Residents in the Idaho Advanced Clinician Track complete two years of training in Seattle in an academic university environment, followed by two years in the community setting of Boise, Idaho. Clinical rotations are designed to provide exposure to a wide variety of patient populations, increase levels of responsibility under supervision, and allow the resident to explore elective opportunities.
During the PGY-1 year in Seattle, residents complete a 6-month “internship” consisting of 4 months of Medicine and/or Pediatrics and 2 months of Neurology. Residents interested in child psychiatry may do 2-4 months of Pediatrics and one month of Pediatric Neurology as part of this 6-month block. The other 6 months are spent on inpatient psychiatry services at Harborview Medical Center, the University of Washington Medical Center, and/or the VA Puget Sound Health Care System hospitals, learning assessment of and treatment planning for acutely ill inpatients.
The PGY-2 year in Seattle includes additional experience in inpatient psychiatry, as well as rotations in emergency psychiatry at Harborview Medical Center, child and adolescent psychiatry at Children’s Hospital and Regional Medical Center, geriatric psychiatry, and basic inpatient consultation-liaison psychiatry. In the PGY-2 year, residents begin a half-day-per-week outpatient continuity clinic and complete basic psychodynamic and supportive therapy seminars.
PGY-3 and PGY-4 years
Because of the unique challenges of working in an underserved area, there is a strong focus on community and integrated care psychiatry in the PGY-3 and PGY-4 years. Residents have outpatient clinics and supervision at the Family Medicine Health Center, Boise VA Medical Center, Boise State University Health Services and St. Alphonsus Behavioral Health. These rotations include treating selected outpatients over the full course of the PGY-3 and PGY-4 years, crisis intervention training, group therapy, outpatient and residential substance abuse treatment, student health and public psychiatry. There is an emphasis on consultation liaison psychiatry on the medical and surgical wards of St. Luke’s, St. Alphonsus, and the Boise VA, and on providing outpatient psychiatric consultation to family physicians and residents at the Family Medicine Health Center and Boise State University Health Services.
Residents are encouraged to pursue electives over the course of their third and fourth years. Choices include, but are not limited to:
- Outpatient Psychiatry in Special Population Clinics: Refugee, HIV positive, etc.
- Addiction Psychiatry at the VA Medical Center
- Sleep medicine at the VA Medical Center and St. Alphonsus
- Forensic Psychiatry in private practice and correctional settings
- Inpatient and Outpatient Child Psychiatry at St. Alphonsus
- Telepsychiatry at St. Alphonsus and the VA Medical Center
- Individual and group psychotherapy at the Women’s and Children’s Alliance, Boise State University, Family Medicine Health Center and VA Medical Center – this includes a Pain Management group elective.
- Inpatient psychiatry at the VA, St. Alphonsus, State Hospital South in Blackfoot, ID.
- ECT at the VA Medical Center and Portneuf Medical Center in Pocatello, ID
Skilled psychotherapists and psychiatrists provide each resident with two hours of psychotherapy supervision weekly. Additionally, attending psychiatrists provide caseload supervision daily on all clinical rotations.
Throughout all four years of the program, one half day per week is devoted to didactics. In Boise didactics are taught by local and visiting faculty from Psychiatry and other medical specialties.
CRITERIA FOR GRADUATION
To graduate from the program, and to be eligible to sit for the American Board of Psychiatry and Neurology examinations in Psychiatry, residents must complete 48 months of approved training, including a PGY-1 year (see Application Procedures for a description of acceptable PGY-1 experiences for those residents entering at the PGY-2 level).
To graduate, each resident must also:
- Complete, in a satisfactory manner, all required clinical rotations, as well as sufficient electives to total 48 months of training, all required psychotherapy training and assigned scholarly projects.
- Pass an oral examination that includes interviewing a patient and answering examiners’ questions about diagnoses, formulation, assessment methods, and treatment planning.
- Be approved for graduation by the program’s Education Committee. In considering residents for graduation, the Committee takes into account clinical competence, interpersonal skills, ethical standards, and professional conduct.