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Clinical Rotations

PGY1 Shelby Powers checking in on her patients in the nursing stationDuke’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. In addition, the psychiatry residency program is closely affiliated with the Durham Veterans Affairs Medical Center (VA)—adjacent to Duke’s medical campus—and Central Regional Hospital, a state psychiatric hospital.

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. Elective opportunities available in the PGY3 and PGY4 years range from research electives to neuromodulation to psychotherapy practicums and experiences.


Neurology (1 month)

Consults at VA

Medicine (4 months)

Inpatient Med-Psych at Duke University Hospital (1 month)
Acute Care Clinic (emergency room) at VA (1 month)
General inpatient medicine at Duke Regional Hospital (2 months)

Inpatient Psychiatry (4 months)

Duke University Hospital Williams Ward (2 months)
VA (2 months)

Emergency Psychiatry (2 months)

VA Psychiatric Emergency Center (1 month)
Duke University Hospital Psychiatry Emergency Department (1 month)

Elective (1 month)


Inpatient Psychiatry (6 months)

Central Regional Hospital
  • Adult Admissions Unit (3 months)
  • Geriatric Psychiatry (1 month)
  • Child and Adolescent Psychiatry (1 month)
  • Night Float Sunday through Thursday overnights (1 month)

Emergency Psychiatry (3 months)

VA Psychiatric Emergency Center (1 month)
Duke University Hospital Emergency Department (2 months)

Consultation/Liaison Psychiatry (3 months)

Duke University Hospital C/L (2 months)
VA C/L (1 month)


Outpatient Psychiatry

Duke Psychiatry Outpatient Clinic (DPOC) 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

Duke Psychiatry Outpatient Clinic (DPOC) or VA Mental Health Clinic
1 to 1.5 days per week


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 Cognitive Behavioral Therapy
  • 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
  • Diet and Fitness
  • Eating Disorders
  • Electroconvulsive Therapy (ECT)
  • Emerging Adult Clinic
  • Forensic Psychiatry
  • Gender Care Psychiatry
  • Geriatric Psychiatry
  • Global Mental Health in Auckland, New Zealand
  • Hospice & Palliative Care
  • Latinx Mental Health at El Futuro
  • Medical Education
  • Mindfulness-Based Psychotherapy
  • Neuropsychiatry
  • Pain Clinic
  • Perinatal Mental Health
  • Psychodynamic Therapy
  • Psycho-Oncology
  • Rehabilitative Psychiatry
  • Research
  • Sleep Psychiatry
  • Transplant Psychiatry
  • Trauma Therapy

Community Placements (PGY3 & PGY4)

Weekend & Evening Work

In PGY3 and PGY4, no overnight work is routinely assigned. Residents take a few weekend call shifts (7pm-12am) in the Duke Emergency Department, but no overnight Duke Emergency Department shifts.