PGY1 - The first year of the residency training is spent primarily in inpatient settings, both psychiatric and medical. Each resident has three months of inpatient psychiatry at Mission Health in Asheville, three months at Haywood Regional Medical Center in Waynesville, and one month at Pardee Hospital in Hendersonville. There are two months of inpatient medicine at Mission, one month of inpatient neurology at Mission, one month of outpatient pediatrics, and one month of outpatient family medicine in the MAHEC Family Health Center at Biltmore.
PGY2 - In the second year, residents work in a variety of outpatient settings. They train one day each week in a general adult psychiatry clinic and one half-day each week in a primary care clinic where they serve as a primary care physician. They spend one day treating children and adolescents and one half-day in formal didactics. The other two days are spent in rotations among a variety of clinical settings including a community psychiatry clinic, an outpatient ob/gyn clinic, a university student health clinic, a hospital emergency department, outpatient work at a community psychiatry clinic in Sylva, an adolescent residential treatment program, and an ACT team. Residents receive training for buprenorphine treatment of opiate dependence early in the second year and are expected to have a small population of patients receiving buprenorphine therapy.
PGY3 - Third-year residents return to training on inpatient units, serving as a junior resident supervising first-year residents, and further refining inpatient management skills. They complete a rotation at the Julian F. Keith Alcohol and Drug Abuse Treatment Center in Black Mountain. They continue training in adult and child continuity clinics.
PGY4 - The fourth year allows residents to transition into leadership roles in a variety of settings. Further inpatient work is an option. There is elective time to return to sites where they have a particular interest. The program is working to develop opportunities for electives at Broughton Hospital in Morganton and the Eastern Band of Cherokee Indians tribal health system.
Residents are expected to participate in research projects beginning in their first year, with results of that work to be submitted for publication or presented in poster sessions during the course of their four years. Financial support is available to travel for research-related activities. Residents also participate in quality improvement projects and study systems of care throughout their training.
The first-year didactics provide an overview of the psychiatric field of knowledge with an emphasis on evidence-based care and the emerging fields of neurobiology and genetics as they pertain to psychiatry. Residents are taught cognitive behavioral therapy, supportive psychotherapy, dialectical behavior therapy, and psychodynamic psychotherapy. There are ongoing psychopharmacology seminars and a journal club. Residents also participate in mindfulness-based stress management groups for their own benefit as well as to learn to lead those groups.
The outpatient psychiatry clinic will be housed at UNC Health Sciences at MAHEC along with branch campuses of the UNC School of Medicine and Gillings School of Global Public Health. The program is located on the same campus with family medicine, obstetrics/gynecology, pharmacy, and dental residencies, which provides an optimal environment for cross-fertilization of ideas and collaboration.