Psychiatry Residency Schedules? (2024)

Psych residencies tend to be friendlier to the total # hours and call shifts worked compared to other programs but yes dependent on the individual program. Most are setup somewhat like this:

Inter year:
2-4 months of IM/neurology (my program was 2 months inpatient IM and 2 months neuro)
1 month ER
1 month psych ER
6 months inpatient psych (we had 3 different inpatient psych units our program covered. Level 1 trauma center big university hospital with very busy and active inpatient unit. Lots of SMI, great experience and really enjoyed it. A very busy and large VA hospital which I actually like working at the VA. Level 1 trauma center military hospital where inpatient was busy but very healthy and young population majority in training just wanting to get out of the military.)
IM far and away the heaviest months working 80+ hrs every week and was brutal. ER was shift work but not too terrible. Neuro months were good learning and not too terrible with the hrs like 50ish maybe. Psych ER was at the VA and I enjoyed that month other than many of the veterans being monthly repeats saying they were suicidal to get a bed a meals for a few days but hours pretty good. Inpatient psych more 50-60 depending on how busy the unit was and how quickly you got your work done. Intern year was heaviest year of hours and each subsequent year got better. Call intern year at our program was just weekend, no overnight, and you were with a higher up resident. I think now they do overnights with interns at my program with a higher up resident since I graduated in 2019. Can’t remember the total call shifts as an intern but PGY-2 was the heaviest call and then it got better each year and you had more choice over your call schedule as a senior resident.

PGY-2:

Better than intern year as far as total hours and you’re pretty much doing all psych rotations, no more IM/neuro/ER or other specialties.

Mostly all hospital again with a change. Something like 4-6 months of consult service where patients admitted to IM/FM/surgery/ICU with psych problems they’ll consult you with a question. Actually interesting interacting with other resident services embracing the suck of residency training with you and you learn a lot. You also learn a lot about how other specialities view psychiatry as some seem to have no idea what we do or are even capable of, or think we have a magic wand to fix something in a few days in the hospital that takes intense psychotherapy for years. Also you’ll get very good at capacity evaluations and very good at explaining to other services the difference between capacity and competency, also that the 80 yr old delirious uti pt with no psych hx did not suddenly develop late onset schizophrenia overnight.

Our program had a 3 month block that was split between child and adolescent, geriatric psych rotating through different settings, outpatient, nursing home, juvenile detention center etc.

I think we had 3 more months of inpatient psych as well. Call second year was more intense with the most overnight and weekend shifts. It was something like 25-30 call shifts if I remember and so many of them had to be a Saturday or Sunday 24 hr call, and a certain number were 12 hr overnight call. All of our call was in house, had to stay at the hospital. One of our months of inpatient this year was 1 week with the day team inpatient and then 3 weeks of night float. Attendings typically very helpful and responsive and we were required to call overnight if we were discharging someone home from the ER. Also started a half day per week of psychotherapy in second year.

PGY-3:

Outpatient. Less call but still more than 4th year. Mix of straight adult outpatient, child and adolescent outpatient, geri psych that we did at the VA I think both of these were a half day per week. Half day per week of psychotherapy. 2.5-3.5 days per week of adult outpatient and some other half day I’m forgetting in there. Call was more like 20-25 call shifts, mix of weekend 24 hrs, overnight 12 hrs, holidays etc. you get a little more flexibility with this in 3rd year as 4th years got first dibs on the call schedule and got to pick the better holidays but there were some flexibility on this for what was leftover for the third years. Second years there just really wasn’t much left so you just kind of had to take what you were given which typically meant a Christmas, thanksgiving, or new year it was yours.

PGY-4:

Best year. I think half our year was electives, half the year was being a Sr resident on inpatient or consults with jr residents doing the majority of the work. Call was like 14 shifts and you got to pick what days you wanted with your classmates. Some dront loaded their call in the first month or 2 which sucked but didn’t have to worry about it the rest of the year. I think I picked July 4th as my holiday and got that knocked out at the beginning of the year.

Military staff psychiatrist:

Better than being a resident but the military is just soul crushing in a different way and I could not wait for my payback to be complete and separate. Got paid much more than a resident but much less than civ counterparts. No call, nights, weekends though. Got to live in a cool place for 3 years. Separated summer 2023.

Civ psychiatrist:

Living the dream now working 4 days per week, 3 day weekend every weekend. Making much more than mil time, no nights, weekends, holidays, call. Psychiatry Residency Schedules? (1)

Psychiatry Residency Schedules? (2024)

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