Second Year

Second year is both challenging and rewarding, and is when many residents say they start really feeling like a psychiatrist. Three months of the year are spent in consult-liaison psychiatry rotations in various hospital settings, in which residents receive robust training in managing psychiatric symptoms and conditions in the medically ill and learn how to serve as consultants for other specialties. Two months are dedicated to more advanced inpatient training on the University Hospital psychiatric unit, including 3 weeks of night float. Residents spend one month of addiction psychiatry at Villa Serena, a residential rehabilitation facility for veterans with substance use disorders. Residents also gain experience in interventional psychiatry, spending one month gaining an understanding of the importance of ketamine and TMS as treatment modalities for treatment resistance.

During second year, residents begin their weekly psychotherapy clinic, which continues through the rest of their residency training.  Additionally, PGY2 residents receive a unique introduction to outpatient psychiatry on a 3-month longitudinal block rotating through various child/adolescent and geriatric psychiatry outpatient clinics.

Elective Time

The highlight of second year is two and a half months of elective time, providing residents the opportunity to explore their own interests in psychiatry. The program provides extensive and diverse options for clinical and research electives, which can be previewed here. Residents are also able to develop their own electives.

PGY-2 Clinical Rotation Timeline

  • Consult/liaison psychiatry (three months) at University Hospital, ALM VA Hospital, and/or Brooke Army Medical Center
  • Advance inpatient psychiatry (two months) at University Hospital
  • Interventional psychiatry (one month) at UT Health – San Antonio and community sites
  • Addiction psychiatry (one month) at ALM Villa Serena
  • Specials (three months) incorporating outpatient geriatric psychiatry (1.5 days weekly), child/adolescent psychiatry (1.5 days weekly), and elective (1 day weekly)
  • Elective (two months)