Psychiatry Residency

Program Overview

The Psychiatry Residency at Penn State Health Milton S. Hershey Medical Center is a four-year, ACGME-accredited program that generally admits four to five residents per year.

Program Director’s Welcome

ALUMNI SPOTLIGHT
“Psychiatry is an evolving specialty, and is delicately balanced at the crux of new and exciting discoveries in the neurosciences, and age old but vitally important humanism. What I found most interesting about Penn State… was the ability and freedom to seek your own balance between the two… The size of the program is smaller, and it encourages personal connections as well as retains a focus on the individual resident as opposed to a faceless group. The right work-life balance, lower cost of living, sense of safety in the physical environment and support from staff are added advantages.”
Aum Pathare, MD, Class of 2015

An exciting and rewarding experience awaits you at Penn State College of Medicine in a friendly professional work environment that facilitates the attainment of a greater understanding of both the mind and the body, while supporting the balance between work and family.

Penn State Health Milton S. Hershey Medical Center is recognized as one of the nation’s premier academic health centers, recruiting faculty members who are internationally known for their accomplishments in research, education, and patient care. The current psychiatry faculty numbers 50, with planned increases. The department has a growing research portfolio, including sleep, autism, mood disorders, ADHD, and addiction, suicide and schizophrenia.

Our current roster of psychiatry training program residents, fellows and interns totals 26. In addition, approximately 160 Penn State College of Medicine students rotate through our psychiatric service every year. Mentorship, research opportunities and a wide range of elective experiences are available to the residents through our well-balanced clinical exposure and weekly didactics, where equal emphasis is placed on psychopharmacology and psychodynamic therapy. All of our residents are involved in scholarly activity and safety/QI projects during the course of their training, and many have publications by the time of graduation.

Our Team

Clinical Rotations

PGY-1

  • One month: Emergency Medicine
  • Two months: Neurology
  • Three months: Internal Medicine or Pediatrics
  • Six months: Adult Inpatient Psychiatry

PGY-2

  • Two months: Partial Hospitalization Program
  • Four months: Adult Inpatient Psychiatry
  • Two months: Child Inpatient/Outpatient Psychiatry
  • Four months: Consult/Liaison

PGY-3

  • Half a month each: ECT, Eating Disorder, Forensics
  • One month: Geriatrics
  • Nine months: General Outpatient/Longitudinal Clinic

PGY-4

  • One month: Addictions
  • Four months: Elective
  • Seven months: General Outpatient/Longitudinal Clinic

Rotation Descriptions

Learn more about the rotations in the Psychiatry Residency.

Addiction Psychiatry

This rotation is performed at sites connected to the Lebanon VA Hospital system or at the Caron Treatment Centers. Residents assigned to VA rotations rotate for three months at the Lebanon VA Medical Center Substance Abuse Residential Rehabilitation Program (SAARTP) and an additional three months at the Camp Hill VA Outpatient Clinic. Residents assigned to the Caron Foundation rotate at the Residential Treatment Center in Wernersville for their six-month assignment.

Resident education is provided through individual supervision during the course of patient care. Specific instruction is provided on inpatient detoxification, psychotherapeutic intervention, motivational interviewing and related topics. The Addictions Seminar also occurs during this rotation. This structured rotation heightens residents’ awareness and recognition of drug and alcohol comorbidity in the psychiatric patient population. Residents spend the majority of their time evaluating new patients and treating program participants with individual or group therapy utilizing a variety of treatment modalities, ranging from short-term dynamic to cognitive-behavioral interventions.

Adult Inpatient

The Inpatient Adult Psychiatry Service, based at the Pennsylvania Psychiatric Institute (PPI), provides an atmosphere that is conducive to facilitating patient recovery. A therapeutic milieu with a high staff-to-patient ratio is maintained with an intensive treatment program provided by an interdisciplinary team of staff psychiatrists, psychiatric residents, nurses, and psychiatric assistants. Care is coordinated with referring therapists, physicians, and community agencies to assure maximum community involvement and continuity of care for patients once they are discharged. The facility is also equipped to perform ECT. Patients are referred through a variety of sources including inpatient units and emergency departments of the “parent” hospitals (Hershey Medical Center and Pinnacle Health), other hospitals or emergency departments, crisis centers, community agencies, physicians and outpatient therapists.

PPI is the only university affiliated inpatient psychiatric unit in central Pennsylvania, which provides residents with valuable experience in managing complex cases and dealing with patients from various backgrounds. This is a structured rotation designed to develop residents’ skills in comprehensive multidimensional psychiatric care, including pharmacotherapy, a variety of supportive therapies and acute psychiatric interventions. Residents also participate in family therapy sessions in order to assist patients and their families. Exposure to the forensic side of psychiatry is provided through participation in commitment hearings that take place on site at PPI.

As a supplement to the PPI Inpatient rotation, first-year residents also serve a two-month rotation at the VA Lebanon adult inpatient facility, where they have the opportunity to follow patients from initial arrival in the emergency department through admission/discharge.

