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Five Year Rotation Schedule

Please note that this is a general schedule. The specific order of monthly rotations within the six month blocks may vary.

 Intern Year

Track A-starting with Pediatrics

July-Dec	ED	Wards	NICU	Endocrine	Wards	Nursery
Jan- June	UUMC	VA	Adult Neuro	Night Float	UNI or UUMC	UNI

Track B-starting with Psychiatry

July-Dec	UUMC	VA	Adult Neuro	Night Float	UNI or UUMC	UNI
Jan- June	ED	Wards	Nursery	Endocrine	Wards	NICU

--1/2 day/week at pediatric continuity clinic, 1/2 day/week at psychiatry didactics--

Before residency starts, our interns orient to both Pediatrics and Adult Psychiatry, getting to know the residents they will be working with for the next 3-4 years.  Before the first day of residency, a weekend rafting trip to Moab offers a great chance to have fun with your fellow pediatric residents and some faculty.  Afterwards, while one intern spends the first 6 months: in the ER, on the pediatric inpatient services, in endocrinology, and in the NICU with the rest of his/her pediatric colleagues, the other intern is learning about how to practice inpatient Psychiatry in multiple settings.  Both interns participate in their pediatric continuity clinic throughout the year (more details below).  At midyear, the interns switch.

Second Year

Track A-starting with Pediatrics

July-Dec	Cards	PICU	CPT	P-NICU	Hem-Onc	Selective
Jan- June	UNI Child Psychiatry Inpatient			Wasatch Canyons Residential Tx

Track B-starting with Child Psychiatry

July-Dec	UNI Child Psychiatry Inpatient			Wasatch Canyons Residential Tx
Jan- June	Cards	Selective	PNICU	CPT	PICU	Hem-Onc

--1/2 day/week at pediatric continuity clinic, 1/2 day/week at child psychiatry didactics--  

The second year not only is the first opportunity for our residents to senior in Pediatrics, but it is also our introduction to Child Psychiatry.  While one of the second year residents goes back to Pediatrics, the other functions as a Child Psychiatry fellow working in inpatient and residential/day treatment settings.  Again, at midyear, the residents switch roles.

Third Year

Track A & B

July-Dec	ED	ID	Wards	GI	NICU	Selective
Jan- June	Adult Outpatient Psychiatry

--1/2 day/week at pediatric continuity clinic, 1/2 day/week at psychiatry didactics--

The third year is when the two triple board residents start to share the same basic schedule.  The resident who had practiced Pediatrics in the second half of second year continues with the field for the first half of third year as the other resident, just finishing up their first 6 months of Child Psychiatry, joins them.  This block of Pediatrics is filled with further senior level experiences as well as opportunities to do electives both in Utah and abroad.  In January, both 3^rd years switch to outpatient Adult Psychiatry, rejoining their former fellow psychiatry residents, who are in their third year as well.  A full year of continuous outpatient offers a variety of clinical experiences and settings, and most residents will choose 3 or 4 sites to work at over the course of the year.  These sites include community mental health centers, student mental health, psychosomatic clinics, a substance treatment program, and forensic opportunities.

Fourth Year

Track A & B

July-Dec	Adult Outpatient Psychiatry
Jan- June	ED	Elective	Wards	Neuro	Adolescent	Elective

--1/2 day/week at pediatric continuity clinic, 1/2 day/week at psychiatry didactics-- 

The first half of this year is a continuation of outpatient Adult Psychiatry.  In January, both residents return for their last 6 months of Pediatrics, except for their continuity clinic which continues through the entire five years.  Again, they have senior resident responsibilities as well as more elective time, giving residents the flexibility to choose educational opportunities that are of interest to them and that they feel will round out their pediatric experience.

Fifth Year

July-Dec

Outpatient Child Psychiatry (2 1/2 days/week) combined with multiple selectives

--1/2 day/week at pediatric continuity clinic, 1/2 day/week at child psychiatry didactics--

This year is outpatient Child Psychiatry, in addition to the weekly half day of pediatrics continuity clinic.  All residents use the University Child and Adolescent Behavioral Health Clinic as their home-base, usually having 4-5 half days a week to practice "bread and butter" child psychiatry with patients from all levels of socioeconomic status.  The remainder of the week is filled with electives that provide exposure to such populations as children with autistic disorders, the preschool years, substance abusing and at-risk teens, adolescents and teens with court system involvement, traumatized children, and rural psychiatry/tele-psychiatry opportunities.  Most residents will find that instead of the required 2 hours of supervision a week, they will have 4-5 hours a week depending on their interests and electives chosen. 

Pediatric Continuity Clinic

Before you are a resident, you will have the opportunity to choose from a variety of different clinical settings which will be your outpatient pediatric home for the next 5 years.  The different opportunities include South Main Clinic, which is a predominantly underserved Spanish speaking population.  Clinic 6 is a University based clinic where the experience ranges from refugees to the children of professors and other University employees.  Teen Mom Clinic offers pediatricians the chance to practice both well and sick child visits along with becoming familiar with adolescent medicine.  There are a variety of private clinics with excellent pediatric attendings to choose from as well.

As a Triple Board resident, you are expected to attend clinic weekly while on any psychiatry rotation and all non-Q4call pediatric rotations.  On pediatric rotations that are Q4 call, you will have 2 weeks with continuity clinic and 2 weeks with Wednesday afternoon psychiatry didactics.

Psychiatry Didactics

PGY-1 residents are expected to attend all Wednesday morning adult psychiatry lectures while on Psychiatry and on non-Q4call pediatrics rotations.  On pediatric Q4 call rotations, you will have 2 weeks with psychiatry didactics and two weeks with pediatric continuity clinic.

PGY-2 residents attend child psychiatry lectures Wednesday afternoons for the full year, with the exception of only attending two Wednesday afternoon didactics during Q4 call pediatric months.

PGY-3/PGY-4 residents attend senior adult psychiatry lectures for both years, again only going for 2 weeks out of 4 during Q4 pediatric call or ward senior months.  As a PGY-4 adult psychiatry resident, we take no call.

PGY-5 residents attend all child psychiatry lectures Wednesday afternoons as well as a child psychotherapy seminars Friday mornings starting in the fall.