Residency and Fellowship Programs

The Saint Louis University Division of Psychiatry and Behavioral Neuroscience foster resident interest in clinical or basic research. We train aspiring psychiatrists who will provide high quality and state-of-the-art care to their patients and credibly represent themselves among their colleagues.

Adult Psychiatry Residency Program

The residency training program in psychiatry at Saint Louis University provides excellent broad based training in the diagnosis, prevention, study and treatment of mental disorders. We prepare our graduates to deliver high-quality psychiatric care using all the modalities available to the modern psychiatrist. These include a variety of psychotherapies, medications and both established and newly emerging brain stimulation therapies.

Through teaching time-honored principles of patient care, as well as evidence-based medicine practices, we prepare our residents to use both the treatments of today and tomorrow.

Residency Faculty and Staff

  • Brianne M. Newman, M.D.
  • Catalina Belean, M.D.
The Resident Experience

Our close-knit community of faculty and residents work together on meeting the goals of learners while providing world-class psychiatric care to our patients. Residency training is a time of immense personal and professional growth and we provide a supportive environment to help promote that growth. We try to provide a consistent residency experience while accommodating the specific goals and aspirations of individual trainees.

Our recent graduates have been very competitive applicants for fellowship programs and have matched at their first or second ranked programs in disciplines such as child and adolescent psychiatry, forensic psychiatry and geriatric psychiatry.

It is a testimony to the community in which we live in and the positive experience of residency that many of our graduates have chosen to make the St. Louis area their home. They work in a variety of areas including private practice, the Veterans Affairs Medical Center, state mental health facilities and academic psychiatry across the greater St. Louis area.

Residency Highlights
  • World-renowned program in geriatric psychiatry and forensic psychiatry faculty. 
  • Long tradition of excellence in psychotherapy training and close collaboration with St. Louis Psychoanalytic Institute.
  • Robust electroconvulsive therapy (ECT) program with residents getting exposure and certification of proficiency by end of residency.
  • Close relationship with SLU’s neurosurgery department, including an active program in deep brain stimulation, vagal nerve stimulation and in rare appropriate cases, psychosurgery.
Goals and Objectives

The objective of SLU’s  adult psychiatry residency program is to provide a comprehensive educational experience for residents with increasing levels of responsibility in the care of all patients with psychiatric disorders.

The program emphasizes the residents' continued professional development and competence for the modern practice of psychiatry. Our clinical faculty represents many points of view and our clinical settings expose our residents to culturally and economically diverse patient populations. Both contribute to a rich training experience that offers many exciting opportunities for professional and personal growth.

Residents at SLU are educated to be proficient in the diagnosis, treatment and prevention of all major psychiatric disorders and common medical and neurological disorders that interface with the practice of psychiatry. During the course of training, our residents develop essential clinical skills, judgment, professionalism and the sensitivity necessary to become skilled and empathic psychiatrists in the settings of academic medicine or psychiatric practice.

The program includes training in clinical skills, doctor-patient interactions, administrative and organizational skills and exposure to the requirements of managed health care. It encourages active involvement in research activities to stimulate and develop the residents' ability to critically evaluate psychiatric literature and to promote those interested in pursuing an academic career.

Clinical Training Sites
  • Buzz Westfall Justice Center
  • Places for People
  • Saint Louis University Department of Neurology and Psychiatry, Outpatient Clinic at Monteleone Hall
  • Saint Louis University Student Health Service
  • SSM Health Saint Louis University Hospital
  • VA Saint Louis Health Care System - John Cochran Division
  • VA Saint Louis Health Care System - Jefferson Barracks

Required Clinical Rotations

PGY 1 and 2 Clinical Rotations
Off Service Rotations
  • Inpatient Medicine Service: VA Saint Louis Health Care System - John Cochran Division
  • Outpatient Medicine: VA Saint Louis Health Care System - John Cochran Division
  • Geriatric Medicine: VA Saint Louis Health Care System - John Cochran Division
  • Emergency Medicine: VA Saint Louis Health Care System - John Cochran Division or St. Alexius Hospital
  • Inpatient Neurology: VA Saint Louis Health Care System - John Cochran Division
Psychiatry Rotations
PGY 3 Clinical Rotations

As per the requirements of the Psychiatry RRC and the American Board of Psychiatry and Neurology, the PGY3 year is spent doing 12 months full-time outpatient psychiatry, including an experience in community psychiatry.

