Curriculum
Psychiatry Residency Spokane Program Rotation Structure by Year
Table below updated for 2024-25 Academic Year
Click on Core Rotations link in Curriculum drop down menu for additional
rotation information
Download Block Diagram
PGY1
Emergency Medicine – SHMC (can split 2 weeks Peds ED/Adult ED)
4 weeks
Internal Medicine – Ambulatory- STHC
4 weeks
Internal Medicine – Inpatient – SHMC
8 weeks
Neurology – Inpatient Consults – SHMC
4 weeks
Psychiatry – Addiction Medicine Consult Service - SHMC
4 weeks
Psychiatry – Consultation-Liaison – SHMC
4-8 weeks
Psychiatry – Inpatient Geriatrics – ESH
4 weeks
Psychiatry – Inpatient Adult – SHMC
10-12 weeks
Half-day didactic teaching per week
PGY2
Psychiatry – Addiction Medicine Consult Service - SHMC
4-8 weeks
Psychiatry – Ambulatory Psychiatry – STHC - q5 weeks
10 weeks
Psychiatry – BEST (K-6 Intensive Day Program) – HFMC or
Psychiatry – Child and Adolescent Consult-Liaison – SHMC or
Psychiatry – RISE (Adolescent IOP) – HFMC
4 weeks
Psychiatry – Consultation-Liaison/Emergency, Adult – SHMC
8-12 weeks
Psychiatry – Inpatient Adult – SHMC
16-20 weeks
Neurology – Inpatient Consults – SHMC or
Neurology – Ambulatory Movement disorders clinic - Selkirk
4 weeks
Psychiatry – Psychotherapy Continuity Clinic – STHC
1/2 day per week
Half-day didactic teaching per week
PGY3
Year-long ½ day per week rotation at Frontier Behavioral Health
for Outpatient Child and Adolescent Psychiatry
Year-long 1 day per week rotation in Psychiatry Specialty Clinic at Spokane
Teaching Health Clinic (STHC)
Year-long ½ day per week of collaborative care consults.
Year-long ½ day per week selective experience (can be STHC, SHMC,
off-site).
Year-long ½ day per week of rural Telepsychiatry
Year-long 1 day per week longitudinal psychotherapy clinic with 1/2 day
at Gonzaga University and 1/2 day at STHC
Year-long ½ day per week Addiction Psychiatry at STHC
Half-day didactic teaching per week
PGY4
Year-long ½ day per week rotation at Washington State University
Continuity Therapy Clinic
Year-long 1 day per week rotation in psychiatry specialty clinic at STHC
Optional 6 month 1/2 day per week of collaborative care consultation
Year-long 1/2 day per week Addiction Psychotherapy at VAMC Substance Abuse
Treatment Program (SATP)
Psychiatry – Inpatient Forensics – ESH
2-4 weeks
Required Junior Attending rotation at a variety of sites and settings including
ambulatory, inpatient and consult liaison psychiatry
Twelve 4-week blocks of elective time: 2-2 ½ total days per week
Half-day didactic teaching per week
Elective options can include any of previously completed required rotations
Commonly chosen elective options:
- Frontier Behavioral Health E&T elective
- Frontier Behavioral Health Child & Adolescent Clinic
- Frontier Behavioral Health Crisis Services elective
- Frontier Behavioral Health I-DBT elective
- Gonzaga University Primary Care Psychiatry elective
- Gonzaga University Psychotherapy Clinic
- Junior Attending – Inpatient, consult liaison psychiatry or clinic
psychiatry elective
-
Pediatric Neuro-developmental clinic
- ½ to full day elective per week for 2-3 months
-
Sleep medicine
- ½ day longitudinal 2-3 month elective
-
Curriculum development and teaching Elective
- ½ day a week for a variable rotation duration, expected to develop
a curriculum for implementation at the end of the elective, and to teach
at least 3 didactic sessions
- Advanced Motivational Interviewing Elective
- Spokane Treatment Solutions Addiction Treatment Clinic - MAT, including
methadone, psychotherapy
- Advanced QI/Scholarly work elective
- Sports medicine psychiatry elective
- Yale Science of wellbeing coursera elective
- Away elective at Bartlett Medical Center, Juneau, Alaska
- VAMC Addiction group process therapy elective
- VAMC TBI elective
- Emergency psychiatry hospitalist elective
- Severe heart disease (include cardiac transplant, LVAD and heart failure)
psychiatry consultation liaison clinic
- Juvenile Detention Child and Adolescent Consultation.
- A variety of psychotherapy electives (ISTDP, ACT, DBT, Group, Harm Reduction)