PGY1s
Abigail Cone, MD
Hometown: Eugene, OR
Undergraduate College: Seattle University
Medical School: Washington State University
Why did you choose UW Psychiatry?
I was drawn to UW’s psychotherapy focus and the broad range of experiences offered within psychiatry. I have lived in the Seattle area for nearly 15 years, and knew I wanted to stay local for residency; I feel incredibly lucky to be able to train in a state that I love with a program that nurtures our clinical and personal growth.
Career Goals
Clinically, I am interested in both women’s mental health and addiction medicine, and would love to eventually work somewhere I can do a mix of inpatient and outpatient medicine. While I am still working on specifics, there are multiple patient populations I really enjoy working with, particularly adults with intellectual disabilities, and I hope to be able to somehow combine all my passions in the future.
Clinical Rotations
- 4 months Harborview inpatient psychiatry
- 1 month VA inpatient psychiatry
- 2 weeks Harborview inpatient psychiatry night float
- 1 month Harborview Medicine
- 1 month Harborview Medicine Consults
- 1 month VA Medicine
- 1 month Harborview Emergency Medicine
- 1 month UW Montlake Neurology
- 1 month VA Neurology
Sunday
We head to another park today, but this one has amazing water views up in Shoreline! I trail run a few miles with our dog, while my partner and son mountain bike ahead of us. We go to an amazing local poke spot in Edmonds for lunch (seriously the freshest fish I’ve ever had), and then go home for the toddler’s nap time. We meet up with my sister for dinner near the waterfront of Lake Washington; most of my family lives out of state, so I feel very lucky to get to do residency with my sister so close by!
Monday
I am on inpatient psychiatry this week, so I come in to Harborview around 7:15 to chart check on my patients. After a brief meeting with our amazing attending at 8 to go over patients, we split up and interview our patients individually. Morning is filled with meetings with social work, calling consults, and putting in orders. We have educational conference at noon, which means free lunch! Then back to patient care and writing notes. I head home around 4:30, plenty of time to play with my toddler before making dinner.
Tuesday
I come in to the hospital a little earlier today, around 6:45, since we have a half day training off campus, in order to get ahead on notes and orders. Our team of residents, medical students, and attending see the patients in the morning, then we leave campus around noon.
Today we drive to the UW tower for our de-escalation training; learning to sense when a patient is getting agitated, tips for verbal de-escalation and what to do if someone becomes physically aggressive. Includes lots of practicing getting out of simulated holds! I head home around 4pm, and go for a quick run along the bike path near my home.
Wednesday
Another beautiful day in IP psych! I see all my patients with the medical students and attending, and attend chief teaching at 11am; the topic today is about signing out effectively. I spend the rest of the afternoon writing notes, calling collateral, and putting in consults. I head home around 5pm, and meet up with my partner and son at one of the many amazing breweries in our neighborhood for dinner.
Thursday
I drive to Harborview around 6:30 today to get an early start on chart checking and seeing my patients. Thursday is our typical didactic day, so we divide up the work so everyone is able to leave by 11:30 to get to Northwest Hospital. I drive about 20 minutes north of downtown to Northwest, just in time for noon rapport; today the senior residents are presenting on the various pathways available within the residency. Afternoon didactics fly by, and I get home just after 5pm since my home is close to Northwest.
Friday
Wash, rinse, repeat. At this point in the week, I know all my patients pretty well and chart check goes much faster, so I am able to spend more time checking in with them. We have a new admission, and I sit with the medical student while they obtain the H&P and then add questions as needed, along with our attending. We wrap up our hand-offs with weekend to-do’s for our patients, and I head home just before 5. My partner and I have childcare tonight, so we try a restaurant in Ballard that exclusively cooks over open flames- so delicious!
Saturday
I wake up with the sun (because my toddler refuses to sleep in) and get started on laundry and cleaning I’ve been putting off all week. My family heads out to a park so my son can burn off some energy, then we head up north to Mountlake Terrace for a friend’s birthday party at a local brewery.
Srivarun Tummarakota, MD, MPH
Hometown: Peoria, Illinois
Undergraduate College: Vanderbilt University
Medical School: University of Miami Miller School of Medicine
Why did you choose UW Psychiatry?
Having never lived on the West Coast, and only having visited Seattle 1x in my life for that matter, UW was a gut choice for me. I knew I wanted a program that excelled in psychotherapy training which meant PGY-2 therapy patients, having multiple supervisors, and a psychoanalytic institute in the city. UW had all these plus more, including being the birthplace of DBT!
