Contact Us

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


Director's Welcome

It’s exciting to think how far Psychiatry Residency Spokane has come in the past 4 years.  We are really proud of the work we have done so far, and are committed to continuing to strive for excellence in patient care and education.  We are a community program that is built for the emerging healthcare delivery system, with strong medicine and neurology training, consult liaison exposure and an embedded collaborative care focus beginning in PGY2 and threaded through the next three years of training.  You will graduate from this program with robust clinical skills, an ability to provide outcome based treatment, and longitudinal experience working in a population based treatment model, within a patient centered care delivery system.  You will also have meaningful and longitudinal experience in working with residents and colleagues from other medical specialties.  

We have established clinical, collegial, and professional and education focused relationships with a diverse set of sites.  Providence Sacred Heart Medical Center, our sponsoring institution provides the setting for inpatient, emergency and consultation liaison psychiatry experience. Eastern State Hospital is a unique State Psychiatric Hospital setting in which residents do inpatient, geriatric and forensic psychiatry.  The Veterans Administration Medical Center provides rotations in neurology and neuropsychology, as well as elective experiences in evidence based psychotherapies. We partner with Gonzaga University to provide therapy and primary care psychiatry to both undergraduate and graduate students in an expanding University Health system.  We have close collaboration with Frontier Behavioral Health, a Community Mental Health Clinic for outpatient child and adolescent training and elective rotations. 

Spokane has a mature Graduate Medical Education department which oversees residency programs in Family and Internal Medicine, Radiology, Transitional Medicine and Rural Family Medicine.  This enables residents to form a close knit educational community with fellow residents, as well as trainees in Pharmacy (WSU), Social Work (EWU) and Physical and Occupation therapy (EWU).  We have a state of the art, interprofessional clinic, designed and built specifically as a training clinic for medical education on campus at Washington State University, The Spokane Teaching Health Clinic. This fully integrated clinic is fulfilling its two main aims; a focus on excellence in clinical care, and true integration in primary care specialties embedded with pharmacy, legal aid, physical and occupational therapy, social work, and on site laboratory services, and imaging.     

Spokane is truly a rapidly expanding center of medical education.  There is a thriving university district, two community colleges, two private universities, and three State Universities, with a new medical school at Washington State University.

Why choose Spokane for psychiatry residency training?  Frankly, we believe that we have been, and continue to train excellent clinicians, who have a well-rounded set of skills that enable them to transition into independent practice or to pursue a variety of fellowships.  Our smaller city size and community focused training allows for a more personal feel, balances independence and maturing skills with support, allows for a responsive feedback model and changes nimbly to respond to a rapidly emerging healthcare delivery system.  

Most importantly, Spokane is a wonderful place to live.  I came to this city over a decade ago to train in psychiatry, with no particular focus on staying long term.  But like many other people, I quickly saw the benefits of this city and its surrounding region, as a place to shape my career as well as raise a family. I absolutely intentionally live and work here, and I find myself loving it more and more each year. 

Tanya Keeble, MD
Program Director
Psychiatry Residency Spokane

Program History

Updated September 2018

We are a mix of the old and new in Spokane.  Psychiatry residency education began in 1992, as a two year Regional Clinician Educator Track of the University of Washington Psychiatry Residency.  The UW Spokane Track began with the goal of developing a psychiatric workforce in Eastern Washington, and it was very successful, retaining nearly 50% of its graduates to the greater Spokane area in its last 5 years.  Over time, it became evident that Spokane had the systems and clinical sites and rotations in place to support a 4 year program.  Paired with a strong local desire to support the program entirely in Eastern Washington, work began on a locally sponsored psychiatry residency program in 2012.  By 2014, we were awarded initial accreditation by the ACGME to start a brand new 4 year psychiatry residency program in Eastern Washington, sponsored by Providence Sacred Heart Medical center, and affiliated with both the University of Washington and Washington State University.  

Psychiatry Residency Spokane is one of only two ACGME accredited psychiatry residency programs in Washington State, and one of four in the entire WWAMI region.  The inaugural class of 3 residents entered in June 2015 and those residents entered their final year of training this past July. We successfully expanded our class size for 2018, and now offer 4 residents positions each year. 

We have come a long way in 4 short years; we have developed brand new inpatient and consult liaison teaching services, which stand separate from the productivity based hospitalist model in our institution; we hired dedicated clinical and teaching faculty, and have moved into a new integrated teaching clinic, called the Spokane Teaching Health Center, on the Washington State University Campus. We are national leaders in collaborative care psychiatry; we have required medication assisted opioid use disorder training, offer a robust addiction training, to include treatment of pregnant women, and we embedded the latest American Association for Directors of Residency Training Addiction task force recommendations into our program, for AY 2017-18.  We successfully built a Telepsychiatry service to a rural community 70 miles north of Spokane to leverage our expertise to this rural underserved community with significant healthcare disparities.    We have strong Quality Improvement, Systems of Care and Patient Safety programming in our residency, and we are confident that our residents will graduate being able to drive quality improvement across any system they enter.

As our PGY4 class entered final year of training we worked to develop a set of elective rotations that are built to expand clinical repertoire, enable leadership skill development, teaching experience, and prepare the resident for progressive patient care responsibility.  We have a diverse set of elective opportunities which include rotations in ECT and TMS, psychotherapy with a Native Indian adolescent population, sleep medicine, student health center primary care psychiatry, curriculum development, developmental pediatrics, and crisis response intervention.

We are actively working towards a child and adolescent psychiatry fellowship, in partnership with Washington State, Providence Sacred Heart Medical Center and Washington State University. We hope to have that fellowship available for July 2019.

Our Mission

Providence Psychiatry Residency Spokane was developed with three overarching goals: to develop a regional psychiatric workforce to serve the needs of Spokane, Washington State and the WWAMI region; to train graduates who are accomplished and innovative educators and clinicians; and to graduate residents who hold a deep commitment and passion for serving the all patients, including the poor and vulnerable.   

We have a strong emphasis on training residents who are prepared for a changing healthcare delivery model, with an outpatient focus on integrated psychiatric care within a primary care setting and strong hospital based consultation training.  Residents have extended exposure to the breadth of community psychiatric needs, including geriatric, forensic, addiction and child psychiatry settings. Our graduates will be able to competently serve their respective community, whether they decide to pursue fellowship opportunities in these areas or not. 

Providence Psychiatry Residency Spokane is committed to providing residents with strong psychotherapy training, with specific expertise in teaching intensive short term dynamic psychotherapy (ISTDP). There is a particular emphasis on integrating and balancing medication management and psychopharmacology with psychotherapy with the knowledge that both modalities are more effective and cost efficient when combined. With a particular focus on primary care psychiatry, we are moving into development of short term primary care based psychotherapy training, with every resident required to train to coded competency in motivational interviewing, in addition to cognitive behavioral and supportive therapy training.

Spokane will provide you with a residency education that prepares you to care for the vulnerable and underserved, manage complex psychiatric conditions, often comorbid with severe medical illness, learn psychotherapy in a real world, community based setting, and practice in the latest healthcare delivery systems.