Clinical Rotations

Clinical Rotations

Duke’s world-class faculty and cutting-edge medical facilities, as well as partnerships with other hospitals and clinics, afford exceptional clinical training opportunities for residents.

Training Sites

Residents engage in clinical training experiences at two of Duke’s hospitals: Duke University Hospital and Duke Regional Hospital. In addition, the psychiatry residency program is closely affiliated with the Durham Veterans Affairs Medical Center (VA)—adjacent to Duke’s medical campus—and Central Regional Hospital, a state psychiatric hospital.

Clinical Rotations

Trainees in the PGY1 and PGY2 years complete most of the acute care requirements before proceeding to the more ambulatory and elective PGY3 and PGY4 years. Elective opportunities available in the PGY3 and PGY4 years range from research electives to neuromodulation to psychotherapy practicums and experiences.

PGY1

  • Neurology (1 month)
    Consults at VA
     
  • Medicine (4 months)
    Inpatient Med-Psych at Duke University Hospital (1 month)
    Acute Care Clinic (emergency room) at VA (1 month)
    General inpatient medicine at Duke Regional Hospital (2 months)
     
  • Inpatient Psychiatry (4 months)
    Duke University Hospital Williams Ward (2 months)
    VA (2 months)
     
  • Emergency Psychiatry (2 months)
    VA Psychiatric Emergency Center (1 month)
    Duke University Hospital Psychiatry Emergency Department (1 month)
     
  • Elective (1 month)

PGY2

  • Inpatient Psychiatry (6 months)
    Central Regional Hospital:
    Adult Admissions Unit (3 months)
    Geriatric Psychiatry (1 month)
    Child and Adolescent Psychiatry (1 month)
    Night Float Sunday through Thursday overnights (1 month)
     
  • Emergency Psychiatry (3 months)
    VA Psychiatric Emergency Center (1 month)
    Duke University Hospital Emergency Department (2 months)

  • Consultation/Liaison Psychiatry (3 months)
    Duke University Hospital C/L (2 months)
    VA C/L (1 month)

PGY3

  • Outpatient psychiatry at either the Duke Psychiatry Outpatient Clinic (DPOC) or VA Mental Health Clinic (2.5 days per week)
  • Family Studies Psychotherapy Clinic (.5 days per week)
  • Community Psychiatry (.5 days per week)
  • Outpatient Neurology (.5 days per week)
  • Addiction Psychiatry (.5 days per week)

Required rotations include Community, Neurology and Addictions may be deferred to PGY4 for more elective time in PGY3.

PGY4

  • Outpatient psychiatry at either the Duke Psychiatry Outpatient Clinic (DPOC) or VA Mental Health Clinic (1 to 1.5 days per week)
  • Electives (3.5 days per week)
     

Electives

Residents have one month of elective time in PGY1 and substantial elective in PGY3 and/or PGY4 years. View the electives for academic year 2020-2021. Please note that electives are subject to availability and may vary from year to year.
 

Community Placements (PGY3 and PGY4)

Weekend and Evening Work

In PGY3 and PGY4, no overnight work is routinely assigned. Residents take a few weekend call shifts (7pm-12am) in the Duke Emergency Department, but no overnight Duke Emergency Department shifts.