Where UW continues to excel in my opinion is that there really isn’t a psychiatry focus that isn’t represented in a meaningful way here. Our inpatient experience allows you to understand and treat SMI in a major U.S. city. Innovative models of psychiatric care like collaborative care originated here. And those interested in a research-based career will find mentors who are willing to include you in their work (it just a single email for me!)
While I did find many of these qualities at other institutions as well, where UW got me was how I felt after my interactions with the people. I left my 1:1 conversations and my interview day with a smile on my face every time. My friends could also tell UW was the program I was most excited by and those things matter. You want to end up somewhere that you’re going to be a whole person, not just a resident! So go with your gut, and I hope your gut says UW too!
Career Goals
I’m primarily interested in the intersection of palliative care and psychiatry. I am particularly excited about the role of neuromodulators like psyilocybin, MDMA, and esketamine on helping individuals move through death and dying. My other professional interests include American-Indian/Alaska Native healthcare, LGBTQ+ psychiatry, and global mental health. Always looking for tips on how to structure a career to include all of these!
Clinical Rotations
- 4 months Harborview Inpatient Psychiatry
- 1 month VA Inpatient Psychiatry
- 2 weeks Harborview Inpatient Psychiatry Night Float
- 1 month Harborview Medicine
- 1 month Harborview Medicine Consults
- 2 months SCH Pediatric Wards
- 1 month SCH Ambulatory Pediatrics
- 1 month SCH Pediatric Neurology
- 1 month VA Neurology
How many hours on average do you work each week?
40-50
How often do you work nights and weekends?
About one weekend day per month when on service; when off service general medicine/pediatrics wards tend to be more weekends
Sunday
Daytime: I’m currently on general inpatient pediatrics as part of my off service rotations. Inpatient pediatrics starts at 6 AM, which is a bit earlier than I like to be up 🙂. The inpatient teams at Seattle Children’s follow a similar structure to most wards team where you pre-round on patients until around 8:30/9 AM and then round with the attending. Afterwards there is always a mixture of tasks including parent/caregiver conversations, putting in orders, and writing notes. While it was a transition to start pediatrics after having last done a pediatric rotation 2.5 years ago, everyone has been really helpful here! I finished around 5 PM and signed off to the night team.
Evening: Enjoyed meal prepping for the upcoming week, re-watched episodes of Insecure on HBO, and rested up!
Daytime: Similar to Sunday, except I’ll mention here that while working at Seattle Children’s you get access to their lovely cafeteria! I’ll usually grab a protein shake in the morning, have lunch provided during noon conference, and then use my remaining meal money to eat dinner before I leave. There are a lot of nice perks about residency at UW including free public transportation and a generous retirement 403(b)! Definitely something to factor as you’re looking into programs.
Evening: Went on a long run at Seward Park and then sat down at the beach and enjoyed a nice view of Mt. Rainier. I’ve never lived anywhere with mountains and getting to see a giant volcano on the skyline every day is pretty surreal.
Tuesday
Daytime: Similar to Monday (sense a pattern?).
Evening: Seattle has been having a “heat-wave” which means that it’s above 85 degrees. Not sure if that counts, but it did mean that I met up with a friend to swim at Madrona Park. One of my favorite things about Seattle so far is how accessible green spaces and nature are within a city.
Wednesday
Daytime: Day off! The inpatient pediatrics wards schedules are a bit random, meaning that you work certain weekends and get other days off. While it definitely makes for an unpredictable month, I appreciate that I don’t work more than 4 days in a row. In general, UW does a great job with work-life balance in my opinion. Ultimately, we all need some stress in order to grow, and the psychiatry department here helps create that stress in a contained environment where you have access to attendings and senior residents to help you through it.
Evening: Met up with a friend and went to Madison Park beach given that it was 91 outside. Lake Washington is a great place to hang out and enjoy an evening whether that’s a swim, run, or a lay in the Seattle summer sun.
Thursday
Daytime: Thursdays are didactic days, which means lectures in the afternoon. When you are on your pediatric inpatient rotation, you get the full day off for didactics which helps with recovering from the 6 AM wake ups. This week I worked out at Barry’s in the morning and then met up with a friend for coffee at Macrina Bakery. It was a lovely day so we took a long walk through one of the beautiful neighborhoods in Seattle. In the afternoon, I spent the day learning about catatonia (such an interesting syndrome we get to treat as psychiatrists) and personality disorders. The attendings who deliver our didactics are truly the best and are committed to our learning. So far, I’ve been very impressed with the quality of education I am receiving!
Evening: Used the evening to catch up on “adulting.” Figured out my health insurance, auto insurance, and all the other fun things that come with getting your first paycheck!