PGY 4 Clinical Rotations
  • Junior Attending: SSM Health Saint Louis University Hospital Adult Psychiatry
  • Junior Attending: VA medical Center
  • Consultation: Liaison Psychiatry at SSM Health Saint Louis University Hospital
  • Required outpatient experience: Student Health
  • Required outpatient experience: Correctional Psychiatry
Elective Clinical Rotations
  • Sleep medicine
  • Palliative care
  • Neuroanatomy
  • Eating disorders
  • Geriatric psychiatry
  • Electroconvulsive therapy
  • Forensic psychiatry
  • Research elective


View the General Psychiatry Roation Block Diagram

Classroom Curriculum

Joint learning experiences for all PGY levels.

Grand Rounds

Departmental grand rounds are held every Thursday from 8-9 a.m. in Schwitalla Hall. They vary between separate neurology and psychiatry grand rounds and a combined grand rounds format with speakers and topics of relevance to both parts of the department.

Attendance is required of residents unless they are on an off-service rotation.

These include a mix of invited preeminent speakers from the region or beyond and presentations by our own faculty and senior residents, as well as case presentations and morbidity and mortality conference.

Journal Club

 

The journal club exposes residents to primary research in the field of psychiatry, teaches critical appraisal skills and improves understanding of research methods.


Resident Journal Club is held from 11 a.m. to noon on the first and third Tuesdays of the month. Residents are assigned to present and choose an article from the literature. They meet with the academic chief resident and one of our research faculty to discuss the article ahead of time. They then lead the resident group through a discussion of the article, including strengths and weaknesses of the paper, relevance to clinical practice and a learning issue pertaining to study design or statistics.

Chairman’s Conference

 

Once a month, the department chairman meets with the neurology and psychiatry residents in a combined forum to discuss cases or topic areas at the overlap of both specialties.

Process Group

Process group is a weekly confidential forum for residents to freely discuss their experiences, resolve interpersonal issues and share the highs and lows of their week. This highly valued part of residency is conducted in a group therapy format by a faculty member from outside the department.

 

 

Curriculum by Year

PGY 1
  • Crash Course in Basic Psychiatry:  An intensive introductory overview covering essentials of diagnosis and treatment, legal and ethical issues, and administrative procedures in psychiatry, including specifics for the residency environment.
  • Introduction to Child and Adolescent Psychiatry:  The foundations of the spectrum of disorders, psychopathology, diagnosis and treatment. Effects of divorce, child abuse and suicide are also covered.
  • Basic Clinical Psychiatry:  Establishes a sound foundation of knowledge to support and develop the development of psychiatric clinical skills. We have systematic study of the main psychiatric disorders and the foundation of the use of psychiatric medications.
  • Consultation and Emergency Psychiatry: The knowledge and skills necessary to diagnose, triage and treat psychiatric emergencies and psychiatric disorders encountered on the medical-surgical services. It includes clinical case presentations and seminars and meets weekly throughout the year.
  • Research Methods:  Basic principles and applications of research methodology, statistical analysis of quantitative data, enabling residents to read, critique and apply research findings published in the literature.
  • Neuroanatomy and Neurophysiology
  • Introduction to Psychodynamic Psychiatry:  Familiarizes the beginning resident with the core psychodynamic concepts, understanding patient’s behavior and symptoms, the doctor-patient relationship and the bio-psychosocial model of illness.
  • ECT:  Covers issues of patient’s selection, methodology, anesthesia and side-effects.
PGY 2

 

