Graduate Medical Education : Rotations By Year

Rotations By Year

Program Curriculum


In the first year, six months consist of rotations to Medicine or Pediatrics, Family Medicine and Neurology. The six months remaining include an inpatient-based Psychiatry assignment and community-focused crisis intervention. Several hours each week are set aside for didactic training activities including lectures, seminars, and case conferences. Demonstrations and departmental scientific meetings are also included. Clinical activity on the inpatient service under direct supervision of an attending assigned to the unit is complemented by a half-day Continuity Outpatient Clinic experience. The program is designed to give the trainee a working knowledge of evaluation, diagnostic, and therapeutic techniques utilized in psychiatry. A high degree of individual supervision, plus the didactic program, forms the nucleus of this rotation, during which emphasis is placed on quality patient care.


In the second year, five hours each week are devoted to protected didactic activities and the rest to clinical experience. Residents continue to have their assignments hospital-based and they also maintain an outpatient clinic one half-day per week. In addition, a two month rotation to Child and Adolescent Psychiatry and a two month rotation to Consult/Liaison Psychiatry are provided during this level of training.


The resident experience in psychiatry during the third year concentrates on the outpatient experience. The assignment pattern is full time with two days a week in the Mental Health Ambulatory Services Division of Jackson Memorial Hospital and two days at the Veterans Administration Medical Center Mental Hygiene Clinic. An additional half day is available (site optional) for supervision and ongoing psychotherapy patients. The remaining half day is protected for Didactic activities.


The fourth year is devoted to experience advanced treatment and research, as well as a continued outpatient experience. Jackson Memorial Hospital and Veterans Administration Clinics, with time set aside for research, account for the resident’s weekly clinical schedule alternating over the year. Research time is provided on specific half days during this period. Those who have previously elected the Psychotherapy Track will have time provided for additional instruction and supervision in psychotherapy. Child & Adolescent Psychiatry fellowship can begin in the fourth year.