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Program Coordinator

Linda Barkley
Sacred Heart Medical Center
on M, T, Th, F
Ph: (509) 474-4744
Fax: (509) 474-4746

Spokane Teaching Health Clinic
on Wed
Ph: (509) 626-9963

Rotation Structure by Year

PGY-1

  • Nine 4-week rotations at Sacred Heart Medical Center (SHMC) consisting of Internal Medicine, Cardiology, Neurology, Pediatrics, Emergency Department Medicine, and Psychiatry Consultation Liaison
  • Two 4-week rotations at Eastern State Hospital (ESH) Adult Inpatient Psychiatry
  • One 4-week rotation at Frontier Behavioral Health (FBH) Adult Inpatient Psychiatry
  • Half-day didactic teaching per week

Sample PGY-1 year rotation schedule

1: Inpatient Adult Psych at ESH

2: ED at SHMC

3: Internal Medicine Purple Team at SHMC

4: Consultation Liaison Psych at SHMC

5: Internal Medicine House Staff at SHMC

6 & 7: Neurology Outpatient at SHMC

8: Internal Medicine Night Float at SHMC

9: Internal Medicine Cards at SHMC

10: Inpatient Adult Psychiatry at FBH

11 & 12: Inpatient Adult Psych at ESH

13: Family Medicine PEDS Inpatient at SHMC

PGY-2

  • Ten 4-week rotations at Providence Sacred Heart and Children’s Hospital consisting of Consultation/Liaison Psychiatry, Emergency Psychiatry, Inpatient Psychiatry, Neurology and Systems of Medicine
  • Three 4-week rotations in Primary Care Psychiatry at Spokane Teaching Health Clinic
  • 1 ½ day elective rotation time during each Primary Care Psychiatry block
  • Half-day didactic teaching per week
  • Half-day Psychotherapy Continuity Clinic at Gonzaga University per week

Sample PGY-2 year rotation schedule

1 & 2: Inpatient Adult Psychiatry at SHMC

3: Inpatient Neurology at SHMC

4 & 5: Primary Care Psychiatry at Spokane Teaching Health Clinic

6, 7, 8, & 9: Consultation-Liaison Psychiatry

10: Emergency Psych (2 weeks) and Systems of Medicine (2 weeks) SHMC

11 & 12: Inpatient Adult Psychiatry at SHMC

13: Primary Care Psychiatry at Spokane Teaching Health Clinic

PGY-3

  • Year-long, 1 day per week rotation at Frontier Behavioral Health for Outpatient Child and Adolescent Psychiatry
  • Year-long 1 ½ days per week rotation in Primary Care Psychiatry at Spokane Teaching Health Clinic (STHC)
  • 6 months of Addiction Psychiatry 1 day per week at VAMC
  • 6 months of Geriatric Psychiatry 1 day per week at FBH
  • One 4 week rotation elective time: 1 day per week
  • Half-day didactic teaching per week.

PGY-4

  • Two 4-week rotations of Forensic Psychiatry at ESH: 2 ½ days per week
  • Two 4-week rotations as Junior Attending at SHMC, one on Inpatient Adult Psych and one on Consult Liaison Psych: 2 ½ days per week
  • Elective 4-week rotations of elective time: 2 ½ days per week
  • Year-long 1 day per week rotation at Gonzaga University Psychiatry Continuity Clinic
  • Year-long 1 day per week rotation in Primary Care Psychiatry at Spokane Teaching Health Clinic
  • Half-day didactic teaching per week

PRS Supervision

PGY-1

During the PGY-1 year, on psychiatry rotations, each resident is required to have one hour per week of direct supervision with his or her inpatient attending, in addition to rounds. 

The resident also has one hour per week of direct individual/group or peer consultation supervision with an “off ward” supervisor.  This is a member of the faculty who meets with the resident or residents (if on a rotation in which there is a more senior resident working alongside a junior resident) to discuss cases from the resident’s inpatient caseload, case formulation and differential diagnosis, issues involved in working with the multidisciplinary inpatient team and with families, approaches to treatment, and/or papers from the psychiatric literature, depending on the resident’s needs and preferences.

PGY-2

In the PGY-2 year, each resident is required to have at least one hour per week of direct supervision by the attending supervising him or her of the clinical service (e.g. inpatient, consultation liaison, emergency psychiatry), in addition to rounds.

One hour per week of individual psychotherapy supervision.

PGY-3 through PGY-4

In the PGY-3 and PGY-4 years, each resident is required to have one hour of direct supervision (usually group) for outpatient clinic rotations, or one hour per week of direct supervision by the supervising attending for the rotation.

 At least one hour (with two preferred) of individual psychotherapy supervision per week.

On rotations in which there is a PGY-2 resident working alongside a PGY-1 resident (inpatient adult psychiatry) or where there is a PGY-3 resident working alongside a PGY-2 resident (inpatient child and adolescent psychiatry), they are required to have 1 hour per week of peer consultation supervision.  Both residents use each other for consultation with direct supervision from an attending, either on the service or an “off ward” supervisor.


Personal Psychotherapy

The Residency Program believes that it is important that psychiatrists understand the contribution of their own psychological and interpersonal characteristics to the doctor-patient relationship.

To foster such self-awareness, each psychiatry resident is required, by the time of Graduation, to have completed six months of either:

  • Weekly personal psychotherapy

OR

  • Weekly supervision focusing on the resident’s own contributions to doctor-patient relationships