Department of Psychiatry
School of Medicine Queen's University

Structure for Psychotherapy Training

Structure for Psychotherapy Training for Queen's Psychiatry Residents

Pre-requisites for Resident Psychotherapy Practice

1.   Over the summer term, all PGY 2 residents will read the basic review of the fundamental principles
      of psychotherapy, Introduction to Psychotherapy (Bateman, Brown, and Pedder). 

2.   The summer didactic sessions on Case Formulation and Psychotherapy Interviewing Skills are
      also required before beginning psychotherapy practice.

3.    In early September, all residents (who have not previously participated in this workshop) will
       participate in the day-long workshop, Personal and Cultural Awareness.

PGY 2-5 Mandatory Didactic Training in Psychotherapy

The Basic and Intermediary CBT courses will be offered on alternative academic years and are mandatory for all residents. A workshop on Psychodynamic Psychotherapy will also be included in the curriculum, and completion will be mandatory for all residents. One full-day Introduction Workshop in Cultural Competency and follow-up seminars, expanding residents’ self-awareness, knowledge-base, and skills with regard to both professionals’ and patients’ cultural identities, including ethnicity, race, class, religious background, sexual orientation, gender identity, and others, will be offered to help psychotherapists improve service delivery by increasing their understanding of how cultural factors influence psychiatric treatment. Residents must demonstrate attendance at all seminars on Cultural Competency before graduation.

Schedule for Resident Psychotherapy Education and Practice

At the beginning of each psychotherapy module rotation, residents will be assigned appropriate readings related to that modality and will review the PTeR section that covers the modality. Residents will demonstrate to the supervisor that these materials have been understood and that the resident has basic knowledge about the modality.

1.   PGY 2 Residents will provide individual Supportive Psychotherapy to patients from an outpatient
      clinic at HDH at 2:30 PM on Fridays, and, directly after they treat their patients, they will participate
      in group supervision sessions from 3:30-5:00 p.m., each Friday for eight months. Fundamentals
      and common factors in all psychotherapy modalities will be learned during these group sessions in
      the context of case supervision. Minimum 20 patient sessions in Supportive Therapy.

2.    At the beginning of the PGY 3 year, residents will be assigned their long case supervisor,and they
       will begin supervised practice in psychodynamic psychotherapy throughout their PGY 3 year.
       Minimum one year for long case in psychodynamic psychotherapy.

3.   Couple and Family Therapy will be practiced at both the working and proficiency level during the
      Child and Adolescent rotation in PGY 3. Residents who wish to enhance their Couple and Family
      Therapy practice may have the option of taking on additional cases supervised by an experienced 
      Family Therapist outside the parameters of their Child and Adolescent rotation.

4.   In the PGY 4 year, residents will be assigned supervisors for their CBT (Minimum 16 sessions) and
      IPT training, and practice in these modalities will continue throughout their PGY 4 year.

5.   Crisis Intervention Psychotherapy will be practiced and supervision logged longitudinally
      throughout  residency while residents are on call in the ER and during other rotations in which 
      emergencies arise. Minimum 20 logged sessions in Crisis Intervention Psychotherapy.

6.   Other psychotherapy modalities, such as DBT, Group Psychotherapy, Motivational Interviewing,
      Mindfulness, and Relaxation, will be learned and practiced at the working and/or proficiency levels
      throughout the PGY 3, 4, and 5 years, depending on the individual schedules and interests of the
      residents. Residents who wish to enhance their working knowledge (and logged hours) of both
      DBT and Group Psychotherapy may do so during an elective at the Personality Disorders Service.
      If the elective is more than one block, proficiency in Group Psychotherapy can be achieved during
      this rotation.

7.   Residents who wish to develop a higher level of proficiency in any psychotherapy modality may              see additional patients and/or increase the length of a psychotherapy modality rotation.