Friday
Daytime: Back to Seattle Children’s for another 6-5!
Evening: Went to a free bluegrass concert at a local venue in my neighborhood. I’ve been pretty surprised by how community-oriented Seattle is, and the concert definitely highlighted that! Afterwards, I went to a R2’s house to celebrate the end of their intern year and ended the night with some great street tacos in Capitol Hill.
Saturday
Daytime: Spent the morning catching up with friends. West Coast time zone has meant finding new routines with my friends, but we’re slowly figuring it out! Afterwards, I went to Daytrip, an EDM and house music festival, with a co-resident and my roommate! Coming from Miami, I was curious what the nightlife/music scene in Seattle would be, and it hasn’t disappointed! If anything, the people here don’t film shows and sets as much, which has been very refreshing.
Evening: The festival ended at 9 PM and standing for that long meant I promptly got ready for bed.
PGY2s
Gina Leipertz, MD, MGH
Hometown: Seattle, WA
Undergraduate College: New York University Shanghai
Postgraduate School: University of Sydney
Medical School: Washington State University Elson S. Floyd College of Medicine
Why did you choose UW Psychiatry?
I wanted to return home to Seattle not only to be close to family and friends, but also to begin my psychiatry training in the communities where I grew up, which is very important to me. Beyond being home, the University of Washington offers a strong academic program with diverse training opportunities, outstanding mentorship, and excellent education on how to become an academic psychiatrist. Being back in Seattle also gives me the chance to continue working on my garden (cucumbers are my specialty!) and to spend more time reconnecting with nature.
Career Goals
While I am still sorting out the specifics of what I want to do long term, I know that I want to continue working with diverse communities, with a focus on cultural and community psychiatry in Washington State. I would also like to stay involved in research, particularly in public health, health equity, and implementation science. Additionally, I could see myself staying at the University of Washington as a clinical educator or research faculty member—but we’ll see!
Clinical Rotations
- 2 months – Harborview Inpatient Psychiatry
- 2 months – Harborview Consultation-Liaison Psychiatry
- 2 months – VA Outpatient Geriatric Psychiatry
- 1 month – Harborview Psychiatric Emergency Services
- 1 month – Seattle Children’s Inpatient Psychiatry
- 1 month – UW Medical Center–Montlake Consultation-Liaison Psychiatry
- 1 month – Northwest Hospital Consultation-Liaison Psychiatry
- 1 month – Northwest Hospital Inpatient Psychiatry
- 2 weeks – VA Night Float
How many hours on average do you work each week?
Approximately 40-70 hours, depending on the week or call schedule.
How often do you work nights and weekends?
About 1-2 weekend days or nights per month, plus two weeks of night float each year.
Sunday
I spend time with my parents, sister, and our family dogs. During the summer, I’ve been puttering around in my garden and going on gathering excursions with my family, including morel mushroom hunting, fishing, and huckleberry picking. I usually spend the evening getting ready for the workweek by doing laundry and meal prepping.
Monday
I am currently rotating at the Puget Sound VA in the outpatient geriatric psychiatry clinic. I wake up around 7 am to make coffee and breakfast before driving to the VA, where I arrive around 8 am (Parking is free!)
I usually have three follow-up patients, most of whom I see via video visits. Since I am at the beginning of my rotation and this is my first outpatient psychiatry experience, the geriatric psychiatry attending joins me at the end of each visit to help finalize the treatment plan. After clinic, I spend 30 minutes to an hour with the attending discussing topics such as dementia workups, managing agitation in older adults, and deprescribing.
My workday wraps up around 4:00 p.m. after I finish my collateral calls, notes, and orders. Afterwards, I usually head to the gym and then grocery shop for the week. Recently, my partner (who lives in Los Angeles) and I have been playing Stardew Valley together online, so I often end my evening tending to my virtual farm.
Tuesday
I arrive at the VA around 8 am for a follow-up video visit, followed by an hour to prepare for a new patient intake. I review CPRS and read about treatment options for PTSD before the appointment.
The intake is conducted over video and takes a few extra minutes to set up with the veteran’s caregiver. After the 90 min interview, I call the veteran’s son to obtain additional collateral information. I then met with my attending for supervision, where we develop a treatment plan and discuss management strategies for agitation in patients with cognitive impairment and PTSD.
Since I will be on this rotation for two months, I schedule the veteran for a follow-up appointment in three weeks to assess their response to medication changes.
