Clinical Rotations

Resident Shelby Powers checking in on her patients in the nursing station
Resident Shelby Powers, MD, checks on her patients at the nursing station.

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.

We are thrilled to have residents working in our newly opened behavioral health center at Duke Regional Hospital. This state-of-the-art facility includes a 42-bed inpatient unit, an 18-bed psychiatric emergency department, and a large neurotherapeutics suite and outpatient clinic. The building is spacious, thoughtfully designed, and flooded with natural light. Hallmarks of the psychiatric inpatient and emergency department include all private patient rooms, access to outdoor courtyards for patients, and ample physician workspaces. Residents will rotate at this site for several months over the course of training during their Duke inpatient, emergency psychiatry, and outpatient clinic experiences. 

Residents rotate at Duke University Hospital for their Consultation Liaison and Inpatient Med-Psych rotations.

In addition, the psychiatry residency program is closely affiliated with the Durham Veterans Affairs Medical Center (VA)—adjacent to Duke’s medical campus—where residents do rotations in inpatient, emergency, consultation-liaison, and outpatient psychiatry.

Central Regional Hospital, a state psychiatric hospital, is 20-minutes away from Duke and residents also rotate on inpatient psychiatry there (both on the adult and child and adolescent units). Residents also rotate at the R.J. Blackley Alcohol and Drug Abuse Treatment Program, a state-run addiction treatment center.

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.

Neurology (1 month)
Consults at VA

Medicine (4 months)
Inpatient Med-Psych at Duke University Hospital (1 month)
Emergency Medicine at the VA (1 month)
General inpatient medicine at Duke Regional Hospital (2 months)

Inpatient Psychiatry (4 months)
Inpatient Psychiatry (4 months)
Inpatient Psychiatry at Duke Regional Hospital (3 months)
Inpatient Psychiatry at the VA (1 month)

Emergency Psychiatry (2 months)
Emergency Psychiatry Nightfloat at Duke Regional Hospital (1 month)
Emergency Psychiatry at the VA (1 month)

Elective (1 month)

Inpatient Psychiatry (4 months)
Inpatient Psychiatry at Duke Regional Hospital (1 month)
Inpatient Psychiatry at Central Regional Hospital (3 months)

Emergency Psychiatry (2 months)
Emergency Psychiatry Nightfloat at Duke Regional Hospital (2 months)

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

Child and Adolescent Psychiatry (1 month)
Inpatient Child and Adolescent Psychiatry at Central Regional Hospital (1 month)

Addiction Psychiatry (1 month)
Inpatient Addiction Psychiatry at R.J. Blackley Alcohol and Drug Abuse Treatment Center (1 month)

Geriatric Psychiatry (1 month)
Geriatric Psychiatry Rotation at the VA (1 month)

Outpatient Psychiatry (psychopharm and psychotherapy
Duke Behavioral Health Outpatient Psychiatry 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

The required Community Psychiatry, Outpatient Neurology and Addiction Psychiatry rotations may be deferred to PGY4 for more elective time in PGY3.

Outpatient Psychiatry (psychopharm and psychotherapy)
Duke Behavioral Health Outpatient Psychiatry or VA Mental Health Clinic
1 to 1.5 days per week

Electives
3.5 days per week
See below for elective options.

Residents have one month of elective time in PGY1 and substantial elective in PGY3 and/or PGY4 years. Electives are listed below. Please note that electives are subject to availability and may vary from year to year.

  • Acceptance & Commitment Therapy
  • Addiction Psychiatry
  • ADHD
  • Caring for Hospitalized Patients with Opioid Use Disorder
  • Child – Autism and Brain Development
  • Child – Consultation Liaison
  • Child – Duke Child Evaluation Center
  • Child – Pediatric Med-Psych Clinic
  • Child & Family Studies Clinic
  • Clinical Research Trials in Child Psychiatry
  • Cognitive Behavioral Therapy
  • Collaborative Care Psychiatry
  • Consultation-Liaison Psychiatry
  • Counseling & Psychological Services (services for Duke students)
  • Dialectical Behavior Therapy
  • Eating Disorders
  • Electroconvulsive Therapy (ECT)
  • Emerging Adult Clinic
  • Forensic Psychiatry
  • Gender Care Psychiatry
  • Geriatric Psychiatry
  • Global Mental Health in Auckland, New Zealand (6-month full-time elective)
  • Hospice & Palliative Care
  • Latinx Mental Health at El Futuro
  • Lifestyle and Weight Management Center
  • Medical Education
  • Mental Health Outreach and Support for Healthcare Workers
  • Mindfulness-Based Psychotherapy
  • Neuropsychiatry
  • Perinatal Psychiatry
  • Psychodynamic Therapy
  • Psycho-Oncology
  • Rehabilitative Psychiatry
  • Research
  • Sleep Psychiatry
  • Transcranial Magnetic Stimulation
  • Transplant Psychiatry
  • Trauma-Focused Psychotherapy
PGY1
  • For 6 months: weekends off
  • For 3 months: 2 weekend shifts per month
  • For 3 months: 4 weekend shifts per month
PGY2
  • During the 2 months of Nightfloat residents have either 3-day weekends or 4-day weekends
  • During the other 10 months of the year, residents average two 12-hour weekend calls per month
PGY3 and PGY4
  • No overnight calls. Residents work 2-4 evening weekend call shifts per year (7pm-12am) in the Duke Regional Hospital Psych Emergency Department.