The third year of residency serves as a culmination of PGY-1 and PGY-2 while also building upon the residents' already extensive knowledge base. During this year, the PGY-3 provides inpatient psychiatric services while also treating outpatient psychopharmacology and psychotherapy patients throughout the day.
Residents work on a variety of services and all the inpatient units during PGY-3. While on the Geriatric Psychiatry Unit, residents will also have a sub-rotation on the Electroconvulsive Therapy (ECT) service where they will assess patients' need for ECT, complete the medical clearance, and be able to perform ECT with the assistance of expert ECT providers within the department.
|Consults||3 - 4|
|Psychotic Inpatient Unit||1|
|Crisis Stabilization Clinic||1|
|Geriatric Psychiatry Inpatient Unit||1 - 2|
|Peripartum Inpatient Unit||1|
|Eating Disorders Inpatient Unit||1|
|Child Inpatient Unit||1|
PGY-3 residents will also spend two blocks on the neurology service where they may continue their inpatient neurology experience or participate in an outpatient or consult service. These blocks are broken down into one 4-week block and two 2-week blocks, and are 75% time as PGY-3s are still responsible for their outpatient commitments. These blocks are supervised by a neurologist, and can take place at UNC or other locations in the Triangle.
|Sample PGY-3 Neurology Elective Locations|
|Raleigh Neurology Associates||Carolina Headache Institute|
|Raleigh Neurology Associates (Pediatrics)||Sleep Medicine|
|UNC Neuro-Oncology||UNC Neurology Clinic|
|UNC Neurology Consult-Liaison Service|
PGY-3 residents take 6 - 7 weekend calls annually during which they round on the inpatient units with attending physicians. Residents in their third year also spend 3-5 hours per week of 1:1 supervision with attendings.
Continuity of treatment experience is essential to truly mastering the subtleties of psychiatric practice. It is important for residents to be able to follow patients over time, so PGY-3 residents continue to manage a cohort of continuity patients in the outpatient clinic to provide longer-term clinical care.
PGY-3 residents may elect 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 robust and moonlighting is not a necessity, residents have the option to practice attending-level autonomy.