{"id":1688,"date":"2020-05-22T18:07:55","date_gmt":"2020-05-22T18:07:55","guid":{"rendered":"https:\/\/lsom.uthscsa.edu\/psychiatry\/?page_id=1688"},"modified":"2026-05-11T22:20:41","modified_gmt":"2026-05-12T03:20:41","slug":"pgy4","status":"publish","type":"page","link":"https:\/\/lsom.uthscsa.edu\/psychiatry\/education\/residency\/general-psychiatry\/pgy4\/","title":{"rendered":"Program Overview: Fourth Year"},"content":{"rendered":"<div class=\"wpb-content-wrapper\" id=\"wpb-content-root\"><p>[vc_row][vc_column][vc_column_text]<span><span><a href=\"https:\/\/lsom.uthscsa.edu\/psychiatry\/\">Home<\/a><\/span><\/span>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;2\/3&#8243;]<div class=\"flex-video widescreen\"><iframe src=\"https:\/\/www.youtube.com\/embed\/UIkVbeGgURM\" title=\"Fourth Year Residency Overview\" allowfullscreen><\/iframe><\/div>[\/vc_column][vc_column width=&#8221;1\/3&#8243;]<div class=\"panel outline\"><nav aria-label=\"General Psychiatry sub-navigation\" class=\"collapsible subnav\"><ul id=\"menu-general-psychiatry\" class=\"subnav leaf\" data-accordion-menu><li id=\"menu-item-1883\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1883\"><a href=\"https:\/\/lsom.uthscsa.edu\/psychiatry\/education\/residency\/general-psychiatry\/\">Psychiatry Residency Program<\/a><\/li>\n<li id=\"menu-item-1898\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-1898\"><a href=\"#\">Program Overview<\/a>\n<ul class=\"sub-menu\">\n\t<li id=\"menu-item-1884\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1884\"><a href=\"https:\/\/lsom.uthscsa.edu\/psychiatry\/education\/residency\/general-psychiatry\/pgy1\/\">First Year<\/a><\/li>\n\t<li id=\"menu-item-1885\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1885\"><a href=\"https:\/\/lsom.uthscsa.edu\/psychiatry\/education\/residency\/general-psychiatry\/pgy2\/\">Second Year<\/a><\/li>\n\t<li id=\"menu-item-1886\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1886\"><a href=\"https:\/\/lsom.uthscsa.edu\/psychiatry\/education\/residency\/general-psychiatry\/pgy3\/\">Third Year<\/a><\/li>\n\t<li id=\"menu-item-1965\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1965\"><a href=\"https:\/\/lsom.uthscsa.edu\/psychiatry\/education\/residency\/general-psychiatry\/pgy4\/\">Fourth Year<\/a><\/li>\n<\/ul>\n<\/li>\n<li id=\"menu-item-4303\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-4303\"><a href=\"#\">Training Sites<\/a>\n<ul class=\"sub-menu\">\n\t<li id=\"menu-item-4299\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-4299\"><a href=\"https:\/\/lsom.uthscsa.edu\/psychiatry\/education\/residency\/general-psychiatry\/inpatient-training-sites\/\">Inpatient Training Sites<\/a><\/li>\n\t<li id=\"menu-item-4300\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-4300\"><a href=\"https:\/\/lsom.uthscsa.edu\/psychiatry\/education\/residency\/general-psychiatry\/outpatient-training-sites\/\">Outpatient Training Sites<\/a><\/li>\n<\/ul>\n<\/li>\n<li id=\"menu-item-3878\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3878\"><a href=\"https:\/\/lsom.uthscsa.edu\/psychiatry\/education\/residency\/general-psychiatry\/curriculum\/\">Curriculum<\/a><\/li>\n<li id=\"menu-item-3024\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3024\"><a href=\"https:\/\/lsom.uthscsa.edu\/psychiatry\/education\/residency\/general-psychiatry\/psychotherapy-training\/\">Psychotherapy Training<\/a><\/li>\n<li id=\"menu-item-1969\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-1969\"><a href=\"https:\/\/lsom.uthscsa.edu\/psychiatry\/education\/residency\/meet-our-residents\/\">Meet Our Residents<\/a><\/li>\n<li id=\"menu-item-1953\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1953\"><a href=\"https:\/\/lsom.uthscsa.edu\/psychiatry\/education\/residency\/general-psychiatry\/faculty\/\">Meet Our Faculty<\/a><\/li>\n<li id=\"menu-item-5165\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-5165\"><a href=\"https:\/\/uthscsa.edu\/university\/about-san-antonio\">About San Antonio<\/a><\/li>\n<li id=\"menu-item-3783\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3783\"><a href=\"https:\/\/lsom.uthscsa.edu\/psychiatry\/education\/residency\/general-psychiatry\/life-san-antonio\/\">Life in San Antonio<\/a><\/li>\n<li id=\"menu-item-3855\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-3855\"><a href=\"https:\/\/lsom.uthscsa.edu\/psychiatry\/education\/residency\/general-psychiatry\/research-and-publications\/\">Research