Roozbeh Hospital has comprehensive programs on clinical sciences covering M.D., Residency (Specialty & Sub-specialty), and fellowship programs. Faculty members are recognized as the leading clinicians and scientists of the country, not only in terms of didactic training but also in clinical skills transfer, role- modeling, and research mentoring.
Department of Psychiatry offers different subspecialty and fellowship programs in specialized fields as listed:
Psychiatry residency is a clinical course in Iran. All the trainees should have MD and should pass residency examination which is an integrated exam between all residencies held annually.
Trainees are expected to have these capacities at the end of the course:
Psychiatry residency is a four-year program in Iran.
The first year, the internship, is designed to provide a foundation for subsequent training in psychiatry. Residents start to visit patients in general psychiatry wards. Also they visit patients in clinics in outpatient setting under supervision of psychiatry professors. This is the first step in acquiring mastery over a wide variety of skills that are required by a modern-day psychiatrist. Along with these, first year residents should be on emergency psychiatry ward in particular night shifts every month. The first year of residency training is an exciting year that provides a core set of experiences that essentially define the scope of psychiatry. Residents undergo clinical rotations in adult psychiatry wards. This year is divided into four blocks and in each block each resident is under supervision of a specific faculty, and work closely with the supervising attending and the treatment team, comprising nurses, social worker and other clinicians. In the first year all the trainings are focused on acquiring a good and professional communication skill and being able to run a good psychiatric examination. At the end of the first year trainees are expected to know about common psychiatry disorders, psychiatric evaluation, brief counseling and crisis intervention, routine pharmacologic management. Along with all clinical experiences, there are classes and sessions focusing on fundamental psychiatric knowledge base. The curriculum includes lectures, seminars, case conference, grand rounds and workshops. These programs are directed and taught by faculty.
The second year is divided into four blocks which includes emergency ward, neurology, addiction and child psychiatry ward. Residents rotate between these rotations every 3 months and they continue to take night shifts in second year. They also continue to visit patients at outpatient clinic and follow patients independently. In neurology rotation, trainees visit patients in the field of general neurology and neuropsychiatry in outpatient clinic. They also do consultations under the supervision of neurology faculties. This rotation also includes some courses on EEG and neuroimaging. There are lectures and seminars on neurology topics while on this rotation. In child psychiatry rotation, residents visit patients in child and adolescent psychiatry wards. Residents work closely with the supervising attending and the treatment team, comprising nurses, social worker. They also participate in outpatient clinics and visit children. There are specific clinics for ADHD and autism and other developmental disorders. There are lectures and seminars on child psychiatry topics while on this service. In emergency rotation, residents visit patients at the emergency and short stay wards and get familiar to management of psychiatric emergencies and crisis intervention. A very important requirement of psychiatry in our country is substance use related disorders and addiction. Residents start to work with these patients from the first year and continue learning in the last year on the addiction rotation. This rotation provides specific consultations for patients using substance in hospital and outpatient setting. There are lectures and seminars on addiction topics while on this service and residents will be capable of motivational interview, detoxification, and maintenance therapy at the end of this rotation. Along with these rotations, residents begin community-based education by going to home visits and running psycho-education classes for patients and their families.
Residents begin psychotherapy training with patient assignments in the third year. Psychotherapy training is an important and integral component of residency training. There is a strong commitment in the program to the development of psychotherapeutic skills in Interpersonal Psychotherapy, Cognitive Behavioral Therapy and Long term Psychodynamic Psychotherapy. Training is mainly divided to two basic part, psychoanalysis and cognitive behavioral therapy. At the first three month lectures, seminars and workshops are held to get a good knowledge about psychotherapy. For CBT, residents will be assigned to patients and a supervisor at the third month of the year. They will meet with supervisor to learn to structure the therapy session, develop a therapeutic alliance and shared understanding of the work they will be doing, and review the progress of the therapy with an eye toward creating and implementing CBT oriented interventions. In the third month of this year, they will start treating patients thought suitable for intensive, long-term, psychodynamically oriented psychotherapy. They will meet weekly with their supervisor to discuss the progress of the therapy. They usually will continue to meet with the patient and the supervisor until the end of residency. Residents also participate and observe group, couple and family therapies. Psychosexual education is another important part of the third year. Residents get knowledge about it through lectures and also special clinic of psychosexual problems. Basis of child and adolescent psychotherapy and parenting is provided to residents in lectures. Residents also carry on psycho-education sessions for parents under supervision of fellows and attending. At the end of the third year, residents will achieve increasing levels of competency in psychotherapy. Residents continue to take night shifts in third and fourth year. They also continue to visit patients at outpatient clinic and follow patients independently.
The final year of the four-year general psychiatry training program is designed to allow time to complete any remaining requirements such as Community Psychiatry, Forensic Psychiatry and Geriatric psychiatry. Psychosomatic rotation as the Consultation and Liaison (C/L) Psychiatry service provides psychiatric consultation to all units (medical, surgical, transplant, intensive care units, oncology, obstetrics, gynecologic, etc.) at general hospitals. Residents are assigned to patients for consultation and, under supervision, provide a set of management recommendations and follow these patients for the duration of the patients' hospital stay. There are lectures and seminars on C/L topics while on this service. All the trainees should take a research thesis and work on it through the residency years and present the result of their research prior to graduation By the fourth year, residents are independent practitioners with a mature approach to diagnosis, treatment selection, psychological and somatic therapies, and reading of the psychiatric literature. They are comfortable utilizing both psychodynamic and cognitive psychotherapy techniques with individuals, families, and groups and have learned administrative skills.
Evaluation takes place in two forms of intra-ward assessments and assessments for promotion, and certification- and degree-awarding. Intra-ward assessments that measure theoretical knowledge and clinical skills, and are performed regularly during each educational year, include written exams and a set of novel evaluation methods, such as the mini clinical evaluation exercise (mini-CEX), case-based discussion, the objective structured clinical examination (OSCE), instructors’ review of residents’ clinical competency, and the logbook. At the end of the first, second, and third year the written promotion exam is held and at the end of the fourth years, written certification and degree exams are held. All the residents should pass an integrated exam at the end of each year to be permitted to start next year of training. At the end of the four year program all the trainees should pass an integrated exam to be certified for psychiatry. After graduation all the graduates have to spend 2 to 4 years in deprived areas of country to provide mental health care for community.
Roozbeh Hospital and Department of Psychiatry also offers training courses for MD students.
Students increasingly get familiar with concepts of psychiatry over the course of medical education. The focus in clerkships and internships is on direct clinical encounter Communication and “doctoring” skills could be called an essence that is realized in psychiatry training. Students are “assigned” to a single faculty/resident during clinical rotations. Students attend ward rounds (2 days a week) and clinics (2 days a week) .The faculty discuss the patients conditions with students with focus on history taking, semiology and diagnosis One day a week is dedicated to case reports, and seminars A weekly morning report is devoted to the students and interns Didactic teachings are integrated into clinical attachment (twice weekly sessions with interactive teaching style) Interns attend ward rounds (2 days a week) and clinics (2 days a week). The faculty discusses the patients conditions with students emphazing more on history taking, diagnosis AND management Interns take full responsibility of at least one patient in inpatient service, from admission to discharge One day a week is dedicated to case reports, and seminars A weekly morning report is devoted to the students and interns Didactic teachings are integrated into clinical attachment (twice weekly)
the process and techniques of interviewing and communication to assess the risk of suicide and violence to assess psychiatrtic symptoms to educate clients about mood, anxiety, and psychotic disorders about the side effects of medications and drug interactions to initiate appropriate management and refer the patients