Duke Clinic

Education Programs

Welcome to the Education Program

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. 

Education 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. 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 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. 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. 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. In recent years, the Department 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 collaborative care in the Duke Emergency Department. 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.

We are pleased to offer a five-year Combined Internal Medicine-Psychiatry (MedPsych) Residency Training Program which began in the mid-1990s, is one of the longest-standing and best-known in the country. 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 Fellowship, the first in the nation, was founded in 1965 by Dr. Adrian Verwoerdt. Dr. Tracey Holsinger has been the fellowship director since 2015. 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 to 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 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. Gary Maslow, who holds appointments in both the Department of Psychiatry and Behavioral Sciences and the Department of Pediatrics, has served as fellowship director since 2013.

The Post-doctoral Clinical Psychology Fellowship program is a 2-year full-time program is designed to help advance the professional development and clinical training goals for clinical psychologists (a) trained in a clinical scientist or scientist-practitioner model and (b) interested in pursuing a career as a clinician-educator in an academic medical center. Fellows conduct psychosocial assessments and provide contemporary cognitive behavioral therapies using empirically supported treatments and principles of change to a wide range of patients within clinics at Duke University Medical Center.

The Continuing Medical Education program provides weekly Grand Rounds opportunities on a diversity of topics ranging from cutting-edge neuroscience to translational research to clinical wisdom to healthcare delivery systems. Quarterly Morbidity and Mortality conferences offer an opportunity to continuously learn from experiences and improve the services we provide to patients.

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.