  • Family Therapy:  Basic concepts of family therapy, utilizing lectures and videotaped family sessions.
  • Cognitive Behavioral Therapy:  Theory and case studies are used to illustrate how a variety of disorders can be conceptualized and treated using this method.
  • Psychological Testing: Psychometric principles, assessment techniques, personality testing and testing to specific psychiatric conditions, both lectures and clinical case material are used.
  • Psychosocial Development: Aspects of normal psychological development through the life cycle. Various theoretical perspectives are introduced through guided readings of selected literature and class discussion.
  • Representative Course: May changes as revisions occur.
PGY 3
  • Dynamic Theory and Technique: Lecture format on the process of psychotherapy, evaluation, diagnostic assessment, indications, beginning phase, mid-phase and termination of treatment. Aspects of the therapeutic relationship, transference, interpretation, and other aspects of technique are discussed.
  • Human Sexuality and Sexual Dysfunction:  Normal developmental and physiological aspects of human sexuality. Interview and sexual history taking are presented through lecture and group exercise. Various aspects of sexual dysfunction and therapeutic interventions are introduced. Advanced level courses are given in subsequent years of training.
  • Family Therapy Clinical Seminar:  Advanced seminar in the clinical setting. Residents observe and actively participate as co-therapist with the instructor in ongoing family therapy sessions, Discussions, supervision and readings are also provided.
  • Clinical Issues Seminar:  Weekly, yearlong seminars covering a variety of clinical issues, treatment approaches (somatic and psychodynamic), and other areas of special interest.
  • Outpatient Case Conference:  Residents alternate presenting new cases. Issues of differential diagnosis, treatment plan, family/marital issues, sociocultural issues and countertransference aspects are discussed.
  • Psychodynamic Clinical Case:  Case presentations are analyzed to sharpen the residents’ skills in making Psychodynamic formulations and identifying and handling various issues of ongoing dynamic therapy, including combined use of medication with psychotherapy. This course is the clinical parallel to the theoretical course in the previous year.
  • Group Psychotherapy:  Yearlong seminar covers both theory and technique. Process group, readings, class discussions and participation as co-therapist in an ongoing, patient group are provided.
  • Representative Course:  May changes as revisions occur.
  • Psychopharmacology Case Conference: A two-year course providing an in depth familiarity with clinical issues in the use of various medications.
PGY 3-4  
  • Cultural Issues in Psychiatry: Various cultural and social values in American society and views of mental illness in other cultures.
  • Ethics in Psychiatry: Medical and psychiatric ethical issues and guidelines.
  • Private Practice and Managed Care: Developments in health care, managed care protocols, quality assurance, utilization, mental care economics and issues confronting the psychiatrist in today's private practice. 
Law and Psychiatry

Clinical Rotations

PGY-1
  • Six months inpatient Psychiatry, including major psychiatric syndromes, substance abuse and emergency psychiatry.
  • Four months medicine/pediatrics.
  • Two months neurology.
PGY-2
  • Two months geriatric psychiatry
  • Five months inpatient psychiatry
  • 12 months outpatient psychiatry clinic, half day per week
  • Two months child psychiatry
  • Two months consultation/liaison psychiatry
  • One month addiction psychiatry
PGY-3
  • 12 months full-time outpatient psychiatry including community psychiatry and managed care psychiatry.
PGY-4
  • Three months junior attending at the VA St. Louis Health Care System
  • Two months eating disorders
  • Two months administrative psychiatry
  • Two months consultation/liaison psychiatry
  • Three months selective
  • 12 months of half day/week outpatient psychiatry clinic

Special arrangements have been made to allow all the first-postgraduate-year residents to "come home" every Tuesday from 11 a.m. to 5 p.m. to be with their fellow psychiatric residents, attend a residents meeting, have a business lunch and attend didactic lectures together.

Starting in the PGY-2 year, residents spend one-half day per week in the adult outpatient clinic, evaluating and treating patients whom they can follow in therapy until graduation.

Geriatric Psychiatry Residency Program

SLU’s geriatric psychiatry track program offers training in both general psychiatry and geriatric psychiatry. Our purpose is to train future geriatric psychiatrists to fulfill the needs of the growing aging population.

