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Psychiatry Residency

Our program combines clinical service and education to prepare new psychiatrists to manage a wide variety of patient populations.

The Texas A&M College of Medicine - Baylor Scott & White Medical Center – Temple Psychiatry Residency Program is a four-year program that is fully accredited by the Accreditation Council for Graduate Medical Education (ACGME).

We accept five residents per year.

Curriculum

PGY1

First 6 Months 1 Month 1 Month 1 Month 1 Month 2 Months
Inpatient Internal Medicine Outpatient Pediatrics Inpatient Psychiatry VA Outpatient Internal medicine Inpatient Neurology
Second 6 Months 5 Months 1 Month 5 Weeks
Inpatient Psychiatry at CCBH VA Outpatient IMED Clinic Night Float

Lectures and supervision supplement the first year. Lectures are a half-day each week throughout the residency. Interns are matched with a faculty supervisor to meet with for general guidance throughout the residency. Additionally, each intern is assigned a medication supervisor with whom they meet regularly to discuss various aspects of pharmacotherapy and answer any questions that may arise on the inpatient unit. At the end of the first year, interns can begin seeing patients in the outpatient clinic. These patients are usually those followed on the inpatient unit, leading to a remarkable continuity of care for both the patient and interns.

PGY2

2 Months 1 Month 2 Months 3 Months 2 Months 1 Month 5-6 Weeks 2 Weeks
Psychiatric ED Consults Geriatric Psychiatry Child and Adolescent Psychiatry Consult Liaison Psychiatry Inpatient Psychiatry Substance Use Disorders Night Float Community Psychiatry

Second-year residents rotate through various services to gain experience in different areas in the field of psychiatry. In the second year, residents can also begin seeing additional clinic patients to follow as outpatients. Clinic clientele includes both medication management patients and psychotherapy patients. Residents meet regularly with psychotherapy supervisors for guidance in their therapy training. Second-year residents have the opportunity for teaching activities, including medical student lectures and evaluations. Rotations and lectures become more intense during the second year, but most rotations allow ample time for self-guided study.

PGY3

12 Months

A variety of clinics, including Baylor Scott & White Mental Health Clinic, VA Mental Health Clinic, Killeen and Temple Community Clinic, and occasional half days on the ED consult service.

Outpatient Clinic

PGY3 residents are assigned their own office space, and call frequency continues to decrease. The majority of the third year is in the outpatient clinic from 8 a.m. to 5 p.m. Most days are at the Baylor Scott & White Mental Health Clinic, where PGY3 residents see patients in various encounters, including new evaluations, transfer of care appointments, medication management appointments, and psychotherapy sessions. One day out of the week, some residents spend the day seeing patients at the Temple VA Mental Health Clinic. Residents will also spend a half-day per week seeing patients at the community clinics in Temple and Killeen. Supervision for medication management and psychotherapy continues.

PGY4

  7 Months 3 Months 2 Months

AM (½ day)

Resident Selected Electives Inpatient VA Electives
PM (½ day)

Outpatient Resident Clinic

In PGY4, half of the day is in the Baylor Scott & White Mental Health Clinic, where residents follow established outpatients for continuity of care. Three months of inpatient psychiatry, two months of VA electives, and seven months of other resident-chosen electives make up the other half of the day. The program offers several electives, but residents can also organize an elective specific to their area of interest. A few examples of electives include private practice, ECT, cognitive testing, intensive outpatient therapy, TMS, and palliative care. Fourth year provides ample opportunity for flexibility and exploring different resident interests in the field of psychiatry.

In addition to hands-on clinical experience, each resident attends weekly seminars that enable the resident to build a solid foundation of knowledge and experience. Each PGY class has one half-day per week for lectures.

Seminars are considered protected time, during which residents are free of clinical or inpatient duties.

Each seminar series has a syllabus with weekly assigned readings. Most readings are provided from our resident library or journal articles, eliminating the costly burden of buying multiple textbooks. 

Other experience is provided through clinical case conferences, grand rounds, ethics meetings, journal clubs and consultation-liaison case conferences.

The tables below represent a summary of the seminars for each year of training. Each row represents a one-hour block of time for the year (or, in PGY1, for the six months spent on psychiatry). Only formal courses are shown in these diagrams. Case conferences and other teaching conferences are scheduled separately and are not shown below.

