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Psychiatry Residency Program Structure

The UT Southwestern Psychiatry Residency Program follows the requirements of the Accreditation Council for Graduate Medical Education (ACGME), providing interns rotations through different centers of care:

PGY-1

Your first post-graduate year (PGY) is designed to establish your identity and competence as a physician and your ability to manage medical emergencies, primary care, and the fundamentals of psychiatric assessment and treatment.

Clinical Components

  • Primary Care (adult and/or child)
  • General Neurology
  • Inpatient Psychiatry
  • Community Psychiatry at Homeless Services
  • Psychiatric Emergency
  • Addiction Psychiatry

Additional Information about PGY-1

PGY-2

Your second year is designed to consolidate your identity and competence as a psychiatrist and your ability to diagnose and manage the acute presentations of all major areas of psychopathology in an ethnically and socioeconomically diverse population of patients.

Clinical Components

  • General Inpatient Care
  • Psychiatric Emergency
  • Geriatric Psychiatry
  • Community Psychiatry at the County Jail
  • Community Psychiatry at Metrocare
  • Consult-Liaison Psychiatry
  • Selective

Additional Information about PGY-2

PGY-3

The third-year curriculum aims to deepen your understanding of diagnosis and formulation and develop your competence in the long-term management of psychiatric illness. As elective time becomes available in the PGY-3 and PGY-4 year residents can craft an individualized schedule, or apply for entry into one of our tracks: Community Psychiatry, Women’s Mental Health, or Clinician-Educator. All PGY-3 residents participate in a quality improvement project.

Clinical Components

  • Outpatient clinics
  • Subspecialty care (Child Psychiatry and electives)
  • Psychotherapy
  • Student Mental Health or Psychiatry Primary Care

Additional Information about PGY-3

PGY-4

Your final year is when you will consolidate your skills, pursue your specific interests and passions, and begin to develop specific expertise. As elective time becomes available in the PGY-3 and PGY-4 years, residents can craft an individualized schedule, or apply for entry into one of our tracks: Community Psychiatry, Women’s Mental Health, or Clinician-Educator. All PGY-4 residents participate in a scholarly project.

Clinical Components

  • 10 months of electives
  • Consult-Liaison Psychiatry
  • Psychotherapy

Additional Information about PGY-4

What Residents Will Learn

The didactic curriculum reflects the Psychiatry Residency Program’s eclectic model of understanding and treating mental disorders. Learning experiences are diverse and incorporate theoretical and scientific aspects of the psychiatric knowledge base, while accomplished faculty members provide ideal opportunities for learning from experts on a wide variety of topics. These experiences and resources prepare residents to be leaders in the psychiatric field and provide the skills to deliver the best available care over the course of their careers.

The Residency Program integrates active educational formats to optimize application and synthesis of knowledge and promote long-term learning. Residents participate in small-group learning in PGY1-PGY3, led by a designated faculty member, labeled as a “tutor.” The small-group tutor curriculum is integrative and designed for the scaffolding of knowledge coordinated with clinical experiences during these 3 years. Moving into PGY4, the program provides a comprehensive board-review course in preparation for the ABPN certification exam.

In addition to the weekly, tutor-led small group sessions, residents participate in 1-2 seminars each week on various topics, many organized into longitudinal series across residency years. Core seminar series topics include the following:

  • Culturally-informed care, including LGBT mental health, social determinants of health, marginalization
  • Ethics
  • Global and refugee mental health
  • Mental health advocacy, stigma, and health policy
  • Neuroscience
  • Quality improvement, patient safety, and bad outcomes
  • Skills-based sessions: interviewing skills, risk assessments, capacity assessments
  • Subspecialty psychiatry: addiction, child and adolescent, consultation-liaison, forensic, geriatric, sleep
  • Systems-based practice

All residents participate in our structured Journal Club curriculum, which has been peer reviewed and accepted as a model curriculum by the American Association of Directors of Psychiatric Residency Training (AADPRT) and approved for online publication. The goals of Journal Club include improving resident knowledge of evidence-based psychiatric practice while enhancing resident skills in critical evaluation of the literature. Residents prepare for this activity with well-designed study guides that highlight important learning points related to study design and statistics and application to clinical practice.

A rich experience in psychotherapy training has always been a priority of the Residency Program. Didactic components taught by departmental faculty of the Dallas Psychoanalytic Center and an internationally recognized program in cognitive behavior therapy offer intensive and state-of-the-art training throughout the Residency Program. Topics included in the psychotherapy didactic curriculum include supportive psychotherapy, psychoanalytic and object relations theory, couples and family therapy, group therapy, cognitive-behavioral therapy, interpersonal therapy, acceptance and commitment therapy, and psychodynamic therapy. The seminar and case-conference series are supplemented by individual and group supervision.