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Residency Rotations

2018-2019 Block Schedule [PDF]

From the moment you start your residency with us, you’ll begin a broad-based clinical training program that will give you the important experiences and foundations for your future work as a psychiatrist. Click the links below to get an overview of each year.

First Year - PGY 1

Interns begin with an initial exposure to psychiatry at the New Mexico VA Medical Center. This includes five months on a state-of-the-art inpatient psychiatry unit working with an exceptional interdisciplinary service. Here they will learn about the acute management of psychiatric disorders and interact with behavioral health providers throughout the facility.

Other psychiatric experiences in the first year include consultation and liaison psychiatry, and emergency psychiatry at the university of New Mexico. Interns have a continuity experience in a year-long immersion in the outpatient treatment of psychiatric patients with serious mental illness in an integrated primary care clinic. Residents work in this clinic one half day a week to provide both medical and psychiatric care to their patients.

Interns also work both at the VA and at the University of New Mexico to complete their requirements in other disciplines. This includes two months of neurology, usually one at UNM and the other at the VA and four months of primary care at either of the two facilities. One month of of primary care is spent on the inpatient wards at the VA, and one month spent in outpatient clinics at the VA.The other two months of primary care can be spent at a combination of outpatient medicine clinics, emergency medicine, family medicine clinic, and inpatient or outpatient pediatrics.

Rotations

  • VAMC Psychiatry primary care clinic 12 months (concurrent)
  • Inpatient Psychiatry (VAMC) 5 months
  • C/L Psychiatry (UNM) - 1 month
  • Emergency Psychiatry (UNM) - 1 month
  • Internal medicine requirements - 4 months (with at least 1 month of inpatient internal medicine at the VAMC)
  • Neurology – 2 months

Second Year - PGY 2

Residents who have spent the initial year in our program will spend a portion of the second year rotating through three unique inpatient psychiatry experiences that are quite different from their training in the previous year at the VA. These inpatient units at the University of New Mexico’s Psychiatric Center represent acute treatment programs and serve as the referral endpoint for much of the state of New Mexico. Two of the units treat adults, and one is a specialized unit for geriatric psychiatry and patients with comorbid serious medical illnesses.

In addition to the inpatient experience, residents will spend:

  • Two months on the psychiatry consultation liaison service - one at the VAMC and one at UNM Hospital.
  • Two months in the psychiatric emergency service at the University Psychiatric Center -learning critical skills in crisis stabilization, acute interventions, and determination of the appropriate levels of psychiatric care.
  • One month of child psychiatry -- spending one month on the inpatient child psychiatry units where they work with child fellows and faculty managing children in the acute psychiatric setting.
  • One month of Alcohol and Substance Abuse psychiatry – at the freestanding University clinic that involves integrated, state of the art treatment for patients with primary substance abuse issues, those with co-occurring medical and serious psychiatric conditions, as well as pregnancy.
  • One month of Community Psychiatry and Systems of Care- where they begin to work together with primary care providers, and other specialized clinics (HIV, Pain), to provide psychiatric consultation in the outpatient setting.
  • One month of a selective rotation inclusive of research, Rural, Adult, Chlid, Geriatric, Psychomatic, or Addiction Psychiatry.
  • Psychotherapy – residents are assigned to psychotherapy supervisors and begin working with at least one patient whom they see over the course of the year or longer.

Rotations

  • Inpatient Psychiatry (University Psychiatric Center) 4 months
  • Inpatient Geriatric Psychiatry - 1 month
  • Inpatient Child Psychiatry 1 month
  • Consultation/Liaison Psychiatry 2 months
  • Psychiatric Emergency Services 2 months
  • Alcohol and Substance Abuse Program – 1 month
  • Community Psychiatry & Systems of Care – 1 month
  • Selective -1 month
  • Long-term Psychotherapy Clinic 12 months (concurrent)

Third Year - PGY 3

The third year of training is an immersion in the outpatient treatment of psychiatric patients. Residents learn the specific skills involved in outpatient treatment in multiple settings. Residents work in general adult assessment clinics and treatment programs as well as clinics with a more specialized focus. Residents are involved in all aspects of the bio-psychosocial assessment and treatment. This includes pharmacologic management, couples and family interventions, and multiple formats of individual and group psychotherapy.

Continuous Outpatient Psychiatry Clinic

Residents in their third year spend 12 months in the outpatient setting. Time is spent in a variety of clinics including the START Clinic (General Psychiatry), COPE Clinic (Severe Mental Illness), Seniors Clinic, Co-Occurring Substance Abuse clinic, Child Psychiatry Clinic, and in the Resident Psychotherapy Clinic. There is also ½ day per week for elective rotations (see PGY-4 for variety of electives offered), and a half day of protected time for didactics. The outpatient work involves evaluation of new patients, development of treatment plans in conjunction with attending faculty in the clinics, and the treatment of patients for acute and chronic psychiatric symptoms.

Fourth Year - PGY 4

The fourth year of training is predominantly an individually-tailored experience – planned by the resident and faculty – to allow for personal development and specialization. Potentially relevant activities for PGY 4, can include additional clinical rotations in a more senior role, teaching, research, or administrative activities such as serving as a Chief Resident. These experiences will be proposed by the resident and their faculty mentor to the Residency Training Director for approval.