PGY1 Lectures

Month
1 2 3 4 5 6 7 8 9 10 11 12
Medical Student Case Conference
24 weeks
Introduction to Somatic Therapies
12 weeks
Ethics
4 weeks
ECT
4 weeks
Consultation / Liaison Psychiatry
4 weeks
Introduction to Psychopathology / DSM-IVTR
16 weeks
Child and Adolescent Psychiatry
8 weeks
Crisis Intervention
16 weeks
History of Psychiatry
16 weeks
Introduction to Therapy
8 weeks
Forensic Psychiatry
8 weeks
Peer Review
24 weeks
Introduction to Interviewing
16 weeks
Drug and Alcohol Disorders
8 weeks

PGY2 Lectures

Month
1 2 3 4 5 6 7 8 9 10 11 12
Child and Adolescent 
32 weeks
Outpatient Group Therapy
12 weeks
Existential Psychotherapy
4 weeks
Consultation / Liaison Psychiatry
12 weeks
Evidence Based Psychiatry
12 weeks
Psychological Testing
12 weeks
Cultural Psychology
12 weeks
Cognitive Behavioral Therapy
24 weeks
Psychodynamic Psychotherapy
24 weeks
Therapy 12 weeks Treatment of Mental Disorders
28 weeks
Community Psychiatry
8 weeks

PGY3 Lectures

Month
1 2 3 4 5 6 7 8 9 10 11 12
Psychotherapy
12 weeks
Geriatric Psychiatry
12 weeks
Professionalism
4 weeks
Human Sexuality
12 weeks
Self-Study
8 weeks
Teaching Psychiatry
12 weeks
Classic Readings
12 weeks
Cognitive Behavior Therapy
12 weeks
Teaching Psychopharmacology Lecture for Post-Doctoral Psychology Fellows
12 weeks
Psychodynamic Psychotherapy
12 weeks
Interpersonal Therapy
12 weeks
Couples and Family Therapy
12 weeks
Board Exam Prep
12 weeks
Psychopharm Advanced Topics
12 weeks
Neurochemistry and Neuropharmacology
12 weeks
Neurology for Psychiatrists
12 weeks
Self-Study
12 weeks

PGY4 Lectures

Month
1 2 3 4 5 6 7 8 9 10 11 12
Career Transitions
8 weeks
Administrative Psychiatry
8 weeks
ADHD Review
8 weeks
Mental Health and the Law
12 weeks
Mythology
12 weeks
Teaching Psychiatry to PGY-3 Residents
8 weeks
Grief and Bereavement
16 weeks
Psychiatry and the Cinema
12 weeks
Child and Adolescent Psychiatry Review
12 weeks
Topics in Psychology
8 weeks
Board Exam Prep
40 weeks
Bipolar Disorder
12 weeks
Quality Improvement
12 weeks
Neurology for Psychiatrists
12 weeks
Self-Study
12 weeks

Department of Psychiatry Grand Rounds

Grand Rounds is hosted by speakers that include guest lecturers, faculty members and fellow residents. The topics presented include clinical issues, research topics and projects, mental health policy issues, psychopharmacology and psychotherapy.

Ethics Conference

The ethics conference is held once per month and includes all psychiatric residents and a faculty member. A wide variety of ethical issues and dilemmas psychiatrists encounter in practice are discussed in this seminar.

Journal Club

Once per month, residents present a summary of one to three articles from a recent psychiatric publication. All residents will read the article(s) prior to discussing them as a group with a faculty mentor, with an emphasis on evaluating the article’s background, methodology, interpretation and significance of findings.

Advanced Psychopharmacology Seminar

Our PGY3 and PGY4 residents meet with a faculty member once each week to review various advanced pharmacology topics. Each week, a psychopharmacology article is reviewed with an emphasis on reviewing evidence-based guidelines and practices.

Outpatient Case Conference

Once per month, PGY3 and PGY4 residents present a patient to fellow residents, a therapist and a psychiatrist. At the presentation, the patient’s history is presented before a faculty member interviews the patient. After the interview, the residents, therapist and attending physician discuss the case with special emphasis on therapy methods and techniques, psychodynamic themes, intra-psychic conflicts and ego defense mechanisms. These conferences have traditionally been a resident favorite.

Consultation-Liaison Case Conference

Each month, the residents and faculty meet to discuss a case from the consultation and liaison service. At each conference, the resident assigned to the consultation-liaison service presents an unusual or interesting case. The topics covered include unusual presentations of psychiatric conditions, end-of-life issues, organic brain syndromes, somatoform disorders and pain management.

Board Review

Residents meet weekly for faculty-led board review. The class emphasizes material that is not only important for the written boards and the in-training exam (PRITE), but also reviews clinical information involving patient care.

Practice Improvement Meeting

This is a quarterly conference that is attended by all faculty and residents within the department to discuss a difficult case or outcome from a risk management perspective.

Call responsibilities start during the first six months of the first year in which new residents have four "buddy" calls. During buddy calls, PGY1 residents are paired with a designated PGY2 or PGY3 resident. The trainers are responsible for educating interns on the various aspects of being on-call. This training provides a unique opportunity to work one-on-one with upper-level residents and exposes PGY1 residents to different ideas and styles while getting to know upper-level residents better. Interns are not cleared to start taking overnight calls until the resident and program director are confident that the resident possesses the skills necessary to succeed.

