Psychiatry and
Behavioral Sciences

Clinical Rotations

Year 1

4
Months

2
Months

3
Months

1
Month

1
Month

1
Month

Internal Medicine

Neurology

Inpatient
Psychiatry

ER
Psych

Addiction

Night
Float

Year 2

4
Months

2
Months

2
Months

2
Months

1
Month

1
Month

Inpatient
Psychiatry

Geriatric
Psychiatry

Consult-Liaison
Psychiatry

Scholarly
Concentration

Selective

Night
Float

0.5 day per week Outpatient Psychiatry (long-term Psychotherapy cases)

Year 3

12 Months

Full-time Outpatient Psychiatry
(includes ongoing psychotherapy cases, ~20% Child & Adolescent Psychiatry)

0.5 day per week Scholarly Concentration for 6 months

Year 4

6 Months

6 Months

Selective 50%
Scholarly Concentration 50%

Selectives

0.5 day per week Outpatient Psychiatry (long-term psychodynamic cases)
Forensic Psychiatry Experience (1 day)

Clinical Rotations Summary

First Year

The PGY-1 year consists of three blocks of inpatient psychiatry, divided between the Palo Alto VA Hospital and Stanford Hospital; one block of addiction psychiatry at the Palo Alto VA Hospital; one block of emergency psychiatry at the Santa Clara Valley Medical Center (County Hospital); four blocks of internal medicine divided among inpatient medicine, consult medicine, and ambulatory medicine at the Palo Alto VA Hospital; and two blocks of neurology at Stanford Hospital. In addition, we complete two two-week periods of night float at the Palo Alto VA Hospital, typically coupled with two two-week vacation blocks.

PGY-1 Rotations

Second Year

In the PGY-2 year, we rotate through four blocks of inpatient psychiatry, two blocks of geriatric psychiatry, two blocks of consultation–liaison psychiatry, and one block of night-float.  We have two blocks of scholarly concentration time, in which we choose an area of clinical or research interest to pursue with appropriate supervision and mentorship.  Lastly, a selective block is dedicated to either an additional block of inpatient psychiatry, or a block of addiction psychiatry in a residential setting.

Additionally, we begin long-term psychotherapy training in the Individual Psychotherapy Clinic during the PGY-2 year.

Third Year

The third year is devoted to outpatient work, and we assume a higher level of responsibility for all aspects of the clinical service. The outpatient experience is split between Stanford Psychiatry Clinics and the Menlo Park Veterans' Administration (VA) Mental Health Clinic. Residents develop skills cognitive behavioral psychotherapy as well as second-generation CBTs such as Prolonged Exposure Therapy for PTSD under the guidance of supervisors in the Psychosocial treatment Clinic at Stanford and the psychology training program at the Menlo Park VA.  We participate in psychopharmacology clinics focusing on mood disorders, community mental health, clozapine and severe mental illness, and addiction.  In addition, during the six months at the VA, we have the opportunity to choose from a number of specialty clinics, including: Bipolar Disorders Clinic, Psychosomatic Medicine Clinic, Geriatric Psychiatry Clinic, Women's Wellness Clinic, Obsessive-Compulsive Disorders Clinic, Neuropsychiatry Clinic.  Furthermore, during this year, we participate in one of a number of child and adolescent clinics under the auspices of the child psychiatry training program.  Finally, we continue to treat our long-term psychotherapy patients in the Individual Psychotherapy Clinic, and have some dedicated time to continue our scholarly concentration pursuits.

Fourth Year

During the fourth year every effort is made to provide us with a schedule tailored to our individual interests and with our career goals in mind. There are a variety of clinical and basic research opportunities. We have 50% time for six months to devote more heavily to our scholarly concentration interests.  We can also apply for various fellowships to obtain funding for clinical or basic research.

PGY 4 Selective Rotations
Stanford Psychopharmacology Clinics Advanced Rotation

Bipolar Disorders Clinic
Geriatrics Clinic
Psychosomatic Medicine Clinic
Neuropsychiatry Clinic
Obsessive-Compulsive Disorder Clinic
Women's Wellness Clinic

Kaiser Permanente Medical Center, Redwood City Rotation
Adult outpatient clinic with a focus on brief individual psychotherapy and psychotherapy groups.

Palo Alto VA, Menlo Park Division, National Center for PTSD Rotation
Residential program for the treatment of veterans with PTSD. Residents participate in medication management and group psychotherapy including Cognitive Processing Therapy.

Stanford Hospital & Clinics Electroconvulsive Therapy Rotation
Active ECT service providing acute and maintenance treatment, as well as consultation service to the inpatient units.

San Mateo County Community Clinic

Vaden Student Health Center: Counseling & Psychiatric Services

Outpatient clinic with a focus on student mental health, psychopharmacology, and brief individual psychotherapy.

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