Rotations

Clinical rotations are designed to provide exposure to a wide variety of patient populations and systems of care, increase levels of responsibility under supervision, offer leadership and team-based experiences, and allow the resident to explore selected opportunities tailored to their interests.

PGY-1

As interns in Boise, residents spend half the year fully incorporated with the medicine interns, serving on medicine and neurology services. The other half of intern year is spent working on inpatient psychiatry wards at VA Medical Center, State Hospital South, and in the Idaho State Correctional Institution.

PGY-2

The second year furthers education on management of acute psychiatric problems, including on inpatient psychiatric wards, in VA emergency psychiatry, and on consult-liaison psychiatry. Additional emergency psychiatry training is completed on the VA night float rotation. Addiction psychiatry is completed at the VA working alongside Addiction Medicine Fellows. Residents are introduced to outpatient psychiatry as PGY-2s, working one half day per week in outpatient continuity clinics with supportive and cognitive behavioral psychotherapy cases. Educational seminars regarding these two modalities are included in the half-day of clinic.

PGY-3

Residents continue outpatient psychiatry practice at the VA as PGY3s and expand into clinics at either BSU, FMRI, or St. Lukes. Other required rotations include St. Luke’s child and adolescent outpatient psychiatry, and geriatric outpatient and consult-liaison psychiatry at the VA. Residents are able to choose from a variety of electives to complete their schedule. Rotations allow residents to experience outpatient treatment over the full course of the PGY-3 and PGY-4 years, crisis intervention training, group therapy, outpatient and residential substance abuse treatment, student health, and public psychiatry. Consultative and collaborative care models are on full display, as residents work with family medicine, internal medicine, pharmacy, psychology, social work, and counseling trainees.

PGY-4

Fourth year affords more time to explore electives in the community, and the small program size allows residents to craft unique experiences and rotations. In addition to this, continuity clinics (VA, St. Luke’s, BSU, and FMRI) continue through fourth year to provide trainees with two full years of patient continuity. Residents also spend time in collaborative care and community psychiatry rotations. Some examples of electives include sleep medicine, addiction psychiatry, forensic psychiatry, inpatient services, individual and group psychotherapy, collaborative-care, special population and community-based care, and more!

Call Requirement

PGY1

  • No Nightfloat
  • No Friday Nights
  • Every Saturday for 3 months while on VA Psych IP rotation
  • No 24-hour shifts

PGY2

  • Six Weeks Nighfloat
  • Four Friday Nights
  • No Saturday Day Shifts
  • Four 24-hour shifts

PGY3

  • Four Weeks Nightfloat
  • Five Friday Nights
  • No Saturday Day Shifts
  • Five 24-hour shifts

PGY4

  • Three Weeks Nightfloat
  • Four Friday Nights
  • No Saturday Day Shifts
  • Four 24-hour shifts

SUMMARY OF ROTATIONS BY YEAR

PGY-1

4 months medicine
2 months neurology
3 months inpatient psychiatry
2 months state hospital psychiatry
1 month correctional psychiatry
½ day didactics weekly

PGY-2

3 months inpatient psychiatry
2 months emergency psychiatry
1.5 months night float
0.5 months research elective
2 months consult –liaison psychiatry
3 months addiction psychiatry
½ day psychotherapy continuity clinic (supportive and cognitive-behavioral)
½ day didactics weekly

PGY-3

Outpatient psychiatry including continuity clinics (VA, BSU, FMRI, St. Lukes)
Geriatric Consult Liaison Psychiatry
(1 day a week x 3 months)
Geriatric Outpatient Psychiatry
(1/2 day a week x 3 months)
Child and Adolescent Outpatient Psychiatry (1 day a week x 6 months)
Child and Adolescent Partial Hospitalization Program
(1 day a week x 3 months)
Elective rotations
1 day of didactics weekly
1 month night float

PGY-4

Outpatient psychiatry including continuity clinics (VA, BSU, FMRI, St. Lukes)
Community and collaborative care psychiatry (1 day a week x 3 months)
Elective rotations
1 day of didactics weekly
3 weeks night float

CRITERIA FOR GRADUATION

To graduate from the University of Washington Boise Psychiatry Residency Program and to be eligible to sit for the American Board of Psychiatry and Neurology examinations in Psychiatry, residents must complete 48 months of approved training, including a PGY-1 year encompassing the necessary medicine and neurology rotations.

To graduate, each resident must:

  • Complete, in a satisfactory manner, all required clinical rotations, as well as sufficient electives to total 48 months of training, all required psychotherapy training and assigned scholarly projects.
  • Pass an oral examination that includes interviewing a patient and answering examiners’ questions about diagnoses, formulation, assessment methods, and treatment planning.
  • Be approved for graduation by the program’s Education Committee. In considering residents for graduation, the Committee takes into account clinical competence, interpersonal skills, ethical standards, and professional conduct.