One of the reasons I chose this VA rotation and the VA as my continuity clinic is because my mother also works there! I also enjoy caring for veterans and am considering working at the VA after residency. I spend lunch with my mother and her coworkers before returning to my office to complete notes and orders. I leave around 5 pm and head back to my apartment in First Hill. I spend the evening making dinner and finish the night watching Game of Thrones.
Wednesday
I start my day at 8 am by joining the geriatric psychiatry fellowship didactics over Zoom. My first patient is a follow-up visit, and during lunch I walk through Jefferson Park to the Beacon Food Forest.
In the early afternoon, I complete a new patient intake that occupies most of the afternoon. At 3:30 pm, I join the other psychiatry residents on the geriatric outpatient rotation for group supervision, where we discuss our intake cases. I finish my note around 5:30 p.m. before driving to my parents’ house in North Seattle for dinner and time with our family dogs.
Thursday
Since I do not have clinic scheduled in the morning, I spend the time reading about geriatric psychiatry. At the beginning of each academic year, we receive a $500 educational stipend, which I used to purchase several psychiatry textbooks.
Around 11 am, I drive to Northwest Hospital. One of my favorite parts of our residency program is our weekly T-group, where our class meets for an hour before didactics to talk about everything from challenging clinical experiences to life updates.
Didactics finish at 5 pm and afterwards, I take a quick nap in my car before heading to rec soccer with a team I’ve been playing with since I was in high school.
Friday/Saturday
On Friday, I have three follow-up appointments—two by video and one in person. During my lunch break, I run into a friend from medical school who recently started diagnostic radiology residency at UW.
My last patient finishes around 4pm , and I complete my notes and other tasks by 5pm I head home to take a quick nap and pack snacks before my overnight call at Harborview.
I receive sign-out at 7:45 pm and spend the first few hours completing outstanding tasks before seeing several consultation requests throughout the hospital. Around 4 am, I finish my notes and head to the call room for a couple of hours of sleep. Luckily, my pager doesn’t go off during my two-hour nap!
I give sign-out to the day-call resident at 7:45 am and walk home. After sleeping until around 2pm, I spend the rest of Saturday with my sister, hosting dinner and playing Chinese card games at her place.

Carlos Escutia Rosas, MD
Hometown: Lynnwood, WA
Undergraduate College: University of Washington
Medical School: Rush Medical College
Why did you choose UW Psychiatry?
I grew up in the Seattle area, and returning to UW allows me to serve the communities that shaped me. I was especially drawn to the program’s strengths in child and adolescent psychiatry, LGBTQ+ mental health, and its focus on underserved populations across Washington. I also missed being surrounded by nature and always knew I’d eventually come back for that reason.
Career Goals
I plan to pursue child and adolescent psychiatry with a focus on LGBTQ+ youth, immigrant families, and undocumented communities. As someone with lived experience navigating the mental health impact of legal vulnerability, I think a lot about how changes in immigration policy affect people’s sense of safety, belonging, and stability. I hope to develop models of care that are trauma-informed, culturally responsive, and grounded in advocacy. Long-term, I want to contribute to efforts that expand access to mental health care regardless of immigration status.
PGY3s

Sarah Byron, MD
Hometown: Bellingham, Washington
Undergraduate College: University of Washington
Medical School:University of Washington
Why did you choose UW Psychiatry?
When I was applying to medical school, I had dreams to sowing my wild oats at another institution but thought it was best to stay close to home and my support systems and that proved to be vital through my 4 years of training. Understanding that, I wanted to remain close to home through training as well. I had my husband to think about too who also has family in Bellingham, a job in the area, and friends too so interpersonally, it made sense to stay.
But that was an easy decision to make because over the last +10 years of being a husky, I’ve really grown to love being a part of the UW. It feels so trivial to say this as if it’s not the case elsewhere but people CARE here. When I was rotating through Harborview, whether that be on my IM or psych rotation, I felt like trainees across the board were enthusiastic, generous, and cared about their patients and the practice of medicine. The psych residents in particular were great to work with. They seemed to have a life outside of medicine and were able to be themselves at work (at least from what I could tell on the outside). This made me feel good about deciding to hopefully match here.
And I am glad I did because I’m the happiest I’ve been in my adult life. The work is hard, yes, and it’s rewarding. To be fair, I come from a long line of workaholics so I enjoy the grind but still, I love being a psychiatrist. It blows my mind that I get to care deeply about people to their face, get paid well to do it, AND be home by 6 most days!! Sign me up!!! I feel like our education is really strong as is the on-the-job learning with the varied sites, acuity, patient populations, and resources. But I think the thing I love most about training so far is my co-residents. Truly truly, some of the coolest, empathic, thoughtful, hilarious, silly, humanizing, socially-engaged people I have ever met. And it seems to me that that is the norm for trainees recruited here which makes it even more enjoyable to learn and grow in this space. I am so glad I am here.
