Office of the Clinical Director-Psychiatry Clinical Research Training

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Clinical Fellowship Programs: During FY20, there were nine NIMH IRP residents/fellows. The academic year generally starts in July so this number can include new, current and departing trainees from our programs. Of the nine trainees, six entered through the PGY-4 ACGME accredited psychiatry residency program. We added two new PGY-4 trainees in FY20. Several clinical fellows will transition to new positions within this fiscal year in industry, academia and for continued post-doctoral training. PGY4 Psychiatry Residency: The NIMH residency program is a unique one-year program that provides nearly full-time research training while at the same time fulfilling the ACGME requirements of the fourth year of residency. Psychiatry residents who transfer to the program have completed all required clinical rotations prior to coming to NIMH. Administrative duties: The Program Director for the PGY4 residency and clinical fellowship program is the immediate past chair of the NIH Graduate Medical Education Committee (GMEC). Program Director duties include dissemination of information about the training programs, recruitment of new residents and fellows, identification of NIMH Principal Investigators to serve as research mentors, and guidance on career development. Other affiliated training programs NIH Clinical Center Hospice and Palliative Medicine (HPM) fellowship program: this one year ACGME-accredited subspecialty program is sponsored under the PGY4 psychiatry residency program. Research electives for psychiatry residents and child psychiatry fellows: The NIMH OCD offers elective rotations to residents/fellows from local training programs to gain exposure to neuroscience based research. Consultation Liaison (CL) Psychiatry fellowship program: this one-year ACGME-accredited subspecialty fellowship is conducted in partnership with MedStar Georgetown University Hospital and Washington Hospital Center and has two fellowship positions per year. The CL fellows rotate on the NIMH Psychiatric Consultation Liaison Service at the NIH Clinical Center, each for six months. Two joint CL fellows were trained in FY 2020. Neuropsychology Training Opportunities: Up to 4 graduate students from neighboring university clinical psychology graduate programs (e.g., USUHS, American, Gallaudet, Howard, UMBC) are selected to come to NIH as special volunteers to assist with evaluations, while learning the practice of neuropsychology. Neuropsychology seminars, clinical interviewing, trainings on psychometric testing, test administration and scoring (e.g., Wechsler tests of intelligence and memory, brief tests of intelligence, NIH Toolbox, Wisconsin Card Sorting Test) are provided. Training is also given to NIMH IRP IRTAs on test administration (including NIH Toolbox, and Kaufman Brief Test of Intelligence 2). Staff counsel interested students and IRTAs on career options in psychology and this year created and presented at the annual NIMH IRP Clinical Psychology PhD Program Application Workshop. Medical Student Programs: The Clinical Electives Program (CEP) at the NIH Clinical Center provides fourth year medical students opportunities to apply for 4-8 week clinical neuroscience research or consultation liaison rotations. The OCD helps coordinate medical student rotations in the NIMH IRP. Medical Research Scholars Program (MRSP) at the NIH Clinical Center is a selective year-long elective research experience for medical students who live and work on the NIH campus in Bethesda, Maryland. The Deputy Clinical Director and NIMH IRP faculty have served as mentors or been on the MRSP Board of Advisors. Advisors interview and select students for the program and help them identify an appropriate research mentor. Clinical Neuroscience Initiatives: The OCD oversees two NIMH national initiatives (ORAP and Brain Camp) that promote psychiatrists-in-training to choose and succeed in research and academic careers. The NIMH Outstanding Resident Award Program (ORAP) was started in 1988 and is a highly coveted and competitive annual award for promising young psychiatrists-in-training. The ORAP awardees are psychiatry residents with outstanding academic potential who are selected from among the top residencies across the U.S. and who have been nominated by their training directors. This award is given to a small number of residents each year for past achievements, current efforts, and future contributions to the field of psychiatry. In fall 2019, 10 award recipients and 6 honorable mention residents traveled to Bethesda for a two-day program that featured presentations by NIMH investigators, extramural program staff and a tour of NIMH facilities. In June 2020, a new group of 12 ORAP residents was selected with 12 honorable mentions. NIMH Brain Camp is an intensive scientific conference for psychiatry residents and clinical fellows that was started in 2009. It involves lectures and discussions between residents, invited distinguished faculty and NIMH leadership on a variety of cutting edge neuroscience topics relevant to psychiatry. Brain Camp was not held in spring 2020 due to the COVID-19 pandemic. The OCD is involved with education on neuroscience for psychiatrists. The Program Director of the PGY4 residency and clinical fellowship program has been a regular faculty member for the NIMH-funded National Neuroscience Curriculum Initiative course given at the American Association of Directors of Psychiatry Residency Programs (AADPRT) annual meeting each spring. Trans-NIH Initiatives: The NIMH Office of the Clinical Director continues to work collaboratively with the Clinical Center, OCRTME and the NIH Office of the Director to address issues of physician and staff wellbeing, particularly during the COVID-19 pandemic.