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.
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.
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.
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!