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Curriculum

Psychiatry Residency Spokane Program Rotation Structure by Year

Updated for 2020-21 Academic Year

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PGY1

DESCRIPTION
Duration
Emergency Medicine – SHMC or Pediatrics – Inpatient – SHMC
4 weeks
Internal Medicine – Ambulatory- STHC
4 weeks
Internal Medicine – Inpatient – STHC
8 weeks
Neurology – Inpatient Consults – DMC
4 weeks
Neurology – Inpatient Consults – SHMC
4 weeks
Psychiatry – Consultation-Liaison – SHMC or
Psychiatry – Child and Adolescent Consult-Liaison – SHMC
4 weeks
Psychiatry – BEST (K-6 Intensive Day Program) – SHMC
4 weeks
Psychiatry – Inpatient Adult – ESH
4 weeks
Psychiatry – Inpatient Geriatrics – ESH
4 weeks
Psychiatry – Inpatient Forensics – ESH
4 weeks
Psychiatry – Inpatient Adult – SHMC
4 weeks
Half-day didactic teaching per week

PGY2

DESCRIPTION
Duration
Psychiatry – BEST (K-6 Intensive Day Program) – SHMC or
Psychiatry – Child and Adolescent Consult-Liaison – SHMC
4 weeks
Psychiatry – Consult-Liaison – SHMC
12-16 weeks
Psychiatry – Emergency – SHMC
6 weeks
Psychiatry – Inpatient Adult – SHMC
10 weeks
Psychiatry – Primary Care/Collaborative Care – STHC
9 weeks
Psychiatry – Psychotherapy Continuity Clinic – Gonzaga University
1/2 day per week
Systems of Medicine (QI)
2 weeks
Half-day didactic teaching per week

PGY3

REQUIRED ROTATIONS
Year-long 1 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 of rural Telepsychiatry
Year-long 1 day per week longitudinal psychotherapy clinic at Gonzaga University
Year-long 1/2 day per week Addiction Psychiatry at STHC
Half-day didactic teaching per week

PGY4

REQUIRED ROTATIONS
Year-long ½ day per week rotation at Gonzaga University Continuity Therapy Clinic
Year-long 1 day per week rotation in psychiatry specialty clinic at STHC
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)
Required 4-week rotation as Junior Attending rotation at a variety of sites and settings, 3 days per week
Twelve 4-week blocks of elective time: 2-2 ½ total days per week
Half-day didactic teaching per week

ELECTIVES

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

Commonly chosen elective options:

  • ECT
  • Frontier Behavioral Health E&T elective
  • Frontier Behavioral Health Child & Adolescent Clinic
  • Frontier Behavioral Health Crisis Services elective
  • Gonzaga University Primary Care Psychiatry elective
  • Gonzaga University Psychiatry 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 2 of those sessions themselves
  • Advanced Motivational Interviewing Elective
  • Advanced QI/Scholarly work elective
  • Native Health (Kalispel Tribe Camas Path Clinic, Spokane Tribe of Indians Clinic)
  • Sports medicine psychiatry elective
  • Yale Science of wellbeing coursera elective
  • Away elective at Bartlett Medical Center, Juneau, Alaska
  • VAMC Addiction group process therapy elective
  • Emergency psychiatry hospitalist elective
  • Cardiac transplant ambulatory psychiatry consultation liaison clinic
  • Juvenile Detention Child and Adolescent Consultation.
  • A variety of psychotherapy electives (ISTDP, ACT, DBT, Group, Harm Reduction)