and Publications<\/a><\/li>\n<li id=\"menu-item-3856\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-3856\"><a href=\"https:\/\/lsom.uthscsa.edu\/psychiatry\/education\/residency\/general-psychiatry\/research-service\/\">Service and Leadership<\/a><\/li>\n<li id=\"menu-item-4191\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4191\"><a href=\"https:\/\/lsom.uthscsa.edu\/psychiatry\/education\/residency\/general-psychiatry\/fellowships\/\">Fellowships<\/a><\/li>\n<li id=\"menu-item-1918\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1918\"><a href=\"https:\/\/lsom.uthscsa.edu\/psychiatry\/education\/residency\/general-psychiatry\/apply\/\">How to Apply<\/a><\/li>\n<li id=\"menu-item-1917\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1917\"><a href=\"https:\/\/lsom.uthscsa.edu\/psychiatry\/education\/residency\/general-psychiatry\/gprp-cafp\/\">Combined Air Force and Civilian Program<\/a><\/li>\n<li id=\"menu-item-4387\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-4387\"><a href=\"https:\/\/lsom.uthscsa.edu\/psychiatry\/education\/residency\/general-psychiatry\/resident-wellness\/\">Resident Wellness<\/a><\/li>\n<\/ul><\/nav><\/div>[\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h1>Fourth Year \u2013 Culmination and Celebration<\/h1>\n<p>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.<\/p>\n<h2>PGY-4 Clinical Rotation Timeline<\/h2>\n<ul>\n<li>Inpatient Psychiatry Junior Faculty (2 months)\n<ul>\n<li>University Hospital, ALM VA Hospital, or Brooke Army Medical Center<\/li>\n<\/ul>\n<\/li>\n<li>Consult-Liaison Psychiatry Junior Faculty (2 months)\n<ul>\n<li>University Hospital, ALM VA Hospital, or Brooke Army Medical Center<\/li>\n<\/ul>\n<\/li>\n<li>Emergency Psychiatry Junior Faculty (1 month)\n<ul>\n<li>ALM VA Hospital<\/li>\n<\/ul>\n<\/li>\n<li>Forensic Psychiatry (1 month)\n<ul>\n<li>San Antonio State Hospital<\/li>\n<\/ul>\n<\/li>\n<li>Clinical selective (1 month) \u2013 Choose one of the below offerings:\n<ul>\n<li>Group therapy at ALM VA Hospital<\/li>\n<li>Sleep medicine at ALM VA Hospital<\/li>\n<li>Addiction psychiatry at Brooke Army Medical Center<\/li>\n<li>TBI clinic at Brooke Army Medical Center<\/li>\n<\/ul>\n<\/li>\n<li>Elective (5 months)\n<ul>\n<li>Over 40 current options, and the opportunity to create your own<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_column_text][\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_column_text][\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;2\/3&#8243;][\/vc_column][vc_column width=&#8221;1\/3&#8243;][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=&#8221;&#8221;] Fourth Year \u2013 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 [&hellip;]<\/p>\n","protected":false},"author":19,"featured_media":5280,"parent":1633,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-templates\/homepage-banner.php","meta":{"footnotes":""},"class_list":["post-1688","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Program Overview: Fourth Year - Psychiatry<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/lsom.uthscsa.edu\/psychiatry\/education\/residency\/general-psychiatry\/pgy4\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Program Overview: Fourth Year - Psychiatry\" \/>\n<meta property=\"og:description\" content=\"[vc_row][vc_column][vc_column_text][\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;2\/3&#8243;][\/vc_column][vc_column width=&#8221;1\/3&#8243;][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=&#8221;&#8221;] Fourth Year \u2013 Culmination and Celebration The fourth year (PGY4) is the culmination of rigorous inpatient and outpatient training. 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Psychiatry","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/lsom.uthscsa.edu\/psychiatry\/education\/residency\/general-psychiatry\/pgy4\/","og_locale":"en_US","og_type":"article","og_title":"Program Overview: Fourth Year - Psychiatry","og_description":"[vc_row][vc_column][vc_column_text][\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;2\/3&#8243;][\/vc_column][vc_column width=&#8221;1\/3&#8243;][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=&#8221;&#8221;] Fourth Year \u2013 Culmination and Celebration The fourth year (PGY4) is the culmination of rigorous inpatient and outpatient training. 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