Duke Clinic

About the Education Program

Welcome to the Education Program!

We embrace and hope to expand on Duke’s statement:

We aspire to create a community built on collaboration, innovation, creativity, and belonging.  Our collective success depends on the robust exchange of ideas – an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes.  To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard.  All members of our community have a responsibility to uphold these values. 

The Education Program in the Department of Psychiatry and Behavioral Sciences values the diverse backgrounds and experiences of our faculty and learners; with more perspectives, we are better able to understand our patients, provide the best possible care, ask the most incisive research questions, and design the most innovative and helpful healthcare delivery systems. 

The education program is a critically important contributor to the success of the Department of Psychiatry and Behavioral Sciences.  We seek to educate leaders in future iterations of Psychiatry, which is an ever-evolving and vibrant field in need of individuals with expertise in clinical care (pharmacological, neuromodulatory and psychotherapeutic as well as integrated and collaborative), research (including basic science, translational, and healthcare delivery systems), and education.

Medical students and Physician Assistant students in the Duke University School of Medicine degree programs enjoy working closely with faculty and residents on the Core Clerkship.  Previously run by now-Associate Dean Dr. Caroline Haynes and subsequently by Dr. Roy Stein, the clerkship has flourished under the leadership of our current Director of Undergraduate Medical Education Dr. Shelley Holmer.  At present the clerkship earns accolades from students who appreciate the hands-on approach to patient care and supervision; these days more Duke students are choosing to pursue careers in Psychiatry than ever.

The pre-doctoral Psychology Internship is well-known and enjoys a great reputation for rigor and outstanding supervision.  Long directed by Dr. Karen Wells, who retired in 2016, it now is thriving under the leadership of Dr. Christian Mauro, a graduate of the internship who has many years of experience as an educator and supervisor for learners including medical students, psychology interns, psychiatry residents, and Child and Adolescent Psychiatry fellows. 

The Psychiatry Residency Training Program boasts a large number of trainees and excellent opportunities for electives, which are especially available during the third and fourth years of training.  Many outstanding psychiatrists and leaders have been trained since its inception in 1956 under the leadership of Dr. John Rhoads, who served for 32 years until he stepped down in 1988.  From 1988 to 1993 Drs. Allan Maltbe and Jesse Cavenar kept the training program running.  Dr. Tana Grady-Weliky assumed program directorship with the assistance of Associate Program Director Dr. Susan Van Meter in 1993 and remained at the helm until 1998.  Dr. Grace Thrall ran the program from 1998 till 2013 and is known, among many things, for her introduction of Psychiatry education programs to Evidence-Based Medicine.  Dr. Jane Gagliardi, a dually-trained internist and psychiatrist with over a decade of educational experience in medical education, assumed the role of Training Director in 2013 and has championed the role of psychiatrists as physicians who are specially trained to care for behavioral health needs of their patients as well as advocates who can promote change within the healthcare system.  Resident-initiated and implemented Quality Improvement activities have been successful in shaping many of the collaborations and improvements in the delivery of healthcare at Duke, and we are eager to see what other improvements our residents will propose and implement.  The program benefits from exposure to diverse patient populations at Duke, the Durham VA Medical Center, and Central Regional Hospital and is considered a “front-loaded” program in which acute care requirements are completed in the first two years.  Elective experiences and psychotherapy supervision are particular strengths of the program.  Trainees who are interested in pursuing research find ample elective time in the third and fourth years along with many eager faculty mentors participating in ground-breaking research, thought-provoking inquiry, and advocacy, just to name a few.  In recent years, the Department of Psychiatry and Behavioral Sciences has collaborated with other departments to provide stepped care with a case manager in the Medicine training clinic (“the Homebase Program”), psycho-oncology services at the Duke Cancer Center, transplant psychiatry services in the renowned Duke transplant services, and ever-improving collaborative care in the Duke Emergency Department. 

We are pleased to offer a five-year Combined Internal Medicine and Psychiatry Residency Training Program, which is one of the longest-standing and best-known in the country.  Initially started as a collaborative project between then-training directors Dr. Tana Grady-Weliky (Psychiatry) and Dr. G. Ralph Corey (Internal Medicine), the program has been running strong since the mid-1990s.  MedPsych training prepares physicians for comprehensive and integrated care of all patients, particularly those with complexity, and those with overlapping medical and psychiatric problems.  MedPsych physicians know that optimal care delivery requires innovation, and our graduates are often leaders in various aspects of designing and implementing healthcare delivery systems to take the best possible care of patients. 

The Geriatric Psychiatry division was initiated under the leadership of Dr. Ewald Busse, and the Geriatric Psychiatry Fellowship, the first in the nation, was founded in 1965 by Dr. Adrian Verwoerdt.  Subsequent fellowship directors have included Dr. David Steffens and Dr. Mugdha Thakur.  Since 2015, Dr. Tracey Holsinger has been the fellowship director.  The Geriatric Psychiatry division has long enjoyed a close collaboration with Geriatric Medicine; Geriatric Psychiatry fellows benefit from the collaboration in terms of opportunities to see patients, participate in case conferences, participate in didactics, and undertake research projects. 

The Child and Adolescent Psychiatry Fellowship draws upon decades of diversity in faculty expertise and mentorship.  With clinical activity dating back as far as 1946, the division of Child and Adolescent Psychiatry has contributed importantly to the health and wellness of Duke and the surrounding community for many decades.  The Division of Child and Adolescent Psychiatry has contributed importantly to the integration of pediatric behavioral and medical health, with exciting new clinical and research collaborations beginning in 2011.  Trainees now benefit from the ability to experience integrative behavioral healthcare, a dedicated child and adolescent consultation service, continued exposure to inpatient work at Central Regional Hospital, and the availability of electives and research in many exciting programs.  Dr. Allan Chrisman led the Child and Adolescent Psychiatry fellowship for many years before transitioning leadership to Dr. Adrian Angold.  Since 2013 Dr. Gary Maslow, who holds appointments in both the Department of Psychiatry and Behavioral Sciences and the Department of Pediatrics, has served as fellowship director.

The Continuing Medical Education program seeks to provide weekly Grand Rounds opportunities on a diversity of topics ranging from cutting-edge neuroscience to translational research to clinical wisdom to healthcare delivery systems.  Since 2014 we have incorporated periodic Morbidity and Mortality conferences in an effort to continuously learn experiences and improve the services we provide to patients.