Residency PGY-1 Overview

Schedule and Locations

The Psychiatry Residency Program at UT Southwestern Medical Center follows the ACGME requirements, providing interns rotations through different centers of care:

Primary Care

Duration: 4 months
Locations: Internal Medicine at Parkland Memorial Hospital or the Dallas Veterans Affairs Medical Center, Pediatrics at Children’s Medical Center, or a combination.
Call expectations: Call schedule varies on the inpatient wards months. There are no call or weekend duties for palliative care or geriatrics.

  • 2 Inpatient Ward months in either internal medicine or pediatrics.
  • 1 month of Palliative Care: Residents will work in both the inpatient and outpatient setting at Parkland as a member of an interdisciplinary clinical team.
  • 1 month of Geriatric Medicine: Residents will have the opportunity to work in ambulatory, home health, and nursing home settings. This rotation has a unique didactic component that is highly valued by current residents. 

General Neurology (Parkland)

Duration: 2 months of a combination of the following:
Locations: Parkland Memorial Hospital and Zale Lipshy University Hospital
Call expectations: Rotating weekend rounding is expected. No call responsibilities.

  • General Neurology: Residents will provide neurology consultation services to primary teams throughout the hospital. Residents will become familiar with the neurologic exam, neuro-diagnostics, and a wide variety of neurologic diseases.
  • Epilepsy Monitoring Unit (EMU): Residents will round on the inpatient epilepsy monitoring unit under the supervision of seasoned epileptologists. Residents will become familiar with EEG architecture, seizure characterization, nonepileptic events, and comorbid psychiatric illness in patients with seizures.
  • Stroke Service at Parkland Hospital: Residents will round on patients in the Acute Stroke Unit, in addition to providing consultation throughout the hospital.
  • Child Neurology consultation: Residents will provide consultation for Children’s Medical Center patients for a variety of neurologic conditions including rare metabolic and congenital disorders.

Community Psychiatry/Homeless Services Team

Duration: 1 month
Location: Metrocare Services
Call expectations: No call or weekend responsibilities.

Residents see homeless patients in clinics, at shelters, and in street outreach. Residents learn about the acute psychiatric management of major mental illnesses and addiction, as well as a recovery approach that engages patients in their long term healing.

Psychiatric Emergency Services

Duration: 2 months
Location: Parkland Memorial Hospital
Call expectations: Weekend, overnight, and evening shifts are expected. No call duties.

Residents will gain exposure in emergency psychiatry by working in a dedicated psychiatric emergency room at Parkland Hospital. Residents will learn about acute presentations of psychiatric illness and treatment, intoxication and withdrawal states, as well as working in an interdisciplinary team. Our Psychiatric Emergency Services are staffed continuously by attending psychiatrists on-site, providing especially thorough supervision and guidance. 

Addiction Psychiatry

Duration: 1 month
Location: Dallas Veterans Affairs Medical Center
Call expectations: Weekend, night float, overnight, and evening shifts are expected. Short call duties.

During this rotation, residents will provide medical and psychiatric care to residential inpatients on the VA Gold team under the supervision of an attending. The educational component of this rotation includes selected readings and lectures that are generally highly praised by past residents. In addition, residents receive tutorials in Motivational Interviewing, an evidence-based psychotherapy for addictions.

Inpatient Psychiatry

Duration: 2 months
Location: Dallas Veteran Affairs Medical Center
Call expectations: Weekend, night float, overnight, and evening shifts are expected. Short call duties.

Experience on this rotation includes: learning inpatient management of acute and chronic psychiatric illnesses, introduction to ECT, and psychotherapy lectures. Residents also receive tutorials in using Cognitive Behavioral Therapy interventions with inpatients.

What Residents Learn

Core didactics occur on Wednesdays following Grand Rounds and the Psychiatry Resident Organization meeting. As an intern, you will find that didactics consist of a general survey of all aspects of psychiatry, including an introduction to APA guidelines on the treatment of conditions frequently seen during inpatient rotations. Thus, you will receive a broad overview of the field of psychiatry.

Balance and Diversity

The first year of residency will expose you to the most common populations, disorders, and therapies. You will have the opportunity to observe diagnostic methods in action, and the results of a variety of therapeutic modalities.

Opportunities

The UT Southwestern Psychiatry Residency Program will provide you with the flexibility to develop the training program that best fits your career plans. This Residency Program includes elective clinical rotations in a variety of subspecialties, additional clinical training opportunities in psychoanalysis and primary care, and opportunities to participate in research studies.

What Makes Our Program Special

Flexibility

You can do all your primary care experience in medicine, pediatrics, or any combination of months that make sense for you individually.

Innovative Rotations

For example, if you choose primary care in medicine, this will include a month on the Palliative Care Service that has become one of our interns’ favorite rotations. Additionally, all PGY-1 residents will do a month of homeless services psychiatry, along with more traditional inpatient and emergency rotations.

Mentoring

As a first-year resident, you will be assigned a faculty advisor with whom you will meet throughout the year to discuss your training and professional issues. The Residency Program Training Director will meet with your intern class exclusively on a quarterly basis, and you will be assigned a senior resident "Big Sib" who is available to answer questions and provide additional guidance during your intern year.