Psychiatry and
Behavioral Sciences

Clinical Rotations

Year 1

4
Months

2
Months

4
Months

1
Month

1
Month

Internal Medicine

Neurology

Inpatient
Psychiatry

Emergency Psychiatry

Night
Float

Year 2

3
Months

2
Months

2
Months

2
Months

1
Month

1
Month

1
Month

Inpatient
Psychiatry

Geriatric
Psychiatry

Consult-Liaison
Psychiatry

Scholarly
Concentration

Assessment Methods Rotation (includes research, neuropsychology, and forensics)

Addiction Psychiatry

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)

Clinical Rotations Summary

First Year

The PGY-1 year consists of four blocks of inpatient psychiatry, divided between the Palo Alto VA Hospital and Stanford 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 (one inpatient, one outpatient) 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

Psychiatry: As PGY 1 residents, we spend four blocks on inpatient psychiatry, one block on emergency psychiatry, and one block on night float.

Internal Medicine: We complete four blocks of internal medicine, comprising at least one month of inpatient medicine, one month of consult medicine, and one month of ambulatory medicine at the Palo Alto VA. Call on inpatient medicine is on a five day admitting cycle.

Neurology:We rotate on two blocks of neurology at Stanford Hospital – one inpatient and one outpatient.

Second Year

In the PGY-2 year, we rotate through three blocks of inpatient psychiatry, two blocks of geriatric psychiatry, two blocks of consultation–liaison psychiatry, one block of addiction psychiatry, and one block of night-float. We have one block in which we focus on learning different assessment methods within psychiatry. And 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.

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, clozapine and severe mental illness, and addiction. In addition, during the six months at Stanford, 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. In conjunction with the six months at the VA, we spent 25% time at a community clinic such as Santa Clara County's Center for Survivors of Torture or PACE (HIV) clinic, or San Mateo County's Ravenswood Family Health Center. 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. This is done in a combination of selective and elective rotations. 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

Chief Residency: This rotation offers a select number of residents a focused experience in administrative psychiatry. Chief residents are involved in teaching junior residents and developing curricula, as well as working closely with the program directors and making a lot of the day-to-day workings of the training program possible.

Stanford Psychopharmacology Clinics Advanced Rotation
Bipolar Disorders Clinic
Depression Clinic
Evaluation Clinic
Geriatrics Clinic
Psychosomatic Medicine Clinic
Neuropsychiatry Clinic
Obsessive-Compulsive Disorder Clinic
Women's Wellness Clinic

Kaiser Permanente Medical Center, Redwood City Rotation
This rotation offers a wide range of options including outpatient assessments, medication management and brief individual psychotherapy, psychotherapy groups, and intensive outpatient programs.

Vaden Student Health Center: Counseling & Psychiatric Services
This rotation offers an outpatient clinic experience with a focus on student mental health, psychopharmacology, and brief individual psychotherapy.

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