The majority of a resident's third year is split between the the Adult Psychiatry Clinic at University of Iowa Hospitals and Clinics and the Veterans Affairs Medical Center in Iowa City. Residents also spend one half day per week for half of the year seeing patients at the Community Mental Health Center for Mid-Eastern Iowa.
At University of Iowa Hospitals and Clinics, residents see patients with a variety of illnesses – depression, anxiety, bipolar disorder, schizophrenia, attention deficit hyperactivity disorder, personality disorder, substance use disorders, eating disorders, adjustment disorders, etc. Appointments are generally 60 minutes in length for a diagnostic evaluation and 30 minutes for follow-up medication management. In an appointment, residents interview the patient, staff the case in a conference room with an attending staff member, and return to the patient (with staff) to finalize the treatment plan. Psychotherapy patients are also scheduled during clinic months with a minimum expectation to be following two patients per week.
At the Veterans Affairs Medical Center, residents are exposed to a wide range of diagnoses, including a large amount of post-traumatic stress disorder cases. Appointments are the same length as those at University of Iowa Hospitals and Clinics, but there is more autonomy in the decision making process. For example, residents are not required to staff each patient and staff do not see the patients unless the resident feels there is a compelling reason. Instead, residents sit down with staff between patients or at the end of the day to discuss cases and get feedback on treatment plans.
In both locations, third year residents provide on-call support, usually once every other week. At University of Iowa Hospitals and Clinics, on-call time is spent on emergent appointments and phone calls. At the Veterans Affairs Medical Center, on-call time is spent on consults and emergency room patients.
View a chart that breaks down the third year of training.