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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

Intern year for our psychiatry residents is an exciting time. The year begins with six months of continuous non-psychiatry rotations. The six months is divided into two months working on the inpatient medicine service and two months on the inpatient neurology consult service, one month working in outpatient internal medicine at the VA clinic and one month working in outpatient pediatrics. After the first six months, there is a two-week orientation period that allows interns to acclimate to the inpatient psychiatric unit and learn important policies and procedures. For the remainder of the PGY-1 year, interns gain experience in general inpatient psychiatry and inpatient chemical dependency. Interns spend one month on the inpatient psychiatric unit at the Waco VA. During the six months, our interns are assigned night float for one to two-week periods during intern year. 

In addition to gaining hands on inpatient experience, the first year is supplemented with lectures and supervision. Lectures focus on interviewing, crisis intervention, diagnosis, pharmacotherapy, ECT and various other topics. Interns also benefit from daily, informal lectures on the inpatient unit and have the opportunity to gain increasing amounts of autonomy as the year progresses.

Each intern is assigned a medication supervisor with whom he or she meets once per week. Faculty members serve as our medication supervisors and educate interns about various aspects of pharmacotherapy as well as answer any questions that may arise on the inpatient unit. Interns also regularly meet with the program director to discuss any areas of concern. 

At the end of first year, our interns are expected to start seeing patients in the outpatient clinic. These patients are usually those followed on the inpatient unit, leading to a great continuity of care for both the patient and our interns.

PGY2

The second year of residency is devoted to broadening the scope as psychiatrists. Residents rotate through multiple services in order to expand and fine-tune their ability to manage a variety of patient complaints.

The rotations during second year include child and adolescent psychiatry, consultation and liaison psychiatry, emergency department consultations, chemical dependency, geriatrics and night float. Residents also rotate through the inpatient PTSD and community psychiatry program affiliated with the VA hospital. Throughout second year, residents gain new perspectives on the evaluation and treatment of psychopathology.

In second year, residents begin seeing additional clinic patients to follow on an outpatient basis. Clinic clientele includes both medication management patients and psychotherapy patients. 

Second year residents are also given the opportunity for teaching activities, including medical student lectures and evaluations. Many residents find working with medical students to be rewarding and enjoyable.

Rotations and lectures become more intense during the second year, but most rotations allow ample time for self-guided study. The second year of residency is a great time to learn and grow as a physician, as well as a time to have fun and enjoy the camaraderie within the department.

PGY3

Third year is the most consistent of all the four years of residency, which allows for great continuity of care and is beneficial for both the patient and the provider. You will be allotted your own office space and your call frequency continues to decrease. There are no weekend responsibilities unless you are on call. The majority of this year is spent in the outpatient clinic from 8 a.m. to 5 p.m. Most days are spent at the Scott & White Mental Health Clinic, where you will see patients in a variety of encounters including new evaluations, transfer of care appointments, medication management appointments, individual therapy sessions and marital therapy sessions. Every Tuesday afternoon is protected for seminars and lectures. In addition, residents are assigned supervision with senior staff in various modalities including individual therapy, group therapy, cognitive therapy, marital therapy and psychodynamic psychotherapy. Once a month, you will be assigned an appointment with your training supervisor.

One day out of the week, residents spend the day seeing patients at the Temple VA Mental Health Clinic. This is a great opportunity to provide psychiatric care for a different population than is usually encountered in the community.

Residents are assigned one day each week to cover urgent care appointments. Residents also cover messages for colleagues who are not at the Baylor Scott & White campus on that particular day.

PGY4

Fourth year is by far the most rewarding year of residency. Approximately half of the year is spent in the outpatient clinic where residents follow established outpatients for continuity of care. The other half of PGY-4 is made up of three months of inpatient psychiatry, two months of VA electives and seven months of other electives. 

There are several electives offered by the program, but residents can also organize an elective specific to their area of interest. Just a few examples of electives include private practice, ECT, cognitive testing, intensive outpatient therapy and community health (MHMR). 

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 Pychology 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.

The call schedule starts during the first six months in which residents have four "buddy" calls. During buddy call, interns are paired with a designated PGY2 or PGY3 residents. The trainers are responsible for educating interns on the various aspects of being on-call and coaching them through presenting patients, formulating treatment plans, putting in orders and discharging patients. This provides a unique opportunity to work one-on-one with upper level residents and exposes interns to different ideas and styles while getting to know upperclassmen better. Interns are not cleared to start taking overnight call until the resident and program director are certain that the resident possesses the skills necessary to succeed.

Call duties include:

  • Covering ER for new consults.
  • Covering pages from the psychiatry inpatient unit for the patient census
  • Covering direct admissions to psychiatry inpatient unit (rare)
  • Covering floor consults on the weekends during the day shifts
  • There is no rounding on the weekends on inpatients on the psychiatric unit

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.

Call Break Down

Call obligations are broken up into night float weeks. Most residents elect to do two weeks of night float back to back with the option to do one week at a time, if desired. Night float weeks are only taken by the PGY1s in January-June and PGY 2s in July-December.

The weekend call is divided between the available residents in the pool. There are 48 hours that are covered on the weekends split up into shifts. Typically, there are 10 residents in the call pool, with one resident on night float at any given time. The weekend call shifts are split evenly between all residents in the pool which include PGY1, PGY2 and PGY3 up until December.

Night Float

  PGY1 PGY2 PGY3 PGY4
Months on Call January-June July-December July-December July-June
Monday-Friday
6 p.m.-8 a.m.
4-5 weeks 4-5 weeks None None

Weekend Call

  PGY1 PGY2 PGY3 PGY4

Nights: 6 p.m.-8 a.m.
Days: 8 a.m.-6 p.m.

January-June July-June July-December July-June
Saturday and Sunday
6 p.m.-8 a.m.
5 per 6 months 5 per 6 months 5 per 6 months None
Saturday and Sunday
8 a.m.-6 p.m.
5 per 6 months 5 per 6 months 5 per 6 months None

Social Work Program

Started in 2015, this new initiative aims to reduce consult burden for residents on call, especially during the evenings. Social workers in the ER are trained to assess patients for psychiatric emergencies.

The program is designed to have social workers see patients who would likely be discharged or need outside placement in another facility (for example, the patient has an insurance product we do not accept). The resident on call is in close collaboration with the social worker to determine which consults would be appropriate for the social worker to see. This has dramatically reduced call burden, and the program has been a success and continues to operate. We are one of the few programs in the country that has social workers completing consults on patients alongside residents. This program was created in direct response to continued quality improvement at our program.

Moonlighting is permitted for residents in good standing starting as a PGY2. This requires written pre-approval from the program director.

Opportunities to supplement experience and income are available throughout Central Texas. Most current residents who choose to moonlight do so at Cedar Crest Hospital, Providence DePaul Waco Psychiatric Hospital and Austin State Hospital.

Residents have been able to sign individual contracts for other moonlighting opportunities as well.

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.

Apply now


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.

Check out all of our programs in North and Central Texas