Welcome! Thank you for your interest in Cleveland Clinic's Department of Psychiatry & Psychology and its training programs.
The Department is one of four in Cleveland Clinic's Neurological Institute, including Neurology, Neurosurgery and Neuroradiology. Coincidentally, the Department has its origins in the vision of Cleveland Clinic’s first chairman of Neurological Surgery, W. James Gardener, MD. At a 1943 meeting of Cleveland Clinic’s Administrative Board, he proposed adding a department of psychiatry to the growing Cleveland Clinic. Eventually, in 1946 the Department of Neuropsychiatry opened, and in 1960 split into separate departments with A. Dixon Weatherhead, MD, serving as Psychiatry’s first Chairman.
In July, 1961 the Department welcomed its first resident trainee, and by 1976 the General Adult Psychiatry Residency Training Program had achieved full accreditation. Since then, the Department has achieved a perennial U.S. News & World Report top-ranking in Ohio, and its training programs have developed a similarly strong reputation.
The Department's academic mission has roots that are not only deep, but broadly based. In addition to its General Adult Psychiatry Residency Training Program, it has competitive fellowships in Child & Adolescent Psychiatry and Psychosomatic Medicine and post-doctoral fellowships in Neuropsychology, Health Psychology, and Chronic Pain. Long involved in the training of medical students, the department played a vital role in the planning and development of Cleveland Clinic's Lerner College of Medicine (CCLCM), which opened its doors in 2004. Department staff, residents and fellows continue to play key roles as mentors and in didactic, seminar, office-based and bedside teaching of CCLCM and Case Western Reserve University medical students.
Cleveland Clinic has always been committed to excellence in patient care and research in the diseases that affect our patients. We take special pride in training future psychiatrists, clinical psychologists and neuropsychologists and look forward to meeting and visiting with you.
George Tesar, MD
Director of the General Psychology Residency Training Program
Cleveland Clinic Neurological Institute
Cleveland Clinic's Department of Psychiatry and Psychology serves as a state-of-the-art teaching and clinical experience for residents in the adult psychiatry training program. Outstanding lectures, excellent supervision and an extensive array of clinical rotations have provided the solid building blocks upon which the program has thrived.
Resident training includes diverse exposure in the following core areas:
- Inpatient psychiatry
- Outpatient psychiatry
- Chemical dependency
- Child & adolescent psychiatry
- Geriatric psychiatry
- Psychosomatic medicine
The program offers outstanding education with excellent supervision, strong research and a vast array of clinical rotations and academic opportunities.
Throughout the residency, residents participate in a variety of resident-led activities such as journal club, movie club, book club, picnics, a biannual residency retreat and other social events. Residents live in many parts of the city and in the surrounding Cleveland area. Cleveland Clinic's vibrant House Staff Association (HSA) and the House Staff Spouse Association (HSSA) is responsible for organizing activities for the residents and their families. These activities include a Halloween party, end of the year celebration, Resident Appreciation Week, and more.
An orientation course is given during the initial summer months to facilitate the transition. The PGY-1 resident spends four months in primary care (combination of inpatient, outpatient, and Emergency Medicine) and two months of neurology.
Neurology rotation involves exposure & management of various neurological disorders through inpatient and consultation services. Residents participate in neurology conferences, rounds and other educational activities to gain additional exposure in preparation for PRITE and board certification.
The additional six months of the first year, the resident rotates through the adult psychiatric inpatient units. During the inpatient experience, residents learn diagnosis and management of severe mental illness under the supervision of highly qualified faculty. The resident will continue to perfect interviewing and diagnostic skills on the adult inpatient units via direct supervision from the senior resident.
Didactics during the PGY-1 year are focused on the fundamentals of psychiatric pathology, with emphasis on diagnosis and treatment. The core curriculum provides an intensive educational experience in the skills required to be an effective clinical physician.
The PGY-2 resident begins rotations on more specialized inpatient services while beginning longitudinal care for outpatients. Residents rotate through the Alcohol and Drug Recovery Center Unit, the Chronic Pain Rehabilitation Program, and the Child and Adolescent Unit. Both inpatient and outpatient experience is gained. The resident is an integral part of the treatment team and receives thorough exposure to multidisciplinary treatment of adult and child psychopathologies.
