Schedule of Training

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

• 3 months of General Medicine training with 2 months of General Medicine and 1 month of either pediatric clinic OR general medicine consults
• 2 months of Neurology Consults
• 1 month of Emergency Medicine
• 2 or 3 months of Inpatient Psychiatry on 5E, our inpatient psychiatric unit
• 3 or 4 months of Emergency Psychiatry which includes night float
• 1 month of ECT/Float Block

Intern year is divided into 3-month blocks of either On-Service Psychiatry or Off-Service rotations, 2 of each (plus 1 additional month on-service for holiday coverage). All didactics are repeated for each on-service block so all residents receive the same curriculum over the course of the year.

Rotations are completed at the UVA Medical Center. The second year is broken into 11 5-week blocks.

• 3 blocks of Inpatient Psychiatry on 5E, our inpatient psychiatric unit. This includes 1 block focusing on psychotherapy on the inpatient unit.
• 1 block Emergency Psychiatry (adult and child/adolescent)
• 2 blocks Consultation-Liaison Psychiatry
• 2 blocks Night Float/Contingency (alternating weeks of NF and contingency)
• 1 block of Substance Abuse in community settings and UVA. Residents also complete training necessary to prescribe buprenorphine.
• 1 block Child and Adolescent Psychiatry
• 1 block Flex – Vacation coverage, CBT clinic and elective time.
• 1/2 day per week of longitudinal medication management clinic (Adult or child/adolescent psychiatry)

Residents complete twelve months of continuous outpatient training in a private practice model, caring for a diverse adult patient population (ages 18+). The experience includes a dedicated weekly half-day in geriatric psychiatry with faculty supervision, a resident telepsychiatry clinic, and alternating participation in a DBT group and medication management clinic alongside faculty. Residents also have a protected half-day for individual psychotherapy, with training in CBT, psychodynamic, DBT, and supportive therapies. Two faculty members provide real-time staffing and guidance in clinic, and residents receive 2 hours of weekly outpatient and psychotherapy supervision and preceptorship. One full day each week is reserved for protected didactic education.

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 and at least a half-day in the child and adolescent clinic.  PGY-4 residents also rotate on the Consultation-Liaison Psychiatry service to teach and lead junior resident teams. 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. Residents also rotate through ECT and TMS clinics.  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, Psychopharmacology, and a variety of psychotherapy clinics (CBT, DBT, family therapy).

Call is carried out in a night float system, covered by PGY-1 and PGY-2 residents. Night call is in house, from 7:00 pm-7:00 am, typically for 7 nights in a row, for a maximum of two night-shift weeks per block. PGY-1 night float is built into the Emergency Psychiatry rotation, while PGY-2 night float is a separate rotation.

PGY-3’s cover daytime weekend C-L coverage on average one shift per month. PGY-4 residents 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 for consult service weekend shifts and holidays. PGY-3&4 residents, once licensed, can externally moonlight at Western State Hospital in nearby Staunton, VA.