Call Break Down

Weekend call shifts and night float weeks make up call obligations.

While on-call, residents benefit from the support of attending psychiatry staff. Residents are never expected to make decisions about patient care without faculty support and supervision.

Weekend Call

The weekend call shifts are divided between the available residents in the pool. Forty-eight hours are covered on the weekend, which is split up into four shifts. The weekend call shifts are split evenly between all pool residents, including PGY1 (starting in January), PGY2, and PGY3 (up until December). Some residents elect to "stack" their call responsibilities to form a 24-hour shift and therefore have fewer weekends on call. Some call responsibilities are currently in transition as more moonlighting opportunities are being offered to upper-level residents.

Day call will consist of rounding on the medical/surgical floor consults at Baylor Scott and White Temple Memorial Hospital.

Night shift will cover the Baylor Scott and White Emergency Department as home calls with brief telepsychiatry visits.

  PGY1 PGY2 PGY3 PGY4
January-June July-June July-December July-June
Day Saturday or Sunday
8 a.m. to 6 p.m.
5 shifts 5 shifts 5 shifts None
Night Saturday or Sunday
6 p.m. to 8 a.m.
5 shifts 5 shifts 5 shifts None

Night Float (Weeknight Call)

A night float resident covers night call shifts to avoid 24-hour call shifts during the weekdays. The PGY1 residents only take night float weeks in January-June and PGY2 residents in July-December. Night call is currently transitioning so that it will entail covering only the Baylor Scott and White Emergency Department as home call with brief telepsychiatry visits.

  PGY1 PGY2  
January-June July-December No night float after second half of PGY2 year (January)
Saturday or Sunday
8 a.m. to 6 p.m.
5 weeks 5-6 weeks None

Moonlighting is a way residents at BSW can supplement experience and income. Beginning in PGY3, residents in good standing may moonlight. Moonlighting requires written pre-approval from the program director.

Opportunities to moonlight in Psychiatry are readily available throughout Central Texas. One of the opportunities residents most frequently take advantage of is the outpatient clinic moonlighting at the BSW Mental Health Clinic. This moonlighting occurs before or after regular clinic hours, and additional malpractice insurance is not required (your BSW malpractice insurance is acceptable). Most current residents who choose to moonlight do so at Cedar Crest Hospital, telepsychiatry for East Texas Behavioral Health Network, Ascension Providence DePaul Center, and Austin State Hospital. Residents have also been able to sign individual contracts for other moonlighting opportunities, including telepsychiatry consulting for county jails and telepsychiatry inpatient work on a geriatric unit.

Psychiatry research at Baylor Scott & White Health is set up to provide residents with as much research experience as desired. Residents can choose to participate in existing projects or enlist a creative project team to help start a research project of their own. The program provides medical writing editors, assistance in submitting Texas A&M grant applications to the institutional review board and training in ethical research practices to help residents succeed in their research endeavors.

Baylor Scott & White has both clinical and basic sciences research on the main campus in Temple and at the VA campuses in Temple and Waco. The Graduate Medical Education office provides up to $1,500 per poster or paper presentation abstract that gets accepted to a scientific meeting to cover expenses such as airfare, registration, hotel expenses and meals.

How to Apply

We use the Electronic Residency Application Service (ERAS). We do not accept paper applications.

Deadline for applications is November 15.


Application Requirements

  • MSPE (dean’s letter)
  • Medical school transcripts
  • USMLE/Comlex transcripts
  • Curriculum vitae
  • Personal statement
  • Three letters of recommendation
  • ECFMG certificate (if applicable)
Learn more about Baylor Scott & White Health's general hiring policies.

Contact Us

Dorothy Winkler
Phone: 254.724.1768
Fax: 254.724.1747
Dorothy.Winkler@BSWHealth.org

Psychiatry Residency
Baylor Scott & White Health
2401 S. 31st St.
MS-22-117D
Temple, TX 76508

Working at Baylor Scott & White Health

Compensation and Benefits

In addition to competitive stipends, we offer our residents a full menu of employee benefits. We help offset the cost of many of these benefits; others are options you can choose to pay for yourself.

Life in Temple

Temple uniquely offers a combination of access to big-city conveniences while maintaining a small-town atmosphere. Temple has also been ranked among the Top 20 Fastest Growing Cities in Texas and one of America's most affordable places of 2015.

Why Baylor Scott & White

As the largest not-for-profit health care system in Texas and one of the largest in the United States, Baylor Scott & White Health includes 48 hospitals, more than 900 patient care sites, more than 6,000 active physicians and more than 40,000 employees.

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