Fourth Year

The fourth year of psychiatry residency is the culmination of multiple years of rigorous inpatient and outpatient training and helps transition residents into their future roles as attending psychiatrists, or prepare them for further fellowship training.

PGY4 residents spend 2 months each on inpatient and consult/liaison services and 1 month on the VA emergency psychiatry service. In each of these rotations, the residents operate in a semi-autonomous “junior faculty” role, supervising and mentoring PGY1 and PGY2 residents under the guidance of faculty. They also complete a one month forensic rotation at the San Antonio State Hospital (SASH).

The rest of the fourth year provides extensive flexibility for residents to tailor their experience to fit their needs and career interests.

One month is spent on a clinical selective rotation of their choosing:

  • VA Intensive Outpatient Program OR
  • Addiction psychiatry at Brooke Army Medical Center OR
  • Emergency psychiatry at University Hospital

Elective Time

The remaining 5 months of the fourth year are dedicated to clinical or research electives.