Curriculum & Rotations

Curriculum & 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. Duke provides many opportunities for interdepartmental collaboration and committee participation for interested residents. 

Protected time for didactic learning takes place on Tuesday afternoons—i.e., Academic Half-Day—throughout the entire four years of training.

Academic Half-Day Schedule

PGY-1
 

Academic Half-Day Hour 1:

  • July-August: Residents as Teachers
  • September-June: Biological Psychiatry (BIOPSY)

Academic Half-Day Hour 2:

  • July-August: Evidence-Based Medicine
  • September-December: Psychotherapy Tools & Skills
  • January-February: Supportive Psychotherapy
  • March-June: Human Development

Academic Half-Day Hour 3: Intern Process Group

Weekly Conferences:

  • Chair’s Conference
  • Med/Psych Conference
  • Psychiatry Grand Rounds

Site-Specific Conferences: VA Diagnostic Interviewing Rounds

Graphic Representation of PGY-1 Schedule Detailed Above

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PGY-2
 

Academic Half-Day Hour 1:

  • July-August: DBT Skills
  • September-June: Biological Psychiatry (BIOPSY)

Academic Half-Day Hour 2:

  • July-August: Systems Crash Course (incl. visits to community individual psycho-dynamic psycho-therapy supervision sites)
  • September-December: Law & Psychiatry
  • January: Social Determinants of Mental Health
  • February: Psychiatric Ethics
  • March-April: Sexuality
  • May-June: Evidence-Based Medicine/Quality Improvement

Academic Half-Day Hour 3: 

  • July-August: Systems Crash Course (incl. visits to community individual psycho-dynamic psycho-therapy supervision sites)
  • September-November: Supportive Psychotherapy & Balint Groups 
  • December: Mental Health at the End of Life
  • January-March: Community & Social Psychiatry
  • April-June: Introduction to Outpatient Psychiatry

Weekly Conferences:

  • Chair’s Conference
  • Med/Psych Conference
  • Psychiatry Grand Rounds

Site-Specific Conferences: VA Diagnostic Interviewing Rounds

Graphic Representation of PGY-2 Schedule Detailed Above

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PGY-3

Academic Half-Day Hour 1: 

  • July-June: Biological Psychiatry (BIOPSY)

Academic Half-Day Hour 2:

  • July-August: History of Psychiatry
  • September-October: Cognitive Behavioral Therapy
  • November-December: Dialectical Behavior Therapy
  • January-February: Acceptance & Commitment Therapy 
  • March-April: Interdisciplinary Approaches to Trauma
  • May-June: Career Series

Academic Half-Day Hour 3: 

  • July-December: Introduction to Psychodynamic Psychotherapy
  • January-June: Psychodynamic Psychotherapy

Weekly Conferences:

  • Chair’s Conference
  • Med/Psych Conference
  • Psychiatry Grand Rounds

Site-Specific Conferences: Family Studies Seminar

Other: Individual Psychodynamic Psychotherapy Supervision

Graphic Representation of PGY-3 Schedule Detailed Above

 

PGY-4

Academic Half-Day Hour 1:

  • July-June: Biological Psychiatry (BIOPSY)

Academic Half-Day Hour 2:

  • July-September: Mental Health & Culture
  • October: Introduction to Scholarship
  • November: Career Series II
  • December: Prescribing Wisely
  • January-February: Eating Disorders 
  • March-April: Accelerated Experimental Dynamic Psychotherapy (AEDP)
  • May-June: Capstone

Academic Half-Day Hour 3: 

  • July-December: Psychodynamic Psychotherapy
  • January-February: Integrated Behavioral Healthcare
  • March-April: Neuroscience, Philosophy & Psychotherapy
  • May-June: Capstone 

Weekly Conferences:

  • Chair’s Conference
  • Med/Psych Conference
  • Psychiatry Grand Rounds

Other: Individual Psychodynamic Psychotherapy Supervision

Graphic Representation of PGY-4 Schedule Detailed Above

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

View the residency electives.

Clinical Rotations Schedule

PGY-1 (11 four- to five-week blocks)*

  • Neurology – 1 block
  • Medicine (3 inpatient, 1 outpatient) – 4 blocks
  • Inpatient Psychiatry – 4 blocks
  • Outpatient/Emergency Psychiatry – 1 block
  • Duke Emergency Psychiatry Night Float – 1 block

PGY-2 

  • Inpatient Psychiatry – 6 months
  • VA Emergency Psychiatry – 1 month
  • Duke Emergency Psychiatry Night Float – 2 months 
  • Consultation/Liaison Psychiatry – 2-3 months

PGY-3 (Sample Schedule)

  • Monday – Outpatient Psychiatry
  • Tuesday – Outpatient Psychiatry, Academic Half Day
  • Wednesday – VA Mental Health Clinic and/or VA Women’s Health Clinic
  • Thursday – VA Mental Health Clinic, Family Studies
  • Friday – Community Psychiatry, Neurology

PGY-4 

  • Monday – Addictions Psychiatry, Elective
  • Tuesday – Elective, Academic Half Day
  • Wednesday – Electives
  • Thursday – Elective, Duke Psychiatric Outpatient Clinic
  • Friday – Electives

Download a more detailed version of the schedule.

Clinical Rotation Schedule - Graphic Representation of Above Bullet Points