Schedule of Training

Year One

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 including two months of Inpatient Medicine and one month of General Medicine co-management.
  • 2 months of Neurology, including one Inpatient and one Consultation month.  One month of Pediatric Neurology can be substituted for one of the Adult Neurology months for those considering a fellowship in Child and Adolescent Psychiatry.
  • 1 month of Emergency Medicine
  • 2 months of Inpatient PsychiatryMedical Center at night image
  • 4 months of Consult-Liaison/Emergency Psychiatry
  • 1 month of Outpatient Psychiatry

Year Two

Rotations are completed at the UVA Medical Center, Commonwealth Center for Children and Adolescents (CCCA), Western State Hospital (WSH) and one or more community sites.  The second year is broken into 10 five-week blocks.

  • 2 blocks of UVA Inpatient Psychiatry managing patients and supervising interns
  • 1 block of UVA Inpatient Geriatric Psychiatry
  • 3 blocks of UVA Consult-Liaison/Emergency Psychiatry, also serving as a team leader.  Two blocks include some night float
  • 1 block of Substance Abuse in community settings (intensive outpatient therapy, residential program, methadone clinic)  and UVA (medication-assisted treatment clinic, pain management clinic, palliative care clinic, student health, consult-liaison).  Residents also complete training necessary to prescribe buprenorphine.
  • 1 block of WSH Inpatient Psychiatry
  • 1 block of Wellness Recovery Center (community crisis stabilization unit)
  • 1 elective block, often including CCCA Inpatient Child and Adolescent Psychiatry, Forensic Psychiatry, Research, Behavioral Medicine, Pain Clinic, Toxicology, Palliative Care, Global Health (see below), and other options

Year Three

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.  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 caseload supervision and weekly supervision with a community psychiatrist.


Year Four

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 Chief Residents with academic and administrative responsibilities.  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).


The program offers a Global Health Track in collaboration with the University of Virginia Center for Global Health that provides opportunities for residents to explore medicine and psychiatry in different areas of the US and the world.  Residents can choose from a number of national and international sites for elective time and work on projects related to global health with our own faculty or other physicians and researchers at UVA.