During the fourth year, residents are able to further pursue their own specialized interests. For those who are not entering the child and adolescent psychiatry residency or selected as chief resident, the fourth year consists of 12 months of electives.
A resident may choose to repeat past rotations for more in-depth learning, as listed under the first three years. Designing one's own electives is also supported. Options might include work in pharmacology, psychotherapy, community psychiatry, forensic psychiatry and/or research. One may opt to rotate in settings such as a prison, the partial hospitalization program, a homeless shelter, a drug treatment facility, or the center for disabilities and development. These are only some examples, a resident need only demonstrate that an experience be educational and coordinate with the appropriate persons.
For a half day each week, the resident is allowed to continue treating a sample of his or her patients from the year prior. Residents are given greater autonomy with patients during the fourth year, and the continuity of care can be truly rewarding. The fourth year resident also continues to learn by attending didactic sessions and providing support on back-up call about twice per month.
View a chart that breaks down the fourth year of training.