We have recently revised our schedule to provide what we believe to be the most effective training experience possible for our residents. Beginning in July 2026, the year-by-year schedule for IM-Psych residents joining our program will be as follows:

Each block represents a four-week rotation with 13 blocks per academic year.

PGY-1: Med-Psych Interns will begin with six months on Internal Medicine where they will learn alongside their categorical IM peers to develop a strong foundation in inpatient and outpatient medical settings, including rotations in the ICU and the Emergency Room. They will then spend three months on Psychiatry, completing core inpatient and elective rotations, before finishing the year with their last three months as an IM intern.

PGY-2 and PGY-3: Second- and third-year residents will alternate every three months between Internal Medicine (functioning as an upper-level resident from the moment PGY-2 year begins) and Psychiatry (completing core rotations and electives including Addiction Psychiatry, Consult-Liaison Psychiatry, and more). This allows for residents to easily maintain familiarity in each field without spending too much time away from either side of their training, and residents will start to naturally integrate both  medicine and psychiatry into each rotation.

PGY-4: Fourth-year residents will have twelve months of uninterrupted outpatient psychiatry training as required by ACGME. Residents will also regularly spend time in our ambulatory Med-Psych clinic to keep their medical skills and knowledge intact during this outpatient year.

PGY-5: Finally, residents in their last year will return to regularly alternating between IM and Psychiatry, with opportunities to explore electives in either field that may be pertinent to their post-residency training or career plans.

Internal medicine rotations go by a “3+1” schedule – meaning residents will have a 3-week inpatient or specialty rotation, then a “+1 week” consisting of outpatient clinics, medicine didactics. This type of schedule helps to protect residents’ time so that they do not get pulled away to clinic while on a busy inpatient rotation. Residents maintain their psych exposure during their +1 weeks with one half-day of psychiatry clinic and another half-day of psychiatry didactics.

Psychiatry rotations consist of 4 week blocks with one half day per week of didactics, plus 2 half days of internal medicine continuity clinic per 4 week block.  

Visit our affiliate training sites page for more information about where our trainees learn.