Resident Life

What to Expect

The Duke Psychiatry Residency Training Program is a “front-loaded” program in which 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 are abundant and varied and range from research electives to neuromodulation to psychotherapy practicums and experiences. The institution provides various opportunities for interdepartmental collaboration and committee participation for interested residents. Protected time for didactic learning takes place on Tuesday afternoons during the entire residency training program and is known as the Academic Half-Day.

PGY1:

Neurology

1 month VA Consults

Medicine (3 inpatient, 1 outpatient)

1 month Duke Inpatient MedPsych
1 month Acute Care Clinic at Durham VA
2 months General Medicine at Duke Regional Hospital

Inpatient Psychiatry

2 months Duke Inpatient
2 months Durham VA Inpatient

Outpatient Psychiatry

1 month Durham VA Psychiatry Emergency Center

Emergency

1 month Duke Emergency Department Night Float

PGY2:

Inpatient Psychiatry at Central Regional Hospital

3 months Adult Admissions Unit
1 month Geriatric Psychiatry
1 month Child Psychiatry
1 month Night Float

Outpatient Psychiatry

1 month Durham VA PEC

Emergency

2 months Duke Emergency Department Night Float, modified schedule

Consultation/Liaison (C/L) Psychiatry

2-3 months Duke Hospital C/L and/or VA

PGY3:

The transition from acute care psychiatry to outpatient psychiatry is eagerly anticipated by our trainees, who learn early in the PGY3 year that the responsibilities are different, but the learning opportunities continue to be plentiful and salient!  A “typical” schedule is depicted below. 

All PGY3 trainees are required to do a full day in the Duke Psychiatry Outpatient Clinic (Monday or Friday), a full day in the VA Mental Health Clinic, and a half-day in the Duke Center for Child and Family Studies (Thursday afternoon), as well as participate in the didactics offered during Academic Half-Day (Tuesday afternoon). Trainees in the PGY3 year may opt to meet most of their remaining ABPN requirements by also doing a half-day per week of Neurology, a half-day per week of Community Psychiatry (which, if it includes an addictions component, can count toward the addictions requirement), an additional half-day per week at the Durham VA, and an additional half-day per week at the Duke Psychiatry Outpatient Clinic.  Some trainees may pursue electives during the PGY3 year, deferring Neurology, Community, and/or VA and Duke Psychiatry Outpatient responsibilities to the PGY4 year.

Monday:

Full Day Duke Psychiatry Outpatient Clinic

Tuesday:

Half-Day Duke Psychiatry Outpatient Clinic
Academic Half-Day

Wednesday:

Full Day VA Mental Health Clinic

Thursday:

Half-Day VA PRIME/ Women’s Health Clinic
Half-Day Family Studies

Friday:

Half-Day Community Psychiatry
Half-Day Neurology

PGY4:

Depending on the way the trainee has scheduled his/her PGY3 year, the PGY4 year is one that includes at least a half-day per week in the Duke Psychiatry Outpatient Clinic, a half-day per week in the Academic Half-Day, and the rest of the time devoted to completing any remaining requirements.  A sample schedule follows:

Monday:

Addictions Psychiatry
Elective

Tuesday:

Elective
Academic Half-Day

Wednesday:

Elective
Elective

Thursday:

Elective
Half-Day Duke Psychiatry Outpatient Clinic

Friday:

Elective
Elective

"Duke has a wonderful group of residents and faculty from so many places with so many different interests. Throughout my time at Duke, I have learned so much about different cultures and practices that I would not have learned otherwise. I enjoy the company of my fellow residents, and it feels like another family at times. Duke also has a strong ECT program, which is a huge advantage for residents training here."
Ahmad Adi, MD, MPH (PGY4)