One hallmark of the UNC General Psychiatry residency program is our focus on Ambulatory Psychiatry, so the predominant outpatient year is PGY-2 rather than the typical PGY-3. By starting the outpatient experience the second year and continuing throughout residency, we are able to ensure prolonged training and subsequent mastery in outpatient psychopharmacology and psychotherapy. 


Residents are able to rotate through a variety of outpatient settings, including clinics at UNC Hospitals, community centers in Chapel Hill, and sites throughout North Carolina. 

UNC Psychiatry Outpatient Clinics
Substance Treatment and RecoveryWomen's Mood Disorders
Child Developmental Disorders Geriatric Psychiatry
Adult Developmental Disorders Psychosomatic
Eating Disorders

Community Clinics include:

  • Schizophrenia Treatment & Evaluation Program (STEP)
  • Acute Diagnostic and Treatment Clinic
  • Child and Adolescent Psychiatry

Call Schedules

Overnight call rotates among the second-year residents as a group. 24-hour weekend call occurs approximately 7 - 8 times per year, and residents take weekday calls (4:30pm - 8:00am) about 18 times during PGY-2.  As a second year, call will consist of managing medical and psychiatric concerns on the inpatient psychiatric units, evaluation and assessment in the Emergency Department, and consults throughout the hospital. The call structure is supervised in all settings by senior residents and faculty who are available for guidance and actively participate with the resident in clinical decision making. 

Night Float

Interspersed throughout PGY-2 are about four 1-week blocks of nightfloat. On these blocks, the resident is mostly dedicated to triage, assessment, and disposition of patients with psychiatric concerns in the Emergency Department. This provides an opportunity for the nightfloat resident to make autonomous medical decisions with senior faculty members available at all times for support and assistance. There are no clinic responsibilities while the resident is on a nightfloat rotation.


During this year, residents also begin training in psychotherapy. Residents engage in long-term psychodynamic, psychoanalytic, insight-oriented psychotherapy with three to four carefully chosen patients. Cases are discussed with a minimum of two long-term psychotherapy supervisors, who each provide one hour of supervision per week. Additional supervision and didactic experiences are available through the Psychoanalytic Institute of the Carolinas located in Chapel Hill.

Cognitive Behavioral Therapy

PGY-2 residents are also guided in cognitive behavioral therapy and will work with approximately two patients and one supervisor who provides an hour of supervision each week.


Beginning in PGY-2 and upon completion of USMLE Step 3, residents may choose to supplement their clinical training with moonlighting shifts at the UNC Emergency Department, WakeBrook, or the UNC Acute Diagnostic and Treatment Clinic (ADATC). While the General Residency clinical experience is very expansive and moonlighting is not a necessity, some residents enjoy the option to hone their practical application skills with patients in a variety of settings.