ALUMNI SPOTLIGHT
“Having known since high school that I wanted to pursue a career in child psychiatry, there was ample time to consider where I would get further training once I finished my psychiatry residency in India. Foundational in my search was the desire for a solid program that would prepare me to be a competent clinician and researcher. That which particularly drew my attention to Penn State… was a balanced program of biological psychiatry as well as an emphasis in psychotherapy. The excellent training program provided all aspects of clinical and research efforts to ensure trainees acquired the knowledge and skills necessary to practice in an ever-evolving field. I have been impressed by the countless research opportunities and the very supportive and encouraging faculty… In addition, Hershey’s small town atmosphere is ideal for raising a family. We enjoy the tremendous cultural diversity the area has to offer – from the Amish community to enjoying local Indian food to watching Bollywood movies at the local cinema. Not only that, but we are only a couple of hours away from many major cities… I am glad I made the decision to come to Hershey and today I feel proud to say, ‘We are Penn State!'”
Raman Baweja, MD, MS, Class of 2014 and current psychiatry faculty

Child Inpatient

The Inpatient Child Psychiatry Service is located within the Pennsylvania Psychiatric Institute. The unit serves 27 counties in Pennsylvania, which include urban, suburban and rural populations. Two child psychiatry fellows and rotating medical students are also assigned to this unit. Mental health professionals within the Division of Child and Adolescent Psychiatry provide diagnostic and therapeutic services for children whose problems range from mild behavioral difficulties to severe psychiatric illness.

Residents work with an interdisciplinary team of staff psychiatrists, psychologists, social workers and nurses. Residents also actively participate in daily individual and group psychotherapy, family therapy, recreational therapy, and psychopharmacological treatment. Emphasis is placed on gaining new perspectives on psychopathology across the life cycle. By the end of rotation, the residents are competent to appreciate the structure of a comprehensive psychiatric evaluation for the child or adolescent patient and to understand how this differs from an adult psychiatric assessment.

Eating Disorders Clinic

Located across the street from Hershey Medical Center in Briarcrest Square, this rotation involves evaluations of patients in the Eating Disorders Partial Hospitalization and Intensive Outpatient Programs. Clinical work consists of initial observation of psychiatric intake assessments performed by an attending psychiatrist, progressing to attending-observed performance of a psychiatric intake including targeted eating disorder assessment, followed by supervised development of a treatment plan. Resident will also have the opportunity to perform follow-up evaluations with the psychiatric attending.

Eclectic treatment planning and extensive team expertise and discussions allow for residents to have a varied experience, including the roles of Cognitive Behavioral Therapy, psychopharmacology, family therapy and psychodynamic therapy in treatment. In addition, through individual and group work, residents are able to understand the role that journaling can have within psychotherapeutic treatment.

Electroconvulsive Therapy (ECT)

Electroconvulsive Therapy (ECT) is a part of the required specialty clinics rotation in the third year of residency. Patients of this service are referred by a variety of sources, including our outpatient clinic, local community agencies, psychiatrists, outpatient therapists, or from the Hershey Medical Center or other hospitals in the area. Patients are referred primarily for treatment of mood disorders; however, ECT is occasionally used for other conditions, such as intractable psychiatric disorders, schizophrenia or catatonia.

ECT is available for both inpatients and outpatients. The procedure is conducted in the 5-Landis building of the Pennsylvania Psychiatric Institute (PPI) and is usually performed every Monday, Tuesday, Wednesday and Friday.

Residents in this rotation will learn to perform ECT under the supervision of a member of the psychiatry faculty working together with an anesthesiology team. In the course of this specialty clinic the residents become familiar with the technique of ECT, including electrode placement, stimulus intensity and waveform, treatment frequency, impact of concomitant antidepressants, anticonvulsants and benzodiazepines. They become proficient in diagnostic indications and contraindications for ECT and are expected to understand legal regulations regarding the procedure. Residents are encouraged to participate with the attending physician in consultation for patients referred for ECT.

Electives

Through electives, residents are able to further refine their expertise in an area of interest. They may utilize this time to pursue a number of clinical electives or research opportunities. They may opt to work within Penn State Health Milton S. Hershey Medical Center with any departmental faculty, or outside the facility.

Elective rotations generally occurs in the PGY-3 and PGY-4 years. The amount of elective time is variable and determined by what is necessary to achieve the goals and objectives for the proposed clinical experience, but averages a day and half each week for 12 months or its equivalent over the two years of training. The resident is responsible for developing an acceptable proposal to pursue elective options, and the educational method depends upon the rotation in which the resident is involved.

Some examples of past electives include Neuropsychology, Administrative Psychiatry, Addictions, Forensics, Research, Cognitive Behavioral Therapy, Sleep, ADHD, Autism and Psychodynamic Psychotherapy.

Emergency Psychiatry

As part of the emergency psychiatry experience, residents rotate through the Hershey Medical Center Emergency Department during daytime hours for one month during the Consult/Liaison rotation, and on call in the evenings during all rotations. Residents in this rotation are involved with all aspects of evaluating, diagnosing, and recommending disposition of psychiatric patients seen in the Emergency Department. They are supervised by an attending psychiatrist and work hand in hand with the social work department to arrange appropriate final disposition.

This is a structured rotation designed to develop the residents’ skills in evaluation, diagnosis, management, and disposition for a broad variety of psychiatric emergencies. Utilizing different treatment modalities, the experience deepens the residents’ knowledge and understanding of psychiatric crises, including their consequences on the patient’s life.