Career Goals
I am failing miserably at convincing myself I don’t want to do addiction fellowship lol. So I am planning on applying in a years’ time. I am also loving my psychodynamic psychotherapy training so far and have half-a-mind to do the 2-year SYPS analytic training program in conjunction with fellowship. I’m definitely an inpatient-person so I plan to go back to Bellingham to practice at my local hospital when I am fully graduated.
Clinical Rotations
- UW Transplant Clinic
- HMC Madison HIV Clinic
- VA Long-term Care Clinic
- VA GRECC and Mental Health Clinic (Geriatric Psychiatry)
- Seattle Children’s Hospital Outpatient Child Psychiatry
- UW Behavioral Health Integration Program/Collaborative Care
- Scholarly Time
Monday
I spend the morning in Transplant Clinic at our academic hospital seeing both donors and donor recipients for a comprehensive psychiatric evaluation. In the afternoon, I head to Harborview and see folks in the Madison Clinic, one of our community’s HIV clinics, many of whom were admitted to Harborview’s inpatient psychiatry unit. It’s not always that we get to see patients from inpatient settings doing well in the outpatient setting so this has been especially enjoyable.
Tuesday
I have the morning free to do administrative tasks for both the Antiracism Committee (which I co-lead with Mahtab) and the UW Network of Underrepresented Residents and Fellows (of which I am the president). In the afternoon, I see new intakes or follow-ups in my continuity clinic at the VA.
Wednesday
I spend all day at the VA in both the neuropsychiatric outpatient clinic and more general geriatric psychiatry clinic.
Thursday
My morning is spent at Northwest Hospital attending didactics with my afternoons usually free for independent learning, baking, cooking, and/or working out.
Friday
I’m at the VA all day for my continuity clinic which I’ve enjoyed a lot thus far!

Mahtab Brar, MD
Hometown: Seattle, WA
Undergraduate College: Oregon State University
Medical School: Oregon Health and Sciences University
Why did you choose UW Psychiatry?Â
I always wanted to come back home to Washington after completing my medical training, so doing my training in Washington was only natural. While geography certainly played a role in my decision, it was my interactions with the people in the program that pushed UW over the top for me. The warm, welcoming, and diverse cast of residents and faculty made UW a very appealing environment for me. Additionally, you can’t go wrong with the endless amounts of food, hiking, soccer, and activities available in Seattle.
Career Goals
The only certain part of my career goals for now are the desire to practice in a more rural locale. Otherwise my career interests are constantly in flux and at this point all I know is that I made the right choice in pursuing psychiatry.
Clinical Rotations
- Monday: Recovery team (OP for SMI)
- Tuesday: LTCC (long term general psychiatry clinic
- Wednesday: Memory Brain and Wellness Clinic in AM, Research in afternoon
- Thursday: Didactics
- Friday: LTCC, Research in afternoon
How many hours on average do you work each week?
40ish hours per week (inclusive of research time) in addition to call shifts
How often do you work nights and weekends?
About one day per month, typically a weekend but sometimes have the odd weekday call shift
Monday
Daytime: I currently am at Recovery Clinic, where we see folks with SMI for most of the day. I am new to the service, so I spend the majority of the day shadowing my attending. Outpatient life is great, my first patient is at 9AM and I’m out the door by 4pm. My clinic is so close to my apartment that I go home for lunch and make myself a protein shake.
Evening:Â Jog over to the gym to hit leg day. Come back home, do some journaling, marinate chicken, figure out how to use my Ninja Creami.
Tuesday
Daytime: Before work, I jog to the gym and hit arm day. I’m at my long term care clinic at the VA on Tuesdays. This is similarly from approximately 9am until 4-5pm. I only have one intake scheduled for the day since 3rd year just started, and use the rest of the day to catch up on other tasks.
Evening: Play in my mens soccer league! Afterwards, eat and sleep.
Wednesday
Daytime: I am at the Memory Brain and Wellness Clinic on Wednesday mornings. My attending is out so I have the morning to myself. I have a lazy morning and mostly just clean my apartment/couchrot. I have supervision at noon with a psychotherapist for my psychotherapy patients.
Evening: I have the afternoons blocked off for research time, so I do whatever tasks are pending at the time. This is followed by couchrot until I play with the internal medicine residents on a co-ed soccer team at night.
Thursday
Daytime:Â I have didactics from 8-12. CBT seminar has not started yet, but we should have that in the afternoon.
