Rotations

Residents in the Idaho Advanced Clinician Track complete two years of training in Seattle in an academic university and urban center environment, followed by two years in the community setting of Boise, Idaho. Clinical rotations are designed to provide exposure to a wide variety of patient populations and experiences, increase levels of responsibility under supervision, and allow the resident to explore selected opportunities tailored to their interests.

PGY-1

As interns in Seattle, residents spend half the year fully incorporated with the medicine interns, serving on medicine, pediatrics, neurology, and pediatric neurology services. Composition of rotations between adult medicine and pediatric medicine is determined by a combination of resident preference and service need. The other half of intern year is spent working on inpatient psychiatry wards at Harborview Medical Center, the University of Washington Medical Center, and/or the VA Puget Sound Health Care System. One block of psychiatry night float is completed intern year during the psychiatry service months.

PGY-2

The second year in Seattle furthers education on inpatient psychiatry services, including inpatient psychiatric wards, consult-liaison psychiatry, emergency psychiatry (Harborview Medical Center), geriatric psychiatry, and child and adolescent psychiatry (Seattle Children’s Hospital). Additional blocks of night float are completed during the PGY-2 year. Residents are introduced to outpatient psychiatry as PGY-2s, working one half day per week in outpatient continuity clinics with supportive and psychodynamic psychotherapy cases. Educational seminars regarding these two modalities are included in the half-day of clinic.

PGY-3

Residents transition to Boise, ID for their third and fourth years of training, where a focus on community and integrated care psychiatry is emphasized. Residents have outpatient continuity clinics at the Boise VA Medical Center, Saint Alphonsus Medical Center, and either Boise State University Health Services or the Family Medicine Health Center. Other required rotations include St. Luke’s consult-liaison psychiatry on the medical and surgical wards, Idaho Department of Corrections, and the VA Residential Substance Abuse Treatment Center. Residents are able to choose from a variety of electives to complete their schedule. Rotations allow residents to experience outpatient treatment over the full course of the PGY-3 and PGY-4 years, crisis intervention training, group therapy, outpatient and residential substance abuse treatment, student health, and public psychiatry. Consultative and collaborative care models are on full display, as residents work with family medicine, internal medicine, psychology, social work, and counseling trainees.

PGY-4

Fourth year affords more time to explore electives in the community, and the small program size allows residents to craft unique experiences and rotations. In addition to this, continuity clinics (VA, Saint Alphonsus, St. Luke’s, BSU, and FMRI) continue through fourth year to provide trainees with two full years of patient continuity. Some examples of electives include sleep medicine, addiction psychiatry, forensic psychiatry, inpatient services, individual and group psychotherapy, collaborative-care, special population and community-based care, and more!

SUMMARY OF ROTATIONS BY YEAR

PGY-1

4 months med/peds
2 months neurology / peds neuro
6 months inpatient psychiatry
*1 block night float
½ day didactics weekly

PGY-2

4 months inpatient psychiatry
2 months child and adolescent inpatient psychiatry
2 months geriatric psychiatry
1 month emergency psychiatry
3 months consult –liaison psychiatry
*2 blocks night float
½ day psychotherapy continuity clinic (supportive and psychodynamic)
½ day didactics weekly

PGY-3

Outpatient psychiatry including continuity clinics (VA, BSU, FMRI)
Idaho Department of Corrections (1 day x 3 months)
Residential Substance Abuse Treatment (2 days x 3 months)
Saint Alphonsus consult clinic, bariatric clinic, and telepsychiatry (1 day x 9 months)
St Luke’s consult liaison (1 day x 6 months)
1 day of didactics weekly

PGY-4

Outpatient psychiatry including continuity clinics (VA, BSU, FMRI)
Elective rotations
1 day of didactics weekly

*Residents entering the program in the PGY-2 year spend one year in Seattle and two in Boise. Schedules and rotations will be modified for these residents depending on past training and experience to ensure all board requirements are met. The American Board of Psychiatry and Neurology requires 2 months of Neurology for board eligibility in psychiatry.

CRITERIA FOR GRADUATION

To graduate from the University of Washington Idaho Advanced Clinician Track and to be eligible to sit for the American Board of Psychiatry and Neurology examinations in Psychiatry, residents must complete 48 months of approved training, including a PGY-1 year encompassing the necessary medicine and neurology rotations.

To graduate, each resident must:

  • Complete, in a satisfactory manner, all required clinical rotations, as well as sufficient electives to total 48 months of training, all required psychotherapy training and assigned scholarly projects.
  • Pass an oral examination that includes interviewing a patient and answering examiners’ questions about diagnoses, formulation, assessment methods, and treatment planning.
  • Be approved for graduation by the program’s Education Committee. In considering residents for graduation, the Committee takes into account clinical competence, interpersonal skills, ethical standards, and professional conduct.