Internal Medicine and Psychiatry Residency Training Program
Over the course of the first three years of residency, you can expect to rotate through a broad range of inpatient and outpatient settings.
Internship: During the 18 month internship, residents will alternate every three months between internal medicine and psychiatry rotations. Interns will also start an internal medicine weekly continuity clinic where they will grow their panel of patients over the course of the residency.
Year 2: Residents continue to alternate every three month and can begin to customize their rotations towards their clinical interests. In addition to the weekly internal medicine clinic, residents begin alternating this clinic with an integrated medicine-psychiatry clinic at the VA.
Year 3: Similar to year 2, medicine and psychiatry are alternated every 3 months. The internal medicine weekly continuity clinic is alternated with a HIV psychiatry clinic nested in an infectious disease clinic.
Year 4: Residents will spend the first six months of their fourth year doing internal medicine rotations. Residents will continue to have an outpatient medicine clinic in addition to beginning a psychiatry clinic (rotating with the internal medicine clinic) of their choosing. The second half of the year residents will begin 12 continuous months of outpatient psychiatry which will continue into the fifth year of training. The outpatient psychiatry year includes six months of child psychiatry and six months of psychiatry at the local community health center. Internal medicine clinic is continued during this year.
Year 5: After concluding the year of psychotherapy (finishing in December of the 5th year), residents will finish their training with six months of internal medicine rotations.
Internal medicine didactics include morning report three days a week, weekly grand rounds, and daily noon conferences (soon transitioning to academic half days). Psychiatry didactics during the first three years include weekly seminars. During the year of outpatient psychiatry residents have two half days of seminars. Topics include pharmacology, mood disorders, and becoming a therapist. Every other month there is a Med/Psych Noon Conference which is given by a med/psych attending or resident to educate our internal medicine colleagues on topics such as delirium, decision making capacity, alcohol withdrawal, depression, and dementia. Med/psych residents also are encouraged to participate in a resident-run weekly noon Med/Psych conference which includes rotating journal club, case presentations, and board review.
In addition to general internal medicine and psychiatry rotations, med/psych residents have opportunities to explore their interests through electives. These include: electroconvulsive therapy/brain stimulation lab, forensics, or an elective that they have created. Residents also have opportunities to volunteer in outreach clinics such as Crisis Ministries and CARES Clinic.
As part of the internal medicine and psychiatry curriculums, all residents are expected to participate in scholarly activity, including a quality improvement project. Residents also have the option of doing a research elective month to spend additional time developing their research skills. Further research mentorship is available per resident interest.
Residents are paired with a longitudinal attending mentor based on their clinical interests to provide guidance over the course of their residency.
Residents are strongly encouraged to belong to the Association of Medicine and Psychiatry. Attendance at the annual conference in Chicago in the fall is also strongly encouraged.
Acute Care Unit
Begin 12 months outpatient psychiatry
VA Psych wards
VA Psych Wards