So is it better to go to a program that has a psychology training program with psychology trainees? Or does that not matter as long as they have good psychologists?
i dont think it matters too much if their are psychology interns though any academic medical center or VA will have them (they're like cockroaches [adorable cockroaches i might add] they're everywhere). We had psychology interns in some of our supervision groups and shared office space with them on inpt etc. in some ways it might be better if there arent so many of them as psychologists will always train their own first.you might want to have the psychologists all to yourself.
Also, what's the best way to evaluate a residency's psychotherapy training? Every time I ask about it, residents and faculty tell me they get trained in "everything," which I know is probably not true.
location, location, location. Major coastal metropolitan areas (there are some notable exceptions to this of course), are the best places to train in psychotherapy. Part of this is because psychotherapy is a cult (or lots of different cults) and this is where their disciples settled. Also this is where patients capable of benefiting from therapy settle. Most of the country the people are beyond help. They are not going to benefit from therapy. That is why 50% of counties lack a single mental health provider. You also want to consider whether psychotherapists have strong roles in education in the department. that is obviously a good sign. for example Penn, Columbia, and Drexel are examples of program where some psychotherapy educator is heavily involved in residency training/administration (there are many more examples).
Another thing that is ideal but quite rare: do you have the opportunity to see a master psychotherapist actually do therapy? I believe they do this at Penn (at least they used to). The residents would watch a therapist through the mirror doing a course of brief therapy. Do they have a large cadre of clinical faculty out in the community supervising residents?
Personal psychotherapy: While I am not sure one has to have their own therapy to be a good therapist (I avoided it even though it was a requirement at my program for graduation) it is obviously a learning experience - do they offer free or heavily discounted therapy to residents? how many residents are in therapy? in analysis? how many are doing the certificate course at the analytic institute? how many are doing the full training? How many hours of psychotherapy supervision do residents get? Is it easy for them to get to therapy and supervision (can be difficult if service wont let you leave).
Patient selection: do you just inherit all the hopeless cases from graduating residents? (even the top programs do this bs) do they select patients that are appropriate for therapy? This is probably a silly question because most resident clinics by definition are full of the worst possible patients for therapy (they would see someone real if they were any decent, there are plenty of options even for those w/o insurance) but there are some ways round it. For example if you get to do therapy in the student health center at the local university that will be good. Or how many college or grad students do they have come to the resident clinic? Are they good at getting medical patients into the resident clinic? (patients coping with serious diagnoses are often excellent fodder for beginning psychotherapists) Will they let you get rid of patients who you hate? (very important - you can't help patients you don't like).
Resident selection: do they select residents who are interested in psychotherapy? are the residents psychologically minded? (it is disturbing how many people go into psych with less psychological mindedness than a brittle borderline) are there additional psychotherapy related activities (interest groups etc) that are resident-led?
Culture of program: Is there a movie night or book club with analyst discussants? Do they have a reading group for going through classic papers in psychoanalysis? Do residents go to therapy realted conferences like APsaA? Do resients go on additional training in MBT etc together? Do thery have therapy realted grand rounds? Do they have clinical case conferences with different psychotherapists? Do they have invited speakers or endowed lectures that are therapy related? Are there psychotherapy research studies going on? Do they allow residents to participate as therapists in clinical trials? Do they invite psychoanalysts onto the inpatient unit to interview patients for training purposes? Do they have a psychologist on the c/l service? Is the dept run by biological psychiatrists who are intent on killing off the analysts? Another thing to look at is the faculty practice. Is there one? and are the psychiatrists offering psychotherapy in their faculty practice? That is going to be a good sign that the people you have most interaction with in your training are actually psychotherapists. UCSD for example takes a 50% cut on faculty practice, thereby punishing/discouraging their faculty from doing psychotherapy. There was no faculty practice where I did residency though they allowed faculty to do psychotherapy as part of their regular job.
Hours: How many psychotherapy patients is it expected you carry? Can you see therapy patients in the non-resident clinics? Do you have the chance to do group therapy on inpt psychiatry or brief therapy on the c/l service? When a patient drops out are they quick at finding new patients or could you wait months without a patient in that slot?
What's not important: didactics or the number of psychotherapy didactics. particular for each alphabet therapy. waste of time.