Evening:Â Feeling lazy today, so I work out at my apartment gym then sit around. Play video games for the rest of the night.
Friday
Daytime: I have my long term care clinic again Friday AM, see folks.
Evening: I also have Friday afternoons for research, so I am off of clinic. I go down to Portland once clinical tasks are done to meet up with old friends and have dinner/play board games.
Saturday
Daytime: Wake up and meet up with old medical school classmates and play pick up soccer. Then, spent the afternoon at a beer garden with them watching the 3rd place world cup game before heading back to Seattle.
Evening: Driving back to seattle ft. Car karaoke
Sunday
Daytime:Â Watch the world cup final with some coresidents/people from my soccer team!
Evening:Â Get a quick HIIT workout in, call my family and facetime my niece.
PGY4s
Rob Chen, MD, PhD
Research-Track and Chief Resident for Research
Hometown:Â Cupertino, CA
Undergraduate College: University of California, Berkley
Medical School: Washington University in Saint Louis
Why did you choose UW Psychiatry?
In truth, I was very close to not doing residency at all. During my MD-PhD, a post-doc and I started a biotech company developing a microbiome-based platform for drug discovery and environmental remediation. My plan after finishing my MD-PhD was to run the company. Unfortunately (or fortunately) for me, my second-to-last clinical rotation was Psychiatry and I fell in love with it. It was the only medical field where I truly bore witness to the entire span of human emotion, cognition, and psychosocial experience. It was very humbling, and I wanted to take care of folks from all walks of life. UW was a natural choice because I was interested in translational research and drug discovery in Psychiatry. Its proximity to the Allen Brain Institute, Microsoft, and Amazon meant that UW would have collaborative opportunities to integrate AI into enriching therapeutic discovery. Plus, my wife matched to the Fred Hutchinson Cancer Center, so it was THE win-win situation!
Career Goals
I plan to start an academic research lab focused on biomarker and drug discovery for serious mental illness, such as schizophrenia and bipolar disorder. My hope is to quickly shuttle lab findings into early-stage biotech companies in order to get new treatments to patients who currently have few good options.
Clinical Rotations
Because of my focus on research, I purposely designed my R3 and R4 years to maximize research time. As such, during my R3 year, I was doing 3.5 days of research a week (one day of continuity clinic, half-day of didactics), and during my R4 year, I’m doing 4 days of research a week (half-day of continuity clinic, half-day of didactics). One of the great parts about UW’s curriculum is its ability to be incredibly flexible – most co-residents won’t be doing any research at all. This was especially important to me because I’m a new GIRL DAD!
How many hours on average do you work each week?
- R1 year: Depending on the rotation, it could vary widely. On risk, if you weren’t called in, it was close to 20 hours a week. On inpatient medicine, it was closer to 80 hours a week. Plus, after-hours, I was building up a research program, which I spent probably 20 hours a week on, regardless of the rotation I was on.
- R2 year: Usually, a steady 50-60 hours a week regardless of the rotation, plus the 20 hours a week of research I was doing after-hours.
- R3 year: Variable depending on rotation. While on child consults, I work a steady 40 hours a week with occasional weekend call. Clinic was light, and at most, would be 1 intake and 2-4 follow-ups (so no more than 6 hours). Again, I typically will work after-hours on research.
- R4 year: I’ll have ONLY follow-ups in my half-day of continuity clinic this year, and the rest will be research (and a half day of didactics). Research is never ending – so while I get incredible flexibility, the raw number of hours I work is probably as high as it goes in residency (80+/week).
How often do you work nights and weekends?
I work most weeknights and weekends on research, but that’s by choice. Unfortunately for me, I really love research and want to spend my career primarily doing research. So, in a lot of ways, it’s kind of like “play”? It’s a break from clinical duties, and I get to think actively about topics I’m interested in. I’m a glutton for punishment, I know. R4 call burden is fairly low (one of the amazing perks of having a large program). Most call shifts will be training calls, which I love – it’s my way of paying it forward, as I had wonderful trainers when I was a R1.
Sunday
Sundays are typically pretty low-key. I’ll usually find a few activities to do with my wife and daughter. We also spend a lot of time with the dogs (which they love), and will usually be kind to ourselves as we recover from the work and play from earlier in the week. That might mean reading a couple of papers or a book, watching more than one episode of a show together, and calling both of our families over FaceTime to catch up. Since Monday is clinic day, my wife and I will typically pre-chart on our patients. If we have energy, we’ll typically get some research done as well. Rinse and repeat!
