PGY-1

Building a Strong Foundation

The PGY-1 year's objective is to establish a solid foundation in general medical and neurological knowledge while integrating fundamental psychiatric skills. This year is designed to provide residents with essential clinical experiences across a variety of settings, ensuring they develop the comprehensive skills necessary for effective psychiatric practice. 

MEDICINE (4 blocks)

  • Inpatient medicine, UC Davis Medical Center (2 blocks)
  • Outpatient medicine, Sacramento County (1 block)
  • Pediatrics or emergency medicine, UC Davis Medical Center (1 block)

NEUROLOGY (2 blocks)

  • General inpatient and consult service, UC Davis Medical Center (1 block)
  • Vascular inpatient and consult service, UC Davis Medical Center (1 block)

INPATIENT PSYCHIATRY (3 blocks)

  • Inpatient psychiatry, Sacramento County Jail (1 block)
  • Inpatient psychiatry, VA (2 blocks)

CONSULTATION-LIAISON PSYCHIATRY (2 blocks)

  • Consultation-liaison psychiatry, UC Davis Medical Center (2 blocks)

EMERGENCY DEPARTMENT PSYCHIATRY (1 block)

  • Emergency psychiatry, UC Davis Medical Center (1 block)

PGY-2

Deepening Psychiatric Expertise

In the PGY-2 year, the goal is to advance residents' clinical skills and deepen their understanding of psychiatric care, with a specific focus on inpatient psychiatry and community mental health. 

OUTPATIENT PSYCHIATRY (3 blocks)

  • Sacramento County Adult Psychiatric Support Services Clinic

INPATIENT PSYCHIATRY (5 blocks)

  • Sacramento County Mental Health Treatment Center

CRISIS STABILIZATION PSYCHIATRY (2 blocks)

  • Sacramento County Mental Health Treatment Center

ADDICTION PSYCHIATRY (1 block)

  • VA Addiction Recovery Treatment Service

GERO PSYCHIATRY (1 block)

  • Kaiser Permanente, Sutter Health, skilled nursing facilities

ELECTIVE (1 block)

  • Various, including child psychiatry, forensic psychiatry, addiction, neuromodulation, toxicology, etc.

Half-day a week Continuity Clinic: Options include early psychosis treatment, adult integrated behavioral health, pediatric integrated behavioral health, VA general mental health clinic, MIND/autism spectrum disorders, TMS, Sacramento County Health Center outpatient clinic and research track.  

PGY-3

Practicing Longitudinal Care

The PGY-3 year is an opportunity to focus on outpatient psychiatric care and psychotherapy while continuing to build expertise in specialized areas of psychiatry. This year emphasizes managing a diverse outpatient caseload, gaining experience in subspecialty areas and developing advanced therapeutic skills. 

OUTPATIENT PSYCHIATRY (12 blocks)

Behavioral Health Center and Child Behavioral Health Center: general adult psychiatry clinic and child psychiatry clinic, specialty clinics (medically complex, trauma, anxiety/OCD, mood disorders, women’s mental health, geriatric psychiatry), CBT and psychodynamic psychotherapy 


Half-day a week Continuity Clinic: Options include early psychosis treatment, adult integrated behavioral health, pediatric integrated behavioral health, VA general mental health clinic, MIND/autism spectrum disorders, TMS, Sacramento County Health Center outpatient clinic and research track. 

PGY-4

Cultivating Leadership and Preparing for Independent Practice

In PGY-4, residents prepare for independent practice by enhancing their leadership, supervisory and advanced clinical skills. This final year focuses on consolidating clinical expertise, developing supervisory roles, exploring specialization through elective opportunities and ensuring readiness for board certification and independent practice. 

SENIOR RESIDENT/ACTING ATTENDING ROTATIONS

  • A combination of: Psych CL, Psych ED, Jail, Mental Health Treatment Center and Behavioral Health Clinic 

ELECTIVE ROTATIONS (3+ blocks)

  • Residents may design their own elective experiences.
  • A neuromodulation requirement must be fulfilled during one of these blocks. 

READING/BACK-UP ROTATIONS (2 blocks)

  • Residents are on back-up to UC Davis Medical Center services and may engage in independent study when not called in. 

Half-day a week Continuity Clinic: Behavioral Health Center and Child Behavioral Health Center, combination of med management and psychotherapy. Residents may apply to participate in the San Francisco Center for Psychoanalysis Psychoanalytic Psychotherapy Training Program during this year. 

CALL

Call provides residents with real-world opportunities to manage a variety of psychiatric emergencies and complex cases. This hands-on experience is crucial for developing clinical judgment and decision-making abilities.

PSYCHIATRY CALL DISTRIBUTION

  • Day Call: Daytime shifts on weekends or designated holidays (UC Davis and VA) 
  • Overnight Call: Nighttime coverage from home (UC Davis and Sacramento County Mental Health Treatment Center)
  • Jeopardy Call: Back-up system to cover if resident on call is unable to come in (UC Davis)