Psychiatry Residency Spokane (PRS) has a reputation for continuous improvement and clinical excellence, with an emphasis on treating the underserved, poor and vulnerable. We train residents with an eye to the future of medicine: with an emphasis on leveraging expertise through consultation, a strong commitment to population based care, and a focus on our specific regional social and health related disparities; meeting them through treatment paradigms such as collaborative care, telepsychiatry and a harm reduction approach to substance use disorders.
Psychiatry Residency Spokane is affiliated with the University of Washington Department of Psychiatry and Behavioral Sciences and with Washington State University Elson Floyd College of Medicine. We have a strong academic culture, with faculty and resident involvement in preclinical teaching courses. core clerkships in psychiatry, electives and Sub-I rotations, national and regional involvement in advocacy, scholarly work expertise in addictions and workforce development.
PRS partners with a diverse set of established rotation sites. Our sponsoring institution, Providence Sacred Heart Medical Center, provides the setting for inpatient, adult and pediatric consultation-liaison psychiatry rotations, as well as child partial hospitalization / intensive outpatient program experiences. Eastern State Hospital is a unique state psychiatric hospital setting where residents do inpatient, geriatric and forensic psychiatry. The Veterans Administration Medical Center provides addiction psychotherapy training in PGY4, and a range of elective experiences, including TBI clinic and group psychotherapy. Gonzaga University and Washington State University provide training in psychotherapy and primary care psychiatry to both undergraduate and graduate students. We collaborate closely with Frontier Behavioral Health, a community mental health clinic for outpatient child and adolescent training, inpatient psychiatry and elective rotations, including a dialectical behavior therapy rotation.
The Spokane Teaching Health Clinic is a state of the art, interprofessional clinic, fulfilling two main aims; a focus on excellence in clinical care, and true integration in primary care specialties embedded with pharmacy, legal aid, physical and occupational therapy, social work, and on site laboratory and imaging services. In this ambulatory setting, residents work alongside peers in Family Medicine, Internal Medicine, and Rural Family Medicine, as well as pharmacy, and social work. We offer core ambulatory rotations in addiction psychiatry with an emphasis on medication assisted treatment, collaborative care consultation to primary care, telepsychiatry to rural Washington (Steven’s county), psychiatry specialty clinic, and a combined psychotherapy continuity clinic.
We believe that our training program builds excellent clinicians who have a well-rounded set of skills that enables a smooth transition into independent practice or to fellowship. Our smaller city size and community focused training allows for a more personal feel, balances independence and maturing skills with support, allows for a responsive feedback model and changes nimbly to respond to a rapidly emerging healthcare delivery system.
