Psychiatry Residency

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PGY1

First-year residents work in two inpatient psychiatric hospitals: The Sweeten Creek Mental Health and Wellness Center, and the Charles George VA Medical Center.. Residents also have two months of Inpatient medicine and one month of inpatient neurology at Mission Hospital. The remainder of the first-year primary care requirement will be completed in a combination of family medicine and internal medicine ambulatory care clinics.

PGY2

All second-year residents rotate through an established set of outpatient psychiatry settings, including a treatment resistant clinic that includes TMS, a first-episode psychosis clinic, an IDD clinic, a university counseling center, a child safety/forensic pediatrics team, and a short term psychiatric consultation clinic for both adults and children. In addition to their rotations, second-year residents spend one full day per week in both a child and an adult continuity clinics, one half day per week in a geriatric psychiatry clinic, and one half day per week seeing psychotherapy patients.

PGY3

Third-year residents return to the inpatient setting with more specialized psychiatry rotations including child and adolescent, geriatrics, and consultation/liaison with electroconvulsive therapy, as well as a substance use disorder rotation at the Julian F. Keith Alcohol and Drug Treatment Center (ADATC). The third-year resident also returns to the general adult psychiatry inpatient unit as a junior resident. Adult and child continuity clinics are one half day each every week in addition to the one half day spent seeing psychotherapy patients. The basic requirements for residency are completed after the third year, allowing residents to fast-track into a child/adolescent fellowship if desired.

PGY4

Fourth-year residents have a one-month forensics rotation at Broughton State Hospital, two months in MAHEC Psychiatry’s IOP/PHP program, as well as two months at the VAMC doing a combination of consultation/liaison, substance use disorder, and integrated care clinic outpatient psychiatry. One half day per week is spent doing collaborative and integrated care consultations with rural primary care physicians as part of the Rural Health Initiative. Adult continuity clinic and psychotherapy are one half day each every week. The remainder of the fourth-year resident’s time is elective, allowing them to create a personalized curriculum as they prepare to begin their career in psychiatry.

All residents have one afternoon each week protected for didactics. This includes an ongoing Journal Club, case conference, resident presentations, research, and ongoing lectures overviewing the psychiatric field of knowledge with an emphasis on evidence-based care.


Our outpatient psychiatry clinic, the Center for Psychiatry and Mental Wellness, is housed at UNC Health Sciences at MAHEC along with branch campuses of the UNC School of Medicine and a Master of Public Health program jointly conferred by UNC Gillings School of Global Public Health and UNC Asheville.

Our residency program is located on the same campus with our dental, family medicine, transitional year, internal medicine, obstetrics/gynecology, pharmacy, and surgery residencies, which provides an optimal environment for cross-fertilization of ideas and collaboration.

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