In the first four years, residents fulfill the core requirements for the general adult psychiatry and are eligible to the general psychiatry boards. The program also introduces aspects of geriatric psychiatry throughout the four years of training.

After completing the four years of general psychiatry training, candidates are expected to continue as a fifth year resident in the geriatric psychiatry fellowship program at Saint Louis University. At the end of five years, candidates will be eligible for both general psychiatry and geriatric psychiatry boards.

Program Features

  • National and international reputation of excellence.
  • Geriatric psychiatry fellowship training since 1983.
  • Three ACGME-accredited geriatric psychiatry fellowship positions are available every year.
  • Our graduates have assumed positions of leadership nationally and internationally.

Geriatric Psychiatry Fellowship Program

By 2020, there will be 53 million people over the age of 65. The number of people living with mental illness will double to 15 million. Clinical skills and expertise to treat this group will become a necessity and there is shortage of geriatric psychiatrists. Our fellowship program provides training in the care of adults aged 65 and older in a variety of service settings:

  •  Inpatient hospital unit
  • Geriatric psychiatry assessment and continuity outpatient clinic
  • Healthy brain aging center
  • Mood and anxiety clinic
  • Geriatric consultations to other hospital services and long-term care facilities
  • Electives with Alzheimer’s Association and palliative care/ hospice agencies

Application Process

Applicants with one of the following qualifications are eligible for appointment to our accredited residency programs:

We accept applications through the Electronic Residency Application Service (ERAS) only. All our residents are selected through the National Residency Matching Program (NRMP) .

We do not offer “out-of-match” positions.

Application Timeline

September 15: Program begins downloading and reviewing applications. 
October 15: Program stops downloading new applications. Applications entered into ERAS after this date will not be entertained.
November 1: Interview residency applicants.
February 28: Interviews are on Thursdays, with dinner the preceding evening.

General Requirements

  • Completed application
  • Personal statement
  • Curriculum vitae
  • USMLE Step I and II CK and CS results. Candidates must have successfully completed both USMLE steps I and II before they can be invited for interview.
  • Medical school transcript and diploma/certificate
  • Dean’s letter and three letters of recommendation
  • ECFMG certificate if applicable
  • Recent photograph

Additional Requirements for Geriatric Residency

Only two positions available annually. The program welcomes U.S. citizens, international medical graduates and holders of immigrant visas (green card holders). We can sponsor J-1 visas but cannot sponsor H-1B visas.

In addition to meeting the general criteria for residency in the department above, the program criteria are as follows:

  • Commitment and sincere interest in geriatric psychiatry as a career path.
  • Applicants with experience in direct clinical care or related medical research during the time or since their graduation will be given preference (e.g., individuals who have a neuroscience-related graduate degree or training in the neurosciences or research in the field of geriatric psychiatry).
  • Dean's letter and three letters of recommendation. Reference letters from preceptors in the field of psychiatry are a plus.
  • A well-written one-to-two page personal statement that provides information regarding the applicant’s interest in geriatric psychiatry.
  • Three-digit passing scores and not more than three attempts. Preference will be given to candidates with an USMLE step IIIl. All three steps to be completed within a seven-year limit.

Exceptions can be made for excellent eligible candidates with dedicated interest in geriatric psychiatry.

Interview and Selection Process

The program director or a designee reviews the file of each applicant as soon as it is received. If the applicant has suitable qualifications, they are invited to come for a personal interview. The usual interview process requires a full day and includes individual interviews with three to four faculty members, a resident and a fellow, and a tour of the medical center.

Candidates are selected on based on past academic and research experience, related geriatric experience and performance in the personal interview. A Ranking list will be submitted to NRMP.

Resident Recruitment/Selection/Eligibility

The program recruits and selects from among eligible applicants on the basis of preparedness, ability, aptitude, academic credentials, communication skills, and personal qualities including motivation and integrity. The program will not discriminate with regard to gender, race, age, religion, sexual orientation, national origin, disability or veteran status. The applicant selection process will follow the ACGME guidelines, as well as our program guidelines.