Physician Patient

Psychiatry and Behavioral Medicine

Clinical Rotations

The division of the inpatient rotations between the PGY 1 and PGY 3 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.

Milwaukee Residency 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.

4-Year Program Details

PGY 1

PGY 1

Half of the PGY 1 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 PGY 1 year allows for early exposure for those interested in or eager to learn more about the field.

PGY 2

PGY 2

The PGY 2 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 PGY 2 year allows residents to follow patients for up to three years in their continuity clinics in the 3rd and 4th years.

The PGY 2 year includes additional psychotherapy curriculum along with our weekly Wednesday didactics. At the psychotherapy center, residents learn mindfulness-based CBT, which continues throughout the year as a monthly meditation group. Additionally. Experiential group continues and meets monthly. PGY 2 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 PGY 2 is paired with a PGY 4 resident whose main responsibility is teaching the PGY 2 and preparing them for their PGY 3 night rotation in the PCS.

PGY 3

PGY 3

In the PGY 3 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 PGY 1 and PGY 3 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 return to the inpatient unit at the VA and 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 PGY 3 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 10,000 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 as part of their night float. Lastly, PGY 3 residents work on the Eating Disorders Rotation at Rogers Memorial Hospital, one of the nation’s leaders in eating disorder treatment.

PGY 4

PGY 4

The PGY 4 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. PGY 4 residents work in an Integrated Care Clinic (embedded in Primary Care), providing consultation to our primary care colleagues. 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

all
Hospitals and Health Centers

Aurora Psychiatric Hospital
Aurora Psychiatric Hospital is a full-service psychiatric hospital, providing inpatient, outpatient, residential treatment, day treatment and school programs. Residents rotate on the inpatient units for child and sometimes adult psychiatry. Additionally, they do addictions work in third year at the Dewey Center.

Clement J. Zablocki Veterans Affairs Medical Center (VAMC)
This 505-bed major teaching hospital provides internal medicine, inpatient psychiatry, and addiction medicine training as well as outpatient neurology. Second year residents also work with veterans in their PTSD and Geropsychiatry clinics.

Columbia Hospital Psychotherapy Center (COL HPC)
Columbia St. Mary’s Hospital offers a comprehensive outpatient experience at the Center for Psychotherapies. Columbia Hospital is host to the Wisconsin Psychoanalytic Institute and the Wisconsin Psychoanalytic Foundation, through which residents can begin early admission program in anticipation of psychoanalytic training. Additionally, residents rotate in the partial hospital program and get experience with ECT.

Community Memorial Hospital (CMH)
PGY 3 residents rotate on the 16-bed inpatient psychiatry unit with MCW Psychiatry faculty, providing inpatient psychiatric care and ECT.

Froedtert Hospital (FH)
Froedtert Hospital is a major teaching hospital of the Medical College of Wisconsin and provides the clinical base for the consultation/liaison rotation on the medical and surgical services and a geropsychiatry outpatient elective. Inpatient Neurology and Emergency Medicine rotation for first-year residents also occur at Froedtert Hospital.

Milwaukee County Behavioral Health Division (MCBHD)
MCBHD houses the Psychiatric Crisis Service (PCS), a free-standing psychiatric emergency room. In addition, PGY 1 residents all have the opportunity to rotate for 1 ½ months on the acute inpatient units. The Women’s Treatment Unit is an additional unique opportunity for rotations.

Rogers Memorial Hospital
Rogers Memorial Hospital offers nationally recognized, specialized programs known for their effectiveness in treating children, teens and adults with OCD and anxiety disorders, eating disorders, depression and other mood disorders, posttraumatic stress disorder, as well as addiction.

16th St. Community Health Center
The 16th St. Community Health Center is a FQHC dedicated to improving “the health and well-being of Milwaukee and surrounding communities, by providing quality, patient-centered, family-based health care, health education and social services, free from linguistic, cultural and economic barriers.”