A significant portion of the PGY-2 year is spent on the Consultation-Liaison Psychiatry where residents interface with the departments of medicine and surgery. Residents will round off their experience with rotations in Child Psychiatry, Geropsychiatry and Emergency Psychiatry. Didactics during the PGY-2 year are focused on exposure to psychotherapy theories and fundamentals.
The third year of residency focuses primarily on outpatient care with emphasis on integration of psychopharmacology and psychotherapy, including cognitive behavioral, family therapy, group therapy and couples counseling. Weekly longitudinal outpatient clinics started in PGY-2 are also continued. Community mental health and forensic experiences are provided. Residents meet with their medication management and psychotherapy supervisors weekly. Didactics in the PGY-3 and PGY-4 years are focused on advanced topics, such as Forensics, Women’s Health, and Psychosomatics.
During the fourth year, the resident extends training in outpatient care in addition to serving as a senior supervisor on the inpatient adult unit. Teaching responsibilities for the junior residents and medical students are also expected.
PGY-4 residents are able to participate in a variety of electives to help with particular career goals and possible research. Residents are encouraged to seek out weekly specialized clinics such as psycho-oncology, psycho-cardiology, epilepsy, chronic pain, movement disorders, and psychiatric neuromodulation, to solidify areas of interest.
Education & Schedule»
Didactic conferences take place weekly on dedicated afternoons in two-hour blocks. PGY-1, PGY-2, and PGY3/4 have separate didactic lecture series to focus on applicable topics relative to their level of training.
All faculty members in the Department of Psychiatry and Psychology actively participate in residency didactics. Multidisciplinary as well as outside speakers are incorporated into the didactic seminars. Presentations are coordinated to ensure comprehensive review. Resident Case Conferences are also held bi-weekly to highlight important cases and educational topics. Other educational activities include weekly Grand Rounds and Journal Clubs.
Research opportunities abound throughout the department and institution. Each resident is required to have an academic project, consisting of a poster presentation and/or journal submission. A number of the trainees choose a research project which they design or which is selected as part of a larger, ongoing study at Cleveland Clinic.
Current and recent trainees have participated in projects on chronic pain, suicide, delirium, pseudo-seizures, ovarian cancer, women's health, sleep disorders, depression post myocardial infarction, and transplant psychiatry. In addition, residents are expected to present at Case Conference annually beginning in the PGY-2. Every year, numerous residents also present at local and national meetings.
Cleveland Clinic is affiliated with the Cleveland Clinic Lerner College of Medicine (CCLCM). We welcome elective rotations from allopathic (MD) and osteopathic (DO) medical schools from across the country. Elective rotations are scheduled through the elective program at CCLCM.
The Department of Psychiatry and Psychology offers a two-year ACGME-accredited subspecialty fellowship in Child and Adolescent Psychiatry and a one-year ACGME-accredited Psychosomatic Medicine fellowship.
Patient diversity contributes to the steady progression of the residents' training of in-depth clinical experience. Psychiatry residents become adept at working with all socio-economic levels, as well as a broad variety of ethnic and cultural backgrounds. Residents gradually carry more patients as they progress through their residency and gain expertise in managing various kinds of diagnoses. Our graduates are recruited into academic settings, community psychiatry, private practice, medical directorships, consultation psychiatry and various combined positions.
Facilities and training sites
Cleveland Clinic's main campus serves as the primary training site of the Psychiatry Residency Program. The campus is located on the historical Euclid Avenue, in close proximity to the Cleveland Museum of Art, Severance Hall and the Cleveland Botanical Gardens. The inpatient units on Cleveland Clinic's main campus include the Alcohol and Drug Recovery Center and the Child and Adolescent Inpatient Unit. The Adult and Pediatric Psychiatric Consultation Services manage psychosomatic issues in a wide array of medical and surgical conditions.
Cleveland Clinic Lutheran Hospital, a 204-bed acute care facility, houses the primary adult inpatient psychiatric unit of Cleveland Clinic Department of Psychiatry. Lutheran Hospital holds a total number of approximately 80 behavioral unit beds, which also includes an inpatient geropsychiatry unit and an innovative Mood Disorders Psychopharmacology Inpatient Unit.
