The Program provides for a number of options to customize residency training.  These are noted below.

Electives are training opportunities that are at the discretion of the resident and do not necessarily fulfill a specific requirement for graduation.

Selectives are options for completing a requirement from within a set of offerings that meet that requirement.

Year One

All rotations are completed at the UVA hospital or in UVA clinics

3 months of general medicine training including one month of inpatient medicine and one month of general medicine consults.  Two additional months of consultation or clinic services can be selected including Pediatrics, Palliative Care, Toxicology, Endocrinology or an additional month of medicine consultation service.

1 month of Emergency Medicine

3 months of inpatient psychiatry

3 months of psychiatry consultation

2 months of neurology, including one inpatient and one consultation service month.  One month of pediatric neurology can be substituted for one of the adult neurology months for those considering a fellowship in Child and Adolescent Psychiatry.

Year Two

Rotations completed at UVA Hospital, Commonwealth Center for Children and Adolescents, Western State Hospital and one or more community sites.  The second year is broken into 10 five-week blocks.

2 blocks of 5E Psychiatry Inpatient Unit managing patients and supervising interns

2 blocks of Consult Liaison/Emergency Psychiatry as a supervisory resident for in hospital consults

1 block of Inpatient Geriatric Psychiatry

1 block ECT and Substance Abuse Selective

1 block Western State Hospital inpatient

3 selective blocks often including a Child and Adolescent Psychiatry rotation, research, behavioral medicine, pain clinic, and other options.

Year Three

12 months of continuous outpatient training in a private practice model office where residents see patients of all socioeconomic levels.  Attendings provide real time case supervision.  1-1 1/2 days per week of protected didactic time

Fourth Year

The fourth year is a longitudinal experience with residents developing schedules that meet their training requirements and addressing individual professional goals.  Some of the training options are listed here.  Fourth year residents spend one day a week in the outpatient clinic following patients from their previous year, and a half day a week on the consult service supervising residents and teaching medical students.  Additional requirements that may need to be satisfied in the fourth year are time in Child and Adolescent Psychiatry, Community Psychiatry, Forensics or Addictions.