For the fourth year, residents who did the groundwork in PGY 2 may have chosen to begin a child fellowship program. Residents who started our program in PGY 2 use the broad flexibility of the PGY 4 schedule to complete any general psychiatry requirements they did not have exposure to in their internships.

All residents participate in the Long-term Psychotherapy Clinic with a panel of least three patients.

Rural Experiences

Many residents participate in our nationally recognized rural psychiatry program. This one-of-a-kind opportunity, created with special funding from the State of New Mexico, offers the experience to work locally through telecommunications or on-site in rural locations through the assistance of Community Behavioral Health (CBH). Residents have the chance to learn about -- or immerse themselves -- in the varied cultures of New Mexico and gain an understanding about practicing culturally-sensitive psychiatry in rural and frontier areas while supported by an actively involved faculty.

Research

Residents may also pursue a research experience during their fourth year. This is often initiated earlier in their training, but the fourth year affords time for in depth immersion under the mentorship of faculty both at UNM and the New Mexico VA. Past residents have gone on to be highly successful and have worked in areas such as PTSD, addictions, schizophrenia, and geropsychiatry.

Other popular electives during the fourth year include:

  • Sleep medicine
  • Interdisciplinary pain management
  • Neuropsychologic assessment
  • Seniors Clinic
  • MIDD Clinic for the developmentally disabled
  • HIV clinic
  • Treatment Refractory Affective Disorders Clinic
  • Intensive Short Term Dynamic Psychotherapy
  • Psychosomatics
  • Alcohol and Substance Abuse Programs
  • Forensics experiences
  • Health Care for the Homeless / ACT team
  • Las Vegas State Hospital Forensics Unit
  • Refugee Clinic

Clinical Sites

Our residents have many opportunities to gain experiences in a variety of settings throughout the Albuquerque area and beyond.

UNM Psychiatric Center (UPC)

This facility is centerpiece around which clinical activities are organized. It typifies the community mental health center model and offers a rich diversity of patients. The hospital division consists of 47 beds: two general acute adult units and a 15 bed geriatric unit. There are also a 24-hour psychiatric emergency service, a full range of adult outpatient services, an ambulatory substance abuse program, a rape crisis clinic, and a children's outpatient program. 

UNM Children's Psychiatric Center (CPC)

The programs of the Division of Child and Adolescent Psychiatry provide residents with the opportunity to treat children of all ages and with a diversity of psychiatric and social problems. The Division operates a model 53 bed, cottage-style hospital, an adolescent inpatient unit, a psychiatric consultation service in the Department of Pediatrics, and the outpatient Programs for Children. The local Child Guidance Clinic also is affiliated with the Division

UNM Hospital

This acute care general hospital of 384 beds is the site for several Resident experiences.These include: their choice of certain “medicine” rotations such as Emergency Medicine, Peds Clinic, Peds Ward, Outpatient Medicine Clinic and one of two months in Neurology. The Department also conducts psychiatric consultation and liaison activities in this, the state’s only Level 1 Trauma Center. 

The New Mexico Veterans Affairs Health Care System (NMVAHCS)

The VAMC provides residents the opportunity to work with outstanding Department of Psychiatry VA-Based faculty caring for veterans in a broad array of clinical settings. An affiliate of the University of New Mexico School of Medicine, the VMAC includes 24 psychiatric beds which support an acute general psychiatry program, a transitional program, a specialized post-traumatic stress disorders program, a substance use disorders program, an outstanding psychiatric consultation service and a variety of additional outpatient clinical settings.

Community Behavioral Health (CBH)

Rural psychiatry experiences are a popular option in the fourth year. These ambulatory care settings are developed throughout New Mexico and offer clinical and community systems experience. 

Examples of Specific Rotation Opportunities

In PGY 3 and PGY 4 with the Department of Psychiatry, residents have diverse rotation choices based on their interests. Below is a partial list of these options.

  • Continuing Care Clinic
  • Short Term Assessment for Recovery and Treatment (START) Clinic
  • Addictions and Substance Abuse (ASAP) Programs
  • Truman Street Clinic (HIV/AIDS)
  • Refugee Clinic
  • Electroconvulsive Therapy ECT
  • South Valley Health Commons
  • Assertive Community Treatment (ACT)
  • COAST with Albuquerque Police Department Psychiatrist
  • Seniors Clinic
  • Treatment Resistant Affective Disorders Clinic (TRAD Clinic)
  • Substance use treatment for adolescents & young adults in recovery (STAR)
  • Sleep Medicine
  • Integrative Psychiatry
  • Neuropsychiatry Clinic
  • Trancranial Magnetic Stimulation (TMS)/Transcranial Direct Current Stimulation (TCDS) Services
  • Project ECHO® (Extension for Community Healthcare Outcomes) Teleconsultation model)

Electives available at the Veterans Administration Medical Center (VAMC)

  • Electroconvulsive Therapy (ECT)/Trancranial Magnetic Stimulation (TMS)/Ketamine Infusions
  • Mental Health Intensive Case Managment (MHICM)
  • Co-Occurring Pain Clinic
  • Substance Use Disorders (SUD)

The Department also has a network of contacts with the Indian Health ServiceBernalillo County Detention CenterNew Mexico Behavioral Health Institute, and other public and private psychiatric clinics and hospitals throughout the state.