and orgasm in women
Sexual avoidance and sexual aversion in women
Current advances in the understanding and treatment of female sexual arousal
Sexual Pain Disorders

Schizophrenia Seminar

led by Drs.  Nicola Cascella, Karen Swartz, Gerald Nestadt,  Dean Wong, and Michael Kaminsky

Review of Phenomenology
Historical Description of Schizophrenia and the Movement Toward Standardized Diagnoses
Pharmacotherapies of Schizophrenia
Psychotherapy in Schizophrenia
History of Diagnostic Classification
Schizophrenia Spectrum Diagnoses
A Brief Review of Schizophrenia Epidemiology
US/UK Cross-National Studies of Schizophrenia
Cross-Cultural Aspects of Schizophrenia
Urban Living as a Risk Factor                
Season of Birth as a Risk Factor
The Deficit Syndrome
General Review of Neuroanatomy
Brain Development in Schizophrenia (2 weeks)
Similarities Between TLE and Schizophrenia
The Dopamine Hypothesis of Schizophrenia
Brain Imaging of Neuroleptic Action in Schizophrenia
Functional MRI Studies in Schizophrenia
Family Studies in Schizophrenia
The Neuropsychology of the Wisconsin Card Sort Test in Schizophrenia
Treatment of Resistant Schizophrenia
Tardive Syndromes in Schizophrenia
Long Term Outcome in Schizophrenia
The Validity of Schizoaffective Disorders

Substance Abuse Treatment Seminar

led by Dr. Alan Romanoski

The Four Phases of Substance Abuse Treatment
Treatment Contracts
Preventative Maintenance with breathalyzers and urine toxicology screening
Relapse Prevention Plans
Relapse Management
Outpatient Detoxification
Naltrexone
Disulfiram
Alcoholics Anonymous
Narcotics Anonymous
Personality Assessment and Substance Abuse Treatment
Crisis Management

PGY-III GENERAL HOSPITAL PSYCHIATRY SEMINAR SERIES

The General Hospital Psychiatry Seminar is a breakfast seminar for all PGY-III residents rotating in GHP (including the Emergency Department). This seminar provides an overview of the epidemiology, diagnosis, and treatment/management of psychiatric disorders found in nontraditional psychiatric sites, such as the general hospital’s wards, emergency department and primary care clinic. The roles of the psychiatrist as consultant and liaison are examined in detail. The seminar provides didactic coherence for the multitude of clinical experiences found during the six-month rotation.

Introduction to Consultation-Liaison - Phillip R. Slavney, M.D.
Psychiatry and the liaison role in medical care
Catatonia - John R. Lipsey, M.D.
Depression and stroke - John R. Lipsey, M.D.
Pathological laughing and crying - John R. Lipsey, M.D.
Premenstrual dysphoric disorder - Karen L. Swartz, M.D.
Affective disorders and pregnancy - Karen L. Swartz, M.D.
Postpartum depression - Karen L. Swartz, M.D.
Liaison psychiatry: difficult patients - Michael Clark, M.D.
Factitious disorders - Michael J. Kaminsky, M.D.
Substance use and disorders - Jeffrey Hsu, M.D.
Death and dying - Shep Jeffries, Ph.D.
Psychodermatology - Thomas Koenig, M.D.
Somatoform disorders - Michael J. Kaminsky, M.D.
Sleep and related disorders - David Neubauer, M.D.
Monosymptomatic hypochondriasis - Michael J. Kaminsky, M.D.
Grief and loss - Shep Jeffries, Ph.D.
Unintended consequences of DNR orders - Glenn Treismann, M.D., Ph.D.
Rehabilitation and disability - Stephen Wegener, Ph.D.
HIV, Hepatitis C, and psychiatry - Andrew Angelino, M.D.
Psychiatry and the ICU - Thomas Koenig, M.D.
Psychiatry and the Burn Unit - James Fauerbach, Ph.D.
Depression and primary care - Adam I. Kaplin, M.D.
Huntington’s Disease - Adam Rosenblatt, M.D.
Psychiatric Aspects of Epilepsy - Laura Marsh, M.D.
Post-Traumatic Brain Injury - Vani Rao, M.D.
Delirium - Constantine Lyketsos, M.D., M.H.S.

ADMINISTRATIVE LUNCH WITH THE CHAIRMAN 

Once a week, all PGY-IV residents meet with the chairman, Dr. J. Raymond DePaulo, Jr., or other senior faculty, for lunch to discuss issues pertinent to Administrative Psychiatry. These discussions focus on the changing clinical, academic, and research environments and the competencies necessary for success in each, including professional leadership roles. Career development for our residents is also an important focus of this meeting. 

RESIDENTS' LUNCH 

Each Monday following Grand Rounds, all residents gather for lunch and a discussion led by the Administrative Chief Resident. The discussion typically focuses on clinical and administrative issues relevant to the residency. Moreover, all residents have the opportunity to discuss any programmatic, clinical or systematic concerns related to their training experience.  Following the group meeting, there is an opportunity for residents to then discuss privately any individual concerns with the Chief Resident. 

SUBSPECIALITY CLINICAL CASE CONFERENCES

During these rounds, a resident presents a patient’s history to a faculty member from the subspecialty service. The patient is examined by the faculty member who then leads a discussion of diagnostic and therapeutic issues pertinent to the case. Many subspecialty services conduct these rounds on a weekly basis including the Motivated Behaviors Unit, the Affective Disorders Service, the Schizophrenia Service, and the Sexual Behaviors Consultation Unit. Other specialty clinics have regular teaching rounds and conferences, including the Anxiety Disorders Clinic, the Neuropsychiatry and Memory Unit, and the Geriatrics Service which residents are welcome to attend. 

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