Monday
Every morning starts off with Taro, my lovable 80 pound German Shepherd, waking up and thumping his tail against the wall begging for pets. Sadly, that means I usually get up around 5 a.m. Taro’s older sister Azuki—she’s a pomsky who essentially looks like a small-to-medium-sized husky—gets up begrudgingly as well, mainly to get fed before going right back to sleep. Taro, however, is more energetic, and demands ball time, so I usually walk over to Green Lake park and throw the ball around with him before heading into work. Being a new dad, this also means taking care of my daughter, prepping things for daycare, lots of play time (reading her books, talking with her, tummy time, practice with sitting, etc. – all subject to change as she develops). This is my continuity clinic day. I’m at the UW outpatient clinic from 9 am – 12pm. After a.m. patients, I get to reward myself with a walk down University Avenue to pick up lunch from wherever I want – it’s a treat yourself kind of day. After lunch, I head to lab which is also on UW’s main campus – a short walk from clinic. After work, I pick up my daughter from daycare and it’s daddy-daughter and daddy-doggy time. My wife and I typically walk both of our dogs and our daughter before enjoying dinner, catching up on our days, and doing some research at night before going to bed.
Tuesday
Lab day! My lab days consist of a mix of computational work (I develop large language models, but for proteins instead of English) and wet lab (I study genetic causes of serious mental illness). I’ll have a few meetings as well to discuss collaborations with people inside and outside the lab. Afterward, I pick up our daughter from daycare. Of course, the doggos need a bit of loving, so my wife and I will cuddle with and walk them, have dinner, and turn on an anime (just finished Frieren, starting Apothecary Diaries) before heading to the gym. My wife and I both lift weights, and going to the same gym keeps us motivated, even when we’re feeling tired. If we still have energy, we’ll close the night off with some research. We’re both wiped, so for some extra support, we give the doggos an extra cuddle before heading to bed.
Wednesday
Pretty similar to Tuesday. Night time activities mid-week though are usually spent recharging. We’re less likely to do research, more likely to do take-out and grab a drink somewhere. Since we live in Green Lake, we really like Toast Mi (best Banh Mi’s in Seattle – and inexpensive!) and Project 9 Brewing – both have a very casual vibe, and Project 9 allows dogs and board games! Of course, gotta give the doggos a snuggle, and heck, we might even let them hop on the bed to recharge.
Thursday
In the morning, I have didactics at the Center for Behavioral Health and Learning at UW Northwest. Depending on how badly I need tea/coffee, I’ll either drive (if I need caffeine) or bike (if I had a good nights sleep, highly dependent on my daughter’s sleep). Honestly, didactics can sometimes be tough for me, and I frequently need to caffeinate between lectures. But I also really like didactics days because our whole class gets together, and I absolutely cherish our T-group. If you haven’t heard of T-group, it’s essentially a semi-supervised hour where our class gets to talk about anything. It’s a holding space, where we collectively celebrate vulnerability, honesty, frustrations, pain, wins, and mundanity with one another. It’s residency group therapy. Afterward, I head back to SCH to finish off the day before heading to happy hour with the class, usually in Capital Hill (although we’ve been all over: Ravenna, Green Lake, Greenwood, SLU, U District, etc.).
Friday
We made it! This is the day my lab has “lab meeting”, an all hands meeting where one person presents research updates from the past several months. It’s always invigorating because we don’t always keep tabs about what everyone in lab is doing at any given moment. So I get to see a lot of new science, things that worked as well as things that didn’t. Preparing for lab meeting is a big ordeal, since we usually only get one opportunity every few months. At night, my wife and I will usually go out for date-night so we can get some time to ourselves. We love cocktail bars, and some of our favorites include Phocific Standard Time, the Lonely Siren, and the Doctor’s Office (yes, you read that right). This is the last day our daughter is in daycare before the weekend, so we try to make the most of it together before we know we will be focused on daughter time.
Saturday
It’s the weekend, which means no daycare! That also means we get to spend all day with our daughter. We usually take her to our errands, which might be grocery shopping, returning things, or visiting friends. After a long walk with our daughter and the doggos in the morning, my wife and I will usually head over to Costco in Shoreline to pick up meal-prep essentials for the week. We’ll also stop by Asian Family Market to pick up more Asian ingredients and produce, as we cook a lot of Chinese and Korean Cuisine. Next to Asian Family Market is KiKi Bakery, which sells delicious “baos” (both sweet and savory). We’ll usually do most of our meal prep during the day on Saturday, and make sure to get a workout at the gym. At night, we’ll spend time with friends over drinks and board games. More and more, we’re doing hangouts with friends who also have kids. There is a mutual understanding of scheduling and responsibility that is helpful to commiserate over.
