Psychiatry Residency

PGY-1

Lectures and supervision supplement the first year. Lectures are a half-day each week throughout the residency. Interns are matched with a faculty supervisor to meet with for general guidance throughout the residency. Additionally, each intern is assigned a medication supervisor with whom they meet regularly to discuss various aspects of pharmacotherapy and answer any questions that may arise on the inpatient unit. At the end of the first year, interns can begin seeing patients in the outpatient clinic.

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PGY-2

Second-year residents rotate through various services to gain experience in different areas in the field of psychiatry. In the second year, residents can also begin seeing additional clinic patients to follow as outpatients. Clinic clientele includes both medication management patients and psychotherapy patients. Residents meet regularly with psychotherapy supervisors for guidance in their therapy training. Second-year residents have the opportunity for teaching activities, including medical student lectures and evaluations. Rotations and lectures become more intense during the second year, but most rotations allow ample time for self-guided study.

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PGY-3

Third-year residents are provided with their own office space, and the frequency of call duties continues to decline. Most of the third-year schedule is dedicated to outpatient clinic work from 8 a.m. to 5 p.m. On the majority of these days, PGY-3 residents work at the Baylor Scott & White Mental Health Clinic, where they conduct a variety of patient encounters, including new evaluations, transfer of care appointments, medication management visits, and psychotherapy sessions. One day each week, some residents spend the day seeing patients at the Temple VA Mental Health Clinic. Additionally, residents spend a half-day per week working at community clinics located in Temple and/or Killeen. Supervision for both medication management and psychotherapy is maintained throughout.

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PGY-4

Fourth-year residents spend half of their day at the Baylor Scott & White Mental Health Clinic, where they provide continuity of care by following established outpatients. The other half of the day is divided between three months of inpatient psychiatry, two months of VA electives, and seven months of other electives chosen by the residents. The program offers a variety of elective options, and residents also have the option to design an elective tailored to their specific interests. Examples of available electives include private practice, ECT, cognitive testing, intensive outpatient therapy, TMS, and palliative care. The fourth year offers significant flexibility, allowing residents to explore diverse areas of interest within psychiatry.