Geriatric Psychiatry

Based at the VA facility in nearby Lebanon or at the Northeast Drive outpatient clinic, this outpatient rotation experience exposes the residents to the full range of psychiatric disorders seen in the elderly, including Alzheimer’s disease and other dementias, mood disorders (particularly depression), anxiety disorders and psychotic disorders.

In this rotation, residents develop skills in the assessment of psychological, social or medical factors that may contribute to maladaptive behavior in the elderly. Neuropsychological testing, laboratory tests, and radiologic studies supplement psychiatric evaluations.  When appropriate, specialists in medical gerontology, neurology or other medical disciplines are consulted.

Longitudinal Outpatient Clinic

The Penn State Health psychiatry program considers intensive outpatient experience to be an important part of psychiatric residency training.  The Outpatient Adult Psychiatry Service is structured to meet the needs of a diverse population of patients. Treatment is provided within a bio-psychosocial framework to ensure well-balanced care. In addition to attending and resident psychiatrists, the clinic is staffed with nurses, psychologists and social workers.

This outpatient experience is highly focused on resident education. It is the primary rotation for training in psychotherapy competencies including cognitive–behavioral, psychodynamic, supportive, and brief psychotherapies. Appropriate psychotherapeutic modalities may be combined with pharmacological management as indicated. Intensive supervision and therapy-focused didactics form a significant portion of resident training during this outpatient experience.

As a supplement to this experience, senior residents are provided with the opportunity to rotate through the General Outpatient clinic at the VA Lebanon Health Services clinics in Lebanon and York, PA.

Mood Disorders Clinic

The Mood Disorders Clinic is part of the outpatient experience and is the primary opportunity for residents to perform comprehensive psychiatric assessments for patients presenting with the full spectrum of mood and anxiety disorders. Residents work closely with a supervising psychiatrist to hone their interview skills, through observation of their technique and by observing attending interviews. Residents develop their diagnostic acumen and learn how to develop pertinent treatment plans addressing bio-psychosocial elements, which they then implement as they continue to treat their patients in supervised follow up sessions.

Partial Hospitalization Program

This rotation trains residents in short-term, group-based treatment modalities. The program provides an alternative to psychiatric inpatient hospitalization as well as a transition from the hospital to the community. Patients attend PHP for five to six hours each weekday.

During this rotation residents are involved in goal planning and are encouraged to assume leadership roles for the multidisciplinary team. The program is planned to deepen the residents’ knowledge of an intensive group-oriented Cognitive Behavioral Therapy psychotherapeutic approach. Individual and family therapies are utilized based on the patient’s needs. Intensive pharmacological management is employed along with appropriate psychotherapeutic modalities, including crisis intervention.

Psychosomatic Medicine (C/L)

Consultation services for adult patients are provided to all clinical departments at Hershey Medical Center, including critical care, internal medicine, general surgery, transplant surgery, plastic surgery, oncology, endocrinology, neurosurgery, neurology, obstetrics and gynecology, and family and community medicine.

On this service, the psychiatric resident works closely with faculty and residents in other departments. The goal of each consultation is to offer practical recommendations that assist consulting physicians, residents, and nursing staff in caring for their patients. Medical students rotating in psychiatry are also part of the consult team, where residents are expected to enhance their learning experience by participating in medical student teaching.

Didactics

Psychiatry Residency didactics are each Thursdays, with junior residents (PGY-1 and PGY-2) attending morning lectures and Grand Rounds, and senior residents (PGY-3 and PGY-4) attending morning lectures and afternoon supplemental didactics activities.

General Didactics

Below is a listing of the Adult Psychiatry residency general didactic series for 2015-2017. All junior and senior residents attend lectures over a two-year cycle. Lectures are grouped around certain themes, such as basic and advanced psychopharmacology, cultural competence, diagnostic overview, etc.

Introduction to Psychiatry

  • How to Conduct a Psychiatric Evaluation/Case Presentation/Psychodynamic Formulation
  • Professionalism
  • The Basics of Prescribing (psychotropics)
  • Emergency Psychiatry Issues
  • Suicide
  • Assessment/Management of Aggression
  • Legal Issues- Introduction
  • Delirium
  • Ethics in Dealing with Confidentiality
  • How to Refer
ALUMNI SPOTLIGHT
“I became interested in Penn State as I was looking for smaller, more resident-oriented training programs. I think the program here at Hershey easily fits the bill. I believe the training here is unique in many ways, including the education we get in patient care, and also in the didactic lectures and case conferences. Our didactics are protected so we are not required to be anywhere else during that time in which we are meant to learn about psychopharmacology and psychotherapy and everything in between. The faculty here are world class and provide very uniquely different perspectives allowing you to see many different ways of practicing psychiatry. In this way, you can develop your own personal style of practicing. There are ample opportunities for research if that is your interest and it is encouraged here. The rural setting of the main hospital is nice on those mornings when you know you only have a quick five-minute drive to work and don’t have to sit in an hour-long commute. The cost of living is really great for a resident salary. I am very happy with my decision to come to Hershey.”
Channing Slate, MD, Class of 2013

The Life Cycle

  • Infant Development
  • Child/Adolescent Development
  • Adulthood
  • Late Adulthood (old age)
  • Normal Sexuality
  • Diagnostic Categories Overview (DSM-5 Overview)

