Program Overview

General Psychiatry Residency Program Overview: Fourth Year

The fourth year of psychiatry residency is the culmination of multiple years of rigorous inpatient and outpatient training. The goal of this year is to transition residents into their future role as attending psychiatrists. PGY-4 residents operate as semi-autonomous junior faculty members on the inpatient, consult-liaison, and emergency psychiatry services. They supervise and mentor PGY-1 and PGY-2 residents under the guidance of faculty. This is in addition to forensics training and selective psychiatry opportunities. The rest of fourth year provides extensive flexibility for residents to tailor their experiences to fit their needs and career interests.

PGY-4 Clinical Rotation Timeline

• Inpatient Psychiatry Junior Faculty (2 months)
  • University Hospital, ALM VA Hospital, or Brooke Army Medical Center
• Consult-Liaison Psychiatry Junior Faculty (2 months)
  • University Hospital, ALM VA Hospital, or Brooke Army Medical Center
• Emergency Psychiatry Junior Faculty (1 month)
  • ALM VA Hospital
• Forensic Psychiatry (1 month)
  • San Antonio State Hospital
• Clinical selective (1 month) Choose one of the below offerings:
  • Group therapy at ALM VA Hospital
  • Sleep medicine at ALM VA Hospital
  • Addiction psychiatry at Brooke Army Medical Center
  • TBI clinic at Brooke Army Medical Center
• Elective (5 months)
  • Over 40 current options, and the opportunity to create your own

Program Structure

The program is designed to provide a comprehensive education and training experience, with a focus on transitioning residents into their future role as attending psychiatrists. The fourth year of the program offers a range of clinical rotations and elective opportunities, allowing residents to tailor their experiences to fit their needs and career interests.

Training Sites

The program utilizes several training sites, including:

• University Hospital
• ALM VA Hospital
• Brooke Army Medical Center
• San Antonio State Hospital

Curriculum

The curriculum for the fourth year of the program includes a range of clinical rotations and elective opportunities, with a focus on providing residents with the knowledge and skills necessary to succeed as attending psychiatrists.