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Curriculum

Psychiatry Residency Spokane Program Rotation Structure by Year

Table below updated for 2025-26 Academic Year

Click on Core Rotations link in Curriculum drop down menu for additional rotation information

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PGY1

DESCRIPTION
Duration
Emergency Medicine – SHMC
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

DESCRIPTION
Duration
Psychiatry – Addiction Medicine Consult Service - SHMC
4-8 weeks
Psychiatry – Ambulatory Psychiatry – STHC - q5 weeks
10 weeks
Psychiatry – BEST (K-6 Intensive Day Program) – or
Psychiatry – Child and Adolescent Consult-Liaison – SHMC or
Psychiatry – RISE (Adolescent IOP) –
4 weeks
Psychiatry – Consultation-Liaison/Emergency, Adult – SHMC
8-12 weeks
Psychiatry – Inpatient Adult – SHMC
16-20 weeks
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

REQUIRED ROTATIONS
Year-long 1 day per week rotation in Psychiatry Specialty Clinic at Spokane Teaching Health Clinic (STHC)
Year-long ½ day per week rotation at STHC for Outpatient Child and Adolescent Psychiatry
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 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

REQUIRED ROTATIONS
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
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
Ample space for a variety of electives that can be longitudinal (0.5-1 day per week x 6-12 months) or in blocks spread out over week, 3-3.5 total days per week
Half-day didactic teaching per week

ELECTIVE ROTATIONS
Elective options can include any of previously completed required rotations

Commonly chosen elective options:

  • ECT - SHMC
  • Frontier Behavioral Health E&T elective
  • 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, Consultation-liaison psychiatry or clinic psychiatry elective
  • Child/adol Psychiatry – BEST (K-6 Intensive Day Program) – HFMC
  • Child/adol Psychiatry – Child and Adolescent Consult-Liaison – SHMC
  • Child/adol Psychiatry – RISE (Adolescent IOP) – HFMC
  • Child/adol Psychiatry – Inpatient C&A – INBH - New as of 25-26
  • 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
  • Advanced QI/Scholarly work elective
  • Sports psychology elective - Gonzaga University
  • Yale Science of Wellbeing coursera elective
  • Away elective at Alaska
  • St Lukes Rehabilitation Institute - TBI elective - New as of 25-26
  • 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
  • A variety of psychotherapy electives (ISTDP, ACT, DBT, Group, Harm Reduction)