Philosophy of Classification and the DSM

  • Evolutionary Psychology
  • Overview of Child Psychopathology
  • Neurodevelopmental Disorders – Intellectual Disabilities and Specific Learning Disorders
  • Neurodevelopmental Disorders – Communication Disorders, Motor Disorders
  • Neurodevelopmental Disorders – ADHD
  • Neurodevelopmental Disorders – Autism
  • Autism Spectrum in Adults
  • Schizophrenia Spectrum and Other Psychotic Disorders
  • Bipolar and Related Disorders
  • Depressive Disorders
  • Anxiety Disorders
  • Obsessive-Compulsive and Related Disorders
  • Trauma and Stressor-related Disorders/Dissociative Disorders
  • Medical Aspects of Eating Disorders
  • Disruptive, Impulse Control and Conduct Disorders
  • Substance-related and Addictive Disorders
  • Delirium
  • Neurocognitive Disorders
  • Personality Disorders
    • Overview of Personality Theory (Clusters A, B, C)
    • The Neurobiology of Personality Disorder The Paraphilias
  • Medication-Induced Movement Disorders
  • Neuroleptic Malignant Syndrome
  • Other Medication-Induced Disorders
  • Factitious Disorders/Malingering
  • (Sexual Dysfunction, Gender Dysphoria: see “Sexuality.” Sleep-Wake disorders: see “Sleep.”)

Sleep

  • Normal Sleep/Circadian Rhythms
  • Sleep/Wake Disorders
  • Pharmacotherapy of Sleep Disorders

Sexuality

  • Normal Sexuality
  • Sexual Dysfunction
  • Gender Identity Issues/Disorders
  • Paraphilias

Biological Psychiatry

  • Medical Aspects of Eating Disorders
  • The Neurobiology of Mood Disorders
  • (Biological) Etiological Theories of Schizophrenia
  • The Long-term Treatment of Schizophrenia
  • Neuroleptic Malignant Syndrome
  • Neurotransmitters, Genes, and Theories of Depression
  • Treatment-resistant Depression
  • Treatment of Bipolar Depression/Treatment–resistant Bipolar
  • Neuromodulation (ECT, VNS, Deep Brain)
  • Catatonia and its Treatment
  • The Neurobiology of Personality Disorders
  • Psychiatric Genetics 101
  • Neuropsychiatry of Paraneoplasia Syndrome
  • Pharmacogenomics (see also: “Psychopharmacology”)

Psychopharmacology

  • Rational prescribing: Intro to Antipsychotics, Antidepressants
  • Cognitive Enhancers vs. Cognitive Disorder Treatment
  • Medication Treatment of Dementia/Agitation in Dementia
  • Pharmacotherapy of Atypical Depression/Late Luteal Phase Dysphoric Disorders
  • Pharmacotherapy of Eating Disorders
  • Pharmacotherapy in Borderline Personality Disorders
  • Pharmacodynamics
  • Pharmacogenomics
  • Drug-drug interactions
  • Psychopharmacology and Pregnancy
  • Antidepressants
  • Mood stabilizers
  • Antipsychotics
  • Pharmacotherapy of Anxiety Disorders
  • Management of Intoxication & Withdrawal
  • Pharmacotherapy of Sleep Disorders Medication Management of ADHD in Adults
  • Neuroleptic Malignant Syndrome
  • Medication-induced Movement Disorders
  • Other Medication–induced Disorders
  • AP: “Side Effects”
  • Combined Psychopharmacology and Psychotherapy
  • Psychotherapy
  • Introduction to Psychodynamic Formulations
  • Basic Theories of Psychodynamics:
  • Ego Psychology
  • Object Relations
  • Separation/Individuation
  • Self-psychology (Kohut)
  • Eriksonian Theory
  • Behavior and Learning (Behavioral Therapy Theory)
  • Cognitive Therapy for Medication Non-compliance
  • Combined Psychopharmacology and Psychotherapy
  • Psychosocial Rehabilitation: The Recovery Model
  • (Group therapy – see separate listing)

Group Therapy

  • Group Therapy
  • Group Therapy for Substance Abuse Disorders

Substance Abuse Disorders

  • Substance-related and Addictive Disorders
  • Management of Intoxication & Withdrawal
  • Co-occurring Disorders
  • Substance Abuse and Trauma
  • Group Therapy for Substance Abuse Disorders
  • The impaired professional

Child

  • Infant Development
  • Child/Adolescent Development
  • Overview of Child Psychopathology
  • Neurodevelopmental Disorders – Intellectual Disabilities and Specific Learning Disorders Neurodevelopmental Disorders – Communication Disorders, Motor Disorders
  • Neurodevelopmental Disorders – ADHD
  • Neurodevelopmental Disorders – autism
  • Child Abuse

Forensic Psychiatry

  • Introduction to Legal Issues
  • Forensic Psychiatry
  • Social Security Disability

Research

  • Research Issues
  • Research Ethics
  • Psychiatry Trainee Research Day
  • Evidence-Based Medicine
  • The Case against Evidence-based Medicine

Ethics

  • AMA Code of Medical Ethics as Applicable to Psychiatry
  • Introduction to Ethics
  • Ethics in Dealing with Pharmaceutical Companies
  • Ethics in Dealing with Confidentiality
  • Research Ethics

Abuse/Trauma (more extensively covered in the psychotherapy didactic series)

