Schedule of Training

PGY1 Sample Schedule

All rotations are completed at the UVA Medical Center. The first year is broken down into 13 four-week blocks.

• 3 months of General Medicine training
  • Two months of Inpatient Medicine
  • One month of General Medicine co-management which includes either pediatric clinic OR medicine consult service

• 2 months of Neurology, including one Inpatient and one Consultation month.  
• 1 month of Emergency Medicine 
• 2 or 3 months of Inpatient Psychiatry on our inpatient psychiatric unit 
• 3 or 4 months of Consult-Liaison/Emergency Psychiatry which includes up to 2 weeks of night float per block
• 1 month of Outpatient Psychiatry at UVA Northridge Outpatient Clinic

PGY-2 Sample Schedule

Rotations are completed at the UVA Medical Center and Western State Hospital (WSH). The second year is broken into 12 blocks.

• 2 blocks of Inpatient Psychiatry managing patients, supervising interns and managing medical students
• 5 blocks of UVA Consult-Liaison/Emergency Psychiatry serving as a team leader with up to 2 weeks of night float per block 
• 1 block of Substance Abuse in community settings and UVA. Residents also complete training necessary to prescribe buprenorphine.
• 2 blocks of Western State Hospital Inpatient Psychiatry
• 1 block Child and Adolescent Psychiatry split between consultations (child ED and peds wards) and outpatient clinic.
• 1 block Flex – Vacation, coverage and Elective.

Twelve months of continuous office-based outpatient training in a private practice model where residents see patients of all socioeconomic levels with a mixture of psychopathology.  Residents see geriatric outpatients in the geriatric specific clinic and also have their own telemedicine clinic.  Each resident also co-leads a therapy or med management clinic with a faculty member throughout the year.  There are ample opportunities to explore interests in various modes of psychotherapy (cognitive-behavioral, psychodynamic, interpersonal, etc.).  Faculty provide real-time case supervision.  There is one day per week of protected didactic time, in addition to 1.5 hours of additional morning lecture series.  Each resident has weekly clinic supervision and supervision for psychotherapy patients.

A longitudinal experience with residents developing individualized schedules that meet their training requirements and address individual professional goals.  Fourth year residents spend one day per week in the adult outpatient clinic following patients from their previous year, a full or half day in the child and adolescent clinic, and a half per day week for a portion of the year supervising first and second year residents in the UVA Bridge Clinic.  Two residents will be selected to serve as Administrative Chief Residents with academic and administrative responsibilities.  There are additional leadership roles in Consultation-Liaison psychiatry, Inpatient and Outpatient psychiatry. Additional requirements that may need to be satisfied in the fourth year include Forensic Psychiatry and ECT.  Other optional rotations may include, but are not limited to, Research, Student Mental Health, Community Psychiatry (PACT team), Treatment-Resistant Mood Disorder Clinic (Transcranial Magnetic Stimulation), Addiction Psychiatry (Medication-Assisted Treatment Clinic), HIV Psychiatry, Geriatric Psychiatry, Refugee Clinic, Epilepsy Clinic, Pain Clinic, Toxicology, Palliative Care, Sleep Medicine, Psychopharmacology, and a variety of psychotherapy clinics (CBT, IPT, family therapy).

Call is carried out in a night float system while on the consult and liaison service (CL). Night call is in house, typically Sunday-Thursday from 7:00 pm-7:00 am for a maximum of two night-shift weeks per block. PGY-1 and PGY-2 residents provide coverage for the night float with spot night coverage on certain rotations for weekend night coverage. 

PGY-3’s cover daytime weekend CL coverage on average one shift per month. PGY-4’s have 2-4 weekend call shifts annually and share coverage for holidays.

Residents have the opportunity to moonlight both internally and externally. Internal moonlighting is offered to PGY-2 residents and above and includes covering child and adolescent psychiatry evening shifts and weekends. PGY-3&4 residents once licensed can externally moonlight at Western State Hospital.