Rotations

Medicine or Pediatrics (4 blocks)

Neurology (2 blocks)

Inpatient Psychiatry & Night Float (6 blocks)

Risk (1 block)

Psychiatry Rotations

• All interns start together on inpatient psychiatry at Harborview Medical Center.
• All residents complete 4-5 months of inpatient psychiatry at Harborview Medical Center.
• Residents complete 1 month of inpatient psychiatry at VA Medical Center.
• Rotations expose the PGY-1 resident to inpatient psychiatry, the psychiatric emergency room, and the civil commitment process.

Medicine/Pediatrics

• All residents complete 4 months of medicine, pediatrics, or a combination of the two.
• Medicine rotations are a mixture of Ward Medicine, Emergency Medicine or Medicine Consults.
• Pediatrics is Ward Pediatrics
• Call is taken according to the schedule of intern call on your current service.
• Residents complete 1 month of Risk. This rotation provides coverage for psychiatry interns on unexpected leaves from Medicine rotations.

Neurology

• All residents complete 1 month of Adult Inpatient Neurology at UW or VA medical centers.
• A second month is required, and may be satisfied by Adult Inpatient Neurology, Pediatric Neurology Consults, or completing an outpatient clinic neurology rotation which is deferred to later in training.
• Neurology call, if applicable, is taken according to the schedule of intern call.

Inpatient Psychiatry (3 blocks)

Consultation-Liaison Psychiatry (4 blocks)

Emergency Psychiatry (1 blocks)

Night Float/Risk/Float (2-3 blocks)

Electives (2-3 blocks)

Continuity Clinic (1/2 day/week from Sept-June)

Psychotherapy Training

• One half day per week of outpatient continuity clinic begins this year, and continues through PGY-4 year
• Residents follow patients for prolonged time periods
• Residents see patients for psychotherapy with individual and group supervision
• Clinic day includes weekly seminars in supportive psychotherapy, psychodynamic psychotherapy

Psychiatry Selectives

• Two months of the PGY-2 year are used for psychiatry selectives
• Options include inpatient child and adolescent psychiatry, outpatient addictions, community psychiatry (recovery model), research, geriatrics, teaching elective, neuroradiology, integrated care, and perinatal psychiatry.

Night and Weekend Duty

• 4-6 weeks psychiatry nightfloat (no daytime duties)
• Approximately 18 weekend shifts, 10-14 hours each, during PGY-2 year
• Shifts are supervised by an attending physician available in-house (Harborview) or by phone (UW and VA).
• Shifts are in-house at Harborview, home call at UWMC or VAMC

What if I enter as an PGY-2?

• Your program will be modified based on your prior training and future needs.
• In general, your PGY-2 year will include  6 months inpatient psychiatry, 4 months consultation-liaison psychiatry, and 1 month of emergency psychiatry although this may be modified if you have completed a Psychiatry PGY-1 year.
• You will do 6 weeks of nightfloat in your PGY-2 year, in 1 to 2 week blocks.  Your continuity clinic and PGY-3 and PGY-4 years will be similar to those of residents entering at the PGY-1 level, except for an emergency psychiatry rotation in the PGY-3 year and neurology, as needed.

Required Rotations

• 12 months outpatient psychiatry
• Includes continuity clinic and (if not already completed) child and adolescent psychiatry, addiction psychiatry, geriatric psychiatry.
• Other outpatient rotations are elective and include community mental health, medication management clinic, additional psychotherapy experience, community clinics serving sexual and ethnic minority and other underserved groups, couples and family therapy.

Psychotherapy Training

• Outpatient continuity clinic continues 1.5 days per week
• See outpatients under individual and group supervision
• Continuity clinic day includes a weekly seminar in basic cognitive behavioral therapy

Night and Weekend Duty

• No nightfloat
• Roughly 2 calls or less per month
• Combination of solo and training call (training and teaching junior residents on call)
• 4 weeks of second backup call per year, called in for emergent illnesses/absences only after the risk pool resident

Required Rotations

• One day per week of continuity clinic
• One half day per week of primary care consultation
• Completion of any remaining requirements postponed from prior years

Elective Opportunities

A partial list of opportunities available in the PGY-4 year includes:

• Community clinics
• Couples and family therapy
• Research rotations
• Dialectical behavior therapy
• Community mental health centers
• Student health centers
• Neuropsychological testing
• Teaching or curriculum development
• ECT certification
• Some residents will be offered time for their chief resident responsibilities
• PGY-4s may complete additional inpatient, consultation-liaison, or emergency psychiatry rotations
• May rotate as a junior attending
• Residents planning to complete child and adolescent psychiatry training may begin in the PGY-4 year

Night/Weekend Duty

• No nightfloat
• Roughly 1 call per month
• Combination of solo and training call (training and teaching junior residents on call)
• 4 weeks of third backup call during the R4 year (called in for emergent absence/illness only after risk and second back-up)

Adult Medicine Clinic
Behavioral Sleep Medicine (CBTi)
Electroconvulsive Therapy (ECT)
Geriatric Medicine
Geriatrics Memory and Brain Wellness Clinic (MBWC)
HMHS Geriatric Psychiatry Services Clinic
Intake and Brief Intervention Service (IBIS)
Intensive Addictions
Leadership in Medicine
Madison HIV/AIDS Clinic
Neurology
Neurology Memory and Brain Wellness Clinic (MBWC)
Neuropsychiatry Clinic
Perinatal Collaborative Care
Psychiatric Emergency Services (PES)/QI (Quality Improvement) Elective
Rehabilitation Team
Sleep Medicine

Child Autism
Child Behavioral Health Integration Program/Collaborative Care (BHIP/CoCM)
Child Consults
Child Outpatient Clinic
Child Study and Treatment Center (CSTC)
Psychiatry and Behavioral Medical Unit

Addictions Outpatient Clinic
Advanced Behavioral Teaching Clinic in Transplant
Behavioral Health Integration Program/Collaborative Care (BHIP/CoCM)
Counseling Center Student Mental Health
Dialectical Behavior Therapy (DBT)
Geriatrics
Global Health
Implementation
Integrated Care Didactics
Intro to Population Mental Health
Leadership in Neurodevelopmental Disabilities (LEND)
Maternal Infant Care Clinic (MICC)
Obsessive Compulsive Disorder Clinic
Outpatient Clinic (OPC)
Outpatient Group Therapy
Outpatient Psycho-Oncology/Fred Hutchinson Cancer Center
Pain Clinic
Perinatal Psychiatry
Transplant Psychiatry

Acceptance and Commitment Therapy Rotation
Addictions Treatment Center (ATC)
Advanced Psychopharmacology
Couples and Family Therapy
Electroconvulsive Therapy (ECT)
Forensics: Psychiatry Research
Forensics: VA Mental Health and Justice
Geriatric Research Education and Clinical Center (GRECC)
Junior Attending Month
Long-term Care Clinic (LTCC)
Geriatrics
Neurology
Neuroradiology
Personal Recovery and Rehabilitation Clinic
Primary Care Mental Health Integration (PCMHI)
PTSD Clinic
Telepsychiatry
Trauma Focused Women’s Mental Health

Asian Counseling and Referral Service (ACRS)
Brain Stimulations Elective (Seattle Neuropsychiatric Treatment Center (NTC)
King County Correctional Facility (KCCF)
Lummi Mental Health for Tribal Communities
PACT (Program of Assertive Community Treatment) at Downtown Emergency Service Center (DESC)
Sound Health
THIRA Health
Washington Corrections Center for Women (WCCW)
Washington Physicians Health Program (WPHP)