The Residency Education & Training Committee includes: chief residents, faculty members, directors of each clinical training site, director of residency education and representatives of the Divisions of Clinical Psychology and Social Work. Our clinical education is structured to allow the resident sufficient flexibility to meet graduation requirements as well as to pursue individual needs and interests. Because the resident’s education is paramount, individual interests are actively encouraged and supported. Constant monitoring ensures that educational needs are not usurped by service needs. Didactics and supervision time are protected.
In addition to intensive clinical supervision, a PGY faculty coordinator is responsible for working with residents during each of the training program's four years. The coordinator is familiar with all aspects of the curriculum and rotations in that year and attempts to maximize each resident's learning experiences. To obtain feedback on education and to prepare residents for boards, the program administers a written PRITE examination annually. Also, on each rotation, residents receive formal clinical interview observation and critique. These are all treated as learning opportunities and have contributed to a high success rate on subsequent specialty examinations.
PGY-1 SAMPLE ROTATION SCHEDULE
Each block is 4 weeks long, making 13 blocks per year.
Inpatient Psychiatry, at VCUHS - ~3 blocks
Neurology - 2 blocks
Emergency Medicine - 1 block
Inpatient Medicine or Pediatrics - 2 blocks
Inpatient Psychiatry Night Float - 1 block
Inpatient Psychiatry +/- Substance Abuse, at VAMC - ~3 blocks
During intern year, PGY-1s spend 6 months rotating off-service on Internal Medicine, Emergency Medicine and Neurology. Residents with an interest in Child & Adolescent Psychiatry have the option of doing one to three blocks of Pediatrics instead of Internal Medicine. The other 6-months are spent on inpatient psychiatry at VCU Medical Center and the McGuire VA Medical Center.
The VCU Inpatient Psychiatry Rotations are split into specific teams, according to the patient's presentation on admission. These teams include Mood Disorders, Schizophrenia, Geriatrics, Med/Psych, and STAT. Residents will rotate through each team for at least 1 block over the course of their PGY-1 and 2 years.
PGY-2 SAMPLE ROTATION SCHEDULE
Each block is 4 weeks long, making 13 blocks per year.
Inpatient Psychiatry +/- Substance Abuse, at VAMC - 2-3 blocks
Subspecialty Rotations - 5+ blocks
Inpatient Psychiatry, at VCUHS - 3-4 block
ER Psychiatry Night Float - 1-1.5 blocks
VAMC Night Float - 1-1.5 block
Outpatient Psychotherapy Clinic - ~4 hours/week
The PGY-2 schedule is very flexible and residents are able to submit requests so that their schedule can be tailored to their specific interests. They are able to request extra time on any given rotation.
Throughout the year, PGY-2s see outpatients for psychotherapy. They will complete their rotation through each VCU Medical Center inpatient team, so that by the end of PGY-2 they will have rotated through every team. Residents also rotate through each of the subspecialty rotations for a minimum of 1 block.
Subspecialty rotations include:
- Child & Adolescent
- Consult Liaison at VCUHS
- Eastern State Hospital/Forensics
PGY-3 SAMPLE SCHEDULE
All rotations done during the PGY-3 year are done on an outpatient basis. Each half day represents another "clinic." The General Psychiatry clinic and one psychotherapy clinic stay at the same time throughout the year. The other clinics change every 3-6 months.
||General Psychiatry||Didactics||Emergency Psychiatry||Psychotherapy||Psychotherapy & Case Conference|
|PM||Subspecialty||Psychotherapy or Subspecialty||Didactics||Child & Adolescent||Grand Rounds & Residents' Meeting & Psychotherapy|
|Psychotherapy Modalities include:
PGY-4 SAMPLE SCHEDULE
Electives (20 hours/week) - 4 months
Consultation & Liaison Psychiatry - 4 months
Community Psychiatry & 10 hours/week of Electives - 3-4 block
Outpatient Psychotherapy Clinic - ~17 hours/week
The PGY-4 year is divided into three blocks and includes continual outpatient psychotherapy. Our Electives Catalogue details the extensive list of available electives. As senior residents on the Consultation & Liaison service, PGY-4s rotate at both VCUHS and VAMC. The community psychiatry experience is through select local community service boards, which are Virginia's resource for public mental health care.
Psychotherapy Modalities include:
- Supportive Psychotherapy
- Psychotherapy w/ Psychopharmacology
- Psychodynamic Psychotherapy
- Cognitive Behavioral Therapy
- Couples/Family Therapy
|Addiction Medicine||Community Psychiatry Elective||Introduction to Functional
Magnetic Resonance Imaging
|Adolescent Mental Health
& Substance Use Research
|Couples Therapy: An Object
|Managed Behavioral Healthcare||Private Practice
|Advanced Assessment and
Pharmacotherapy of Psychotic
and Mood Disorders
|Marital and Family
|Advanced Training in Family Therapy||Consultation/Liaison Research||Medical and Psychiatric Ethics||Psychiatry in Long-Term Care|
|Anxiety Disorders||Domestic Violence
Assessment and Engagement
|Medical Regulation||Psychiatric Day Hospital|
|Center for Craniofacial Care||Electroconvulsive Therapy
& Other Brain Stimulation
|Research and Treatment of Schizophrenic Disorders|
|Center for Human-Animal Interaction||Emergency Psychiatry||Mood Disorders Inpatient
|Child and Adolescent
Psychiatry Consultation - Liaison
|Forensic Psychiatry in a
Maximum Security Setting
|Movement Disorders Psychiatry||Spit for Science: The VCU Student Survey|
|Clinical Service in a Private Practice-
outpatient, inpatient and research setting
|Outpatient Geriatric Psychiatry||Toxicology|
|Clinical Trials in Psychiatry||HIV Psychiatry Clinic||Outpatient
|College Psychiatry||In-Depth Experience in
Inpatient Junior Attending,
or STAT/CSU Team