Fourth Year – Culmination and Celebration

The fourth year (PGY4) is the culmination of rigorous inpatient and outpatient training. It prepares residents for their future role as attending psychiatrists. PGY4s act as semi-autonomous junior faculty on inpatient, consult-liaison, and emergency services. They supervise PGY1/PGY2 residents under faculty guidance. The year also includes forensics training, tons of elective opportunities, and unique didactics like reproductive psychiatry and an introduction to couples therapy. Plus, the schedule offers extensive flexibility to tailor experiences to career goals.

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