General Psychiatry Residency Program Overview: Fourth Year
Fourth Year
The fourth year of psychiatry residency is the culmination of multiple years of rigorous inpatient and outpatient training to help transition residents into their future roles as attending psychiatrists or further fellowship training. 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 offerings. 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 (two months) at University Hospital, ALM VA Hospital, or Brooke Army Medical Center
- Consult/liaison psychiatry junior faculty (two months) at University Hospital, ALM VA Hospital, or Brooke Army Medical Center
- Emergency psychiatry junior faculty (one month) at ALM VA Hospital
- Forensic psychiatry (one month) at San Antonio State Hospital
- Clinical selective (one month): can choose one of the below offerings
- Group therapy at ALM VA Hospital
- Addiction psychiatry at Brooke Army Medical Center
- Emergency psychiatry at University Hospital
- Palliative medicine at University Hospital
- Elective (five months): see available offerings here