  • Elder Abuse
  • Domestic Partner abuse
  • Child Abuse
  • Stalking

Neurology

  • Neuroanatomy Review/Neuroradiology
  • Headache
  • Epilepsy
  • Seizures and Psychiatric Illness
  • Stroke
  • Movement Disorders
  • Multiple Sclerosis
  • Tourette’s Disorder
  • Fibromyalgia
  • Chronic Pain

Psychiatric Practice

  • The Impact of Patient Suicide on the Psychiatrist
  • Professional Coding and Compliance
  • The Impaired Professional
  • Quality and Safety
  • Regulation of Psychiatry in the United States
  • The Private Practice of Psychiatry
  • Finance and Regulation of Psychiatric Practice
  • Political Aspects of Healthcare
  • Administrative Psychiatry
  • “Careers In…” Seminar (three to four sessions)
  • The ABPN Board Exams and the Maintenance of Certification Process
  • Maintenance of Licensure
  • Role of Socioeconomic Status in Mental Health
  • What Happens Next? (senior resident discussion of applying for positions)
  • How to Prepare for the Job Search (follow up to What Happens Next)

Diversity/Multicultural Issues

  • Multicultural Issues in Mental Health
  • Role of Socioeconomic Status in Mental Health
  • Latino Issues in Mental Health
  • African American Issues in Mental Health
  • Asian Cultural Issues in Mental Health
  • Amish Cultural Issues in Mental Health
  • LGBTQ Issues in Mental Health
  • The Consumer Perspective

Evidence-Based Medicine

  • Evidence-Based Medicine
  • The Case Against Evidence-Based Medicine

History

  • History of Psychiatry
  • History of Addictions Treatment

Miscellaneous

  • Violence and Mental Illness
  • Tele-psychiatry
  • Evolutionary Psychology
  • Stalking
  • Psychological Testing
  • On Death and Dying
  • Psychiatry Goes to the Movies (1-2 yearly)
  • Alternative Therapies in Psychiatry
  • Hypnosis and Psychotherapy
  • Biofeedback and Relaxation Training
  • Behavioral Treatment of Obesity
  • Management of ID in adults
  • EMDR
  • Religion and Spirituality in Psychiatry
  • Quality and Safety

Psychotheraphy Didactics

Psychotherapy is considered an important component of psychiatric treatment and emphasis is placed on appropriate training. Our goal for residents at the end of training is to be able to do the following.

  • Practice Psychodynamic psychotherapy
  • Practice psychodynamically informed Pharmacotherapy
  • Refer their psychopharmacology patients to therapists for therapy describing rationale for a particular type of psychotherapy for that individual with brief psychodynamic formulation

The psychotherapy training module consists of the following topics taught by various faculty members with expertise in each topic or therapy type.

  • What is Psychotherapy?
  • Different Theories/Different Techniques
  • Ego Psychology/Defense Mechanism/Sigmund Freud
  • Object Relations Theory/Melanie Klein/Defense Mechanisms
  • Mahler stages/Winnicott’s contributions
  • Self-psychology/Self Esteem development/Narcissistic issues/Kohut
  • Erikson stages of development/particularly adolescence/identity formation
  • Short Term focused Psychodynamic psychotherapy module
  • Contemporary once a week Psychotherapy module
  • Psychoanalysis module
  • Transference
  • Counter transference
  • CBT theory/technique. Albert Ellis, Aaron Beck module
  • Supportive Psychotherapy
  • Behavior Therapy Module
  • Psycho diagnostic Interviewing Skills module (7 sessions)
  • Borderline Personality Disorder/psychodynamic understanding/psychotherapeutic techniques
  • Narcissistic Personality Disorder/psychodynamic understanding/psychotherapeutic techniques
  • Grief and Loss/psychodynamic understanding/psychotherapeutic techniques
  • Termination of Psychotherapy/Planned and Unexpected
  • Psychodynamic formulation module (2 sessions)

Resident Research

Current Peer Reviewed Publications

  • Mahgoub Y, Hameed A, Francis A. Covert dyskinesia with aripiprazole [case report]. Prim Care Companion CNS Disord 2016; 18(3), In Press, 2016.
  • Kushwaha V, Lohs S, Emanuel RJ, Bellon A.  A case of risperidone induced priapism in a patient with glucose-6 phosphate dehydrogenase deficiency.  Journal of Clinical Schizophrenia & Related Psychoses.  In Press, 2016.
  • Mayes SD, Calhoun SL, Baweja Ra, Mahr F, Feldman L, Syed E, Gorman AA, Montaner J, Annapareddy J, Gupta N, Bello A, Siddiqui F.  Suicide ideation and attempts are associated with co-occurring oppositional defiant disorder and sadness in children and adolescents with ADHD.  J Psychopathology and Behavioral Assessment 2015; 37: 274-282.
  • Kritikou I, Basta M, Vgontzas AN, Pejovic S, Fernandez-Mendoza J,Liao D, Bixler EO, Gaines J, Chrousos GP. Sleep Apnea and Hypothalamic-Pituitary-Adrenal Axis in Men and Women: Effects of CPAP. In press, European Respiratory Journal 2015.
  • Fernandez-Mendoza J, Vgontzas AN, Kritikou I, Calhoun SL, Liao D, Bixler EO. Natural history of excessive daytime sleepiness: role of obesity, weight loss, depression, and sleep propensity. Sleep. 2015 Mar 1;38(3):351-60. doi: 10.5665/sleep.4488. PMID: 25581913
  • Gaines J, Vgontzas AN, Fernandez-Mendoza J, Kritikou I, Basta M, Bixler EO. Gender differences in the association of sleep apnea and inflammation. Brain Behav Immun. 2014
  • Kritikou I, Basta M, Vgontzas AN, Pejovic S, Liao D, Tsaoussoglou M, Bixler EO, Stejanakis Z, Chrousos GP.  Sleep apnea, sleepiness, inflammation, and insulin resistance in middle-aged males and females. Eur Respir J 2014;43:145-155.

