Rotations

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 Boise, residents spend half the year fully incorporated with the medicine interns, serving on medicine and neurology services. The other half of intern year is spent working on inpatient psychiatry wards at VA Medical Center, in the Idaho State Correctional Institution, and in a community child and adolescent day treatment center.

PGY-2

The second year furthers education on inpatient psychiatry services, including inpatient psychiatric wards and state hospital inpatient psychiatry, and consult-liaison psychiatry. Emergency psychiatry is completed at the VA as well as through participation with the community mobile crisis unit. Addiction psychiatry is completed at the VA working alongside Addiction Medicine Fellows. 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 continue outpatient psychiatry practice at the VA as PGY3s and expand into clinics at either BSU, FMRI, or St. Lukes. Other required rotations include Telepsychiatry and Outpatient Consultation Clinic at Saint Alphonsus, St. Luke’s child and adolescent outpatient psychiatry, and geriatric outpatient psychiatry at the VA. 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, St. Luke’s, BSU, and FMRI) continue through fourth year to provide trainees with two full years of patient continuity. Residents also spend time in collaborative care and community psychiatry rotations. 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 medicine
2 months neurology
3 months inpatient psychiatry
2 months child and adolescent psychiatry
1 month correctional psychiatry
½ day didactics weekly

PGY-2

3 months inpatient psychiatry
2 months state hospital psychiatry
1.5 months night float
2 months emergency psychiatry
2 months consult –liaison psychiatry
1.5 months addiction psychiatry
½ day psychotherapy continuity clinic (supportive and psychodynamic)
½ day didactics weekly

PGY-3

Outpatient psychiatry including continuity clinics (VA, BSU, FMRI, St. Lukes)
Saint Alphonsus consult clinic, bariatric clinic, and telepsychiatry (1 day x 9 months)
Geriatric Outpatient Psychiatry (1 day a week x 6 months)
Child and Adolescent Outpatient Psychiatry (1/2 day a week x 6 months)
1 day of didactics weekly

PGY-4

Outpatient psychiatry including continuity clinics (VA, BSU, FMRI, St. Lukes)
Community Psychiatry
Collaborative Care Psychiatry
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 Boise Psychiatry Residency Program 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.