Lutheran Hospital is approximately a 10-minute drive from Cleveland Clinic's main campus.
Other training sites include the Louis Stokes Cleveland VA Medical Center in Brecksville, Northcoast Behavioral Forensics Unit in Sagamore Hills, as well as Community Hospitals and Family Health Centers located throughout the Cleveland Clinic Health System.
Training Opportunities & Affiliated Centers»
Alcohol and Drug Recovery Center & Chronic Pain Rehabilitation Center
The Alcohol and Drug Recovery Center & Chronic Pain Rehabilitation Center are comprehensive centers designed to accommodate patients with an emphasis on total health. This includes mental, physical, social and spiritual well being. Various degrees of treatment are offered, ranging from inpatient, partial hospitalization and intensive outpatient programs. Residents spend one-two months in each of these centers.
Psychiatric Neuromodulation Center
The Psychiatric Neuromodulation Center exposes residents to the management of treatment-resistant illnesses. Among the modalities utilized for treatment are Electroconvulsive Therapy and Vagal Nerve Stimulation. Ongoing research in the area of Deep Brain Stimulation (DBS) for intractable psychiatric disorders highlights the novel opportunities for involvement.
Moods Disorders Psychopharmacology Research Unit
The Moods Disorders Psychopharmacology Research Unit is an innovative unit which incorporates research and clinical care through a multidisciplinary approach. It is the first program in northeast Ohio to offer both inpatient and outpatient programs dedicated to the treatment of mood disorders. The goal of the program is to provide patients who are diagnosed with primary mood disorders, particularly those with higher levels of functioning, the highly specialized treatments they require in a setting conducive to their needs.
Psychotherapy Training - Adult Psychiatry Residency Training Program
The psychotherapy training component of the Adult Psychiatry Residency Training Program at Cleveland Clinic involves both theoretical and experiential training beginning in the second year of the residency. This prepares each resident for manageable case loads of supervised psychotherapy patients during the third and fourth years. Additionally, residents participate in various psychotherapy rotations as co-therapists. These rotations include evidence-based/cognitive behavioral therapy, psychodynamic therapy and marital/family therapy. The goal of psychotherapy training is to produce graduates who can perform effective, prescriptive, informal, and often, brief forms of psychotherapy in nearly any clinical encounter.
On-call Information & Schedule
The current on call schedule requires PGY-1 residents to take approximately an average of every fifth night on call and PGY-2 residents every eighth night on call. PGY-3 and PGY-4 residents and fellows are presently exempt from night call. A buddy system for incoming residents is used to allow comfort with on-call responsibilities.
The teaching faculty at Cleveland Clinic prides themselves in the development of superior clinical psychiatrists and is committed to helping you reach your professional and personal goals. Many faculty members serve in various national organizations and hold appointments in Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, enriching the residency experience.
Cleveland Clinic's Department of Psychiatry has provided the highest quality in mental healthcare, research and medical education for more than 40 years. National surveys of physicians and hospitals consistently recognize Cleveland Clinic for its excellence in medical care. Residents enjoy the opportunity of training in a 1,400-bed, internationally renowned, tertiary care hospital. The presence of Cleveland Clinic Lerner College of Medicine also provides ongoing opportunities for involvement in medical student training.
All candidates are required to register with ERAS. No additional documents are required. The deadline for accepting applications directly from ERAS is November 1. We do not have a year of graduation requirement, but we prefer that candidates are current in their clinical experience. Although COMLEX scores are accepted for osteopathic applicants, USMLE scores are also encouraged.
IMGs must hold a valid standard ECFMG certificate or provide proof that they are in the process of obtaining one. Cleveland Clinic sponsors both J-1 and H-1B visas.
Upon receipt, applications are reviewed by the Program Director, and then prospective candidates are contacted via telephone and/or email to schedule an interview.