Presentations at Technical and Professional Meetings

  • Mahgoub Y, Francis A.  ECT Treatment Dropouts:  Retrospective Study.  Annual ISEN Conference, May 14-15, 2016, Atlanta, GA.
  • Mahgoub Y, Hameed A, Francis A.  Rare Occurrence of Covert Dyskinesia Following Aripiprazole Discontinuation:  A Case Report.  American Psychiatric Association Annual Meeting, May 14-18, 2016, Atlanta, GA.
  • Mahgoub Y, Saunders E, Hameed U, Francis A.  TBI-Induced Mania: Case Report.  Regional Psychiatric Association, June 2016, Philadelphia, PA.
  • Mayes SD, Lockridge R, Baweja Ri, Waschbush D, Calhoun SL, Baweja Ra, Bixler EO.  Stability of Bullying and Victimization from Childhood through Adolescence in a General Population Sample American Psychiatric Association Annual Meeting, May 14-18, 2016, Atlanta, GA.
  • Singh J, Hameed A, Hameed U.  Does Rank Order Effect PRITE Scores During Residency?  Colloquium of Scholars Meeting of Pennsylvania Psychiatric Society, April 9, 2016, Philadelphia, PA.
  • Criley C, Li Y, Vgontzas AN, Fernandez-Mendoza J, Kritikou I, Basta M, Pejovic S, Gaines J, Bixler EO.  Psychomotor Vigilance Test is Associated with Subjective, But Not Objective, Daytime Sleepiness in Sleep Apnea.  Sleep 2016, June 11-15, 2016, Denver, CO.
  • Alexandros N. Vgontzas, Jordan Gaines, Julio Fernandez-Mendoza, Ilia Kritikou, Maria Basta, Edward O. Bixler.  Gender Differences in the Association of Inflammation, Sleep Apnea, and Hypertension .  APSS, 6-10/2015; Seattle, Washington
  • Yun Li, Alexandros Vgontzas, Julio Fernandez-Mendoza, Ilia Kritikou, and Edward O Bixler.  Underlying Mechanisms on Subjective and Objective Excessive Daytime Sleepiness APSS, 6-10/2015; Seattle, Washington
  • Yun Li, Alexandros Vgontzas, Julio Fernandez-Mendoza, Ilia Kritikou, Maria Basta, Slobodanka Pejovic, Edward O Bixler.  Interplay of Short Sleep Duration and Impaired Cognition on All-cause Mortality Julio Fernandez-Mendoza, Fan He, Alexandros N. Vgontzas, Duanping Liao, Edward O. Bixler.  APSS, 6-10/2015; Seattle, Washington
  • Maghoub, Y, Hameed, A, Francis, A. Rare Occurrence of Covert Dyskinesia after Aripiprazole Discontinuation:  A Case Report and Literature Review, Pennsylvania Psychiatric Association Regional Meeting, Philadelphia PA, March 7 2015
  • Baweja R, Baweja R, Chaugule A, Rapp M. Musical Hallucinations- Correlation with Childhood Abuse: A Case Report and Literature Review. Poster was presented at Institute on Psychiatric Services, San Francisco, USA. October 30-November 2, 2014.
  • Piddoubny, W., Yacoub, A., Francis, A.  Emergent Depression Following Cessation of the Estrogen-Modulator Raloxifine:  Case Report and Literature Review, Academy of Psychosomatic Medicine, November 2014.
  • Ahmad Hameed M.D., Michael Mitchell MA., Amanda White BS., Eric A Youngstrom PhD., Roger E Meyer M.D. and Alan J Gelenberg. Does the Level of Education Relate to Severity of Suicidality as Measured by the Sheehan-Suicidality Tracking Scale (S-STS)? An Analysis with an Adult Psychiatric Inpatient Population. M.D.  53rd Annual Meeting of the American College of Neuropsychopharmacology. December 7011, 2014. Phoenix, Arizona.
  • Ahmad Hameed M.D., Amanda White BS., Michael Mitchell MA., Eric A Youngstrom PhD., Roger E Meyer M.D. and Alan J Gelenberg M.D. Confirmation of Religiosity as a Protective Factor Against Suicidality Within a Psychiatric Inpatient Sample By Using C-SSRS. D. 66th Annual Meeting of  Institute on Psychiatric Services (IPS). October 30-Nov. 2, 2014.
  • Ahmad Hameed M.D., Amanda White BS., Michael Mitchell MA., Eric A Youngstrom PhD., Roger E Meyer M.D. and Alan J Gelenberg M.D  Binge Drinking Associated with an Increase in Suicidal Behavior in Adult Psychiatric Inpatient Population as Assessed by S-STS?. 66th Annual Meeting of  Institute on Psychiatric Services (IPS). October 30-Nov. 2, 2014.
  • Ahmad Hameed M.D., Amanda White BS., Michael Mitchell MA., Eric A Youngstrom PhD., Roger E Meyer M.D. and Alan J Gelenberg M.D.  Is the Frequency of Binge Drinking Related to a Higher Risk of Suicidal Behavior? An Assessment by Utilizing the C-SSRS in Adult Psychiatric Inpatients. 66th Annual Meeting
  • Ahmad Hameed M.D., Amanda White BS., Michael Mitchell MA., Eric A Youngstrom PhD., Roger E Meyer M.D. and Alan J Gelenberg M.D.  Do Patient  Satisfaction and Compliance with Mental Health Treatment Prior to Inpatient Admission Relate to Outcomes on Standardized Suicide Assessment. 66th Annual Meeting of  Institute on Psychiatric Services (IPS). October 30-Nov. 2, 2014.