Jason Finkbonner, MD
Chief Resident for Harborview CL/PES
Hometown: Lummi Reservation/Bellingham, WA
Undergraduate College: Western Washington University (BA Politics/Philosophy/Economics, BA Business Administration- Finance concentration, BS Biology)
Medical School: University of Washington School of Medicine
Why did you choose UW Psychiatry?
UW has the best opportunities for working with and training in indigenous communities that were just unparalleled by other programs. The experiences UW offers across the psychiatry spectrum give us the freedom to find our niche in a very supportive learning environment. Seattle is a great city in a beautiful region with so much nature to explore. Our cohort is full of fantastic people that have been fun and supportive as we’ve gone through training and the large size makes our call schedules very manageable.
Career Goals
Going through residency in our program confirmed what I came in hoping for – I’ve been able to experience so many facets of psychiatry that have helped me see where I want to go from here. While I continue to consider CL Fellowship, my long-term goal has always been to work with Native American communities during my career. I’d also like to incorporate components of inpatient, interventional, and possibly private practice into my future work. What I’ve learned from my attendings is that many psychiatrists change and evolve their practice over the course of their long careers.
Clinical Rotations
- Monday: HMC ECT & Chief Resident Admin Time
- Tuesday: UW Outpatient Clinic (OPC)
- Wednesday: VA Neuroradiology & Chief Resident Admin Time
- Thursday: Didactics & Chief Resident Admin Time
- Friday: Chief Resident Admin Time & VA Forensic Mental Health and Justice
How many hours on average do you work each week?
Maybe one 12-hour call shift per month and some voluntary moonlighting shifts
How often do you work nights and weekends?
Varies by rotation but on average, 40-50 hours/week
Sunday
Day: Usually sleeping in, doing some laundry and yard work, might hang with some friends or see/call family.
Evening:Â Drive back to Seattle and get things ready for work on Monday.
Monday
Day: Wake up 0530 and chart review on ECT patients I’ll see that day. 0700 get to HMC and do a few ECT procedures until around 1100. As HMC CL and PES Chief Resident, I work with Rachel, the HMC Inpatient Chief, to lead our Monday Noon Conference, where we teach or have guest presenters for our attendings, residents, and medical students. Then 1300–1700 I have as protected chief time to attend meetings or do administrative tasks – sometimes I do this from home, other times at HMC.
Evening: Gym, dinner, walk our dog with my partner; try to be in bed around 2300
Tuesday
Day: Wake up 0600 and chart review on patients I’ll see that day. 0800 get to the UW Outpatient Psychiatry Clinic and see a full day of follow-ups with patients I met during R3 year for med management and/or therapy visits. Supervision at 1600 with three other residents.
Evening: Looks like Monday, maybe a friend comes over for dinner or we go on a Costco run.
Wednesday
Day: Head to the Seattle VA for a neuroradiology elective to review images with attendings with a personal goal of becoming proficient with lumbar punctures. Get to HMC mid-day to co-lead Chief Teaching for residents and medical students; then meetings and admin time for the remainder of the workday.
Evening: If it’s nice I might go paddle boarding with my partner and dog during the summer or try to get out on a brisk night walk during the darker, colder months. Otherwise, I try to make it to the gym or do something active. Probably end the night with watching some TV.
Thursday
Day: Didactics at UW NWH start at 0800 and go until 1200 or 1300. The rest of the day is catching up on charting, pre charting, emails, supervision, meetings, and more emails.
Evening: Often the Chief related admin work and emails extend into the evenings, but sometimes I’ll pick up a PES moonlighting shift from 1700-2300.
Friday
Day: 0800-1200 is also protected time for my Chief responsibilities and preparing and planning our teaching curriculum. 1300-1700 is a VA-based Forensic Psychiatry elective where we may go on field trips to places like a state hospital, a prison, or other relevant location. On days we don’t go to a site, we discuss relevant papers and Dr. Piel teaches.
Evening: My partner and I spend a lot of our weekends out of town, often to Bellingham, so we usually drive to where we’re going Friday evenings. Maybe get some food or drinks if we’re up for it.
Saturday
Day: Sometimes a call or moonlighting shift, but not very often. Usually, I try to get to a class at the gym at 0830, then coffee and chores around the house. In the summer we would probably be paddle boarding at the lake or on our friends’ boat.
Evening: Usually see some friends or just chill at home. Chief responsibilities keep going over the weekend with emails from residents on call or with additional admin work.