Physician Patient

Psychiatry and Behavioral Medicine

Clinical Rotations

In this program, you will get therapy training far beyond that which is offered at most other programs. Even if you don’t want to do therapy in your profession, what you learn will make you a better clinician in any area.

The division of the inpatient rotations between the PGY1 and PGY3 years is rare among training programs. We believe having experienced residents returning to the inpatient service provides an added dimension to patient care and to teaching medical students.




Additional Information

4-Year Program

Half of the PGY1 class begins on medical rotations while the other half begins with psychiatry. Three month block rotations permit those residents who started on internal medicine to begin psychiatric rotations in October and vice versa. Hence, the maximum consecutive time away from psychiatry during the first year is three months. Didactic course work is reserved for Wednesday mornings and an experiential support group meets biweekly throughout the first year. Residents on medicine rotations are given time off the service to attend these department-based activities. One of the three primary care months is an outpatient rotation. One month of Child and Adolescent Psychiatry during the PGY1 year allows for early exposure for those interested in or eager to learn more about the field.

The PGY2 year is an outpatient year divided accordingly:

  • 3 days per week— Columbia Hospital Psychotherapy Center
  • 1 day per week—CCAPS (Center for Consultative Academic Psychiatric Services), a county-funded free clinic for people without insurance
  • 1/2 day per week—Geriatric Psychiatry Clinic at the Clement J. Zablocki VA Medical Center
  • 1/2 day per week—PTSD Clinic at the VA Medical Center

Starting outpatient psychiatry in the PGY2 year allows residents to follow patients for up to three years in their continuity clinics in the 3rd and 4th years. PGY2 residents do weekday “power shifts” from 6:00-10:00 pm in the Psychiatric Crisis Service (free standing psychiatric emergency room) about one time each month. For the first three shifts (more if needed or requested), the PGY2 is paired with a PGY4 resident whose main responsibility is teaching the PGY2 and preparing them for their PGY3 night rotation in the PCS.

In the PGY3 year, residents complete an additional 1 1/2 months on the inpatient unit at Community Memorial Hospital. They also have a 1 month Day Treatment Rotation at Columbia Hospital where they help lead groups and follow patients who need this intermediate level of care. These experiences are in private hospital settings, giving residents the opportunity to work in public and private settings. The division of the inpatient rotations between the PGY1 and PGY3 years is rare among training programs. We believe having experienced residents returning to the inpatient service provides an added dimension to patient care and to teaching medical students.

Another 1 1/2 months are spent on the Inpatient Psychotherapy rotation at the VA Medical Center. On this rotation, residents get significant experience leading groups. The one month Addiction rotation combines experiences at the VA Medical Center with additional day treatment and residential experiences at a private hospital. Residents supplement their rotation with online Suboxone training and additional online training in motivational interviewing. The PGY3 residents to one month of Child Psychiatry Consults at the Children’s Hospital of Wisconsin. Four months are spent on the Consultation Liaison (C/L) service. Three of those months are at Froedtert Hospital, a major trauma and teaching hospital. Throughout the year, residents continue their half day continuity clinic.

The Psychiatric Crisis Service (PCS) night rotation at the Milwaukee County Behavioral Health Division is a total of 1 1/2 months, split into three half-month blocks. Our PCS is a free standing psychiatric emergency room - one of the few in the country. There are more than 11,000 patient visits per year, with all Milwaukee residents on Emergency Detention needing to come through PCS. Evenings and nights are the busiest times with the best opportunity for learning. Residents do 14 hour shifts Monday through Thursday, and have three days off on the weekend. In 2015, we added an Eating Disorders Rotation at Rogers Memorial Hospital, one of the nation’s leaders in eating disorder treatment.

The PGY4 year is viewed as a bridging and transitional year, where, in addition to clinical duties, the resident assumes greater responsibility for teaching, supervising, administration, and if desired, research. PGY4 residents work in an Integrated Care Clinic (embedded in Primary Care), providing consultation to our primary care colleagues. This rotation was developed to help residents prepare for a myriad of health care delivery practices. The resident continues with long term outpatient cases and completes the second required month of neurology either through outpatient clinics or on the neurology consult service. Electives provide an opportunity for more intensive work in a myriad of clinical programs.

3-Year Program
Individuals are accepted into the three-year program if they have completed an accredited PGY1 training program with a minimum of four months of primary care responsibilities, or an ACGME-approved residency. Elective time may vary depending upon the amount of requirements completed.

Available Electives

The following electives are available for PGY4 residents:

Aurora Psychiatric Hospital

  • Eating Disorders
  • Addiction-Dewey Center
  • Child & Adolescent Psychopharmacology Clinic

Children's Hospital of Wisconsin

  • Child Psychotherapy
  • Child Consultation Liaison Service
  • Intensive Outpatient Program/Partial Hospital Program

Columbia St. Mary's Hospital

  • Electroconvulsive Therapy
  • Outpatient Psychiatric Consultation Clinic
  • Inpatient Psychiatry Unit-St. Mary's Ozaukee
  • Psychotherapy
  • Consultation Liaison Service

Community Memorial Hospital

  • Inpatient Psychiatry Unit
  • Senior Health Clinic
  • Community Resource Center (AODA)
  • Consultation Liaison Service

Froedtert Hospital

  • Movement Disorders Clinic
  • Neurology Dementia Clinic
  • Neuropsychiatry & Transcranial Magnetic Stimulation (TMS)
  • Neuroradiology
  • Perinatal Clinic
  • Psycho-oncology
  • Child & Adolescent Inpatient Unit (CAIS)

Milwaukee County Behavioral Health Division (MCBHD)

  • Crisis Service Sub-Attending Experience:
    • PCS (Psychiatric Crisis Service)
    • CWIC (Central Walk-in Clinic)
    • Observation Unit
    • Mobile Crisis Team
    • Crisis Resource Center
  • Inpatient Sub-Attending Acute Adult Experience
  • MCBHD Day Treatment
  • MCBHD Dialectical Behavioral Therapy (DBT)
  • CCAPS (Outpatient)
  • Women's Mental Health Unit
  • MUTT (mobile crisis team for children)

Clement J. Zablocki VA Medical Center

  • Sleep Disorders Clinic
  • Addiction
  • Mental Health Urgent Care Clinic (MHUCC)
  • Consultation Liaison Service
  • Dementia Clinic (Neurology)
  • Group Therapy
  • Sub-Attending Inpatient
  • Multiple Sclerosis/General Neurology Clinic
  • Palliative Care
  • Neurology Consults
  • Neuropsychological Assessment
  • PTSD Clinic
  • Spinal Cord Unit
  • Telepsychiatry to Tomah VA


  • 16th St. Clinic-outpatient, Spanish speaking
  • Bell Therapy (intellectual/developmental disabilities)
  • Community Psychiatry Rotation (Assertive Community Treatment) – Whole Health
  • Marquette University Student Mental Health
  • OCD Partial Hospital
  • Quality Improvement Elective
  • Research (various)
  • Suboxone Clinic
  • Winnebago-Wisconsin Resource Center (Forensics)
  • Green Bay VA CBOC (outpatient)