Other Presentations

  • Hameed A, Kirtikou I, Nardi R, Francis A, Koser J.  Penn State Psychiatry: 2012-2015, Four Years of Scholarship, Innovation and Achievement.  Penn State EdVenture 2016, Penn State College of Medicine, March 7, 2016, Hershey, PA.
  • Joshi A, Generalla J, Thompson B, Haidet P.  Facilitating Feedback Using a Smartphone App.  Resident/Fellow Research Day, Penn State College of Medicine, April 26, 2016, Hershey, PA.
  • Khan N, Siddiqui FS, Hameed A.  Bipolar Disorder or Pramipaxole Induced Impulsivity:  A Case Report.  Resident/Fellow Research Day, Penn State College of Medicine, April 26, 2016, Hershey, PA.
  • Mayes D, Lockridge R, Baweja Ri, Waschbusch D, Calhoun SL, Baweja Ra, Bixler EO.  Stability of Bullying and Victimization from Childhood Through Adolescence in a General Population Sample.  Resident/Fellow Research Day, Penn State College of Medicine, April 26, 2016, Hershey, PA.
  • Sandhu R, Khan N, Rapp M, Francis A.  Fentanyl-Induced Catatonia:  Case Report and Literature Review.  Resident/Fellow Research Day, Penn State College of Medicine, April 26, 2016, Hershey, PA.
  • Mayes, Calhoun, Baweja, Mahr, Feldman, Syed, Gorman, Montaner, Annapareddy, Gupta, Bello & Siddiqui (2014 May).  Suicidation and attempts and bullying in child and adolescent psychiatric and general population samples.  Pediatric Research Day, Hershey, PA.
  • Hameed A, Kritikou I, Joshi A. Penn State Psychiatry 2012-2014: Three years of Scholarship, Achievement and Innovation.  EdVenture Penn State 2015.
  • S Sandhu, Bixler EO, Covington A, Kaur K, Miller R, Singareddy R. Objective sleep in Adolescents and Young Adults with Anxiety Disorders: A General population study sample. Penn State Annual Resident Research Day 2015.

Media Appearances

  • Saunders E, Nardi R.  Featured in article Psychiatrist Shortage Strains Health System, Citizen’s Voice, Jan. 10, 2016.

Awards

  • Generalla, J.  Tan Award – 2016.  Attend the Montefiore/Albert Einstein College of Medicine Chief Residents Leadership Conference, June 3-5, 2016, Bronx, NY.  Dr. Generalla was selected as Chief Resident for 16/17; and attended the Association of Directors of Medical Student Education in Psychiatry and presented “Feedback Using a Smartphone App” which was accepted as an ‘Innovations in Medical Education’ Poster, June 16 to 18, 2016, Excelsior Springs, MO.
  • Mahgoub, Y.  Tan Award – 2016.  Present posters: “ECT Treatment Dropout” at the International Society for ECT and Neurostimulation Meeting, May 14-15, 2016, Atlanta, GA; and “Rare Occurrence of Tardive Dyskinesia Following Aripiprazole Discontinuation: A Case Report” at the American Psychiatric Association Meeting, May 16-17, Atlanta, GA.
  • Taiwo, A.  Tan Award – 2016.  Attend the American Academy of Addiction Psychiatry Meeting, December 2 to 6, 2015, Huntington Beach, CA.  An addictions and treatment course and expand knowledge base, given career goals.  Multiple subsequent presentations provided to resident cohort.

Faculty

Supervision

Supervision is a supplemental educational activity which is distinct from but complementary to the usual clinical and didactic experiences in which all residents participate during their training.

ALUMNI SPOTLIGHT
“The residency program here has trained me very well. I feel confident what I have learned at Penn State will translate in my ability to be an effective attending after I graduate. Aside from the good biological teaching here, we have been really blessed to have a wonderful psychotherapy focused program director.”
Binh Dinh, MD, Class of 2011

Supervision may be direct (with the supervisor seeing the patient together with the trainee), indirect (with the supervisor present in the clinical setting immediately available), or general (such as psychotherapy supervision which may occur off-site and either before or after the relevant clinical encounter).

Supervision is provided by faculty-level professionals, and may include physicians, psychologists, and licensed clinical social workers. It may occur as 1:1, with one trainee and one supervisor, or in a group format with one supervisor and two to four trainees. The focus is generally clinical and based on the cases being treated by the trainee, as well as other aspects of the trainee’s professional development.