George Tesar, MD
Department of Psychiatry and Psychology/P57
9500 Euclid Ave.
Cleveland, OH 44195
Mayur Pandya, DO
Associate Program Director
Department of Psychiatry and Psychology/P57
9500 Euclid Avenue
Cleveland, OH 44195
Megan J. Walsh
Department of Psychiatry and Psychology/Neurological Institute S90
9500 Euclid Ave.
Cleveland, OH 44195
The Child and Adolescent Psychiatry training program is a two year ACGME approved program that combines a rich acute setting experience with comprehensive ambulatory training. Residents benefit from staff that has specialized in areas such as physically ill children, pervasive developmental disorders, acute care psychiatry, as well as clinic research. Exceptional lectures, personalized supervision, research opportunities, and a large range of clinical settings provide a comprehensive training foundation for the new generation of child and adolescent psychiatrists.
The Child and Adolescent Psychiatry residency consists of a two year curriculum divided into month long rotations. Residents may enter anytime after completing the PGY-1 level. Our residency program is primarily a clinical program with opportunities with clinical research. Residents work closely with the attending psychiatrist, family and couple therapists, social workers, psychologists, and nursing to provide comprehensive patient care.
The residents will rotate through the Child and Adolescent Psychiatric crisis intervention unit a total of six months out of the first year. The other six months of the year the resident will rotate on the child and adolescent psychiatric consult liaison service. The resident will be the primary physician for the patients while on these rotations with close staff supervision and teaching. The goals for the resident will be to master comprehensive interview techniques, understand evidence based treatment strategies for complex cases, and work in a multidisciplinary setting. While on the in-patient unit the resident will be assessing pervasive psychopathology in a multidisciplinary setting. During the consultation liaison rotation the resident will be introduced to specialty units such as the epilepsy monitoring unit, the pediatric intensive care unit, emergency department consultations as well as pediatric subspecialty patients in hematology, oncology, and transplant services. Also beginning in the first year is the longitudinal outpatient care track. Here the resident will develop skills in managing an outpatient clinical caseload. The resident again will be the primary contact for the family and have the autonomy to manage patients under the supervision of staff attendance. Dedicated time is given for outpatient clinical days to enhance continuity of care and the educational experience.
The residents focus shift year two to a more ambulatory and community setting. In the second year the residents continue their longitudinal outpatient care track. Training throughout this year is focused on outpatient services. The resident will rotate through a variety of settings including; a community child and adolescent mental health service, a juvenile court diagnostic health clinic, pediatric neurology, family therapy clinic, couple’s therapy clinic, cognitive behavioral therapy clinic, neuropsychology testing clinic, child and adolescent chemical dependency, an eating disorder intensive outpatient program, Hanna Perkins (a psychoanalytic therapeutic school), and Cleveland Clinic's Center for Autism. In these settings the resident will gain value experiences outside of the confines of Cleveland Clinic. These rotations provide a deeper connection and understanding of the system of services available to patients through multidisciplinary teams.
Didactic conferences are held throughout the year on Mondays and Wednesdays from noon to 1 p.m. The Psychiatry and Psychology Departmental grand rounds are held weekly on Thursday. The didactic schedule covers basic tenets of child and adolescent development, psychopathology, biologic treatment, and psychotherapeutic interventions as well as more specialized lectures. All faculty participate in these lectures providing a breadth of exposure to different teaching styles. Case conferences are held monthly and include all residents and faculty. Supervision over all resident patient care is provided on a one-to-one basis by staff attendance. Education is given priority in all cases over service demands in our program.
A multitude of clinical research opportunities are available throughout the Department of Psychiatry and Psychology. Each resident is required to complete an annual academic project throughout his or her tenure within this program. This consists of a poster presentation and/or journal submission. If the resident is more clinically focused he or she has the option of developing an academic didactic to present to the section. A one-half day a week protected time is provided to all trainees to pursue scholarly activities
The Child and Adolescent Psychiatry Department not only participates in the training of child and adolescent psychiatry residents. We dedicate ourselves to fostering the education of general adult psychiatry residents from Cleveland Clinic as well as from the MetroHealth Healthcare System. Medical students from Cleveland Clinic's Lerner College of Medicine and Case Western Reserve University also regularly rotate through our program. Residents are actively involved and highly valued in the training and teaching of these medical students and residents.
Training and Education Contacts