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Resident Life: Rotations
PGY-1 Year  |   PGY-2 Year   |   PGY-3 Year    |   PGY-4 Year  

PGY-1 Year

Year Overview:

  Schedule A      
  Month 1-3   Medicine/pediatrics/neurology  
  Month 4-6   Psychiatry  
  Month 7-9   Medicine/pediatrics/neurology  
  Month 10-12   Psychiatry  
  Schedule B      
  Month 1-3   Psychiatry  
  Month 4-6   Medicine/pediatrics/neurology  
  Month 7-9   Psychiatry  
  Month 10-12   Medicine/pediatrics/neurology  

Psychiatry Rotations

  • All residents complete 3-4 months of inpatient psychiatry at Harborview Medical Center
  • Residents complete either 2 months of inpatient psychiatry at UW Medical Center or 3 months at VA Medical Center
  • Rotations expose the PGY-1 resident to inpatient psychiatry, the psychiatric emergency room, the civil commitment process, and ECT.
  • Residents may do one month of consults or research and bump another month.


  • All residents complete 4 months of medicine, pediatrics, or a combination of the two.
  • Medicine rotations are a mixture of Ward Medicine, Emergency Medicine or Medicine Consults.
  • Pediatrics is Ward Pediatrics
  • Call is taken according to the schedule of intern call on your current service.


  • All residents complete 1 month of Adult Inpatient Neurology at UW or VA medical centers
  • A second month is required, and may be satisfied by Adult Inpatient Neurology, Pediatric Neurology Consults, or completing an outpatient clinic neurology rotation which is deferred to later in training.
  • Residents who defer their second neurology rotations can instead complete one month of Psychiatry Consults or Research in the PGY-1 year.
  • Neurology call, if applicable, is taken according to the schedule of intern call on your current service.

Night and Weekend Duty

  • As part of their psychiatry months, all PGY-1 residents complete 3 weeks of night float (no daytime duties).
  • Additionally, all residents take approximately 5-6 weekend shifts, ranging from 10-14 hours, during the time they are on psychiatry rotations in their PGY-1 year.
  • All nightfloat, night, and weekend shifts are supervised by a senior resident or attending physician.


PGY-2 Year

Psychiatry Required Rotations

  • 3.5 months inpatient psychiatry, will include the training hospital missed in PGY-1 year (either UW or the VA)
  • 4 months consultation-liaison psychiatry
  • 1 month Harborview Psychiatric Emergency Services
  • 6 weeks Night Float

Psychotherapy Training

  • One half day per week of outpatient continuity clinic begins this year, and continues through PGY-4 year
  • Residents follow patients for prolonged time periods
  • Residents see patients for psychotherapy with individual and group supervision
  • Clinic day includes weekly seminars in supportive psychotherapy, and either basic psychodynamic psychotherapy or cognitive behavioral therapy

Psychiatry Selectives

  • Two months of the PGY-2 year are used for psychiatry selectives
  • Options include inpatient child and adolescent psychiatry, outpatient addictions, community psychiatry (recovery model), research, geriatrics, teaching elective, neuroradiology

Night and Weekend Duty

  • 6 weeks psychiatry nightfloat (no daytime duties)
  • Approximately 18 weekend shifts, 10-14 hours each, during PGY-2 year
  • Shifts are supervised by an attending physician available in-house (Harborview) or by phone (UW and VA).
  • Shifts are in-house at Harborview, home call at UWMC or VAMC

What if I Enter as an PGY-2?

  • Your program will be modified based on your prior training and future needs.
  • In general, your PGY-2 year will include  8 months inpatient psychiatry and 4 months consultation-liaison psychiatry, although this may be modified if you have completed a Psychiatry PGY-1 year.  You will do 6 weeks of nightfloat in your PGY-2 year, in 1 to 3 week blocks.  Your continuity clinic and PGY-3 and PGY-4 years will be similar to those of residents entering at the PGY-1 level, except for an emergency psychiatry rotation in the PGY-3 year and neurology, as needed.


PGY-3 Year

Required Rotations

  • 12 months outpatient psychiatry
  • Includes continuity clinic and (if not already completed) child and adolescent psychiatry, addiction psychiatry, geriatric psychiatry.
  • Other outpatient rotations are elective and include community mental health, medication management clinic, additional psychotherapy experience, community clinics serving sexual and ethnic minority and other underserved groups, couples and family therapy.

Psychotherapy Training

  • Outpatient continuity clinic continues 1 day per week
  • See outpatients under individual and group supervision
  • Continuity clinic day includes a weekly seminar in basic psychodynamic or cognitive behavioral therapy, whichever was not completed in the PGY-2 year

Night and Weekend Duty

  • No nightfloat
  • Roughly 2 calls or less per month
  • Combination of solo and training call (training and teaching junior residents on call)
  • 4 weeks of backup call per year, called in for emergent illnesses/absences only

What if I’m in the Idaho Track?

  • 4-year program requirements are the same, but order of rotations within the years is changed to take advantage of regional strengths at the Idaho site.
  • No night or weekend duty during PGY-3 or PGY-4 year
  • See the Idaho Track website for more information


PGY-4 Year

Required Rotations

  • One half day per week of continuity clinic
  • One half day per week of primary care consultation
  • Completion of any remaining requirements postponed from prior years

Elective Opportunities

A partial list of opportunities available in the PGY-4 year includes:

  • Community clinics
  • Couples and family therapy
  • Research rotations
  • Dialectical behavior therapy
  • Community mental health centers
  • Student health centers
  • Neuropsychological testing
  • Teaching or curriculum development
  • ECT certification
  • Some residents will be offered half-time chief resident positions
  • PGY-4s may complete additional inpatient, consultation-liaison, or emergency psychiatry rotations
  • May rotate as a junior attending
  • Residents planning to complete child and adolescent psychiatry training may begin in the PGY-4 year

Night/Weekend Duty

  • No nightfloat
  • Roughly 1 call per month
  • Combination of solo and training call (training and teaching junior residents on call)
  • 4 weeks of backup call during the R4 year (called in for emergent absence/illness only)


Box 356560   |   1959 NE Pacific St.   |   Seattle, WA 98195-6560   |   206.543.6577   |