All residents, throughout their PGY-1 through PGY-4 training years, receive regular supervision experiences while on psychiatry rotations.

For PGY-1 and PGY-2 residents on psychiatry rotations, supervision is direct on inpatient rotations where, during daily rounds, the trainee and attending see the patients together. On some rotations, such as Partial Hospitalization and Consult/Liaison, supervision may vary between direct or indirect, and may also include group supervision. During their PGY-1 and PGY-2 years, each resident also receives a separate one hour per week of individual supervision with the rotation attending.

In the outpatient clinic setting which is the main clinical setting for PGY-3 and PGY-4 trainees, each three-hour clinic (morning or afternoon) has direct or indirect supervision with an on-site attending during the clinic block. In addition, for each three-hour clinic, residents also receive one hour of supervision, consisting of one attending and two to four residents, at the end of the clinic block. For trainees assigned to clinic both in the morning and afternoon, this would equal two hours of group supervision for the day.

PGY-3 and PGY-4 residents also receive two hours each week of individual 1:1 supervision. One hour is general longitudinal supervision, which may cover topics of clinical management and residency experience, as well as professional development. The second hour provided is psychotherapy supervision.

In addition, residents who are undertaking scholarly projects may receive additional unscheduled supervision, usually 1:1 with faculty who are advising and mentoring the trainees during poster and publication preparation.

Training Locations

Caron Treatment Centers – Wernersville, PA

Located in Wernersville, Lebanon County, Caron Pennsylvania is a gender-separate, residential primary and extended care treatment facility for adolescents, young adults, and seniors.

Residents rotate through Caron for Adult Addictions experience, serving residents primarily in an inpatient setting.

Harrisburg Hospital

The Internal Medicine rotation occurs at Harrisburg Hospital, the largest member of the 600-plus-bed Pinnacle Health System (a consortium of community hospitals based in Harrisburg). It offers a strong teaching component with its own residency and fellowship programs.

Major service lines include neuroscience (including specialty clinics for epilepsy, balance and vestibular conditions); heart and vascular; transplant; women and children’s services (including high-risk maternal fetal and advanced NICU); rehabilitation, cancer and Behavioral Health (via PPI.) It is also a Magnet Hospital for Nursing.

Residents rotate through Harrisburg Hospital for Inpatient and Outpatient Internal Medicine experience.

Lebanon VA Medical Center

Located in Lebanon, Pennsylvania, about a 30-minute drive from Penn State Health Milton S. Hershey Medical Center, the Lebanon VA Medical Center receives very high ratings among VA hospitals nationally for customer service. Here, a patient-centered approach is stressed. Importance is given to support of the resident staff educationally and administratively.

Residents rotate through the Lebanon VA Medical Center for Adult Inpatient, Geriatric, Outpatient, and Addictions experience.

Pennsylvania Psychiatric Institute (PPI)

Pennsylvania Psychiatric Institute (PPI) is a joint venture between Penn State Health Milton S. Hershey Medical Center and Pinnacle Health System. It is the only university-affiliated inpatient psychiatric facility in central Pennsylvania. The mission of this collaboration is to provide comprehensive psychiatric services to the people of central PA.

The facility is a multi-story teaching hospital which includes three units for adult and geriatric inpatient care encompassing more than 60 adult beds, a 16-bed adolescent unit and a nine-bed children’s unit. The facility is also equipped with an ECT suite, and houses the Admissions Office, outpatient opioid treatment program, conference rooms and general outpatient services.

Residents rotate through Pennsylvania Psychiatric Institute for Adult and Child Inpatient, and On-call experiences.

To Apply

We accept applications for approximately four to five PGY-1 positions every year.

Applications will be accepted via ERAS only and are considered complete when the all of the following have been received:

  • Three letters of recommendation
  • Medical school transcript
  • Dean’s letter from the applicant’s medical school
  • USMLE or COMLEX scores
  • Curriculum vitae
  • Personal Statement

While we do not have a minimum USMLE or COMLEX score, applicants scoring below 220 on either Step 1 or Step 2 of the USMLE, or below 500 on the COMLEX, or those having more than two attempts to pass the examinations and obtain these scores, are unlikely to be selected for interview.

We do not have a “cut-off date” for years since graduation from medical school. We consider each application on an individual basis.

Evidence of clear interest in the specialty of psychiatry is expected, preferably via demonstrated experience in the field.

International Medical School graduates must have ECFMG certification prior to the start of residency (July 1). We only sponsor J-1 visas. We do not offer observerships or externships.

Interview Process

Please note that we are unable to accommodate requests for visits from candidates who have not been invited for an interview.

Interview season is open from October through January. We typically offer interviews to 60 applicants each year.

There is no deadline for accepting applications during recruitment season; however, applicants are encouraged to submit as soon as possible. Once our interview slots are filled we are unlikely to review additional applications.

Due to the large number of applications received, we are unable to inform each individual applicant who has not been invited for an interview about the status of their application.

Current Residents

Contact Us

Mailing Address

Penn State Health Milton S. Hershey Medical Center
Penn State College of Medicine
Department of Psychiatry, H073
500 University Dr., P.O. Box 850
Hershey, PA  17033-0850

General Contact Information

Fax: 717-531-6491

Penn State Health also offers